In Germany, the BioNTech vaccine has been approved for children:
At the end of May, the Comirnaty mRNA vaccine developed by BioNTech / Pfizer was approved by the European Medicines Agency (EMA) as the first COVID-19 vaccine in this age group for children and adolescents aged 12 and over. -- Robert Koch Institute
But it is still not generally recommended for this age group:
There is currently no general vaccination recommendation of the STIKO for children and adolescents from 12 to 17
Years, but only for children and teens with a specific risk. -- STIKO informational material Robert Koch Institute
I have four generally healthy boys aged 10 to 17. Only the oldest is already vaccinated, being basically an adult. I am inclined to get them all vaccinated with BioNTech because the risk-benefit tradeoff with such a safe vaccine seems obvious.
For a cautious view of the risks, see e.g. this LessWong post:
conditional on a kid catching COVID, ... a ~2% chance of a miserable months-long ordeal until they recover, plus (overlapping) ~1% chance of a big-deal long-term latent problem ... -- Young kids catching COVID: how much to worry?
Nature has an article about the general topic:
Thus far, the vaccines seem to be safe in adolescents1... A potential link between the Pfizer vaccine and heart inflammation ... the risk of these conditions is ... about 67 cases per million second doses in adolescent males aged 12–17, and 9 per million in adolescent females in the same age group. -- Should children get COVID vaccines? What the science says
So my question is: What else do we know about the risk-benefit trade-off of vaccines for children? When and based on what criteria should children get vaccinated? What other considerations should be taken into account (the nature article mentioned fairness, for example)?
I think we know too little. The Nature article is completely unhelpful. The LessWrong post is not particularly useful.
From everything I have seen, the risks to kids of Covid are on the order of the risks of a home with a swimming pool. And no one freaks out about sending their kids to friends homes with swimming pools. At this level, even if the vaccines are very safe it likely doesn’t make sense. The logic is that a kid has a diminishing chance of exposure to the disease with a very small chance of serious consequences from getting that disease, compared to a 100% chance of being exposed to the very small risks of the vaccine. I’m interested in having this intuition proven wrong, though.
I'd like to understand what you mean by "diminishing chance of exposure to the disease".