The Atlantic

The FDA Really Did Have to Take This Long

If vaccine approval feels maddeningly scrupulous, that’s because the alternative is worse.
Source: Ariana Drehsler / Getty

After months of anticipation, Americans have a fully licensed COVID-19 vaccine. Today, the FDA announced the approval of Pfizer-BioNTech’s shot for people 16 and older—the first complete thumbs-up among the three vaccines available in the U.S.

The pervasive mood has been: Finally. Pfizer’s shot was given its emergency use authorization—the vaccine’s training wheels—back in December, and the company submitted its application for full approval in May. While America’s emergency-use vaccination rollout has saved an untold number of lives, many institutions, including some universities and hospitals, have been waiting for formal approval to mandate vaccinations. Health officials have expressed hope that approval will help persuade people who are vaccine-hesitant to get a shot.

Especially as COVID-19 cases skyrocket and hospitals strain under the Delta variant, the FDA has to stop “dragging its feet” on vaccine approvals, many people have argued. Lives are at stake. The urgency, the medical scientist Eric Topol recently wrote in The New York Times, “cannot be overstated.”

Except this hasn’t been the only mood. While the approval timeline for Pfizer has felt like forever to many, less than four months from application to full FDA approval is much faster than usual for a completely new type of drug—even a priority vaccine up to eight. The timeline has been so fast, in fact, that a group of scientists recently called for the agency to in the name of safety. “If the FDA listens to us, they won’t give serious consideration to approving a covid-19 vaccine until 2022,” the group .

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic4 min read
KitchenAid Did It Right 87 Years Ago
My KitchenAid stand mixer is older than I am. My dad bought the white-enameled machine 35 years ago, during a brief first marriage. The bits of batter crusted into its cracks could be from the pasta I made yesterday or from the bread he made then. I
The Atlantic17 min read
How America Became Addicted to Therapy
A few months ago, as I was absent-mindedly mending a pillow, I thought, I should quit therapy. Then I quickly suppressed the heresy. Among many people I know, therapy is like regular exercise or taking vitamin D: something a sensible person does rout
The Atlantic5 min read
The Strangest Job in the World
This is an edition of the Books Briefing, our editors’ weekly guide to the best in books. Sign up for it here. The role of first lady couldn’t be stranger. You attain the position almost by accident, simply by virtue of being married to the president

Related