I'm in the US and I got my Pfizer shots at my local small hospital. They had storage because they have a pharmacy. Seems like an easy thing to just have, ya know. It was free to me. I'm 32. Was such an easy process to get. Big shrug

This is speculation. Just because the process had been made as easy a possible for you does not mean it was easy to implement.

I checked and the guidelines are as follows:

Before mixing, the vaccine may be stored in an ultra-cold freezer between -80°C and -60°C (-112°F and -76°F). Vaccine may be stored until the expiration date.

Before mixing, the vaccine may be stored in the freezer between -25°C and -15°C (-13°F to 5°F) for up to 2 weeks. The total time vials are stored at these temperatures should be tracked and should not exceed 2 weeks.

So once they reach their destination they can be put in a normal freezer, which in turn are abundant and cheap.

You get refrigerated trucks, which are already common for food distribution, and essentially a fridge that can store a thousand doses and be re-used as new stock comes in.

It's not a negligible cost but it's far from highly specialized.

Not true. People generally prefer Pfizer, but will take whatever just to be done with it.

I had Astra, so did several people from my social circle. Hell, some took JJ being aware of its level of effectiveness.

The vaccines need to be stored at a low temperature - that's it. I doubt it adds more than €1 to the price.