Transparency doesn't work in isolation. If there's a problem where the release of 450,000 pages of patient information is so difficult that it can't be done, then there's a fundamental process fuckup that should be corrected. For example, if everything's on paper, then the process failure is in a lack of transcription. If it's because private information is typed in a form, that form should be broken up in a way so that the important private information is typed into another field. Generally there are ways to make sure these issues don't happen -- from the beginning. Keep in mind, these people are aware of the existence of FOIA and the possibility that these records would be subject to FOIA. These processes should be built with that in-mind, especially considering the importance of the information.
It's such a big deal that in states like Illinois, the law disallows the use of the unduly burdensome exemption if the gov agency doesn't respond within the time limits of the statute. Takes 10k hours? Big deal, shoulda responded in time.
A lot of these issues stem from the fact that in so many cases, the agency's estimates are either beyond any possible worst case scenario (ie, unrealistic), or an intentionally naive estimate in order to urge the requester to go away. If we take these public agencies at face value that something would take forever without litigation, then they can easily just make it a routine process to call something unduly burdensome, so it's important to call them out on their shit. See: https://mchap.io/that-time-the-city-of-seattle-accidentally-...
It sucks, but the alternative is much worse.
In order to make the report in the first place, Pfizer had to preprocess the data to intermediate, tabulated formats. However, this data is their secret IP, which in and of itself is absolutely insane, given that we're moving in the direction of mandates.
I don't get how one of the most foul industries – by public track record — suddenly get a carte blanche from otherwise sane and critical people. There are so many scandals in Pharma, and suddenly overnight you're a conspiracy theorist if you want independent scientists to double check the biggest public health mandate in history.
Some people with certain medical conditions are vaccine-hesitant because of their health condition. If this data can prove that people with certain health conditions aren't at any increased risk from the vaccine, it could mean more people get vaccinated.
The reason why they are getting the endless pages of patient data is because the plaintiffs are asking for it.