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App\Entity\Article {#1094
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  -title: "COVID and Vaccine Adverse Event Reporting: How VAERS veers off course"
  -slug: "covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
  -introtext: "<p>My positions related to the pandemic are a matter of public record&nbsp;<a href="https://davidkatzmd.com/coronavirus-information-and-resources/" target="_blank" rel="nofollow noopener">in word and video</a>, from perches&nbsp;<a href="https://www.truehealthinitiative.org/covid/" target="_blank" rel="nofollow noopener">humble</a>&nbsp;and&nbsp;<a href="https://www.nytimes.com/2020/03/20/opinion/coronavirus-pandemic-social-distancing.html" target="_blank" rel="nofollow noopener">rarefied</a>.&nbsp;</p>\r\n"
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    <p>I respected, from the start, the&nbsp;<a href="science/coronavirus-risk-for-severe-infection-death-highly-concentrated" target="_blank" rel="noopener">dangers of the virus, and also the dangers of indiscriminate lockdowns</a>.&nbsp;I favored, and still do, a strategy of&nbsp;<a href="https://www.truehealthinitiative.org/wp-content/uploads/2020/04/TotalHarmMinimization-2020-04-07.pdf" target="_blank" rel="nofollow noopener">total harm minimization</a>- because there always was more than one way for this pandemic to hurt us.&nbsp;I favored, and still do,&nbsp;<a href="https://www.nytimes.com/2020/03/22/opinion/coronavirus-economy.html" target="_blank" rel="nofollow noopener">risk-stratified policies</a>, because rarely in public health does one size fit all.&nbsp;Our “protections” were too severe in some cases, doing more harm than good, and&nbsp;<a href="https://www.aarp.org/ppi/issues/caregiving/info-2020/nursing-home-covid-dashboard.html" target="_blank" rel="nofollow noopener">not nearly enough in others</a>.</p>\r\n
    <p>I open this way merely to grease the skids of tolerance: I adhere to consistent principles, and follow the weight of evidence where it leads.&nbsp;To the best of my ability, whether it brings me praise or excoriations, I place epidemiology ahead of ideology.</p>\r\n
    <p>On that basis, I am now, as I have been throughout my 30-year career in medicine and public health, a staunch proponent of vaccines.&nbsp;Of course vaccines can do harm- every action and inaction can- but generally, the net benefit is massive.&nbsp;COVID is clearly no exception.</p>\r\n
    <p>However, several colleagues and correspondents have directed my attention to the use of data from&nbsp;<a href="https://vaers.hhs.gov/faq.html" target="_blank" rel="nofollow noopener">VAERS</a>&nbsp;- the&nbsp;<em>Vaccine Adverse Event Reporting System</em>&nbsp;– by general public and even health professionals, in social media to highlight the harms of COVID vaccination and make a case against it.</p>\r\n
    <p>I have looked over many such arguments, and they are, in a word: wrong.&nbsp;</p>\r\n
    <p>VAERS is being used as a bludgeon by people who, with all due respect, would not have made it through week one of&nbsp;<em>Epidemiology 101</em>.&nbsp;I know, because I both took the course on my way to my MPH degree, and because I&nbsp;<a href="https://evolve.elsevier.com/cs/product/9780323673594" target="_blank" rel="nofollow noopener">taught it</a>&nbsp;to Yale medical students for over a decade.</p>\r\n
    <p>To honor that history of pedagogy, let’s begin with a pop quiz:</p>\r\n
    <p><strong>1)&nbsp;&nbsp;True or False</strong>: anyone can report an adverse vaccine event through VAERS?</p>\r\n
    <p>ANSWER: True.&nbsp;The portal is open to everyone.</p>\r\n
    <p><strong>2)&nbsp;&nbsp;True or False</strong>: adverse vaccine events reported through VAERS must be plausibly associated with the vaccine?</p>\r\n
    <p>ANSWER: False.&nbsp;Any adverse event at all can be reported through VAERS, no matter how unlikely to be related to vaccination.</p>\r\n
    <p><strong>3)&nbsp;&nbsp;True or False</strong>: an adverse event reported through VAERS must be verified to be due to the vaccine before being added to the data sets?</p>\r\n
    <p>ANSWER: False.&nbsp;All adverse events reported are added to the data sets.</p>\r\n
    <p><strong>4)&nbsp;&nbsp;True or False</strong>: health care professionals are required to report adverse events in the period following vaccination to VAERS, even if they don’t think the event is vaccine related?</p>\r\n
    <p>ANSWER: True.&nbsp;While VAERS reporting is optional for the general public, it is mandated for health professionals.&nbsp;A wide array of adverse events occurring in the days and weeks following a vaccine, and death from any cause occurring in an extended period after a vaccine, are included.&nbsp;Further, the VAERS site states the following: “<em>Healthcare providers are strongly encouraged to report: Any adverse event that occurs after the administration of a vaccine licensed in the United States, whether or not it is clear that a vaccine caused the adverse event.”</em></p>\r\n
    <p><strong>5)&nbsp;&nbsp;True or False</strong>: The FDA and CDC encourage the public to report adverse events through VAERS, even if unlikely to be related to vaccination?</p>\r\n
    <p>ANSWER: True.&nbsp;The VAERS site states: “<em>Patients, parents, caregivers and healthcare providers (HCP) are encouraged to report adverse events after vaccination to VAERS even if it is not clear that the vaccine caused the adverse event</em>.”</p>\r\n
    <p>OK, that will do.</p>\r\n
    <p>Considering the above, it is certainly possible that relatively minor adverse effects- a sore arm, a runny nose- might go under-reported.&nbsp;While the public is encouraged to report to VAERS, only health professionals are required to do so.&nbsp;Accordingly, adverse outcomes that require medical attention will be reported far more consistently than those that don’t.&nbsp;Let’s agree- vaccine proponents and opponents alike- that VAERS could, conceivably, under-report minor adverse events related to vaccination.</p>\r\n
    <p>But what about major adverse events, including any and all outcomes that result in a visit to a health professional- and of course including all that result in hospitalization or death?&nbsp;These, inevitably, will be massively over-reported during a national vaccination campaign.</p>\r\n
    <p>Why?&nbsp;First, because as noted, reporting by health professionals is mandated by law.&nbsp;And, specifically, adverse events, including death, in a fairly open interval following vaccination must be reported, even if not thought to be due to the vaccine.</p>\r\n
    <p>Second, in any national vaccination campaign, with millions or tens of millions or even hundreds of millions being vaccinated- bad things will inevitably happen to many of us.&nbsp;Why?&nbsp;Because, sadly, bad things happen to some percentage of us, vaccine or no vaccine, every day, week, month, and year.</p>\r\n
    <p>As an example: each year in the United States, pandemic or no,&nbsp;<a href="https://www.cdc.gov/nchs/fastats/deaths.htm" target="_blank" rel="nofollow noopener">just a bit under 1% of the population dies</a>.&nbsp;This may be tragic in many individual cases, of course, but overall it merely represents the “circle of life:” we are born we live, we grow old, and we die- and then another generation gets its chance.&nbsp;Nearly 1% of the US population is roughly 3 million people, which translates to 250,000 deaths each month, or over 8300 deaths every day.&nbsp;</p>\r\n
    <p>Simply superimpose that normal, inevitable, annual death rate on a population-wide vaccination campaign affecting millions, and crude logic will tell you that the overlap will be vast.&nbsp;</p>\r\n
    <p>Even if a vaccine actually caused not a single death, VAERS would be loaded up with reports of death that occurred following vaccination, from a variety of causes.&nbsp;VAERS is designed to be inclusive, not exclusive; to be sensitive, not specific.&nbsp;VAERS is designed to welcome false positives, to avoid the dangers of false negatives.&nbsp;VAERS is highly prone to mix together actual “cause and effect” with “true, true, and entirely unrelated.”&nbsp;These are, simply, facts of the system, there by design.</p>\r\n
    <p>Yes, death from a traumatic car crash or fall in the week following a COVID vaccine could be reported via VAERS.&nbsp;Death by shark attack while surfing two weeks after a COVID vaccine…could be reported via VAERS.&nbsp;Death from lightning strike a month after a COVID vaccine…well, you get the idea.</p>\r\n
    <p>Now, let’s turn our collective attention to a simple thought experiment to evince the dangers of VAERS data in the wrong, ideological hands.</p>\r\n
    <p>Imagine in a given period, let’s say one month, that a million people receive a COVID vaccine (for our purposes here, it doesn’t matter which vaccine- we will assume comparable potential harms from them all).&nbsp;Let’s also image that during that same period, the same population experiences one thousand COVID infections.&nbsp;The COVID infection rate in this population is much lower than the vaccination rate for any of several reasons: the pandemic has mostly run its course in this population; and/or many people are immune due largely to vaccination, and partly to prior infection.&nbsp;These relative rates of vaccination versus infection are more or less realistic for many parts of the United States over recent weeks.</p>\r\n
    <p>Let’s imagine, further, that the infection is 100 times more likely to cause harm than the vaccine (this is a figure that likely understates the actual differential by quite a lot), and that the infection harms one out of ten people.</p>\r\n
    <p>So, out of 1000 people who got infected by SARS-CoV-2 in the past month, 100 would be “harmed” by the virus (1 out of 10).&nbsp;Out of the 1,000,000 vaccinated, 1000 would be “harmed” (100 times less risk than the virus, or one out of a thousand).&nbsp;For the sake of keeping this thought experiment simple, let’s just assume that the “harms” are comparable if not identical: whether minor, or severe, they are distributed comparably in the two groups.&nbsp;(Again, this is likely unfair to vaccination, but it works here).</p>\r\n
    <p>A simplistic interpretation of the numbers above might be: “<em>COVID vaccine harms ten times as many people as COVID infection!</em>”&nbsp;This is just the sort of warning currently reverberating through social media and pop culture.</p>\r\n
    <p>But this is not merely wrong, it is egregiously wrong.</p>\r\n
    <p>You don’t make it through week 1 of&nbsp;<em>Epidemiology 101</em>&nbsp;without learning to ask “what is the denominator?” So, what are the denominators?</p>\r\n
    <p>For complications among the vaccinated, the denominator is all of those vaccinated, or one million.&nbsp;The total “harms” of 1000 out of 1,000,000 people translate to one person harmed for every 1,000 vaccinated.</p>\r\n
    <p>In contrast, the 100 “harms” out of the 1,000 infected translates to one out of every 10.&nbsp;This makes the virus 100 times more dangerous than the vaccine.&nbsp;This is no surprise, since we started our thought experiment by “supposing” that the infection was 100-times more likely to do harm than the vaccine.&nbsp;So, that’s not the “aha!” moment here.&nbsp;The “aha” moment is that even if the vaccine causes 1000 harms in a population while COVID infection causes “only” 100, the infection may still be much, much more dangerous.&nbsp;And, in fact, it clearly is.&nbsp;(At the risk of stating the obvious: the lower rate of infection is because the vaccines work to prevent infection.)</p>\r\n
    <p>Nowhere in the world have clinicians or health systems reported resource shortages due to a deluge of COVID vaccine complications.&nbsp;But clinicians and health systems all around the world have reported exactly that from SARS-CoV-2 infections.&nbsp;Nor need I take anyone’s word for this-&nbsp;<a href="science/covid19-as-seen-up-close" target="_blank" rel="noopener">I volunteered in the Bronx during the early surge in New York City</a>, and I saw the hospital overwhelm for myself.&nbsp;The virus, while by no means equally dangerous to all of us, is monumentally more dangerous than vaccination.</p>\r\n
    <p>Note that if the vaccine were only 50, 30, 20, or 10 times safer than infection, the “total harms” numbers would make the vaccine look even worse.&nbsp;And if the vaccine were a thousand times less likely to do harm than the infection- a very plausible differential- the total number of harms would nonetheless be the same.&nbsp;If the infection harmed 1 in 10 out of a thousand, that would be 100 harmed.&nbsp;If vaccination harmed 1 in 10,000 out of a million, that would also be 100 harmed.</p>\r\n
    <p>These fundamental principles of epidemiology are widely applicable, of course, and not limited to infectious diseases, pandemics, and vaccination. In a given year in the United States,&nbsp;<a href="https://www.weather.gov/safety/ripcurrent-fatalities" target="_blank" rel="nofollow noopener">as many as 100 people may die while surfing</a>.&nbsp;Each year in the U.S.,&nbsp;<a href="https://danger.mongabay.com/injury_death.htm" target="_blank" rel="nofollow noopener">well over 7,000 mostly elderly people die from falls while showering</a>.&nbsp;If this persuades you that showering is 70 times more dangerous than surfing, I would very much like to sell you a bridge in Brooklyn; I’m sure&nbsp;Eric Adams&nbsp;won’t mind.&nbsp;The explanation, of course, is that vastly greater numbers of us are exposed to showers than surf boards.&nbsp;For any given one of us, surfing is, obviously, more dangerous than showering- no matter how good you may be at either.</p>\r\n
    <p>By related math, comparable logic, and the inalienable principles of basic epidemiology- COVID vaccination is massively safer than COVID infection.</p>\r\n
    <p>Does that mean vaccination is perfectly safe?&nbsp;</p>\r\n
    <p><a href="https://www.medpagetoday.com/infectiousdisease/covid19vaccine/93537" target="_blank" rel="nofollow noopener">Of course not</a>.&nbsp;Nothing in medicine, and virtually nothing in life is.&nbsp;In fact, one might argue that “<em>primum non nocere</em>” (first, do no harm) is not the right pledge for health professionals to take, because even when the right procedure is done for all the right reasons, it will occasionally result in harm.&nbsp;If, for instance, putting in&nbsp;<a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/intra-aortic-balloon-pump-therapy" target="_blank" rel="nofollow noopener">intra-aortic balloon pumps</a>&nbsp;is the best, or even only way to save lives in acute cardiogenic shock, but in 1 out of 100 on average there is a severe complication of this invasive procedure, the net benefit remains decisive: 99 out of 100 lives saved.&nbsp;The tragedy for the 1 out of 100 is no less because of good intentions, but the simple reality is that without a bold intervention, all 100 would have died.&nbsp;I have long thought “<em>never do intentional harm and do as much net good as you possibly can</em>” would be a better pledge for health professionals, but it admittedly lacks in both elegance and brevity.</p>\r\n
    <p>Does that mean COVID vaccination is the obviously right tactic in everyone?&nbsp;</p>\r\n
    <p>No, not necessarily.&nbsp;There is&nbsp;<a href="https://www.medpagetoday.com/opinion/marty-makary/93029" target="_blank" rel="nofollow noopener">debate among knowledgeable, highly trained professionals</a>&nbsp;regarding the risk/benefit ratio of COVID vaccination among healthy children, in whom the risks of COVID infection have been very, very low.&nbsp;I consider this debate entirely legitimate, particularly with evidence that the mRNA vaccines (Pfizer and Moderna) can cause&nbsp;<a href="https://www.health.harvard.edu/blog/new-information-for-parents-on-myocarditis-and-covid-19-vaccines-202107012523" target="_blank" rel="nofollow noopener">heart inflammation</a>&nbsp;in young people, males at least.&nbsp;</p>\r\n
    <p>However, this debate must remain current as new viral strains proliferate; there are worrisome&nbsp;<a href="https://www.forbes.com/sites/roberthart/2021/07/02/kids-among-most-vulnerable-to-infectious-delta-variant---heres-why-you-should-be-more-worried/?sh=d91654f27011" target="_blank" rel="nofollow noopener">reports that the Delta variant is more dangerous to children than its predecessors</a>.&nbsp;Whatever the right answer, the guiding principle is clear: the goal in public health efforts is to minimize the ratio of potential risk to likely benefit.&nbsp;If that introduces the challenge and nuance of risk-stratified rather than one-size-fits-all policies, so be it.&nbsp;We are&nbsp;<a href="science/covid-con-tempo-what-can-america-do-now" target="_blank" rel="noopener">duty bound to deal with that</a>.</p>\r\n
    <p>To sum up, I am a vaccine proponent for COVID and in general because of epidemiology, not ideology.&nbsp;I favor those efforts that reliably confer decisive net benefit to public health. I do not choose based on zero risk, because no such intervention exists.&nbsp;There is some, non-zero risk, in every potential action, and every potential inaction, too.&nbsp;The best we can do is…the best we can do.</p>\r\n
    <p>VAERS is an important and powerful tool; so, too, is a freight train.&nbsp;With the wrong hands on the wheel, whatever the good intentions, either can veer off the tracks.&nbsp;The result, of course, is a train wreck.</p>\r\n
    <p>My advice to you is choose your train wisely.&nbsp;And when you hear the screeching wheels of that veer, get out of the way.</p>
    """
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
Show trace 
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Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
Show trace 
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 253
    "function" => "doRender"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/src/Controller/ArticleController.php"
    "line" => 277
    "function" => "render"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 181
    "function" => "show"
    "class" => "App\Controller\ArticleController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]

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_CHARSET 
"ISO-8859-1,utf-8;q=0.7,*;q=0.7"
HTTP_ACCEPT_ENCODING 
"gzip, br, zstd, deflate"
HTTP_ACCEPT_LANGUAGE 
"en-us,en;q=0.5"
HTTP_CONNECTION 
"close"
HTTP_COOKIE 
"PHPSESSID=fikn4b1j2t1kmgj63ih4ssmfip; care_did=dac5faf4-e932-4caf-aab6-befc4c58c833"
HTTP_FORWARDED 
"for="3.17.39.163";host="rct.dev.bbntimes.com";proto=https"
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)"
HTTP_X_FORWARDED_FOR 
"3.17.39.163"
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"
PATH_INFO 
""
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 
"_path=_format%3Dhtml%26_locale%3Den%26_controller%3DApp%255CController%255CArticleController%253A%253ArelatedArticles"
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-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
REDIRECT_REDIRECT_SCRIPT_URL 
"/science/covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_REDIRECT_UNIQUE_ID 
"Z7mS5LiBoyj8JZ8-HGx3gAAAAAs"
REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
REDIRECT_SCRIPT_URL 
"/science/covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"Z7mS5LiBoyj8JZ8-HGx3gAAAAAs"
REDIRECT_URL 
"/public/science/covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
REMOTE_ADDR 
"127.0.0.1"
REMOTE_PORT 
"4499"
REQUEST_METHOD 
"GET"
REQUEST_SCHEME 
"https"
REQUEST_TIME 
1740215012
REQUEST_TIME_FLOAT 
1740215012.918
REQUEST_URI 
"/_fragment?_path=_format%3Dhtml%26_locale%3Den%26_controller%3DApp%255CController%255CArticleController%253A%253ArelatedArticles"
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-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
SCRIPT_URL 
"/science/covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
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 
"Z7mS5LiBoyj8JZ8-HGx3gAAAAAs"

Parent Request

Return to parent request (token = 87c6b5)

Key Value
_controller 
"App\Controller\ArticleController::show"
_firewall_context 
"security.firewall.map.context.main"
_links 
Symfony\Component\WebLink\GenericLinkProvider {#3588
  -links: [
    3709 => Symfony\Component\WebLink\Link {#3709
      -href: "/build/runtime.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3707 => Symfony\Component\WebLink\Link {#3707
      -href: "/build/644.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3706 => Symfony\Component\WebLink\Link {#3706
      -href: "/build/502.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3705 => Symfony\Component\WebLink\Link {#3705
      -href: "/build/app.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3704 => Symfony\Component\WebLink\Link {#3704
      -href: "/build/view-more.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3703 => Symfony\Component\WebLink\Link {#3703
      -href: "/build/term-condition.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3702 => Symfony\Component\WebLink\Link {#3702
      -href: "/build/contact.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3701 => Symfony\Component\WebLink\Link {#3701
      -href: "/build/scroll-infinite-article.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3700 => Symfony\Component\WebLink\Link {#3700
      -href: "/build/app.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3699 => Symfony\Component\WebLink\Link {#3699
      -href: "/build/cookie-style.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3698 => Symfony\Component\WebLink\Link {#3698
      -href: "/build/term-condition-css.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3697 => Symfony\Component\WebLink\Link {#3697
      -href: "/build/contact-css.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3696 => Symfony\Component\WebLink\Link {#3696
      -href: "/build/comment-css.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
  ]
}
_route 
"article_show"
_route_params 
[
  "category" => "science"
  "slug" => "covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"
]
_security_firewall_run 
"_security_main"
_stopwatch_token 
"901a47"
category 
"science"
slug 
"covid-and-vaccine-adverse-event-reporting-how-vaers-veers-off-course"