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COVID-19 Vaccines

26/36 total

Four major Phase 3 trials evaluated mRNA and viral vector COVID-19 vaccines.

Pfizer-BioNTech BNT162b2 Phase 3

Polack et al., NEJM 2020

7/9
Sample size N = 43,548
Follow-up 2 months (median)
Reported efficacy 95% against symptomatic COVID-19
Funding BioNTech / Pfizer (manufacturer)
7/9 criteria met (78%)
Criterion Met
Control Group
Randomized
Double-Blind
Placebo-Controlled
Large Sample (1,000+)
Long Follow-up (1yr+)
Independent Funding
Peer-Reviewed
Results Reproduced

Moderna mRNA-1273 Phase 3

Baden et al., NEJM 2021

7/9
Sample size N = 30,420
Follow-up 2 months (median)
Reported efficacy 94.1% against symptomatic COVID-19
Funding NIAID (federal) + Moderna
7/9 criteria met (78%)
Criterion Met
Control Group
Randomized
Double-Blind
Placebo-Controlled
Large Sample (1,000+)
Long Follow-up (1yr+)
Independent Funding
Peer-Reviewed
Results Reproduced

Johnson & Johnson Ad26.COV2.S Phase 3

Sadoff et al., NEJM 2021

7/9
Sample size N = 43,783
Follow-up 1 month
Reported efficacy 66.9% against moderate-to-severe COVID-19 (at 28 days)
Funding Janssen / J&J (manufacturer)
7/9 criteria met (78%)
Criterion Met
Control Group
Randomized
Double-Blind
Placebo-Controlled
Large Sample (1,000+)
Long Follow-up (1yr+)
Independent Funding
Peer-Reviewed
Results Reproduced

Oxford-AstraZeneca ChAdOx1 Phase 2/3

Voysey et al., Lancet 2021

5/9
Sample size N = 11,636
Follow-up 3 months
Reported efficacy 70.4% (pooled across dose regimens)
Funding UK Vaccine Taskforce / University of Oxford
5/9 criteria met (56%)
Criterion Met
Control Group
Randomized
Double-Blind
Placebo-Controlled
Large Sample (1,000+)
Long Follow-up (1yr+)
Independent Funding
Peer-Reviewed
Results Reproduced

Active vaccine control (meningococcal) used instead of saline placebo.

Side-by-Side Comparison

Criterion Pfizer-BioNTech BNT162b2 Phase 3Moderna mRNA-1273 Phase 3Johnson & Johnson Ad26.COV2.S Phase 3Oxford-AstraZeneca ChAdOx1 Phase 2/3
Control Group
Randomized
Double-Blind
Placebo-Controlled
Large Sample (1,000+)
Long Follow-up (1yr+)
Independent Funding
Peer-Reviewed
Results Reproduced
Total score 7/97/97/95/9
Methodology note: A lower score does not mean a vaccine is unsafe or ineffective. It means the published evidence has methodological gaps — shorter follow-up, manufacturer funding, or non-standard controls. We evaluate methodology only. Consult your healthcare provider about vaccination decisions.
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