Israel and BioNTech, Pfizer



Global Lead in Per Capita Vaccinations  


By December 31, 2020, Israel had administered 11.0 COVID-19 vaccine doses per 100 people, surpassing all other countries. The UK followed with 1.4 doses per 100 population, and all other nations delivered fewer than 1 dose per 100 [1]. This rapid rollout began on December 20, 2020, prioritizing high-risk groups like the elderly, healthcare workers, and individuals with comorbidities [1][5].  


Coordinated National Campaign  


Israel’s centralized healthcare system and partnerships with four national health plans enabled mass distribution. Contracts for early Pfizer-BioNTech vaccine shipments, logistical innovations (e.g., repackaging cold-storage vials), and real-time data-sharing agreements with Pfizer accelerated the rollout [1][2][5]. By March 2021, 60% of Israel’s population had received at least one dose, outpacing high-income countries with larger populations or decentralized systems [5].  


Contrasts with Other Nations  


While the UK initiated vaccinations on December 8, 2020, Israel’s per capita coverage surged faster due to its small population, centralized governance, and preexisting emergency-response infrastructure [5][16]. Countries like the US and Canada faced slower rollouts due to fragmented healthcare systems, limited cold-chain capacity, and federal-state coordination challenges [1].  


Early Vaccine Authorization and Prioritization  


Israel authorized the Pfizer vaccine days after the FDA’s December 11, 2020 emergency approval, leveraging its regulatory agility [1][10]. This policy, combined with public health mobilization during a severe COVID-19 wave, spurred rapid uptake, with over 150,000 daily vaccinations by late December [1][4].  


Challenges in Other Countries  


Many nations lacked Israel’s supply quantity, health system standardization, or community-based nurse workforce. For example, Germany relied on independent physicians for vaccine administration, and the EU’s collective procurement mechanism delayed access for member states [1][5]. By contrast, Israel’s military and health plans coordinated logistics, minimizing bottlenecks [1].  


Data-Driven Vaccination Strategy  


Israel’s real-time epidemiological data sharing with Pfizer highlighted vaccine effectiveness, aiding global understanding [2][5]. This partnership ensured continued vaccine supply, with Israel serving as an international case study for rapid, large-scale immunization [9].  


Conclusion:

While the UK was the first Western nation to start Pfizer-BioNTech vaccinations, Israel became the first to achieve mass vaccination momentum, driven by strategic procurement, centralized delivery systems, and a high-trust healthcare framework [1][3]. Its early success set benchmarks for global vaccine deployment strategies.


Bibliography


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[2] COVID-19 Dynamics after a National Immunization Program in Israel. 19 Apr. 2021, https://www.nature.com/articles/s41591-021-01337-2.

[3] COVID-19 Vaccination in Israel - ScienceDirect.Com. https://www.sciencedirect.com/science/article/pii/S1198743X21004365.

[4] COVID-19 Vaccination in Israel - Wikipedia. https://en.wikipedia.org/wiki/COVID-19_vaccination_in_Israel.

[5] COVID-19 Vaccine Impact in Israel and a Way out of the Pandemic. 5 May 2021, https://pmc.ncbi.nlm.nih.gov/articles/PMC8099312/.

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[8] How Many Lives Do COVID Vaccines Save? Evidence from Israel. 28 Dec. 2021, https://www.ajicjournal.org/article/S0196-6553(21)00856-7/fulltext.

[9] Infections, Hospitalisations, and Deaths Averted via a Nationwide ... 22 Sept. 2021, https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(21)00566-1/fulltext.

[10] Israel Receives Initial Shipment of Pfizer Coronavirus Vaccine - Reuters. 9 Dec. 2020, https://www.reuters.com/article/business/healthcare-pharmaceuticals/israel-receives-initial-shipment-of-pfizer-coronavirus-vaccine-idUSKBN28J0LD/.

[11] Israel’s Covid Vaccine Rollout Is the Fastest in the World - CNBC. 8 Jan. 2021, https://www.cnbc.com/2021/01/07/israels-covid-vaccine-rollout-is-the-fastest-in-the-world.html.

[12] Israel’s Rapid Rollout of Vaccinations for COVID-19. 26 Jan. 2021, https://ijhpr.biomedcentral.com/articles/10.1186/s13584-021-00440-6.

[13] Paralyzed by Covid-19, Israel Bids to Be First Country to Vaccinate Its ... 3 Jan. 2021, https://www.nbcnews.com/news/world/paralyzed-covid-19-israel-bids-be-first-country-vaccinate-its-n1252682.

[14] The Israeli Health System’s Rapid Responses during the COVID-19 ... 4 Mar. 2024, https://pmc.ncbi.nlm.nih.gov/articles/PMC10910866/.

[15] Vaccines For Data: Israel’s Pfizer Deal Drives Quick Rollout - NPR. 31 Jan. 2021, https://www.npr.org/2021/01/31/960819083/vaccines-for-data-israels-pfizer-deal-drives-quick-rollout-and-privacy-worries.

[16] Waning Immunity after the BNT162b2 Vaccine in Israel. 27 Oct. 2021, https://www.nejm.org/doi/full/10.1056/NEJMoa2114228.