The digital divide can be deadly. That has been the stark lesson of the COVID-19 pandemic, which has revealed how decades of underinvestment in digital infrastructure have left millions of Americans cut off from help during COVID-19. This has prevented many from finding vaccine appointments, it has thwarted efforts to release contact-tracing apps, and now it’s undermining the safety of the vaccine. The COVID-19 vaccines have been widely heralded as incredibly safe and effective, far exceeding even the most optimistic hopes for how quickly and effectively we could develop the jab. But given the historic speed with which the vaccines were rolled out, more data is needed. This is why the CDC developed v-safe , a long-term vaccine surveillance program. Post-injection surveillance is crucial, not only to monitor for side effects (which are quite rare and mild), but also to remind users about their second dose and monitor how long the vaccines remain effective. The problem is that the CDC made a crucial error, one that could undermine v-safe and lead to blind spots in the data it collects. You see, v-safe requires a smartphone. That may not sound like a big hurdle, but the truth is that at least one in five Americans lacks access to a smartphone.
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The CDC’s program to track vaccine effectiveness over time leaves out 60 million Americans