The Independent Medical Alliance alleges that CDC and FDA relied on a flawed safety surveillance method they knew couldn't detect myocarditis and other serious events from mRNA vaccines, while publicly declaring no safety signals during the years Pfizer and Moderna earned tens of billions in COVID vaccine revenue. A BMJ investigation documented that officials were warned about the surveillance tool's limitations in early 2021 but continued using it, with one FDA official explicitly requesting that improved methods not be implemented due to concerns about vaccine confidence.