portrait of a boy in his bedroom

Why is it so hard to compensate people for serious vaccine side effects?

Though very rare, complications from shots can shatter lives and trust. Now the federal programs designed to help them are struggling with COVID-19.

Aiden Ekanayake, 14, was excited to get a COVID-19 vaccine and stop worrying about the virus. But after his second dose he suffered from myocarditis, an inflammation of the heart muscle that is known to be a rare side-effect of the vaccine. With hospital bills rolling in his mother is unsure whether she'll be compensated. Only one program covers COVID-19 vaccines, and so far it hasn’t actually paid any claims. “People need to be confident that vaccines are safe and effective when they make a decision to get vaccinated, says Maya Goldenberg, who studies vaccine hesitancy at the University of Guelph in Ontario. "They also need to know that, insofar as there are real dangers involved, people will be cared for and not stranded in that rare situation.” Aiden was photographed in his home in Mableton, Georgia December 15, 2021.


From the start, 14-year-old Aiden Ekanayake and his mom Emily didn’t question whether Aiden would get a COVID-19 vaccine. “We take COVID extremely seriously, so our plan has always been to vaccinate,” Emily says. Aiden was “pretty excited for it” because it meant doing more activities and worrying less about getting sick. And though Emily had heard about possible side effects, she knew they were usually mild.

Aiden got his first dose of the Pfizer mRNA vaccine on May 12, 2021, the day it came available for people his age. Four weeks later he got his second dose. The very next day Aiden began feeling mild chest pain. He dismissed it, assuming it was related to his asthma, but the pain

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