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From the onset of the first confirmed case of COVID-19 in January 2020 to Election Day in November, the United States experienced over 9,400,000 cases and 232,000 deaths. This crisis largely defined the campaign between former Vice President Joe Biden and President Donald Trump, centering on the Trump administration′s efforts in mitigating the number of cases and deaths. While conventional wisdom suggested that Trump and his party would lose support due to the severity of COVID-19 across the country, such an effect is hotly debated empirically and theoretically. In this research, we evaluate the extent to which the severity of the COVID-19 pandemic influenced support for President Trump in the 2020 election. Across differing modeling strategies and a variety of data sources, we find evidence that President Trump gained support in counties with higher COVID-19 deaths. We provide an explanation for this finding by showing that voters concerned about the economic impacts of pandemic-related restrictions on activity were more likely to support Trump and that local COVID-19 severity was predictive of these economic concerns. While COVID-19 likely contributed to Trump’s loss in 2020, our analysis demonstrates that he gained support among voters in localities worst affected by the pandemic. Supplementary Information The online version contains supplementary material available at 10.1007/s11109-022-09826-x.

The emergence of COVID-19 spurred the fastest development of a vaccine in history. Yet, a large proportion of Americans remain hesitant to receive it. Our paper investigates how the social networks we inhabit might explain persistent vaccine hesitancy. We argue that the COVID-19 vaccination status of respondents’ closest associates inhibits or motivates their decision to receive a COVID-19 vaccine. To test our argument, we conduct an original survey asking respondents a battery of questions about the people with whom individuals most frequently discuss vaccines and COVID-19. Our survey reports that individuals’ discussion networks are polarized by vaccination status. Concurrently, there is a strong association between the social network’s vaccination status and the respondent’s vaccination status. This association is so robust that partisanship does not moderate the association between discussants’ vaccination status and respondents’ vaccination status. Together, our results imply that unvaccinated individuals remain hesitant because they face reinforcing social pressure from their closest associates. The unique timing of our survey, during an unprecedented vaccination campaign against a novel disease, offers a snapshot of how relationships may affect attitudes.

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