COVID-19 vaccine study that was blocked from CDC journal is published
elsewhere
[June 24, 2026]
By MIKE STOBBE
NEW YORK (AP) — A study on COVID-19 vaccine effectiveness has finally
been published after being blocked from a government health journal.
The vaccine was found to be about 55% effective against
COVID-19-associated hospitalizations, and reduced COVID-19-related trips
to emergency departments and urgent care clinics by 50%, according to
the study published Tuesday by JAMA Network Open.
The findings are not particularly surprising: Researchers have
repeatedly found that COVID-19 vaccines work. But the paper drew public
attention after Trump administration political appointees decided not to
run it in a Centers for Disease Control and Prevention publication.
They argued that the study's design was too vulnerable to false
assumptions that could produce flawed results. But many public health
researchers maintain it's a reliable design that's been used for decades
and offers the best way to understand how well a vaccine is working
currently.
“It is critical that we continue to characterize and publish estimates
of vaccine effectiveness in populations with changing immunity against
evolving viral strains,” wrote Natalie Dean, an Emory University
biostatistics expert, in a commentary that accompanied the study's
publication Tuesday.

The research originally was scheduled to be published this spring in
Morbidity and Mortality Weekly Report, the CDC's flagship publication.
It had been cleared by the agency's Office of Science but was flagged by
acting agency Director Jay Bhattacharya, said Althea Grant-Lenzy, the
CDC's chief science officer, in a recent interview.
His decision did not mean the paper would never be published, she said,
but rather that the authors had to take time to address his concerns.
The authors had the freedom to take the study instead to outside
journals, she added.
The study approach, called “test-negative design,” looks at people who
were admitted to hospitals or visited emergency rooms with respiratory
illnesses. The researchers checked whether patients were vaccinated and
then calculated the odds of a positive COVID-19 test among vaccinated
patients vs. those who were unvaccinated.
Papers using that methodology have been published — after review by
experts in the field — in a number of esteemed journals, including
Pediatrics and the New England Journal of Medicine.
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A sign for flu & COVID-19 vaccines is displayed outside a CVS store
in Buffalo Grove, Ill., Sept. 23, 2025. (AP Photo/Nam Y. Huh, file)
 Bhattacharya has argued the
methodology relies too heavily on assumptions and could produce
results that were skewed by factors such as prior infections and how
different groups of patients behave.
Proponents of the study design say the methodology
is built to address differences related to who seeks care, and prior
infection shouldn’t be much of an issue because so many Americans
have already been infected by the coronavirus. They say no study
design is perfect but that U.S. Department of Health and Human
Services officials haven’t proposed a realistic alternative for
getting real-time estimates of how well vaccines are working.
Earlier this month, the CDC held a forum to discuss the pros and
cons of such studies. A panel of speakers at the front of a CDC
auditorium included Dean and two others who mostly focused on the
methodology's strengths.
But the panel also included one critic: Martin Kulldorff, a
Swedish-born biostatistician who — along with Bhattacharya — was a
co-author of the Great Barrington Declaration, an October 2020
letter maintaining that pandemic shutdowns were causing irreparable
harm.
U.S. Health Secretary Robert F. Kennedy Jr. last year appointed
Kulldorff as head of a federal vaccine advisory committee before the
biostatistician stepped down to become chief science officer at the
HHS planning and evaluation office.
Kulldorff argued that studies with that design can — but shouldn't —
include people with different diseases. He also questioned why
longer-term studies weren't used to evaluate COVID-19 vaccines.
“We were in a pandemic! That's why!” one person called from the
audience.
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