From Spain to Florida: How Some People are Jumping the Vaccine Line — And How to Stop It

A Florida Department of Health worker prepares a dose of the Pfizer-BioNTech COVID-19 vaccine to be administered at the historic Greater Bethel Missionary Baptist Church in Tampa, Florida, U.S. February 14, 2021.
From Spain to Florida, the healthy and wealthy are jumping the queue to get a COVID-19 vaccine amid chaotic rollouts and supply shortages.

This story was originally published March 4, 2021 by the Thomson Reuters Foundation.

LONDON, Mar 4 (Thomson Reuters Foundation) – A row over Lebanese lawmakers jumping the queue for COVID-19 vaccinations erupted with the World Bank threatening to pull its funding for the inoculation drive and human rights campaigners accusing authorities of mismanagement.

The spat broke out after a correspondent from the Thomson Reuters Foundation tweeted confirmation from parliament's secretary general that lawmakers aged over 75 would get their shots in the legislature in Beirut.

The controversy has echoed favoritism by elites in other countries as the world rushes to inoculate against the coronavirus. Local media and politicians said that some lawmakers got shots in parliament - despite not necessarily being in priority groups.

But fines and high-profile dismissals have not deterred some of the world's most privileged from gaming the system: securing, often through nefarious means, coveted vaccines seen as golden tickets to health and normality.

How widespread is vaccine line-jumping and what can be done to deter similar behavior in the future?

Where and How is Vaccine Line-Jumping Happening?

Vaccine cheats appear to the relatively rare as nations prioritize shots for those most in need, but the number of known cases are steadily growing.

Spanish princesses Elena and Christina – both sisters to King Felipe VI – have faced anger after it emerged they obtained jabs in Abu Dhabi last month. The princesses, who are aged in their 50s, are not yet entitled to vaccines under Spain’s rollout.

In Florida, health officials said two fake grannies were caught at a vaccine distribution hub in Orlando and had given false dates of birth.

The women – who turned out to be aged in their 30s and 40s and had “dressed up as grannies” in an effort to get vaccines reserved for vulnerable elderly people – are among a growing number of people trying to cheat or game the system to get early access to scarce shots.

They had apparently already previously successfully managed to get their first jabs. They were issued with trespass warnings but no further action was taken.

Two women in Florida dressed up as older women to trick healthcare workers into giving them COVID-19 vaccines.
Women dress up as 'grannies' to get vaccines in Florida

Officials in the state had already moved to tighten residency rules for jabs in an effort to clamp down on an influx of “vaccine tourists” from New York to India.

Others have paid heavier prices for queue-jumping.

Peru’s health and foreign ministers quit and its former president was placed under criminal investigation after reports of hundreds of Peruvian officials and others receiving vaccine doses outside of clinical trials and before the national immunization program began.

Argentina’s health minister also stepped down after reports that at least 10 people had been able to use connections to jump the queue for vaccines, including a journalist who said he had received an early shot after approaching the minister for help.

In Europe, a top army general in Spain and local mayors in Austria were accused of having jumped the queue for shots.

And the founder of a luxury travel company in London made waves last month by offering to fly members who were 65 or older to the United Arab Emirates to receive privately obtained vaccines. (In Britain, the vaccination is only available through the National Health Service.)

Several countries, including Israel, Belgium and Hungary and Denmark, have also said they are planning to vaccinate their athletes ahead of the Tokyo Olympic Games, which are due to open on July 23 after being postponed because of the pandemic.

The International Olympic Committee has said that it is not in favor of athletes jumping the vaccines queue.

Why Does It Matter?

Seniors, who are 65 and over, wait in line at the Department of Health Sarasota COVID-19 Vaccination Clinic in Sarasota, Florida, U.S. January 4, 2021. REUTERS/Octavio Jones
Seniors, who are 65 and over, wait in line at the Department of Health Sarasota COVID-19 Vaccination Clinic in Sarasota, Florida, U.S. January 4, 2021. | REUTERS/Octavio Jones

Well-connected individuals are acquiring vaccines — even though they meet no current criteria to join the front of the line — at a time when many health care workers have yet to be vaccinated.

Failing to put the most vulnerable at the front of the line for coronavirus vaccines will exacerbate the gaping racial and ethnic disparities that have characterized the pandemic, experts say.

About 200 million doses of the vaccine have been administered worldwide, mostly to health care workers and older individuals, many of whom live in nursing homes.

But there remain vast swathes of the global population, particularly in poorer countries, that have not started vaccination programs nor have they secured enough vaccines due to the limited supply.

Some African leaders have accused rich countries of hoarding vaccines — queue-jumping on a grander scale — and are calling for a fairer distribution of shots.

What Is Being Done to Prevent Queue Jumping?

Health workers prepare to administer a COVID-19 vaccine at a drive-thru vaccination centre at Batchwood Hall, amid the outbreak of coronavirus disease (COVID-19) in St. Albans, Britain, February 5, 2021.
Health workers prepare to administer a COVID-19 vaccine at a drive-thru vaccination centre at Batchwood Hall, amid the outbreak of coronavirus disease (COVID-19) in St. Albans, Britain, February 5, 2021. | REUTERS/Paul Childs

Government and health officials have publicly condemned queue jumping, with Britain's interior minister calling the behavior "morally reprehensible" and refusing to rule out fines for those making fraudulent vaccination bookings.

The World Bank’s threat to suspend funding in response to queue-jumping in Lebanon sparked immediate action, with the head of the country’s COVID-19 vaccination committee Abdel-Rahman Bizri saying the “grave infraction” of rules “cannot be repeated”.

And the Philippines health ministry said it would investigate the illegal use of unauthorized COVID-19 vaccines, after a presidential advisor admitted to receiving shots of a Chinese Sinopharm vaccine smuggled into the country.

And a millionaire couple who travelled to a remote Canadian community to receive a coronavirus vaccine meant for vulnerable Indigenous people were hit with a $2,300 (US$1,800) fine for breaking public health rules. But around the world, there is relatively little policing of vaccine queue-jumping, with people largely following the rules.

Bribes, opportunism and abuses of power are obvious challenges, and places like Florida have now implemented residency checks to ensure tourists do not cheat the system.

Interestingly, unlike other countries, Indonesia is vaccinating its working population first, rather than the elderly, to revive its economy and reach herd immunity fast.

It has also authorized a private vaccination scheme to run alongside its national program, so that companies can buy vaccines procured by the state for employees.

This strategy is possibly removing the incentive for younger and healthier people to jump the vaccine queue since they are the ones being prioritized.

This article was updated on February 26, 2021 to add details of Indonesia's private vaccination scheme, and on March 4th, 2021, to add details of Spain's princesses getting early vaccinations.

Reporting by Lin Taylor. Additional reporting by Sonia Elks, Megan Rowling and Carey Biron. Editing by Tom Finn.

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