In 2018 46,000 Americans died from opioids sold by the pharmaceutical industry. Why would anyone trust a vaccine from these drug dealers?

I think the Americans who died bear some of the responsibility. You only die from abusing it, not if you take it as prescribed. Everyone knows that pain pills are addictive, and best to avoid over doing it. The first thing they teach us at pharmacy school is that every drug is a poison; it's just a matter of what dose is required to kill you. The pharmaceutical company should not be "demonized." People dying from cancer or other severe conditions deserve to have something to ease their pain, manufactured by these companies. 

Because by the time the vaccine is distributed 10 times that number will have died of COVID-19.  And since the vaccine is not an opioid what's the problem.

100% of the people who have been given experimental gene therapy have died.  That's why it got banned.  This vaccine is an injected gene.

Approximately 40,000 people died from car accidents last year.  Why would anyone trust cars?

It isn't the pharmaceutical industry's fault that people became addicted.  Doctors need to be more careful in prescribing such strong and dangerous drugs because people can get hooked and die so easily.  Opioids are incredibly dangerous and they are a problem in the US, but that doesn't mean that we cannot trust the pharmaceutical industry when it comes to a vaccine.

You don't just die from opioids. Those were primarily overdoses. Few - if any - were due to a non-overdose adverse reaction. The problem is addicts who take them and overdose. The drugs are not dangerous when used appropriately.