Not a doc, but my aunt is an ICU nurse in east TX with 40 years experience. She just got over a case of breakthrough vaccinated Covid with minor symptoms (despite being 60+ years old and obese, ftr).

ICU beds are all full. They have 19 patients in their outpatient/day surgery beds as an overflow option. I asked her this same question.

93% of ICU patients on vents are unvaccinated.

RandyAg98 said:

---

or Nurses, NPs, PAs, RTs, etc

What are you seeing in the hospital as far as vaccinated vs unvaccinated currently? Any correlation to severity/ventilator need? What percentage of patients who go on a vent make it? Any particular vaccine that seems overrepresented as far as good or bad outcomes?

---

I'm not a doc, but based on my conversations with a couple (which I'm sure our resident docs can substantiate):

• Depending on the hospital system, in Texas, unvaccinated patients make up roughly 93-96% of COVID ICU patients. In most hospitals, those on vents are very high percentage (95%+) unvaccinated. Per Infection_Ag11 (who is a doctor in a DFW hospital system), "In the hospitals I see patients at it's between 3-5%. ICU admissions are >99% unvaccinated. Since the vaccines were made available to the general public en masse, I can count on one hand the number of vaccinated ICU patients with one death (a cancer patient in their 70s with no detectable antibodies, meaning they likely didn't mount a meaningful immune response to the vaccine)."
• Once a patient is on a vent with COVID, unfortunately, survival outcomes are not good. For full intubation, I think it may be as low as 10%.
• J&J is making up a disproportionate (small numbers since it was not given nearly as often in the U.S.) percentage of breakthroughs per capita versus the mRNA vaccines. However, that could change, J&J's data on the booster looks very promising.
• Currently, Moderna appears to be the most effective vaccine against Delta (whoop Moderna crew!). Recent Mayo Clinic data reports 72% efficacy against infection and 95%+ versus severe outcomes (Pfizer's severe outcome number is similar). I have seen it hypothesized that this could be due to Moderna's larger dose (100 micrograms) or its slightly different spike protein target. https://www.mayoclinic.org/coronavirus-covid-19/covid-variant-vaccine

On call today. Getting slammed as usual. Just saw 29 y/o with covid teetering on bipap. All unvaccinated. I have seen one death in vaccinated pts. Was a renal transplant pt. Otherwise - severity of illness remarkably less in the vaccinated.

I don't see how people can read these threads and not see these vaccines are working and come to the conclusion that all these Aggie docs are lying.

Hospital nurse. 90+ percent unvaccinated. The few vaccinated cases we have seen on our Covid wards are mostly mild. Several of vaccinated cases are actually here for different things and just happened to pop positive during screening so they get put on Covid floor.

Have known of two people here dying despite being fully vaccinated. Both had significant underlying issues, including heart failure and pulmonary hypertension.

Hendrick Health in Abilene reported that as of August 10th, 90.22% of their covid patients were not fully vaccinated, and 94.44% of their ICU covid patients were not fully vaccinated.

https://www.hendrickhealth.org/news/2021/august/hendrick-moves-covid-19-community-safety-dial-to/

Small sample size, but we haven't had any vaccinate patients hospitalized. We're up to about 15 patients in the last few weeks who've been hospitalized and all are unvaccinated. For context, COVID patients are about half of our hospital census over that time period.