Can the US crack down on fake vaccination cards?

As more people in the US are asked to prove they have been vaccinated in order to work, study or socialise, a flourishing black market in fake vaccination cards has sprung up. But what can be done to tackle it?

The operator behind "Covid19vaccinecardsss" took just seconds to reply. One of a slew of Instagram accounts hawking fake proof of Covid-19 vaccination cards, whoever was running the page was eager to sell, inviting the BBC to move over to an encrypted messaging app to make a deal.

For $100 (£70), the vendor would deliver a "registered" card, with either the logo of the US Centers for Diseases Control and Prevention (CDC) or Britain's National Health Service.

Payment could be made in Apple Pay or Bitcoin and delivery would be "discrete" and within 24 hours, they promised.

"Your cards will be saved into the database system," they told the BBC. "[These are] very good original vaccine cards, no worries."

As the Delta variant of coronavirus sweeps the US, businesses, universities and cities such as New York and San Francisco have introduced vaccine mandates to boost uptake of jabs.

But vaccine hesitancy remains high and a cottage industry for bogus inoculation cards has emerged to help people get around the rules.

Fakes have been sold on platforms from eBay to Whatsapp and there have been high profile busts, with warnings that counterfeiters and buyers could face jail.

Yet users, authorities and many others are sceptical that the use of false cards can be stopped.

Jennifer is head bartender at the busy Peculiar Pub in Greenwich Village, New York, where customers must show proof of vaccination in order to enter as part of a citywide mandate affecting bars, gyms and other indoor venues.

No one's raised her suspicions yet but she thinks it will be "really hard" to spot fake vaccination documents, which in New York can take the form of a paper card from the health authorities or merely a photo of that card.

"As long as it's printed and you can just write a date, how am I going to know the person that injected you and where you got it? There are hundreds and thousands of vaccination sites in the US, people can come to your home now to give you the vaccine."

Counterfeiters appear to be doing brisk business.

Last week, customs officials in Memphis, Tennessee and Anchorage, Alaska seized 6,000 false vaccination cards in separate shipments from China destined for recipients across the US.

They were printed with the CDC logo and closely resembled the genuine cards given to US citizens when they get vaccinated. However, when officials looked closer they noticed spelling mistakes and poor printing quality.

At the same time, more people who are using false documents are getting caught.

Recently, a Miami couple was arrested for allegedly trying to enter Hawaii using fake cards in breach of the state's travel laws, which require proof of vaccination or a negative test result to avoid quarantine.

The couple, who travelled with their two children, are facing $8,000 (£5,000) in fines - although the maximum penalty could have been jail.

The flourishing market has prompted warnings from the FBI that unauthorised use of a government agency's seal is a crime and violators could face fines or up to five years in prison.

Chuck Schumer, the Democratic Senate majority leader, has called for a federal crackdown and national education campaign to stop counterfeiting. Why, he also asked, were people risking prosecution to get fake vaccine cards when jabs are free and plentiful in the US?

Stacey, who works at another busy Greenwich Village bar, says friends of hers are thinking of buying fake cards because they do not want to get jabbed over fears about vaccine safety.

Resistance to jabs and vaccine mandates is fierce in some parts of the US, where only 60% of the adult population is fully vaccinated, and typically driven by online disinformation and calls to protect civil liberties.

Stacey, who is vaccinated, says her friends think vaccine mandates could stop them doing everyday things if they become more common, and so fake documentation will offer a workaround.

But she adds: "It's worrisome in terms of public health. If they are choosing to come in with a fake vaccination card they are putting themselves at risk to people who are doing the same thing."

Bogus cards are easily available on social media, messaging apps and the dark web where they can be bought for anywhere between $25 (£18) and $500, according to reports.

On Instagram accounts often promote fake cards alongside images featuring anti-vaccination slogans or disinformation about vaccine safety.

Instagram shut down accounts the BBC reported but others remain on its site. Anyone buying, selling, or trading in fake, or genuine, medical documents on its platforms will be barred, the company said.

"We'll continue to identify and remove this content whenever we find it, and will disable accounts, pages or groups that repeatedly break our rules," a spokeswoman told the BBC.

Some New York businesses are concerned they could be held liable if someone is found on their premises with a fake card.

Sean, who manages Off the Wagon, another nightspot in Greenwich Village, thinks all proof-of-vaccination cards should be digital to stop fraud.

Such passes are planned or in use in the UK and Denmark, for example, but the US has no similar scheme.

Several digital vaccine apps are available within New York City, but bars like Sean's still can't access systems to scan them, which worries him.

"I am expecting [fake vaccination cards] just like I expect fake IDs for underage drinking," he tells the BBC. "But there isn't much you can do about the paper ones.

"That's why it is important to know we won't be held liable… We're at the very early stages with all of this, it's a fickle process."