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The Covid vaccine, like many other immunizations, carries some health risks in certain cases, and mainstream scientists have been studying the vaccine’s effects on people for years, especially the incidence of myocarditis in teenage boys and young men.

“This is a profound revelation,” Dr. Prasad wrote in a memo to staff members. “For the first time, the U.S. F.D.A. will acknowledge that Covid-19 vaccines have killed American children.”

Dr. Prasad said he would propose a range of new oversight and review of vaccines, though it was unclear whether the White House had been advised of the memo’s contents. The proposals could be refined by government officials or challenged by lawmakers and drug companies.

A spokesman for the Department of Health and Human Services, which oversees the F.D.A., did not respond to a request for comment.

The memo represents another escalation of broadsides on vaccines by federal authorities under Mr. Kennedy, who has used his position as secretary to repeatedly raise doubts about inoculations and name other skeptics to positions of authority.

Mr. Kennedy’s team has issued new policies that are limiting access to the Covid shots to people 65 and older as well as to younger people with underlying medical conditions. He and F.D.A. officials have also called for more studies of existing vaccines that have been considered safe for decades.

Health officials in the first Trump administration, when the vaccines were developed during the pandemic, and in the Biden years, strongly endorsed the Covid shots as lifesaving measures. Public health experts have pointed to the number of lives saved by the Covid vaccine and to the fact that the virus caused more than a million deaths among Americans. About 2,100 children have died of COVID since the pandemic began, according to the American Academy of Pediatrics.

Dr. Prasad’s memo is landing just before next week’s meeting of the Centers for Disease Control and Prevention’s influential vaccine committee. Mr. Kennedy’s handpicked panel includes supporters of the so-called medical freedom community, who often reject vaccination and oppose mandates. The committee is expected to discuss the children’s immunization schedule and the hepatitis B vaccine for newborns.

Michael Osterholm, a critic of Mr. Kennedy’s health agency oversight and an infectious disease expert at the University of Minnesota, said he believed the memo was intentionally released before the meeting.

“This is an irresponsible way to deal with a very critical public health issue like vaccination and adverse events,” he said.

Among the changes Dr. Prasad outlined for oversight and approval were requirements that studies looking at people using a vaccine or a placebo include all subgroups, such as pregnant women. In addition, he described the annual process of updating flu vaccines to match a circulating strain as a “catastrophe of low-quality evidence,” and said it would also be re-examined. (The chosen strain is at times a poor match.)

He also said companies would need to do larger studies before promoting vaccines as safe to administer together, such as the flu and Covid vaccines. And vaccine makers would need to conduct large, randomized studies of pneumonia vaccines to prove that they reduce cases of the disease rather than prove that they generate antibodies.

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Dr. Vinay Prasad, the F.D.A.’s top vaccine official, suggested in a memo that the deaths were related to vaccine-related myocarditis but did not offer data to support his conclusions. Credit…Hannah Beier for The New York Times

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