# Auditing E-Commerce Platforms for Algorithmically Curated Vaccine Misinformation

arXiv: https://arxiv.org/abs/2101.08419 · HTML: https://mlsanity.com/paper/2101.08419/

## Key facts

- Cited by 11 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 21 Jan 2021.

## Built on by (most cited first, 11 of 11)

- [Estimating and Penalizing Induced Preference Shifts in Recommender Systems](https://mlsanity.com/paper/2204.11966/) (2022)
- [The Silicon Ceiling: Auditing GPT's Race and Gender Biases in Hiring](https://mlsanity.com/paper/2405.04412/) (2024)
- [The "Colonial Impulse" of Natural Language Processing: An Audit of Bengali Sentiment Analysis Tools and Their Identity-based Biases](https://mlsanity.com/paper/2401.10535/) (2024)
- [An Audit of Misinformation Filter Bubbles on YouTube: Bubble Bursting and Recent Behavior Changes](https://mlsanity.com/paper/2203.13769/) (2022)
- [Auditing YouTube's Recommendation Algorithm for Misinformation Filter Bubbles](https://mlsanity.com/paper/2210.10085/) (2022)
- [COVID-19 Vaccine Misinformation Campaigns and Social Media Narratives](https://mlsanity.com/paper/2106.08423/) (2021)
- [Misleading the Covid-19 vaccination discourse on Twitter: An exploratory study of infodemic around the pandemic](https://mlsanity.com/paper/2108.10735/) (2021)
- [Persona-Grounded Safety Evaluation of AI Companions in Multi-Turn Conversations](https://mlsanity.com/paper/2605.00227/) (2026)
- [MythTriage: Scalable Detection of Opioid Use Disorder Myths on a Video-Sharing Platform](https://mlsanity.com/paper/2506.00308/) (2025)
- [Algorithmic Behaviors Across Regions: A Geolocation Audit of YouTube Search for COVID-19 Misinformation Between the United States and South Africa](https://mlsanity.com/paper/2409.10168/) (2024)
- [ARTiST: Automated Text Simplification for Task Guidance in Augmented Reality](https://mlsanity.com/paper/2402.18797/) (2024)

## Abstract (arXiv)

There is a growing concern that e-commerce platforms are amplifying vaccine-misinformation. To investigate, we conduct two-sets of algorithmic audits for vaccine misinformation on the search and recommendation algorithms of Amazon -- world's leading e-retailer. First, we systematically audit search-results belonging to vaccine-related search-queries without logging into the platform -- unpersonalized audits. We find 10.47% of search-results promote misinformative health products. We also observe ranking-bias, with Amazon ranking misinformative search-results higher than debunking search-results. Next, we analyze the effects of personalization due to account-history, where history is built progressively by performing various real-world user-actions, such as clicking a product. We find evidence of filter-bubble effect in Amazon's recommendations; accounts performing actions on misinformative products are presented with more misinformation compared to accounts performing actions on neutral and debunking products. Interestingly, once user clicks on a misinformative product, homepage recommendations become more contaminated compared to when user shows an intention to buy that product.
