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Our vaccination records are bad

It is now months later, and we still have not reached the 70% fully vaxxed rate I would have expected by late June.

At this point I no longer think there over a million1 Pennsylvanians skipping their second dose of the COVID vaccine. That's just too many people for the phenomenon not to be noticed. Instead I am now convinced that a significant number of people are getting their second dose at a different place from their first dose but forgetting to bring their vaccination card or forgetting to tell the provider they had already received a first shot. So they end up getting counted as "partially vaccinated" twice. Also there are probably people who decided to get themselves a booster (a third shot of Pfizer or Moderna, or a first shot of Pfizer or Moderna on top of J&J) to get extra protection even though the booster is not currently authorized for most people, which means they may lie to the pharmacist giving the shot and their third dose gets counted as a new "partially vaccinated" person.

In other words, the persistent gap between partial and fully is more of an artifact of our decentralized crappy medical record system in the U.S. In other countries with universal healthcare, if someone went to a pharmacy to get a shot they would be found in the national healthcare database, which would be able to accurately tell which dose it is. Here in the U.S., where the shots are free so you don't even need to report it to your insurance company, the injections people get often won't be recorded accurately.

That means that some portion of that 16.5% who is thought to be Partially Vaccinated but not fully vaccinated probably are fully vaccinated. It also means that some portion of the partially vaccinated number are really double counts of the fully vaccinated numbers, because they represent someone who was fully vaccinated who went to get an unauthorized booster.

But it does mean that the fully vaccinated number is probably an accurate floor of the number of fully vaccinated adults there are in the state. In other words, I think it is accurate to say that at least 66.8% of adult Pennsylvanians are fully vaccinated as of today. We just will never know the real number of fully vaxxed and the partially vaxxed number is probably wrong.

1-The adult population of PA is 9.63 million. 16.5% (the difference between 83.3% and 66.8% in the Governor's Tweet) of that adult population is 1,59 million people.

This post first appeared on Rubber Hose, please read the originial post: here

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Our vaccination records are bad


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