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German patient vaccinated against Covid 217 times
(www.bbc.com)
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And that’s basically it!
He didn't do this for health reasons. He solid his vaccination passes to people that didn't want to get vaccinated themselves. The positive side effect is that we now have data on the effects of the vaccine that wouldn't have been possible to obtain without unethical human trials.
He sold his vax credentials to other people? Don't they have personal identifying information on them? linked to his name and identity? How can you give your own vaccine card to someone else?
Here in France it was just a qr code in an app, you don't get a picture of the person when you scan it, so basically sharing a screenshot of the qr code would have been enough to fool most restaurants, bars and such, because nobody bothered to ask for ID.
The vax passport is just a small yellow booklet and if you lose yours, you just get a new one from the doctor. You just sign your name and that's it. It would be pretty trivial to swap pages or maybe just write a different name on the cover.