The U.S. Centers for Disease Control and Prevention (CDC) pressured U.S. regulators to clear COVID-19 boosters without clinical trial data, according to newly released emails.
The conversation took place on a call that was described by Dr. Phil Krause, a top FDA official, to several other FDA workers.
“Take a deep breath before reading this next paragraph. On that call, the CDC evidently stated that they will assemble all the data they are aware of on third dosing in this setting and send it to us in the hope that we will (very soon) authorize the third dose for immunocompromised as part of the EUA,” Krause wrote in the Aug. 5, 2021, email (pdf in the sources at the bottom of the post).
EUA stands for emergency use authorization. All of the COVID-19 vaccines were authorized under emergency conditions at that time. No boosters had been authorized and no clinical data were available for the boosters.
The emails show that “the CDC wanted the booster approved without a trial,” Dr. Jay Bhattacharya, a professor of medicine at Stanford University, wrote on Twitter. The CDC didn’t respond to a request for comment. Krause was responding to Doran Fink, who also works for the FDA’s Center for Biologics Evaluation and Research, charged with evaluating vaccines.
Fink sent along a post that had been made to an infectious diseases forum regarding whether doctors should be giving additional vaccine doses to patients with compromised immune systems despite the lack of authorization.
Dr. Richard Nathan of Idaho had written that other countries, including Israel, had cleared boosters.
“Pfizer recommends it and I trust their guidance over the turmoil at our federal agencies. With millions of doses of vaccine set to expire, you should do what you think is best for your patients. I can’t believe you would get pushback from anyone. Keep in mind, nearly everyone in this group is six to seven months out from the second dose of the vaccine and many have significant daily exposure to the virus,” Nathan wrote.
Fink said the post “accurately reflects more widespread thinking that I am hearing in other forums as well,” including among doctors who advise the CDC on vaccines.
“Providers are losing confidence in FDA/CDC to do the right thing for their patients,” Fink said. Less than two weeks later, the FDA authorized boosters for certain people, including immunocompromised persons.
The agency said that “a thorough review of the available data” concluded the group “may benefit” from a third dose. The only data cited on efficacy were from two studies, one conducted by French researchers and another by Canadian researchers. Pfizer and Moderna hadn’t completed trials.
“As we’ve previously stated, other individuals who are fully vaccinated are adequately protected and do not need an additional dose of COVID-19 vaccine at this time,” Dr. Janet Woodcock, the FDA’s top official said.
But just weeks later, Woodcock and Dr. Rochelle Walensky, the CDC’s top official, signed onto a joint statement saying that vaccine protection was waning and that boosters “will be needed to maximize vaccine-induced protection and prolong its durability.”
In September 2021, the FDA and CDC authorized Pfizer boosters for many other Americans. The authorization was expanded to Moderna and Johnson & Johnson shots, and virtually all other Americans, later in the year.
Krause and Dr. Marion Gruber resigned from their positions because of opposition to the booster strategy. Judicial Watch obtained the newly published emails as part of ongoing litigation against the Biden administration for not properly responding to a Freedom of Information Act request.
An earlier tranche of emails showed that Gruber was “very concerned” in late August 2021 about pressure from companies such as Pfizer over vaccine authorization.
“We need to be given time to consider their data and cannot be pushed by these companies and, for that matter the Administration, who try to impose timeless [sic] that make no sense,” Gruber wrote to Dr. Peter Marks, a top FDA official.
“These FDA records further document top officials’ concerns about the controversial COVID-19 booster shots,” Judicial Watch President Tom Fitton said in a statement. “That it has taken months and a federal lawsuit to uncover this critical material is a scandal.”
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