Experts Say COVID-19 Vaccine Rollout Unlikely Before Fall 2021

But many experts surveyed also believe COVID-19 vaccine development will take place at an accelerated rate.

Experts working in the field of vaccine development tend to believe that an effective vaccine against COVID-19 is not likely to be available for the general public before the fall of 2021. In a paper published this week in the Journal of General Internal Medicine, a McGill-led team published the results of a recent survey of 28 experts working in vaccinology.

The survey was carried out in late June 2020. The majority of those surveyed were mostly Canadian or American academics with an average of 25 years of experience working in the field.

“Experts in our survey offered forecasts on vaccine development that were generally less optimistic than the timeline of early 2021 offered by US public officials. In general, they seem to believe that a publicly available vaccine next summer is the best-case scenario with the possibility that it may take until 2022,” said Jonathan Kimmelman, a James McGill professor and the director of the Biomedical Ethics Unit at McGill University and the senior author on the paper.

Many experts also believe that there may be some false starts before an effective vaccine is available. “The experts we surveyed believe that there is a 1 in 3 chance that the vaccine will receive a safety warning label after approval, and a 4 in 10 chance that the first large field study will not report efficacy,” added Patrick Kane, the lead author, who is a decision scientist and postdoctoral fellow at McGill.

Predicting timelines for vaccine development

Experts were asked to make timeline forecasts for three milestones in vaccine development. More specifically, experts were asked for their best, soonest, and latest estimates for when each of the following milestones would occur:

1. Question– When will a vaccine be available to the general public in the USA and/or Canada?
best guess = September/October 2021 (average)
soonest = June 2021 (average)
latest = July 2022 (average)

2. Question– When will a field study with at least 5000 participants report results?
best guess = March 2021 (average)
soonest = December 2020 (average)
latest = July 2021 (average)

3. Question– when will a vaccine be available to those at highest risk from the virus in the USA and/or Canada?
best guess = March/April 2021 (average)
soonest = February 2021 (average)
latest = December 2021 (average)

The researchers believe that this kind of approach, where people are asked to suggest a range of responses provides a more complete picture of the range of expert belief than media quotes from individuals.

Likelihood of setbacks

The study also showed that about 1/3 of those surveyed believe that vaccine development is likely to face may face the following setbacks:

1. that the first vaccine widely deployed in the USA and/or Canada will receive a boxed warning from the FDA to highlight serious or life-threatening adverse reactions; or

2. that the first large field trial in the USA and/or Canada will report a null or negative result in terms of efficacy.

“Our study finds that experts are largely in agreement about the timeline for a SARS-CoV-2 vaccine,” says Stephen Broomell, an associate professor at the Dietrich College of Humanities and Social Sciences, at Carnegie Mellon University. “While this does not track with many overly optimistic government projections, it reflects a belief that researchers are indeed on a faster pace to development compared to previous vaccines.”

Reference: “Expert Forecasts of COVID-19 Vaccine Development Timelines” by Patrick Bodilly Kane, Hannah Moyer, Amanda MacPherson, Jesse Papenburg, Brian J Ward, Stephen B. Broomell and Jonathan Kimmelman, 28 September 2020, Journal of General Internal Medicine.
DOI: 10.1007/s11606-020-06244-9

Funding: McGill Interdisciplinary Initiative in Infection and Immunity research grant.

5 Commentson "Experts Say COVID-19 Vaccine Rollout Unlikely Before Fall 2021"

1. You might not want to be among the first folks to take an accelerated vaccine. A lot of stuff can go wrong with something so complex. It usually takes at least several years to develop a safe vaccine. Doctors say, ‘first do no harm’ from long experience.

2. Peter I Monheit, MD | October 1, 2020 at 9:51 am | Reply

I agree with the general finding of a more conservative approach to COVID-19 vaccine development and release to the public. Otherwise,
1. Many may not trust its safety,
2. Efficacy cannot be shown in short time intervals, and
3. Late side effects need to be studied of several years.
Peter I Monheit, MD, Denver, Colorado

3. good
nice

4. Doris and Robert Bachman | October 1, 2020 at 10:57 am | Reply

Perhaps July 1 could be a goal with Oct 1 end goal ?

5. What if the pandemic is over by January?