...we find that booster mandates may cause a net expected harm:
per Covid-19 hospitalisation prevented
in previously uninfected young adults, we anticipate 18 to 98 serious adverse events
, including 1.7 to 3.0 booster-associated myocarditis cases in males, and 1,373 to 3,234 cases of grade ≥3 reactogenicity which interferes with daily activities. Given the high prevalence of post-infection immunity, this risk-benefit profile is even less favourable.
University booster mandates are unethical because:
- no formal risk-benefit assessment exists for this age group;
- vaccine mandates may result in a net expected harm to individual young people;
- mandates are not proportionate: expected harms are not outweighed by public health benefits given the modest and transient effectiveness of vaccines against transmission;
- US mandates violate the reciprocity principle because rare serious vaccine-related harms will not be reliably compensated due to gaps in current vaccine injury schemes; and
- mandates create wider social harms.
We consider counter-arguments such as a desire for socialisation and safety and show that such arguments lack scientific and/or ethical support. Finally, we discuss the relevance of our analysis for current 2-dose Covid-19 vaccine mandates in North America.
https://papers.ssrn.com/sol3/papers.cfm ... id=4206070