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Findings: In this cohort study including 22.7 million vaccinated individuals and 5.9 million unvaccinated individuals, vaccinated individuals had a 74% lower risk of death from severe COVID-19 and no increased risk of all-cause mortality over a median follow-up of 45 months. Findings In this cohort study including 22.7 million vaccinated individuals and 5.9 million unvaccinated individuals, vaccinated individuals had a 74% lower risk of death from severe COVID-19 and no increased risk of all-cause mortality over a median follow-up of 45 months
tl;dr: no, covid-19 vaccinated group had no increased risk of death, but did have decreased risk of death for covid (except in Corse region?)

edit: tl;dr: covid-19 mRNA vaccine was effective and did not contribute to increased deaths.

> no increased risk of all-cause mortality

> study including 22.7 million vaccinated individuals and 5.9 million unvaccinated individuals

These are the important bits for the non medical folks

Unfortunately, I don't think any additional evidence will convince vaccine skeptics of the safety of mRNA vaccines
Vaccines benefit the population, at the expense of the individual
>Vaccinated individuals were older than unvaccinated individuals (mean [SD] age, 38.0 [11.8] years vs 37.1 [11.4] years), more frequently women (11 688 603 [51.3%] vs 2 876 039 [48.5%]) and had more cardiometabolic comorbidities (2 126 250 [9.3%] vs 464 596 [7.8%]).

This is interesting because of "supposed" cardiovascular effects of the vaccine that many folks were worried about. Even more confounding is the gender differences. You'd think skewing women would skew away from cardiovascular issues.

An alternate interpretation is that the at risk cardio unvaccinated died of COVID for some reason.

I have to admit I checked the author on this paper. No surprise it is from outside of the US. It's hard to imagine a US institution releasing a scientific study that directly contradicts the administration's viewpoints out of fear of reprisal via loss of funding or even shakedowns.

I just hope this doesn't elicit some unhinged Truth Social post about evil Frenchmen trying to poison our bodies.

Does this mean Brett Weinstein was wrong when he said it caused 17M deaths ???
I found the intro very confusing, tbh.

Particularly the "no increased risk of all-cause mortality". I mean, if we assume the vaccines worked, we'd certainly expect a decreased risk of all-case mortality (because "all-case mortality" certainly includes "covid mortality"). Reading "no increase" seems to imply "it doesn't change anything". Yeah, technically, the sentence does not say that ("no increase" can mean "no decrease" or "no change").

You have to read further below to get what should be the real message on all-cause-mortality: "Vaccinated individuals had [...] a 25% lower risk of all-cause mortality". I think that should've been in the first 1-2 sentences.

They define unvaccinated as anyone in the study who didn't get their first dose by Nov 2021. That feels like a pretty tight window to me. I don't think they checked to see if those "unvaccinated" people got vaccinated during the 4 year followup, especially given the mandates that forced people to get them.
Honestly, the thing I find more interesting is the "Social Deprivation Index" where vaccinated individuals were 21% "most social" and 19% "least social" while unvaccinated individuals were 15% "most social" and 27% "least social".

There are obvious negative and positive ways to interpret this but I don't actually know the correct one.

NB: most people choosing not to take it in France tend to fall into the medically at risk, stubborn, or, "so far down the rabbit hole that you probably can't trust these people to make sensible life choices" groups. (This alone being a good reason why this 'control' group had a slightly higher all cause mortality at 6months)

Remember, France was one of the wonderful countries where you couldn't legally shop or work if you were deemed to be 'not at risk' && 'unvaccinated' and achieved a very high rate as a result biasing the control group. (This is a purely statistical statement)

And for reference, I do think the vax is dangerous in terms of massive populations and we don't have mass graves due to mRNA problems (although several large cancer blips). In the same way in countries with low vaccination rates we don't have mass graves at 10% population or higher. Cv19 was always going to kill and an untested treatment is likely to kill those who were at risk.

(I'm willing to bet in the case of cv19 the ones who were hit hardest would have been hit badly by either vector, virus or mRNA. But we'll pretty much never be able to prove or disprove that...)

I'm sure both extremes will jump to the rallying cry of "2 more weeks..." So yes of course I'm wrong, I only worked on analysing early 'data' and pulling apart the models so what do I know.

is it not possible that the kind of person who would've had negative side effects from an mrna vaccination already died from covid itself prior to wide rollout? presumably anyone who had any sort of minor illness during covid would be predisposed to get the vaccine, whereas anyone both lucky enough to be spared of that and ignorant of the vaccine would have their own illness due to the way this was designed. in addition anyone who for whatever reason didn't want to get the vaccine who didn't at this point would actually be uniquely at risk due to the combination of likelihood of getting covid plus disposition for an anti-health attitude.

I feel like you could have the same conclusion if you had groups that were people who go to the doctor vs people who do not in the same time period

they go into this themselves:

> It seems reasonable to assume that by early November 2021, 3 months after the introduction of the mandatory health pass39 (delivered when fulfilling one of these conditions: a negative COVID-19 test result, proof of COVID-19 vaccination, or a certificate of recovery from a COVID-19 infection) to enter and exit France as well as to access restaurants, theaters, and nonurgent hospital consultations, the majority of unvaccinated individuals were reluctant to get vaccinated.

> A study aimed at characterizing patient hesitancy toward COVID-19 vaccination showed that categorical refusal of vaccination was associated with prior noncompliance with vaccination recommendations, a lower educational level, and a less severe perception of COVID-19.41

in any case i've yet to see a slam dunk study showing any negative effect of vaccination.

This is rather weird. Mortality in immediate connection with the vaccine (index time) would not have been captured here. I would hesitate to draw any conclusion from this paper.

> For all individuals, vaccinated or not, follow-up time zero began 6 months after the index date.

One thing I don’t get: the study excludes the first 6 months after vaccination to avoid immortal-time bias. But if people died right away due to the vaccine (hypothetically), wouldn’t this design exclude those deaths?
> Sensitivity analysis revealed that vaccinated individuals consistently had a lower risk of death, regardless of the cause

This sounds like a red flag to me if you're trying to isolate the COVID vaccine as something safe. Table 2 data showed less drownings, less car crashes, less falls, less deaths related to chromosomal abnormalities... How can there not be a confounding variable or two here?

It’s sad that these days anytime health studies or recommendations come out I half to make sure it’s not from an official US government source.

But to be honest even before the current shit show I was taking recommendations from foreign health departments when it came to COVID.

I got a booster shot after getting the J and J vaccine before it was officially recommended by the CDC because I saw other countries’ health departments publishing data about it. I can’t remember whether it was Isreal, the UK or the EU.

I've been using this prompt on articles that generate debate. Like microservices, or jwt's. It brings up some interesting points for this article...

Look at this article and point out any wording that seems meant to push a certain viewpoint. Note anything important the author leaves out, downplays, or overstates, including numbers that seem cherry-picked or lack context. Clearly separate basic facts from opinions or emotional language. Explain how people with different viewpoints might read the article differently. Also call out any common persuasion tactics like loaded wording, selective quotes, or appeals to authority.

so anyone who didn't get vaccinated before Nov. 2021 is considered unvaccinated? if they got the same dose the "vaccinated" group got on Dec 1st 2021 they're still... unvaccinated? and this is the control for this study? am i missing something? im sure there are a ton of valuable findings in this study, but that seems like a flaw.

also, this is only tangentially related, but why is everyone so keen to defend big pharma? i thought we were supposed to hate them? they made billions off vaccines.

remember martin shrkeli? he claimed he raised the price of a drug for a rare disease to make it commercially viable and he was crucified for it. less than 5 years later, a virus breaks out of a town with a lab dedicated to experimenting with (i.e. weaponizing) viruses and big pharma decided to convert to altruism when we needed them most? shrkeli's company made $65M in total off that (which a court ruled all of which had to be returned)... thats not even rounding error for pfizer, who sold $35B+ worth of mrna vaccines in 2021 alone.

if the guy who invented Daraprim came out and told us shkreli was a scumbag, we'd have believed him. but the mRNA guy comes out and he gets eviscerated. i get it, it's not 1:1, but still.

i'm not saying its all a hoax or a conspiracy, but "there doesn't need to be a formal conspiracy when interests converge". in the U.S., federal funding was given to anyone "treating" COVID. had COVID and got hit by a bus? that was a COVID death. and a check to the hospital from uncle sam.

earlier this year (MIT got duped)[https://www.lesswrong.com/posts/M2GzdAGbxwinERSEt/a-widely-s...] by a second year student when no one critiqued his fraudulent AI research. its a reminder that skepticism is an important part of the feedback loop.

i don't think the vaccine killed 17M people, and i think there are definitely grifters on the skeptic side, but that doesn't discount skepticism as a whole. and i dont think this study vindicates anything completely either.

We should not forget, that in most countries people who were unvaccinated came under severe social pressure. They often lost their jobs or got banned from social circles. You were basically rendered an outcast by not being vaccinated. So taking the vaccine did not only affect your immune system, but also gave you a higher social status. And there are plenty of studies that show that a lower social status significantly impacts mortality, with lower status linked to higher death rates. This may explain the lower all cause mortality among vaccinated people.
From the paper:

> The main causes of death were cancer (769 and 853 cases per million in vaccinated and unvaccinated individuals, respectively), external causes of mortality (493 and 597 cases per million, including, among others, unintentional injuries, such as transportation crashes, falls, and drownings, as well as suicides or self-inflicted injuries) and diseases of the circulatory system (282 and 367 cases per million) (Table 2). Vaccinated individuals had a lower risk of death compared with unvaccinated individuals regardless of the cause of death.

I don't think mRNA vaccination is likely to cause an increase in all-cause mortality. But this study is clearly comparing two radically different populations, and could not show a mortality increase from mRNA vaccination even if one existed.

Am I right in reading "Figure. Estimation of All-Cause Mortality at 4 Years in Vaccinated Compared With Unvaccinated Individuals Using Weighted Cox Models: Main and Stratified Analyses" to show that vaccines were more beneficial to the 18-29 age group than any older group? Isn't that unexpected?