Estimates and type I error by basic reproduction number, R0, and model for an analysis of vaccine efficacy (VE) in an outbreak setting for direct VE of 0. Median VE estimate (A) and empirical type I error (B) for direct VE of 0 (horizontal line in (A)) versus R0, for individually randomized trial (IRT) analyzed with stratified Cox model (squares, solid line), cluster-randomized trial (CRT) analyzed with a Cox model with a gamma-distributed shared frailty (circles, dashed line), and stepped wedge trials with 4 clusters crossing over every 28 days (SWT-A, filled points) and with 1 cluster crossing over every 7 days (SWT-B, unfilled points) analyzed by a Cox model with a gamma-distributed shared frailty (SWT-PH; diamonds, dotted line), nonparametric within-period method weighted across periods by total case count (NPWP-2; upward triangle, dash-dotted line), and synthetic control method equally weighted across clusters and weighted across periods by total case count (SC-2; downward triangle, long-dash line). The horizontal line in (B) denotes the nominal type I error of 5%.