.-') _ .-') _ | |
( OO ) ) ( OO ) ) | |
.-----. ,--./ ,--,' ,--./ ,--,' | |
' .--./ | \ | |\ | \ | |\ | |
| |('-. | \| | )| \| | ) | |
/_) |OO )| . |/ | . |/ | |
|| |`-'| | |\ | | |\ | | |
(_' '--'\ | | \ | | | \ | | |
`-----' `--' `--' `--' `--' | |
lite.cnn.com - on gopher - inofficial | |
ARTICLE VIEW: | |
Top FDA vaccine official rejected broad use of Covid-19 shots, | |
documents show | |
By Sarah Owermohle, Brenda Goodman, CNN | |
Updated: | |
12:31 PM EDT, Thu July 3, 2025 | |
Source: CNN | |
The US Food and Drug Administration’s top vaccine official overrode | |
agency experts in May to recommend against the broad use of two | |
Covid-19 vaccines, newly released documents show. | |
Dr. Vinay Prasad, director of the agency’s Center for Biologics | |
Evaluation and Research, said in two memos that he disagreed with | |
reviewers’ conclusions about the vaccines’ safety and about the | |
ongoing threat of the virus that causes Covid-19, particularly for | |
young and healthy people. | |
Prasad’s decisions are in line with broader Trump administration | |
efforts, under the leadership of US Health and Human Services Secretary | |
Robert F. Kennedy Jr., to restrict availability of coronavirus | |
vaccinations. Kennedy said in May that the shots will for healthy | |
children and pregnant people; the FDA said earlier that month that it | |
but only for older people and those in higher-risk groups. | |
In a memo that week, Prasad had rejected a recommendation from about 30 | |
FDA scientists to approve that vaccine, Novavax’s Nuvaxovid, for | |
people 12 and older. He cited limited data and “a diminishing risk” | |
of severe Covid-19 infection and safety concerns. | |
He cited similar safety concerns in a May 30 document, entitled | |
“override memo,” regarding wide recommended use of Moderna’s | |
latest version of its mRNA vaccine, mNexspike. The company had applied | |
for approval of the updated version in people 12 and older. | |
Prasad wrote that despite the totality of data submitted by Moderna, he | |
was unable to conclude that the manufacturer had improved the shot’s | |
safety or conclusively addressed concerns about risks of myocarditis, | |
or heart inflammation, in teenage and young men. | |
Earlier that week, the FDA had advised Moderna and another maker of | |
mRNA Covid-19 vaccines, Pfizer, to to include warnings about this rare | |
condition. | |
“Novavax is focused on ensuring that vaccination for COVID-19 is | |
available to those who are at highest risk and who choose to be | |
vaccinated,” the company said in a statement Wednesday. “We believe | |
it is important that consumers have choice in selecting the vaccine | |
that is right for them.” | |
Moderna declined to comment for this story. | |
“The idea that Dr. Prasad ‘overruled’ FDA scientists is a | |
distortion of the facts,” HHS spokesperson Andrew Nixon said | |
Wednesday in a statement to CNN. “He evaluated the totality of the | |
evidence and made a judgment rooted in gold standard science. That’s | |
not political – it’s what principled leadership looks like.” | |
Experts see ‘major overreach’ | |
Dr. Daniel Griffin, an infectious disease specialist at Columbia | |
University, said the memos reflect wider talking points among health | |
officials. | |
“They seem obsessed with myocarditis, and they made a decision on | |
that which they just have a fixed ideology that they keep looking for | |
confirmation bias on,” he said. “And the data there, I think, is | |
really clear. Early on, we saw, let’s say, 20 to 65 [cases] per | |
million doses when we were giving the initial [vaccine] doses three to | |
four weeks apart. … We really, actually haven’t seen very much | |
since it was spaced out. And what we have seen is that now everyone is | |
getting Covid – it’s really kind of a question of how often per | |
year – and the risk of ending up with myocarditis being unvaccinated | |
is tenfold higher than if you’re protected by a vaccine. So their | |
their argument of restricting access to the vaccines to protect us | |
against myocarditis is flawed. They’re increasing our chance tenfold | |
by restricting our access.” | |
The memos also mark a break from typical agency responsibilities, | |
Griffin said. | |
“The role of the FDA is to make a decision based upon the safety and | |
efficacy of a product, whether or not it should be licensed or not. But | |
as far as restricting access, as far as providing guidance on who | |
should specifically get a vaccination, that has fallen to the [US | |
Centers for Disease Control and Prevention] and a number of | |
professional societies for decades. So I think most of us would view | |
this as a major overreach of the of the responsibility of the FDA. The | |
FDA is is not supposed to have the power to restrict access to safe and | |
effective products.” | |
Dr. Peter Marks, who was director of CBER before Prasad, said in a text | |
message Wednesday that “In the past, the center Director override | |
memos were rare and only done after very careful consideration – and | |
usually after consultation with other center directors. During the | |
nearly decade that I was at FDA, there were only a few that I authored | |
– certainly less than one a year on average during my tenure at CBER | |
– and that included all the various types of decisions that could be | |
overridden.” | |
Dr. Peter Lurie, a former FDA associate commissioner who’s now | |
president and executive director of the Center for Science in the | |
Public Interest, said overrides like Prasad’s tend to err on the side | |
of being less restrictive – making a product available when reviewers | |
are more cautious. He’s never seen one restrict the use of a product | |
that reviewers have deemed safe and effective. | |
“It’s very hard to escape the conclusion that antipathy towards | |
these Covid vaccines is playing a significant role in this extremely | |
rare override,” he said. “I think the concern remains that, yes, | |
they were making policy decisions that should have been reserved for | |
the CDC.” | |
Prasad’s memos were first reported by the New York Times. | |
Prasad questioned approval process | |
Prasad assumed his role as CBER director on May 8, a little over a | |
month after Marks said he had been due to Kennedy’s vaccine strategy. | |
More recently, FDA Commissioner Dr. Marty Makary also elevated Prasad | |
to be the agency’s chief medical and scientific officer. | |
Prasad is a hematologist-oncologist and outspoken critic of what he’s | |
argued as groupthink in medicine. The former University of California | |
San Francisco professor became a prominent voice during the pandemic | |
for challenging Covid-era mandates but has also questioned the drug | |
approval process and developers’ reliance on secondary results, or | |
surrogate endpoints, in clinical trials. | |
Prasad has called previous FDA commissioners — under both Democratic | |
and Republican administrations — “” who have not required enough | |
randomized clinical trial data in approval decisions. | |
Biotech stocks tumbled in the hours after his announcement as CBER | |
director, with some industry analysts calling Prasad an to lead the | |
department overseeing vaccines and biologic products. | |
He seemed to nod to those concerns in a May 20 town hall with Makary, | |
suggesting a flexible approach that speeds up drug approvals. | |
“We have to, and we will, always embrace surrogate endpoints for | |
people who have very concerning diseases, very rare conditions, few | |
treatment options,” he told FDA staff at the agency’s Maryland | |
campus. “We have an obligation at FDA to expedite those products to | |
those patients who desperately want them. We also have an obligation to | |
check on the back end and make sure that we’re actually achieving | |
what we thought we were.” | |
Prasad also signaled his approach to Covid-19 vaccines during that town | |
hall. | |
“The risk of severe disease and hospitalization, thank goodness, has | |
fallen among the American people. The efficacy of repeat doses … of | |
these vaccines to further reduce severe disease and symptomatic illness | |
is uncertain, and there are important safety considerations whose | |
long-term impact is not fully known,” he said. “We will continue to | |
monitor those closely.” | |
<- back to index |