Lancet - Transmissibility of SARS-CoV-2 among fully vaccinated individuals

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https://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2821%2900768-4/fulltext

Can someone with field expertise review this paper:
https://pubmed.ncbi.nlm.nih.gov/34496194/

This is used to site the effectiveness of the vaccines preventing hospitalizations. This study appears misleading or missing crucial data. To start with it does not compare young healthy adults hospitalizations between vaccinated and unvaccinated.