1. the sci/med establishment seems to have some ongoing ~bias issues that I don't fully understand when it comes to listening to and taking lay people seriously (especially women)
2. it's hard to do complex synthesis of relative risks and rewards across different studies measuring different things for different reasons
3. we've had a lot of uninformed and malicious actors splashing about in the information ecosystem
It's a two-way street. Researchers and public health officials both need to take women seriously and they need to have faith that they can research or discuss details like this frankly through their normal semi-public publication channels without people who don't grok or don't care about the nuance of their research using it as an info-cudgel to induce FUD that ruins lives.
To toss in the requisite anecdata, my sister got pregnant this past fall. She was due for a booster but FUD about it hurting the baby swayed her mind. She got omicron in late December, post-covid complications nearly took her and the baby in late February, and she had to live in the hospital until she delivered in June.