Why more vaccinated people are getting Covid

Mark Shrime, MD, PhD
6 min readJun 27, 2021

Or: why denominators matter

Slowly but surely, we’re getting vaccinated. (In high-income countries, at least, but this isn’t a post about vaccine nationalism).

Covid case counts in the US have steadily decreased since mid-April, reaching numbers we haven’t seen since March of last year. It’s pretty phenomenal.

New Covid cases per day in the US (Source: New York Times)

So, this is a good time to talk about why we’re about to see reports of increasing infections among vaccinated people.

And it’s true! By the time 90% of the population is vaccinated, nearly a third of Covid infections will be in people who’ve been vaccinated!

In fact, here’s what it’s going to look like:

Oh my god, the vaccines are going to kill us

The heck? What kind of vaccine madness is this? Does it mean the vaccines don’t work?

(Spoiler: No, it doesn’t.)

Making ice cream

Let’s take a detour.

Pretend, for a second, that you’re an ice cream maker, and you pride yourself on two things: the sheer number of flavors you serve and the absolute decadence of your chocolate ice creams.

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Mark Shrime, MD, PhD

Author, SOLVING FOR WHY | Global surgeon | Decision analyst | Climber | 3x American Ninja Warrior Competitor