This is not a good answer. The result will be an inaccurate picture of the spectrum of severity in breakthrough cases, and a failure to capture the full benefits of vaccination in terms of severe infections averted.https://twitter.com/DrLeanaWen/status/1394666390242611203 …
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While knowing what's driving breakthroughs is of academic interest - in the context of mass vaccination and minimal healthcare utilization - is it overall important? Would it not be more advisable to use the hospitalized sample set to represent community from a resource point?
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It is of academic interest *and* to curb the unnecessary freak-outs. I am ready to pre-file my piece on "no, that vaccine breakthrough cluster at University X that tests all students weekly is not a cause for concern" article for Fall of 2021. I'd rather not write it, tbh.

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I'm fielding lots of concerned questions from friends about why the mortality rate of vaccinated people who get COVID looks like the mortality rate of unvaxed. I try explaining the issues with the denominator but not everyone staying with me... we need to count all infections.
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is there any cause for concern with "low virus" breakthrough cases in the context of a parent-child relationship? That is, could daily close proximity at home between vax'd parents & unvax'd small children override the low viral load factor? (— admittedly a little freaked out)
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