GET https://rct.dev.bbntimes.com/science/covid-now-who-and-what-needs-a-boost

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
_controller
"App\Controller\ArticleController::show"
_firewall_context
"security.firewall.map.context.main"
_links
Symfony\Component\WebLink\GenericLinkProvider {#3588
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    3705 => Symfony\Component\WebLink\Link {#3705
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      ]
    }
    3702 => Symfony\Component\WebLink\Link {#3702
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      -rel: [
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      -attributes: [
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      ]
    }
    3701 => Symfony\Component\WebLink\Link {#3701
      -href: "/build/scroll-infinite-article.js"
      -rel: [
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      -attributes: [
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      ]
    }
    3700 => Symfony\Component\WebLink\Link {#3700
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      -attributes: [
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      ]
    }
    3699 => Symfony\Component\WebLink\Link {#3699
      -href: "/build/cookie-style.css"
      -rel: [
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      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3698 => Symfony\Component\WebLink\Link {#3698
      -href: "/build/term-condition-css.css"
      -rel: [
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      -attributes: [
        "as" => "style"
      ]
    }
    3697 => Symfony\Component\WebLink\Link {#3697
      -href: "/build/contact-css.css"
      -rel: [
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      -attributes: [
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      ]
    }
    3696 => Symfony\Component\WebLink\Link {#3696
      -href: "/build/comment-css.css"
      -rel: [
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      -attributes: [
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}
_route
"article_show"
_route_params
[
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]
_security_firewall_run
"_security_main"
_stopwatch_token
"878b1f"
category
"science"
slug
"covid-now-who-and-what-needs-a-boost"

Request Headers

Header Value
accept
"*/*"
accept-encoding
"gzip, br, zstd, deflate"
connection
"close"
cookie
"care_did=7253cf8d-0c82-4b9e-b25b-f4b08bc0cc2f; PHPSESSID=n9r1vv8bujl7f1n8vtie6r9183"
host
"rct.dev.bbntimes.com"
user-agent
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control
"no-cache, private"
content-type
"text/html; charset=UTF-8"
date
"Sat, 22 Feb 2025 08:41:55 GMT"
link
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token
"36d760"

Cookies

Request Cookies

Key Value
PHPSESSID
"n9r1vv8bujl7f1n8vtie6r9183"
care_did
"7253cf8d-0c82-4b9e-b25b-f4b08bc0cc2f"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created
"Sat, 22 Feb 25 08:41:46 +0000"
Last used
"Sat, 22 Feb 25 08:41:53 +0000"
Lifetime
0

Session Attributes

Attribute Value
_csrf/https-comment
"TiRAFdILBoVcpmDKK0gTsrTwTPlVbbTHgwD7em5YdJE"
_csrf/https-cookie_accept
"nOecpqBgfsyMOT3gQ_69nZvQaEGksAOnSiTaXKpge6E"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
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    "function" => "run"
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Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
[
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    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
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    "function" => "getToken"
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    "function" => "handle"
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]
Symfony\Component\Security\Http\Firewall\ContextListener:171
[
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    "line" => 171
    "function" => "remove"
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  ]
  [
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    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
    "type" => "->"
  ]
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    "line" => 220
    "function" => "__invoke"
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]

Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV
"dev"
APP_SECRET
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN
"*"
DATABASE_URL
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG
"1"
BASE
"/public"
CONTEXT_DOCUMENT_ROOT
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX
""
DOCUMENT_ROOT
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE
"RESPONDER"
GATEWAY_INTERFACE
"CGI/1.1"
HTTPS
"on"
HTTP_ACCEPT
"*/*"
HTTP_ACCEPT_ENCODING
"gzip, br, zstd, deflate"
HTTP_CONNECTION
"close"
HTTP_COOKIE
"care_did=7253cf8d-0c82-4b9e-b25b-f4b08bc0cc2f; PHPSESSID=n9r1vv8bujl7f1n8vtie6r9183"
HTTP_HOST
"rct.dev.bbntimes.com"
HTTP_USER_AGENT
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
PATH
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING
""
REDIRECT_BASE
"/public"
REDIRECT_HTTPS
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_HTTPS
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_SCRIPT_URI
"https://rct.dev.bbntimes.com/science/covid-now-who-and-what-needs-a-boost"
REDIRECT_REDIRECT_SCRIPT_URL
"/science/covid-now-who-and-what-needs-a-boost"
REDIRECT_REDIRECT_SSL_TLS_SNI
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS
"200"
REDIRECT_REDIRECT_UNIQUE_ID
"Z7mN0riBoyj8JZ8-HGxvwQAAAAM"
REDIRECT_SCRIPT_URI
"https://rct.dev.bbntimes.com/science/covid-now-who-and-what-needs-a-boost"
REDIRECT_SCRIPT_URL
"/science/covid-now-who-and-what-needs-a-boost"
REDIRECT_SSL_TLS_SNI
"rct.dev.bbntimes.com"
REDIRECT_STATUS
"200"
REDIRECT_UNIQUE_ID
"Z7mN0riBoyj8JZ8-HGxvwQAAAAM"
REDIRECT_URL
"/public/science/covid-now-who-and-what-needs-a-boost"
REMOTE_ADDR
"3.143.23.103"
REMOTE_PORT
"19339"
REQUEST_METHOD
"GET"
REQUEST_SCHEME
"https"
REQUEST_TIME
1740213715
REQUEST_TIME_FLOAT
1740213715.3508
REQUEST_URI
"/science/covid-now-who-and-what-needs-a-boost"
SCRIPT_FILENAME
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME
"/public/index.php"
SCRIPT_URI
"https://rct.dev.bbntimes.com/science/covid-now-who-and-what-needs-a-boost"
SCRIPT_URL
"/science/covid-now-who-and-what-needs-a-boost"
SERVER_ADDR
"5.196.1.209"
SERVER_ADMIN
"[no address given]"
SERVER_NAME
"rct.dev.bbntimes.com"
SERVER_PORT
"443"
SERVER_PROTOCOL
"HTTP/1.1"
SERVER_SIGNATURE
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE
"Apache"
SSL_TLS_SNI
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID
"Z7mN0riBoyj8JZ8-HGxvwQAAAAM"

Sub Requests 6

CookieController :: renderAnalysis (token = 251715)

Key Value
_controller
"App\Controller\CookieController::renderAnalysis"
_format
"html"
_locale
"en"
_stopwatch_token
"c8fb27"

AppController :: renderHeader (token = e3b287)

Key Value
_controller
"App\Controller\AppController::renderHeader"
_format
"html"
_locale
"en"
_stopwatch_token
"77e9fe"
slug
"home"

ArticleController :: trendingArticle (token = 88e489)

Key Value
_controller
"App\Controller\ArticleController::trendingArticle"
_format
"html"
_locale
"en"
_stopwatch_token
"7b2491"
category
"Science"

ArticleController :: relatedArticles (token = 0f51eb)

Key Value
_controller
"App\Controller\ArticleController::relatedArticles"
_format
"html"
_locale
"en"
_stopwatch_token
"36f143"
current_article
App\Entity\Article {#1094
  -id: 10184
  -title: "COVID Now: Who, and What, Needs a “Boost”?"
  -slug: "covid-now-who-and-what-needs-a-boost"
  -introtext: "<p>Once again, we find ourselves in a novel turn of this labyrinthine pandemic experience.</p>\r\n"
  -content: """
    \r\n
    <p>In my home town in Connecticut, things feel substantially, if not quite pristinely-pre-pandemic, normal.&nbsp;One sees occasional masks, presumably worn by those who opted out of vaccination, but they are decisively a small and seemingly shrinking minority.&nbsp;Otherwise, it is mask-free business as usual, more or less.</p>\r\n
    <p>But even as ever more of the U.S. makes its way to some variant on that theme of life as we knew it before meeting SARS-CoV-2, the entire country of&nbsp;<a href="https://www.nytimes.com/2021/11/19/world/europe/covid-austria-lockdown.html" target="_blank" rel="nofollow noopener">Austria</a>&nbsp;is enacting a lockdown, and the first comprehensive vaccine mandate for any Western democracy.&nbsp;This, of course, is a response to a pandemic surge.&nbsp;Austria has relatively low vaccination rates, and in tandem with that now, the highest COVID transmission rates in the EU.</p>\r\n
    <p>We have, from my point of view, showed little or&nbsp;<a href="science/everything-we-know-about-the-pandemic-is-wrong-or-let-s-just-blame-the-pathogen" target="_blank" rel="noopener">no propensity for learning the lessons of this pandemic</a>&nbsp;in real time.&nbsp;We keep lurching from excesses (and deficiencies) in one direction,&nbsp;<a href="https://www.linkedin.com/pulse/epic-pandemic-mismanagement-how-why-david/" target="_blank" rel="noopener">to their counterparts</a>&nbsp;in the opposing direction.&nbsp;&nbsp;But perhaps we have at least learned that&nbsp;<a href="https://www.youtube.com/watch?v=ATPGgkll1g4" target="_blank" rel="noopener">pandemics are global</a>, and that there is no meaningful distinction between here and “over there.”</p>\r\n
    <p>Accordingly, surges in Europe have the authorities here in the U.S. fretting about the prospects of yet another surge.&nbsp;In response, along with legal and ideological battles over vaccine mandates and the overall vaccination rate, there is an expanding focus on boosters.&nbsp;As I write this, booster vaccines for all adults have been&nbsp;<a href="https://www.nytimes.com/2021/11/19/us/politics/coronavirus-boosters-fda.html" target="_blank" rel="nofollow noopener">approved by the FDA</a>, with official policy now awaiting the corresponding verdict from the CDC.</p>\r\n
    <p>I have the same challenge to the matter of boosters that I have been&nbsp;<a href="science/coronavirus-mortality-reality-check" target="_blank" rel="noopener">whistling into the pandemic wind on nearly every aspect of our collective responses from the start</a>: is this, really, a one-size-fits-all scenario?</p>\r\n
    <p>I am tempted to use myself as an illustration of my concern.&nbsp;I had COVID19 last January.&nbsp;Fully in accord with my expectations, based on my general health status, my case was mild- requiring no medical attention, and never causing me any anxiety.&nbsp;But it was no Sunday picnic, either.&nbsp;</p>\r\n
    <p>I had the fairly standard suite of symptoms and was sick enough to spend the better part of several days in bed, something I have done in response to acute illness not more than 2 or 3 times in the 40-year-span of my adult life.&nbsp;I lost my sense of smell suddenly and completely, and it took quite a few weeks for it to return incrementally.&nbsp;(For an oenophile, this was a real worry.)</p>\r\n
    <p>I experienced something else in common with millions of others infected by SARS-CoV-2: the production of antibodies.&nbsp;As confirmed by a test for IgG, I had developed natural immunity to the pandemic virus.&nbsp;</p>\r\n
    <p>At that time, last winter, we had no evidence to suggest that mRNA vaccine-induced immunity was more protective than immunity engendered by infection, and much precedent to suggest just the opposite.&nbsp;As an example, the measles vaccine is excellent- but the immunity derived from a bout of the measles is more robust still.&nbsp;</p>\r\n
    <p>Accordingly, with confirmation of IgG directed at SARS-CoV-2 at significant levels in my blood, when my age group reached the front of the queue, I wondered about the need for vaccination.&nbsp;</p>\r\n
    <p>To be clear, I am ardently “pro vaccine.” &nbsp;This is a somewhat silly expression, implying an ideology.&nbsp;The risk/benefit tradeoffs that populate sound medical and public health decision making should involve no ideology.&nbsp;I favor, in any medical situation, that option representing greatest and most likely benefit, least and most improbable risk.&nbsp;</p>\r\n
    <p>The panoply of effective vaccines, from smallpox to measles, tetanus to polio, count among the greatest advances in the history of public health not because they service some ideology.&nbsp;Rather, because they confer a genuinely massive benefit with attendant risks that are never zero, but reside in the realm of rounding error.&nbsp;Little in all of medicine compares in its capacity to preserve life and protect health with relative risk so low.</p>\r\n
    <p>I am thus “pro vaccine” in that context, where epidemiology prevails over ideology.&nbsp;But vaccines are as vaccines do, and the aim they serve is function, not form.&nbsp;In other words: the goal of any immunization campaign is to achieve effective immunity as safely as possible.&nbsp;Since I was already immune, what was the point of vaccination?</p>\r\n
    <p>As my regular audience already knows, I did get vaccinated, twice, with the Moderna offering by mere luck of the draw.&nbsp;I did so for two reasons.&nbsp;First, I had long COVID symptoms (and still do, with continued improvement over time), and had read anecdotes of symptomatic improvement with vaccination.&nbsp;(For those wanting to know: I experienced the converse; my symptoms worsened considerably after my second vaccine.)&nbsp;Second, I shared our common desire to get back to life and living, and the “system” was seemingly prepared to recognize vaccination status, rather than immune status.&nbsp;I was vaccinated in part to facilitate that recognition, so I could, for instance, visit my children or parents without hindrance.</p>\r\n
    <p>There was a third reason for vaccination post-infection that has emerged in the scientific literature only recently: the&nbsp;<a href="https://www.medicalnewstoday.com/articles/covid-19-do-vaccines-protect-better-than-infection-induced-immunity" target="_blank" rel="nofollow noopener">mRNA vaccines may, in fact, confer a more protective immunity than the native infection itself</a>.&nbsp;This is unusual, but not implausible, and certainly relevant for anyone in the situation now that I was in then.</p>\r\n
    <p>Which returns us to the matter of&nbsp;boosters- in a context of déjà vu, all over again.&nbsp;Just under a year ago, I was already immune to SARS-CoV-2, and vaccines were recommended.&nbsp;Now, I have native immunity to SARS-CoV-2 followed by two vaccines- boosters, in effect- and boosters are recommended.&nbsp;Do I need one?&nbsp;</p>\r\n
    <p>My medical training suggests that with infection and vaccination twice, I am well and truly “boosted” already- i.e., my antibody levels have bumped up to robust, protective levels.&nbsp;If I already have the intended benefit of a booster, then I should not be at the receiving end of advice to get one.&nbsp;Given my experience with the vaccine sequence- worsening of my long COVID symptoms- I am far from eager to get a booster from which I will not benefit.</p>\r\n
    <p>My point?&nbsp;We need public health guidance that is responsive to our current reality.&nbsp;Millions of us have had COVID19; millions have not.&nbsp;We are immunologically distinct, and that should be recognized.&nbsp;Failure to do so figures among the reasons why&nbsp;<a href="https://www.npr.org/2021/05/13/996331692/poll-finds-public-health-has-a-trust-problem" target="_blank" rel="nofollow noopener">trust in public health is at a deplorable low</a>.&nbsp;&nbsp;</p>\r\n
    <p>I am most assuredly not trying to talk anyone out of a booster vaccine; there’s a limit to how many times in the same column I should restate that I am ardently pro-vaccine.&nbsp;Rather, I am trying to talk our public health authorities into the&nbsp;<a href="science/covid19-pandemic-response-policy-a-eulogy-for-nuance" target="_blank" rel="noopener">neglected application of nuance</a>.&nbsp;There is no “public;”&nbsp;<a href="https://journals.sagepub.com/doi/10.4278/ajhp.101103-CIT-359" target="_blank" rel="nofollow noopener">the public is a fiction</a>&nbsp;derived for statistical convenience.&nbsp;There is only people- you, me, everyone else-&nbsp;<a href="https://www.huffpost.com/entry/public-health-for-whom-th_b_764126" target="_blank" rel="nofollow noopener">individuals all</a>.&nbsp;We are more alike than different, we Homo sapiens, but all different even so.&nbsp;Those differences are ignored with one-size-fits-all decision making, and&nbsp;<a href="science/covid19-public-health-and-trust-how-sir-isaac-newton-has-mucked-up-everything" target="_blank" rel="noopener">ignored at our collective peril</a>.</p>\r\n
    <div class="slate-resizable-image-embed slate-image-embed__resize-full-width"><img src="/images/The_finest_expressions_of_both_art_and_science_in_medicine_are_carefully_customized.jpeg" alt="The_finest_expressions_of_both_art_and_science_in_medicine_are_carefully_customized.jpeg" /></div>\r\n
    <p><br />The finest expressions of both art and science in medicine are carefully customized.&nbsp;Good medical care is personal.&nbsp;Public health is such care at scale- but scale does not, and should not, obviate attention to our individuality.&nbsp;This is reflected in cancer screening protocols that are specific to age and sex,&nbsp;<a href="https://www.uspreventiveservicestaskforce.org/uspstf/" target="_blank" rel="nofollow noopener">regimens of disease prevention</a>&nbsp;targeted with comparable finesse.&nbsp;This far into the current pandemic, with so much accrued understanding of&nbsp;<a href="https://www.linkedin.com/pulse/covid-you-booster-david-l-katz-md-mph-facpm-facp-faclm/" target="_blank" rel="noopener">risk differentials</a>, there is no longer any good excuse for the management of SARS-CoV-2 to be an exception.</p>\r\n
    <p>Much of the political discord and social turmoil attendant upon this pandemic is the result of individuals rebelling against one-size-fits-all policy, the implication that we are one, homogeneous fiction: the public.&nbsp;&nbsp;The last thing we want to do at this late stage of our shared pandemic journey- is boost that basis for discord and dissent.</p>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1637954415 {#1145
    date: 2021-11-26 19:20:15.0 UTC (+00:00)
  }
  -updatedAt: DateTime @1637955856 {#1150
    date: 2021-11-26 19:44:16.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 7688
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1637954415 {#1148
    date: 2021-11-26 19:20:15.0 UTC (+00:00)
  }
  -metakey: "COVID Now: Who, and What, Needs a “Boost”?"
  -metadesc: "Once again, we find ourselves in a novel turn of this labyrinthine pandemic experience."
  -robots: null
  -publishedAt: DateTime @1637954415 {#1147
    date: 2021-11-26 19:20:15.0 UTC (+00:00)
  }
  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = 41eb6d)

Key Value
_controller
"App\Controller\AppController::renderFooter"
_format
"html"
_locale
"en"
_stopwatch_token
"0c4682"

CookieController :: renderCookie (token = 3b2898)

Key Value
_controller
"App\Controller\CookieController::renderCookie"
_format
"html"
_locale
"en"
_stopwatch_token
"3ec4fb"