Sure, it's pretty well established that the vaccines reduce severity of symptoms and risk of death. Just not transmission. It's an important distinction to draw

Sure, it's pretty well established that the vaccines reduce severity of symptoms and risk of death. Just not transmission. It's an important distinction to draw, especially in the context of mandates. Your suggested confounder is plausible, but I find the possible confounders in the other direction even more plausible: - Many places have policies like "proof of vaccination /or/ positive test required", which would inflate the number of confirmed cases in less vaccinated areas. - Someone with reduced symptoms due to vaccination is less likely to notice them and thus decide to get a test, or to have symptoms severe enough to be hospitalized and thus definitely get a test. And then the really scary one: - If vaccines hide symptoms but don't significantly reduce transmission, a vaccinated person is less likely to stay at home during an infection, increasing community transmission. Further evidence for that hypothesis comes from comparisons of viral load in confirmed cases between vaccinated and unvaccinated people, which finds no significant difference: https://www.medrxiv.org/content/10.1101/2021.07.31.21261387v1 https://www.medrxiv.org/content/10.1101/2021.07.31.21261387v...