Kind of difficult to prove efficacy if you don't know how many people in your trial were infected with the disease you're trying to vaccinate against though. But do bear in mind as mentioned in other comments this participant was not in the phase 3 trial, and phase 3 is where the immunity given by a vaccine is tested. Phase 1 and phase 2 are much more constrained studies intended to determine if it's safe to give the vaccine to enough people to evaluate immunity.
I am unsure if they will have some lower bound for acceleration for this vaccine, since the downsides might not be apparent for a long time.
I would imagine that volunteers would also be willing to get tested, though perhaps the worry is that such a requirement might cause more of them to drop out of the study.
[1]: https://interactive.news.sky.com/2020/covid-19-coronavirus/t...
I guess the reason is that the study is narrowly tailored to vaccine approval requirements?