Pfizer: Step One

Written by Jean Marcus Sahagun
Illustration by Sophia Dumlao
Published 2020 December 23

Recent headlines had been brimming with the good news of a possible vaccine coming earlier than we initially thought.[1–4] Exponentially reducing vaccine development time from the usual fifteen to twenty years into just one is, after all, an outstanding accomplishment for the scientific community and everyone involved.[5] The first COVID vaccine from Pfizer was inoculated by a Filipina health worker in the UK;  The Moderna and AstraZeneca vaccines also show great promise with their Phase 3 clinical trials.[2,6–9] I was elated with these developments, as I oped to return to my old life before the pandemic.

However, this excitement did not last.

 Do not get me wrong, the news of the vaccine is one that should bring joy to anyone… anyone who can get it anyway. 

The highly sought-after vaccines – Pfizer, Moderna, and AstraZeneca among others – may take more than a year to be introduced here in the Philippines. Richer countries have been pre-ordering vaccine doses for their population at a staggering amount since the start of this pandemic.[10–12] Case in point, Canada has pre-ordered vaccines worth four times its population; while the US, UK, Australia, and Chile approximately twice of theirs. Moreover, the EU, Israel, Hong Kong, and Japan can immunize at least 100% of their current constituents. At the same time, upper-middle-income countries such as Brazil, Indonesia, Mexico, Argentina, Ecuador, and even Venezuela, have also been able to pre-order vaccines in their Phase 3 clinical trials. Meanwhile, lower-middle-income countries such as the Philippines  are lucky to even have vaccines ready for a proportion of their population.[11,13]

In the best-case scenario, the Philippine government will be able to obtain 25 million vaccines by the end of the first quarter of 2021 through Sinovac.[14]  Another 2.6M doses may also be procured from AstraZeneca through a tri partnership agreement between them, the government, and the private sector.[15,16] There are also deals currently happening right now with Moderna and Novavax with the potential of obtaining 25M and 30M more doses respectively.[17,18] Additionally, we could retrieve doses from COVAX (an initiative that ensures equitable access to vaccines), enough to cover 20% of our population by the end of 2021.[19–21] 

Alongside these negotiations, the government has made a vaccination plan. The government has a priority list of people to vaccinate first. The priority list is separated into five tiers, all of which constitute roughly 25M (22.8%) people or 50M vaccines doses as most of the vaccines require two doses to be effective.[22]

Sounds good so far, right? Unfortunately, timelines and promises are not strong suits of our country. We must be aware that AstraZeneca has multiple pre-orders to uphold.I doubt the vaccine will be available by early 2021. By the time it is available, it will only cover part of the first-tier priority group (consisting of 1.7M or 1.6% of the population).

Even then – a lot can go wrong. 

What if development gets stuck in a rut? What if a business deal goes awry? Just one error can delay the promised vaccination program.

Furthermore, there are other potential problems. Sinovac and Gamaleya, the two candidate vaccines that are expected to come in early 2021, are stifled with both questionable data and reputation.[23,24] As for COVAX, the initiative has only procured approximately 700M doses of its 2B goal.[11] Take note that we will have to share these doses from COVAX with 185 other COVAX-partnered countries.[25] In the scenario that COVAX will be unable to gather 2B doses by 2021, it will only provide enough to vaccinate  3% of each country’s population.[26]

Bottom line?

The majority of us Filipinos might not get the vaccine for a long time The worst-case estimates project a 2024 arrival.[13]

I want to emphasize one point: vaccines are not the be-all and end-all solution to the pandemic. Although they are necessary and important, they are not the magic bullet that will end all our worries.

 Waiting goes to show we have failed to contain the disease. By merely waiting for this “magic bullet”, we fail to realize concrete actions that we can do right now to contain COVID-19 transmission Do not demand resilience from a country managed by a negligent government, instead, demand responsibility.

Yearly, the Philippine government has been criticized for not upholding standards set by The International Health Regulations (IHR). The major concerns for Philippine Health standards deal with [27,28]: 

  1. National plan for health security
  2. Low vaccine coverage and increased hesitancy towards vaccination
  3. Slow and inflexible mechanism of vaccine procurement
  4. Inadequate service distribution
  5. Inadequacy of cold chain capacities
  6. Low diagnostic capabilities
  7. Lacking surveillance systems
  8. Uneven distribution of health professionals

We would have already contained COVID-19 had we implemented better public health plans and systems. Our neighbor Taiwan only has 766 confirmed cases [29,30] thanks to the government’s aggressive contact tracing national strategy, and steadfast implementation of protocols.[29,30,31,32] In comparison, the Philippines is still using unreliable and weak paper-based contact tracing for the majority of its lockdown.[33]

The Philippines has attempted to transition to digital contact tracing, yet even then, it’s inconsistent. The government-sponsored for example is disregarded by the Department of Transportation in favor of their contact tracing app, Traze. At the same time, there are miniature contact tracing apps by LGUs. Although claims that this is not a problem as it can be integrated with other contact tracing apps, the redundancy is confusing. Who takes responsibility for organizing all this data? Organizing the mess takes valuable lifesaving resources away from other important needs such as logistics, effective policymaking, and human resources – all of which are needed to combat the pandemic.[28,34–37].

Beating the pandemic demands urgency from those in charge. Whereas countries such as Taiwan reacted with haste and seriousness the moment a COVID-19 patient landed within their borders the Philippines has been slow with  COVID-19 testing and containment measures.[38–40] Concerns with contact tracing were only addressed last November, despite raising concerns as early as summer 2020. As a result,  the Philippines has been consistently on top in terms of COVID-19 cases compared to other countries in the Western Pacific Region [41,42, 47,48]. Furthermore, information about the current human resources of the Philippines and its logistical capacity is lacking. With that in mind, are we even capable of doing mass vaccinations, to begin with?

Giving credit where it is due,  lab testing capacity in the Philippines has been increased to 192 as of 10th December. In addition,  price limits have been implemented to make tests more affordable for us Filipinos.[43,44] 

But this is not enough.

People may say that comparing the Philippines to countries with successful COVID-19 responses is unfair.[45,46] I say otherwise,  if we look once again at Taiwan, Taiwan has over twice our population density. Higher population density means a higher risk of transmission, and yet they still managed to hold it off [49] Instead of accepting excuses, what we must do instead is to demand strong and proper leadership in these uncertain times.

With Christmas nearing, obeying the IATF guidelines set by the government becomes much harder. People will flock to places like Divisoria, malls, churches – in hopes for a semblance of their old life.[50,51] We have been in lockdown for roughly eight months afterall, the longest in the Western Pacific Region.[47]  Although I sympathize with wanting to head out,  we must not—doing so will further burden our already inefficient system.

We must do more than just lockdowns to beat the pandemic. . If we do so, we will only be stuck in a hellish loop of rising cases and lockdown extensions.  We must centralize our testing, organize our labs, and strengthen our health systems.

 This will not happen by waiting for a vaccine.


  1. Burton TM, Hopkins JS. FDA Says Pfizer-BioNTech Vaccine Is Safe, Effective [Internet]. Wall Street Journal. 2020 [cited 2020 Dec 15]. Available from:
  2. Zimmer C, Thomas K. Pfizer’s Covid Vaccine: 11 Things You Need to Know [Internet]. The New York Times. 2020 [cited 2020 Dec 4]. Available from:
  3. Sugden J, Horner W. U.K. Begins Rollout of Pfizer’s Covid-19 Vaccine in a First for the West [Internet]. Wall Street Journal. 2020 [cited 2020 Dec 16]. Available from:
  4. Abdullah Z. Pfizer-BioNTech COVID-19 vaccine approved by Singapore, first shipment expected by end-December [Internet]. CNA International. 2020 [cited 2020 Dec 15]. Available from:
  5. Bregu M, Draper SJ, Hill AVS, Greenwood BM. Accelerating vaccine development and deployment: Report of a Royal Society satellite meeting. Philos Trans R Soc B Biol Sci. 2011;366(1579):2841–9.
  6. ABS-CBN News. ‘Fantastic moment’: Filipino nurse injects historic COVID-19 vaccine to British grandma [Internet]. ABS-CBN. 2020. Available from:
  7. Boseley S. Moderna Covid vaccine has 94% efficacy, final results confirm [Internet]. The Guardian. 2020 [cited 2020 Dec 4]. Available from:
  8. When will the Oxford/AstraZeneca vaccine be approved? [Internet]. BBC News. 2020 [cited 2020 Dec 16]. Available from:
  9. Roberts M. Oxford/AstraZeneca Covid vaccine “dose error” explained [Internet]. BBC. 2020 [cited 2020 Dec 4]. Available from:
  10. McAdams D, McDade KK, Ogbuoji O, Johnson M, … Incentivizing wealthy nations to participate in the COVID-19 Vaccine Global Access Facility (COVAX): A game theory perspective. 2020;(August):1–15. Available from:
  11. Mullard A. How COVID vaccines are being divvied up around the world [Internet]. Nature. 2020 [cited 2020 Dec 2]. Available from:
  12. Bogdandy A Von, Villarreal PA. The Role of International Law In Vaccinating Against COVID-19: Appraising the COVAX Initiative. MPIL RESEARCH PAPER SERIES. 2020.
  13. Twohey M, Collins K, Thomas K. With First Dibs on Vaccines, Rich Countries Have ‘Cleared the Shelves’ [Internet]. The New York Times. 2020 [cited 2020 Dec 16]. Available from:
  14. Reuters Staff. Philippines targets deal for 25 million doses of Sinovac COVID-19 vaccine [Internet]. Reuters. 2020 [cited 2020 Dec 16]. Available from:
  15. Kabagani LJ. PH secures 2.6M shots of AstraZeneca’s Covid jab [Internet]. Philippine News Agency. 2020 [cited 2020 Dec 16]. Available from:
  16. Santos E. Private sector secures 2.6M doses of AstraZeneca COVID-19 vaccine for PH [Internet]. CNN Philippines. 2020 [cited 2020 Dec 16]. Available from:
  17. Reuters Staff. Philippines can secure up to 25 million doses of Moderna, Arcturus vaccines-ambassador [Internet]. Reuters. 2020 [cited 2020 Dec 21]. Available from:
  18. Montemayor MT. PH to get 30M doses of Novavax Covid-19 vaccine [Internet]. Philippine News Agency. 2020 [cited 2020 Dec 23]. Available from:
  19. CEPI. COVAX: CEPI’s response to COVID-19 [Internet]. 2020 [cited 2020 Dec 3]. Available from:
  20. GAVI. COVAX Facility [Internet]. 2020. Available from:
  21. WHO. ACT Accelerator: Country readiness and delivery for COVID-19 vaccines [Internet]. 2020 [cited 2020 Dec 4]. Available from:
  22. Tomacruz S. PH to prioritize high-risk areas, sectors for COVID-19 vaccine rollout [Internet]. Rappler. 2020 [cited 2020 Dec 15]. Available from:
  23. Dou E. As China nears a coronavirus vaccine, bribery cloud hangs over drugmaker Sinovac [Internet]. The Washington Post. 2020 [cited 2020 Dec 16]. Available from:
  24. Baclig CE. Explainer: Facts about 7 COVID-19 vaccines Philippines may get [Internet]. Inquirer. 2020 [cited 2020 Dec 16]. Available from:
  25. COVAX. ACT-Accelerator Vaccine Pillar ( COVAX ) Civil Society & Community Representation Notes to assist in nomination of representatives. 2020;1–8.
  26. World Health Organization. Fair allocation mechanism for COVID-19 vaccines through the COVAX Facility. 2020;(September):1–17. Available from:
  27. Gostin L. International Health Regulations. In: Global Health Law. Harvard University Press; 2014.
  28. World Health Organization. Joint External Evaluation of IHR Core Capacities of the Republic of the Philippines. World Health Organization. Geneva; 2019.
  29. Farr C, Gao M. How Taiwan beat the coronavirus [Internet]. CNBC. 2020 [cited 2020 Dec 21]. Available from: has been praised for, of masks%2C among other things.
  30. CDC. Taiwan Centers for Disease Control [Internet]. [cited 2020 Dec 21]. Available from:
  31. CBS This Morning. How Taiwan used data and tech to stop the spread of COVID-19 [Internet]. youtube. 2020 [cited 2020 Dec 16]. Available from:
  32. Summers DJ, Cheng DH-Y, Lin PH-H, Barnard DLT, Kvalsvig DA, Wilson PN, et al. Potential lessons from the Taiwan and New Zealand health responses to the COVID-19 pandemic. Lancet Reg Heal – West Pacific. 2020;4(August):100044.
  33. CNN Philippines Staff. Magalong admits contact tracing in PH still ‘weak’ [Internet]. CNN Philippines. 2020 [cited 2020 Dec 16]. Available from:—.html
  34. Camus MR. DOTr turns back on gov’t-endorsed StaySafe.PH for ‘Traze’ [Internet]. Inquirer. 2020 [cited 2020 Dec 16]. Available from:
  35. Salaverria LB. Use of app now a must for LGUs, nat’l agencies [Internet]. Inquirer. 2020 [cited 2020 Dec 16]. Available from:
  36. Punzalan J. Philippines eyes consolidation of COVID-19 contact-tracing data [Internet]. ABS-CBN. 2020 [cited 2020 Dec 16]. Available from:
  37. Kabagani LJ. Pasig, Valenzuela partner for unified contact tracing [Internet]. Philippine News Agency. 2020 [cited 2020 Dec 16]. Available from:
  38. Talk to the People of President Rodrigo Roa Duterte on Coronavirus Disease 2019 (COVID-19) [Internet]. Presidential Communications Operations Office. 2020 [cited 2020 Dec 16]. Available from:
  39. Aguilar K. Duterte wants gov’t health facilities to give free COVID-19 tests [Internet]. Inquirer. 2020 [cited 2020 Dec 16]. Available from:
  40. CNN Philippines Staff. IATF requires wearing of face shields on top of masks [Internet]. CNN Philippines. 2020 [cited 2020 Dec 16]. Available from:
  41. Mateo J. Incomplete DOH data hampers Quezon City contact tracing [Internet]. Philstar. 2020 [cited 2020 Dec 16]. Available from:
  42. Abad M. Philippines’ contact tracing “army” complete – DILG [Internet]. Rappler. 2020 [cited 2020 Dec 16]. Available from:
  43. Department of Health. LIST OF LICENSED COVID-19 TESTING LABORATORY IN THE PHILIPPINES [Internet]. DOH. 2020 [cited 2020 Dec 15]. Available from:
  45. CNN Philippines Staff. Don’t “cherry pick” countries to compare with PH, DOH says in response to WHO numbers [Internet]. CNN Philippines. 2020 [cited 2020 Dec 21]. Available from:
  46. Aguilar K. Palace admits it would be hard for PH to reduce COVID-19 cases to zero [Internet]. Inquirer. 2020 [cited 2020 Dec 21]. Available from:
  47. External Situation Report. Coronavirus Disease 2019 (COVID-19). Vol. External S. 2020.
  48. World Health Organization. COVID-19 Situation in WHO – Western Pacific Region [Internet]. WHO. 2020. Available from:
  49. Statista. Countries with the highest population density worldwide in 2019 [Internet]. Statista. 2020 [cited 2020 Dec 21]. Available from:
  50. GMA News. DOH: Health protocol, hindi na nasusunod sa ilang mall, simbahan at ibang public area [Internet]. GMA News Online. 2020 [cited 2020 Dec 23]. Available from:
  51. GMA News. Saksi: Physical distancing sa Divisoria, hindi na nasusunod sa dami ng tao [Internet]. Youtube. 2020 [cited 2020 Dec 23]. Available from:

Leave a Reply

Please log in using one of these methods to post your comment: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s