MIT professor Retsef Levi has been an outspoken voice on the CDC’s vaccine advisory committee (ACIP) since its dramatic overhaul in June.
He has pressed agency officials on uncomfortable questions, challenging the narrow surveillance windows used to track harms and insisting that delayed effects could not simply be ruled out.
He also raised concerns about the safety of RSV monoclonal antibodies after clinical trials showed a clear imbalance in infant deaths.
Now, Levi is no longer just a dissenter.
He has been appointed chair of the CDC’s new Covid-19 vaccine working group, and with today’s release of its Terms of Reference, the scale of his task has come into sharp focus.
Under the guidance of Levi and his colleagues, the ACIP working group now has a mandate unlike anything the committee has ever undertaken.
For the first time, federal advisers will investigate the unresolved issues that have dogged the vaccines since their rushed rollout in late 2020.
From DNA contamination in the manufacturing process to the persistence of spike protein and mRNA in the body, from immune class switching following repeated boosting to safety in pregnancy, cardiovascular risks, and long-term disability, the list of questions is as sweeping as it is sensitive. (full list below)
The Terms of Reference stretch far beyond the narrow remit that characterised ACIP’s early deliberations, when myocarditis was acknowledged as the only confirmed harm and most safety reviews stopped at 42 days.
Levi and his team are now tasked with probing long-term outcomes, mapping vaccine policies around the world, and assessing, to what extent, years of official reassurances about safety and efficacy hold up against emerging data.
It is a striking reversal for the CDC and the FDA.