Pretty sure it's worse than that. The number that dictates how accurate the "100% effective against hospitalizations and death" stat from the trials can be isn't the total number of people in the trial, it's the much smaller number of people in it who were hospitalized and died. In reality, I don't think that's enough to differentiate between 90% and 100%, and honestly it'd probably be pretty hard to rule out 80% either.
There have been 74 breakthrough COVID19 deaths in the USA so far. (Number of people who were vaccinated, but died of COVID19 anyway). 9 of those cases were not attributed to COVID19, but lets stick with the bigger 74 number for "steelman" purposes.
In contrast, there have been anywhere from 1000 to 3000 deaths PER DAY due to COVID19. The only question remaining is: how far back do we go to count COVID19 deaths. Do you want to start in January, or do you want to start in February? Vaccination started in December, maybe we should include December deaths?
The month of February 2021 was well in excess of 50,000 COVID19 deaths. (2000 to 3000 COVID19 deaths per day every day through Feburary). Estimating that to a round number is ~70,000 or so.
74 breakout deaths vs 70,000-ish total deaths puts us in the 99% effective range already. And that's after I've "steelman" chosen lots of numbers not very favorable to my argument.
It seems like a verifiable fact that the vaccines are well in excess of 99% effective against death. How much so (99.9% or 99.99%???) is a mystery to be left for someone who is better at analyzing these statistics.
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The USA is currently experiencing 700 deaths/day due to COVID19. Its not over. As the death count of the unvaccinated population rises day-after-day, it will only make the safety results of the vaccine more and more certain.
