I remember at the start of the year, when the vaccines first came out. A doctor shared some lung X-rays of infected, presumably hospitalised, patients. The vaccinated ones were far healthier.
For people that have received the vaccine in the last 6 months ("within date") the per-capita infection rate is an order of magnitude lower (per capita of ~1-4 vs ~15-30) than both the expired vaccinated and unvaccinated.
But when you look at ICU cases, the expired vaccinations are closer to the within-date vaccinations.
So keeping up to date on vaccine means you don't get infected at all. But having even an expired vaccine means you'll have a milder case.
The efficacy of the vaccine indicates how well the vaccine has taught the body to make antibodies for the virus.
Thus, those vaccinated have a better chance of fighting the infection. That is why there are higher survival rates among those infected but vaccinated.
Since even vaccinated people can be infected, and since infection has a higher spread via inhalation and exhalation, wearing a mask keeps the virus out to a high extent, and helps keep the virus in as well (preventing the virus from spreading around via the infected person's exhalation).
Asymptomatic infection, and presymptomatic infection, are both forms of infection. However, yes, they differ from symptomatic infection in terms of severity, no doubt due to lesser viral load.
The distinction I would personally make is exposed vs infected. Being exposed to a virus doesn't mean you'll get infected, where infection is quantifiable tested with a PCR test.
It's impossible for me to know for certain, people who are that high risk do still die post-vaccination. And obviously not all of them die when catching Covid even if they haven't been vaccinated. But I do credit the vaccination for potentially saving her life. She was in intensive care for a single day and never had to be put on a ventilator. It was only briefly touch-and-go, within 24 hours we knew that she was going to live.
Not catching Covid is great, we're all hoping for that. But when my family got the news that she was stable, that felt really good. It's not even just about stabilizing; there was a brief period where she wasn't lucid, and then it became obvious that she was getting more lucid and was going to recover and that she was recognizing people again.
Reducing severity really matters. You're still playing a statistical game, nothing is certain, but... when someone you care about is in the hospital, statistics become important to you.
I know of a few people who can't be older than their ?late fifties? or early sixties? that caught COVID. It was horrendous for them, despite them having the fortune to be double vaccinated.
I don't think that's a long term option at this point, unless you continue to quarantine yourself for the rest of your life.
(Rich) countries are already rolling out third doses, at least for the most vulnerable. Longer term, we'll have revised vaccines, even more effective against Delta.
Maybe you're right, we can't avoid catching COVID long term. But if that's the case, hopefully its severity is (even further) attenuated by then, due to further vaccination.
The concept you describe makes me think of Russians.
Picard, his head down, his palm covering his face.
Since I'm safely isolated, I haven't gotten any tests to confirm if my shots worked. I will eventually.