Why COVID-19 vaccination cannot be ruled out as an explanation for all-cause excess mortality in the pandemic’s aftermath: A population-level study of over 3,000 US counties with over 320 million people

<ns3:p>Background Research has shown consistent excess all-cause mortality since the COVID-19 pandemic, but without a clear explanation. In parallel, research has shown side effects from COVID-19 vaccination and increased deaths. Therefore, one cannot rule out COVID-19 vaccination as an explanation for the excess mortality. Methods US county-level data were used to model 2022 and 2023 all-cause excess mortality as dependent variables and per capita COVID-19 vaccine uptake at the end of 2021 and 2022 as independent variables. I included lagged dependent variables as controls. The data include over 3,000 US counties. Results A one-unit increase in per-capita vaccination uptake was significantly associated with a .042 (95% CI: .030–.055) increase in 2022 all-cause excess mortality, and significantly associated with a.030 (95% CI: .024–.036) increase in 2023. Conclusions COVID-19 vaccine uptake was significantly positively associated with all-cause excess mortality. Given the time asymmetry between vaccine uptake and all-cause excess mortality, the inclusion of lagged dependent variables as controls, and the large number of observations, the study has strong internal validity.</ns3:p>

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Publication Details

Journal
F1000Research
Published
2026-02-12
DOI
https://doi.org/10.12688/f1000research.177279.1
Primary Topic
SARS-CoV-2 and COVID-19 Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Why COVID-19 vaccination cannot be ruled out as an explanation for all-cause excess mortality in the pandemic’s aftermath: A population-level study of over 3,000 US counties with over 320 million people

Jarle Aarstad
F1000Research
SARS-CoV-2 and COVID-19 Research
article

Why COVID-19 vaccination cannot be ruled out as an explanation for all-cause excess mortality in the pandemic’s aftermath: A population-level study of over 3,000 US counties with over 320 million people

Jarle Aarstad
article en

Abstract

<ns3:p>Background Research has shown consistent excess all-cause mortality since the COVID-19 pandemic, but without a clear explanation. In parallel, research has shown side effects from COVID-19 vaccination and increased deaths. Therefore, one cannot rule out COVID-19 vaccination as an explanation for the excess mortality. Methods US county-level data were used to model 2022 and 2023 all-cause excess mortality as dependent variables and per capita COVID-19 vaccine uptake at the end of 2021 and 2022 as independent variables. I included lagged dependent variables as controls. The data include over 3,000 US counties. Results A one-unit increase in per-capita vaccination uptake was significantly associated with a .042 (95% CI: .030–.055) increase in 2022 all-cause excess mortality, and significantly associated with a.030 (95% CI: .024–.036) increase in 2023. Conclusions COVID-19 vaccine uptake was significantly positively associated with all-cause excess mortality. Given the time asymmetry between vaccine uptake and all-cause excess mortality, the inclusion of lagged dependent variables as controls, and the large number of observations, the study has strong internal validity.</ns3:p>

F1000ResearchVol. 15
Western Norway University of Applied Sciences (NO)
Good health and well-being
Openalex Percentile: Top 57%
SARS-CoV-2 and COVID-19 Research
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