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| Meta Title | China approves Pfizer/BioNTech mRNA COVID vaccine—only for foreigners | Fortune |
| Meta Description | Beijing's uneasy relationship with mRNA vaccines is more relevant as it relaxes COVID restrictions. |
| Meta Canonical | null |
| Boilerpipe Text | Two years after the first countries approved the Pfizer/BioNTech COVID vaccine for domestic use, China will finally allow the mRNA vaccine to be used domestically—but there’s a catch.
On Friday, China confirmed in a press briefing that
it would let German nationals
receive the BioNTech COVID vaccine, which uses mRNA technology, in exchange for German health authorities on Wednesday
approving China’s Sinovac
jab for Chinese nationals living in Germany.
The statement from China’s foreign ministry clarifies an earlier announcement by German Chancellor Olaf Scholz during his trip to Beijing that BioNTech would
be made available
to foreign nationals in China.
But Beijing’s decision to approve the Pfizer/BioNTech jab for a sliver of China’s population highlights the country’s uneasy relationship with mRNA vaccines and shots developed overseas as Beijing embarks on an exit from its tough COVID-zero policy, which will likely cause a massive outbreak.
Has China approved mRNA vaccines?
BioNTech is the first mRNA vaccine—and the first developed overseas—approved for use in mainland China, even if it’s just available to German nationals living there.
Several Chinese companies are developing mRNA vaccines, but none have made it to final approval. In September, Indonesia—not China—became
the first country
to approve a Chinese-developed mRNA vaccine, from pharmaceutical company Walvax.
Fosun Pharmaceuticals, BioNTech’s distribution partner for greater China,
secured 100 million
doses for the Chinese market in December 2020. Yet Fosun’s applications to use its doses in mainland China are
still pending
, with no indication of when the mRNA vaccine will be approved for widespread use. (The semiautonomous Chinese city of Hong Kong approved BioNTech for use in its vaccination campaigns.)
China has largely relied on two vaccines, from Sinovac and
Sinopharm
, in its vaccination campaign. The two vaccines use an inactivated virus to confer immunity. Studies show that the two vaccines are less effective at preventing infection, severe disease, and death than the BioNTech and
Moderna
shots, which use mRNA technology.
Sinovac
and
Sinopharm
are both developing boosters that specifically target the Omicron variant.
Public health officials have
blamed China’s less-effective vaccines
for hindering its ability to smoothly change its COVID policy. “The efficacy of the China‑made vaccines are not at the level of the vaccines that have been used in the United States,” Anthony Fauci, the outgoing White House medical adviser, told the
Washington Post
on Dec. 2.
How many Chinese have been vaccinated?
The more pressing problem, in Beijing’s view, is not the effectiveness of its vaccines, but that not enough people are vaccinated. Official data released in early December shows that only 40% of China’s over-80 population has received a booster. Health officials at the time pledged to launch new campaigns to vaccinate China’s elderly, but now the task is especially urgent.
Beijing announced
sweeping changes
to its COVID rules last Wednesday, including letting mild and asymptomatic cases recover at home and limiting lockdowns to individual floors and buildings, rather than whole neighborhoods. A pivot is likely
good news for China’s economy
, dragged down in November by a record COVID outbreak and widespread lockdowns. Chinese consumer sentiment last month fell to levels not seen since early 2020, the start of the pandemic, according to a
survey released Sunday
by Morning Consult.
But relaxed measures could lead to a surge in cases across China. One of the country’s top medical advisers predicted last week that as much as 60% of the country
could catch COVID
in an initial exit wave.
Chinese officials are now reassuring people that an increase in cases is not a cause for concern. State media quoted Zhong Nanshan, the country’s top medical expert, on Friday as saying that Omicron’s death rate is
comparable to that of influenza
. |
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# China finally approves an mRNA COVID vaccine—but only for some foreigners

By
[Nicholas Gordon](https://fortune.com/author/nicholas-gordon/)
Nicholas Gordon
Asia Editor

By
[Nicholas Gordon](https://fortune.com/author/nicholas-gordon/)
Nicholas Gordon
Asia Editor
December 12, 2022, 1:56 AM ET
Add us on

China has pledged to speed up vaccination for elderly people as it prepares to pivot away from its tough COVID-zero policies.CFOTO/Future Publishing/Getty Images
Two years after the first countries approved the Pfizer/BioNTech COVID vaccine for domestic use, China will finally allow the mRNA vaccine to be used domestically—but there’s a catch.
On Friday, China confirmed in a press briefing that [it would let German nationals](https://www.fmprc.gov.cn/eng/xwfw_665399/s2510_665401/2511_665403/202212/t20221209_10988054.html) receive the BioNTech COVID vaccine, which uses mRNA technology, in exchange for German health authorities on Wednesday [approving China’s Sinovac](https://www.reuters.com/world/europe/germany-allow-sinovac-vaccine-chinese-citizens-only-spiegel-2022-12-07/) jab for Chinese nationals living in Germany.
The statement from China’s foreign ministry clarifies an earlier announcement by German Chancellor Olaf Scholz during his trip to Beijing that BioNTech would [be made available](https://www.reuters.com/business/healthcare-pharmaceuticals/scholz-secures-agreement-allowing-expats-china-use-biontech-covid-19-vaccine-2022-11-04/) to foreign nationals in China.
But Beijing’s decision to approve the Pfizer/BioNTech jab for a sliver of China’s population highlights the country’s uneasy relationship with mRNA vaccines and shots developed overseas as Beijing embarks on an exit from its tough COVID-zero policy, which will likely cause a massive outbreak.
## **Has China approved mRNA vaccines?**
BioNTech is the first mRNA vaccine—and the first developed overseas—approved for use in mainland China, even if it’s just available to German nationals living there.
Several Chinese companies are developing mRNA vaccines, but none have made it to final approval. In September, Indonesia—not China—became [the first country](https://www.scmp.com/news/china/science/article/3194368/chinas-first-mrna-covid-19-vaccine-approved-use-indonesia) to approve a Chinese-developed mRNA vaccine, from pharmaceutical company Walvax.
Fosun Pharmaceuticals, BioNTech’s distribution partner for greater China, [secured 100 million](https://fortune.com/2021/03/20/biontech-covid-vaccine-china-approval-fosun/) doses for the Chinese market in December 2020. Yet Fosun’s applications to use its doses in mainland China are [still pending](https://fortune.com/2021/12/14/biontech-pfizer-fosun-covid-vaccine-china-approval/), with no indication of when the mRNA vaccine will be approved for widespread use. (The semiautonomous Chinese city of Hong Kong approved BioNTech for use in its vaccination campaigns.)
China has largely relied on two vaccines, from Sinovac and [Sinopharm](https://fortune.com/company/sinopharm/), in its vaccination campaign. The two vaccines use an inactivated virus to confer immunity. Studies show that the two vaccines are less effective at preventing infection, severe disease, and death than the BioNTech and [Moderna](https://fortune.com/company/moderna/) shots, which use mRNA technology.
[Sinovac](https://www.scmp.com/news/china/science/article/3191684/chinas-sinovac-test-omicron-targeting-vaccines-chile) and [Sinopharm](https://news.rthk.hk/rthk/en/component/k2/1650995-20220531.htm) are both developing boosters that specifically target the Omicron variant.
Public health officials have [blamed China’s less-effective vaccines](https://fortune.com/2022/12/02/anthony-fauci-china-covid-vaccines-less-effective-sinovac-sinopharm/) for hindering its ability to smoothly change its COVID policy. “The efficacy of the China‑made vaccines are not at the level of the vaccines that have been used in the United States,” Anthony Fauci, the outgoing White House medical adviser, told the *Washington Post* on Dec. 2.
## **How many Chinese have been vaccinated?**
The more pressing problem, in Beijing’s view, is not the effectiveness of its vaccines, but that not enough people are vaccinated. Official data released in early December shows that only 40% of China’s over-80 population has received a booster. Health officials at the time pledged to launch new campaigns to vaccinate China’s elderly, but now the task is especially urgent.
Beijing announced [sweeping changes](https://fortune.com/2022/12/07/china-covid-restrictions-reopening-economy-recovery/) to its COVID rules last Wednesday, including letting mild and asymptomatic cases recover at home and limiting lockdowns to individual floors and buildings, rather than whole neighborhoods. A pivot is likely [good news for China’s economy](https://fortune.com/2022/12/07/china-covid-restrictions-reopening-economy-recovery/), dragged down in November by a record COVID outbreak and widespread lockdowns. Chinese consumer sentiment last month fell to levels not seen since early 2020, the start of the pandemic, according to a [survey released Sunday](https://www.bloomberg.com/news/articles/2022-12-12/china-consumer-sentiment-fell-near-2020-lows-before-lifted-curbs) by Morning Consult.
But relaxed measures could lead to a surge in cases across China. One of the country’s top medical advisers predicted last week that as much as 60% of the country [could catch COVID](https://fortune.com/2022/12/08/china-ends-covid-zero-exit-wave-new-cases-feng-zijian/) in an initial exit wave.
Chinese officials are now reassuring people that an increase in cases is not a cause for concern. State media quoted Zhong Nanshan, the country’s top medical expert, on Friday as saying that Omicron’s death rate is [comparable to that of influenza](https://fortune.com/2022/12/11/china-medical-expert-zhong-nanshan-downplays-covid-risks-lockdowns-restrictions-ease/).
Our new weekly Impact Report newsletter examines how ESG news and trends are shaping the roles and responsibilities of today's executives. [Subscribe here](https://mynewsletters.fortune.com/impact-report).
About the Author
[](https://fortune.com/author/nicholas-gordon/)
By [Nicholas Gordon](https://fortune.com/author/nicholas-gordon/)Asia Editor
Nicholas Gordon is an Asia editor based in Hong Kong, where he helps to drive *Fortune*’s coverage of Asian business and economics news.
[See full bio](https://fortune.com/author/nicholas-gordon/)
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| Readable Markdown | Two years after the first countries approved the Pfizer/BioNTech COVID vaccine for domestic use, China will finally allow the mRNA vaccine to be used domestically—but there’s a catch.
On Friday, China confirmed in a press briefing that [it would let German nationals](https://www.fmprc.gov.cn/eng/xwfw_665399/s2510_665401/2511_665403/202212/t20221209_10988054.html) receive the BioNTech COVID vaccine, which uses mRNA technology, in exchange for German health authorities on Wednesday [approving China’s Sinovac](https://www.reuters.com/world/europe/germany-allow-sinovac-vaccine-chinese-citizens-only-spiegel-2022-12-07/) jab for Chinese nationals living in Germany.
The statement from China’s foreign ministry clarifies an earlier announcement by German Chancellor Olaf Scholz during his trip to Beijing that BioNTech would [be made available](https://www.reuters.com/business/healthcare-pharmaceuticals/scholz-secures-agreement-allowing-expats-china-use-biontech-covid-19-vaccine-2022-11-04/) to foreign nationals in China.
But Beijing’s decision to approve the Pfizer/BioNTech jab for a sliver of China’s population highlights the country’s uneasy relationship with mRNA vaccines and shots developed overseas as Beijing embarks on an exit from its tough COVID-zero policy, which will likely cause a massive outbreak.
## **Has China approved mRNA vaccines?**
BioNTech is the first mRNA vaccine—and the first developed overseas—approved for use in mainland China, even if it’s just available to German nationals living there.
Several Chinese companies are developing mRNA vaccines, but none have made it to final approval. In September, Indonesia—not China—became [the first country](https://www.scmp.com/news/china/science/article/3194368/chinas-first-mrna-covid-19-vaccine-approved-use-indonesia) to approve a Chinese-developed mRNA vaccine, from pharmaceutical company Walvax.
Fosun Pharmaceuticals, BioNTech’s distribution partner for greater China, [secured 100 million](https://fortune.com/2021/03/20/biontech-covid-vaccine-china-approval-fosun/) doses for the Chinese market in December 2020. Yet Fosun’s applications to use its doses in mainland China are [still pending](https://fortune.com/2021/12/14/biontech-pfizer-fosun-covid-vaccine-china-approval/), with no indication of when the mRNA vaccine will be approved for widespread use. (The semiautonomous Chinese city of Hong Kong approved BioNTech for use in its vaccination campaigns.)
China has largely relied on two vaccines, from Sinovac and [Sinopharm](https://fortune.com/company/sinopharm/), in its vaccination campaign. The two vaccines use an inactivated virus to confer immunity. Studies show that the two vaccines are less effective at preventing infection, severe disease, and death than the BioNTech and [Moderna](https://fortune.com/company/moderna/) shots, which use mRNA technology.
[Sinovac](https://www.scmp.com/news/china/science/article/3191684/chinas-sinovac-test-omicron-targeting-vaccines-chile) and [Sinopharm](https://news.rthk.hk/rthk/en/component/k2/1650995-20220531.htm) are both developing boosters that specifically target the Omicron variant.
Public health officials have [blamed China’s less-effective vaccines](https://fortune.com/2022/12/02/anthony-fauci-china-covid-vaccines-less-effective-sinovac-sinopharm/) for hindering its ability to smoothly change its COVID policy. “The efficacy of the China‑made vaccines are not at the level of the vaccines that have been used in the United States,” Anthony Fauci, the outgoing White House medical adviser, told the *Washington Post* on Dec. 2.
## **How many Chinese have been vaccinated?**
The more pressing problem, in Beijing’s view, is not the effectiveness of its vaccines, but that not enough people are vaccinated. Official data released in early December shows that only 40% of China’s over-80 population has received a booster. Health officials at the time pledged to launch new campaigns to vaccinate China’s elderly, but now the task is especially urgent.
Beijing announced [sweeping changes](https://fortune.com/2022/12/07/china-covid-restrictions-reopening-economy-recovery/) to its COVID rules last Wednesday, including letting mild and asymptomatic cases recover at home and limiting lockdowns to individual floors and buildings, rather than whole neighborhoods. A pivot is likely [good news for China’s economy](https://fortune.com/2022/12/07/china-covid-restrictions-reopening-economy-recovery/), dragged down in November by a record COVID outbreak and widespread lockdowns. Chinese consumer sentiment last month fell to levels not seen since early 2020, the start of the pandemic, according to a [survey released Sunday](https://www.bloomberg.com/news/articles/2022-12-12/china-consumer-sentiment-fell-near-2020-lows-before-lifted-curbs) by Morning Consult.
But relaxed measures could lead to a surge in cases across China. One of the country’s top medical advisers predicted last week that as much as 60% of the country [could catch COVID](https://fortune.com/2022/12/08/china-ends-covid-zero-exit-wave-new-cases-feng-zijian/) in an initial exit wave.
Chinese officials are now reassuring people that an increase in cases is not a cause for concern. State media quoted Zhong Nanshan, the country’s top medical expert, on Friday as saying that Omicron’s death rate is [comparable to that of influenza](https://fortune.com/2022/12/11/china-medical-expert-zhong-nanshan-downplays-covid-risks-lockdowns-restrictions-ease/). |
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