Last week, the American Academy of Pediatrics broke with the Centers for Disease Control and Prevention and declared that COVID-19 vaccination for young children is “evidence-based.” Its case rests on one fact: Children under 2 are still being hospitalized with COVID-19, at rates comparable to adults in their 50s and early 60s.

That fact is real. But it does not justify routine vaccination of healthy infants and toddlers. The burden of proof for vaccinating healthy people appropriately is high: The vaccine must consistently show a clinical benefit. And for COVID-19, it simply does not.

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