Fauci Privately Raised Miscarriage Concerns About Vaccines

Anthony Fauci privately raised the possibility of vaccine-related miscarriages during early pregnancy. Days later, he told the public that regulators had found "no red flags". Many countries subsequently urged pregnant women to get the COVID-19 vaccine.

Anthony Fauci\'s newly released communications have renewed scrutiny of public messaging during the COVID-19 pandemic.

Anthony Fauci\'s newly released communications have renewed scrutiny of public messaging during the COVID-19 pandemic. Photo: Anna Moneymaker/Getty Images

Just nine days separated two very different messages from Anthony Fauci. On 25 January 2021, the former White House pandemic adviser privately discussed a possible link between COVID-19 vaccination and miscarriages. On 3 February, however, he publicly stated that the US Food and Drug Administration (FDA) had found "no red flags" among pregnant women.

The newly released messages come from an exchange between Fauci, Centers for Disease Control and Prevention (CDC) Director Rochelle Walensky and incoming Surgeon General Vivek Murthy. After making further inquiries, Fauci wrote that strong cytokine responses and fever following the second vaccine dose could "theoretically" be associated with miscarriages during the first trimester.

Walensky replied that it was "definitely a good point", particularly regarding the second dose. Murthy likewise regarded the concern as important. The issue was therefore discussed at the highest levels of the US public health system but was not disclosed to the public.

Reliable safety data on pregnant women were scarce at the time. They had been excluded from the pivotal clinical trials, as is standard practice in medical research. As a result, there was little evidence on which to base assurances about vaccine safety during pregnancy. In January 2021, the World Health Organization also advised against the Moderna vaccine during pregnancy unless the woman faced a particularly high risk of infection or had serious underlying medical conditions. It recommended that pregnant women be informed of the lack of available safety data.

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