What Is The Second Dose Guidance For Pregnant Women
PHEs Green Book advises that Pfizer and Moderna vaccines are the preferred vaccines for pregnant women of any age, because of more extensive experience of their use in pregnancy. Pregnant women who commenced vaccination with AstraZeneca, however, are advised to complete with the same vaccine. If a woman finds out she is pregnant after she has started a course of vaccine, she may complete vaccination during pregnancy using the same vaccine product . Alternatively, vaccination should be offered as soon as possible after pregnancy.
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“The second dose should be administered as close to the recommended interval as possible,” the CDC said in an update to its website Thursday. “However, if it is not feasible to adhere to the recommended interval, the second dose of Pfizer-BioNTech and Moderna Covid-19 vaccines may be scheduled for administration up to 6 weeks after the first dose.”
Rina Shah, group vice president of pharmacy operations and services at Walgreens, which plans to administer doses at its stores across the country, said that “patients can receive the second dose as long as it follows the immunization window,” meaning that the second dose is given no earlier than the designated time frame.
“We encourage patients to schedule the second dose appointment as close to the earliest appropriate date, but a bit after is OK,” Shah said.
That runs counter to the official guidance from the Food and Drug Administration and Pfizer-BioNTech and Moderna, the drugmakers behind the two vaccines currently available in the U.S., which states that two doses, given at specific intervals, are necessary for maximum protection. For Pfizer, that interval is 21 days for Moderna, 28 days.
Those time frames come from how the vaccines were administered in clinical trials, meaning the only data available look at how well the vaccines worked when given either 21 days apart for Pfizer, and 28 days apart for Moderna.
Data Supporting Need For A Booster Shot
Studies show after getting vaccinated against COVID-19, protection decreases over time and may also be decreased due to changes in circulating variants. The recent emergence of the Omicron variant further increases the importance of vaccination and boosters to protect against COVID-19.
CDC provides recommendations in real-time on how to keep you best protected against SARS-CoV-2. Current surveillance data from the United States demonstrate that it is critically important for people to remain up to date with CDCs vaccine recommendations. In , those who were unvaccinated were more than 3 times more likely to test positive for infection compared to those who were vaccinated and more than 9 times likely compared to those who were boosted.
Additional studies from around the world demonstrate the benefit of a booster dose over receiving only a primary series.
- In large national studies from Israel comparing those who are boosted with those who are fully vaccinated, a booster dose decreased infection by 10 times in all age groups.
- Booster doses also decreased severe disease by 18 times in individuals over 60 years old and 22 times in those who were 40 to 59 years old.
- In these studies, a booster dose decreased mortality due to COVID-19 by 90% compared to being fully vaccinated.
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Who Can Get The Covid
Children aged 5 to 11 can receive the Pfizer COVID-19 vaccine.
Children aged 6 to 11 can receive the Moderna COVID-19 vaccine.
All people aged 12 and over can receive the Pfizer or Moderna COVID-19 vaccine.
Adults aged 18 and over can receive the Novavax COVID-19 vaccine.
Adults aged 60 years and over can receive the AstraZeneca COVID-19 vaccine. This is based both on the increased risk of complications from COVID-19 with increasing age and the potentially lower risk of the rare side effect Thrombosis with Thrombocytopenia Syndrome with increasing age.
You can still receive the AstraZeneca COVID-19 vaccine when you are under 60 years if:
- you have already received your first dose without any serious side effects
- the benefits are likely to outweigh the risks for you
- you have made an informed decision based on an understanding of the risks and benefits.
Read more about Queenslands vaccine rollout and eligibility.
Can I Pay For A Vaccine Privately Scam Alert
No, the Covid-19 vaccination is only available through the NHS to eligible groups and it is a free vaccination.
If you are offered or see the vaccine being advertised anywhere as something you can pay for it will be a scam and you should not follow it up.
Coronavirus vaccines are only available on the NHS. You may be contacted by the NHS, your employer, or a GP surgery local to you.
We are aware that in the early stages of the vaccination programme some people were receiving suspicious calls and text messages offering the COVID-19 vaccination. The NHS national booking service and some GP services are using texts to invite people for vaccines – so not all texts are scams.
Remember, the vaccine is free of charge. At no point will you be asked to pay.
– The NHS will never ask you for your bank account or card details.
– The NHS will never ask you for your PIN or banking password.
– The NHS will never arrive unannounced at your home to administer the vaccine.
– The NHS will never ask you to prove your identity by sending copies of personal documents such as your passport, driving licence, bills or pay slips.
If you receive a call you believe to be fraudulent, hang up. If you believe you have been the victim of fraud or identity theft you should report this directly to Action Fraud on 0300 123 2040. Where the victim is vulnerable, report it to Kent Police online or phone 101.
Kent County Council alerts on scams
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Which Vaccines Are Most Effective
Research by Public Health England suggests the Pfizer-BioNTech vaccine is 96 per cent effective at preventing hospitalisation after two doses, while the Oxford/AstraZeneca jab is 92 per cent effective.
However, the efficacy of the vaccination is reduced if you have been single jabbed, meaning it is important to receive your second and within the recommended time frame.
While people are not routinely given a choice of vaccine, under-40s are being offered alternatives to the AstraZeneca jab due to concerns over rare blood clots in young people.
/7covishield Gap Changed Again Some People To Get Jab Early
A day after ramping up vaccination pace in the country, the Ministry of Health has once again recommended a change in the vaccination schedule of Covishield, one of the primary vaccines being administered country-wide.
The dosing gap, which was previously extended to 84 days , will now allow people in specific categories to receive the vaccine dose earlier, 28 days after getting the first dose of the COVID-19 jab. As per the new rules, people who have undertaken the first shot of the vaccine, and are seeking international travel will now be allowed to get fully vaccinated and get the second dose before the 84-day mandate rule if their travel dates fall before the stipulated timeline.
While the government officials have stressed on making rigorous checks, the newest recommendations also bring about newer questions and challenges for those who have received the Covishield jab- Will it be safe to take the vaccine early? How less ‘immune’ are you, in comparison to the 84-day mandated gap? As we explain to you how the newest change in the vaccination gap would affect people, here’s a timeline of the gaps ordered with Covishield in India…
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Uncommon Rare And Very Rare Adverse Events
Uncommon adverse events occur in 0.1% to less than 1% of vaccine recipients. Rare and very rare adverse events occur in 0.01% to less than 0.1% and less than 0.01% of vaccine recipients, respectively. The probability of detection of very rare adverse events in clinical trials is low given clinical trial sample sizes therefore, ongoing pharmacovigilance is essential.
Lymphadenopathy was an unsolicited event that was uncommonly reported after administration of the Pfizer-BioNTech Comirnaty , AstraZeneca Vaxzevria and Janssen COVID-19 vaccines in clinical trials.
Myocarditis or pericarditis following vaccination with an mRNA COVID-19 vaccine
Rare cases of myocarditis and/or pericarditis have been reported following vaccination with COVID-19 mRNA vaccines.
Cases following mRNA COVID-19 vaccination are consistently reported to have occurred:
- More often after the second dose
- Usually within a week after vaccination
- More often in those 12 to 29 years of age
- More often in males
Analyses of surveillance data in Canada, US and European Nordic countries suggests a higher rate of myocarditis/pericarditis cases reported after vaccination with Moderna Spikevax compared to Pfizer-BioNTech Comirnaty vaccine especially among 12 to 29 year old males following a second dose of vaccine.
Myocarditis/pericarditis following vaccination with Novavax Nuvaxovid COVID-19 vaccine
Symptoms of GBS may include:
Symptoms of Bell’s palsy may include:
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Health Secretary Sajid Javid wrote to the Competition and Markets Authority to complain about the extortionate prices.
“For too many people the cost of PCR testing can act as a barrier, especially for families who want to travel together,” he said.
“We have all experienced enormous disruption to our lives over this pandemic but it is not right if some families experience yet further disruption unnecessarily because of potentially unfair practices in the market for private travel tests.”
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How To Bring Your Second Jab Forward
The Government have offered flexibility for those who want to bring their vaccines forward to a minimum of eight weeks. To do this, you can book for an appointment or rearrange your existing one by going on the NHS website.
Once you have cancelled your existing appointment you can then rebook by picking from one of the available slots listed.
You can also book appointments by calling 119 and speaking to someone directly.
Can I Have A Covid
Most people with allergies can be vaccinated against COVID-19.
Before you are vaccinated, healthcare staff will check if you have ever had a serious allergic reaction to a previous dose of the same vaccine or any of the ingredients in the vaccine to make sure it is safe for you to have it.
Serious allergic reactions to the COVID-19 vaccines are very rare. If you do have a reaction, it usually happens in minutes. Staff giving the vaccine are trained to deal with allergic reactions and treat them immediately.
More information about COVID-19 vaccine safety and side effects are on the NHS website.
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What Do I Need To Do When I Arrive
Please make your way to the entrance or join the back of the queue if there is one.
At the entrance to the vaccination site, there will be someone there to explain the next steps, including the pre-screening questions, you will be asked to consent to have the vaccination and you will be called in to have your vaccine.
You will also need to follow any instructions you may have been given when you booked your appointment.
Please observe social distancing guidelines when at the vaccination service and keep two metres away from others at all times.
If You Did Not Get Your Second Dose
If you had 1 dose of the AstraZeneca vaccine, you will be offered the Pfizer/BioNTech vaccine or Moderna COVID-19 vaccine for your second dose. This will mean that you have completed your first round of COVID-19 vaccination.
The Moderna COVID-19 vaccine is only used in adults aged 30 and older in Ireland.
You should get your second dose at least 28 days after getting your first dose of AstraZeneca. Bring your vaccination card that shows you have had 1 dose of the AstraZeneca vaccine.
If you recently had COVID-19, wait at least 4 weeks before getting your second dose.
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/7does An Extended Gap Promise Better Immunity Heres What Studies Say
The most positive findings have been supported by a study published in the Lancet, which proved that vaccine efficacy and immune response were also a great derivative of the time gaps. Researchers found that with certain COVID vaccines, including Covishield, the longer the gap, the higher the efficacy of the vaccine. It was observed that the vaccine efficacy and immune response was significantly better, at 81.3% when the doses were given in an interval of 12-16 weeks, in comparison to a 50-60% efficacy when spaced 6 weeks or less apart.
It should also be known that this isn’t the first time the vaccination gap with Covishield has been extended. While the initial policies kept the dosing window between 4-6 weeks time, it was later revised to 4-8 weeks, following which, the gap was further extended to the 12-18 week timeline.
The gap with Covaxin, and other vaccines expected to be used in India remain unchanged.
What If Ive Already Had My Second Dose Early
Any vaccine doses given under the minimum window 21 days for the Pfizer vaccine are considered redundant and may need to be re-administered.
If your second dose was given later than this but before eight weeks, it is likely still considered valid and will provide adequete protection.
Dr Rebecca Payne, who authored a study on the gaps between vaccines, said that while evidence suggests that longer intervals are most effective at protecting people, people should not worry if they had their second dose at four weeks instead of eight.
People shouldnt worry if theyve had the short dose that this is somehow bad. That isnt the case at all, you get very good protection, really good neutralising antibodies, she said.
The most important point is that two vaccines is more important than one, and that people should get vaccinated and just get both when theyre invited to.
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My Vaccination Is Not Showing In The Nhs App What Should I Do
If there is an error with your vaccination record or you are unable to see it on your NHS COVID Pass, call 119 and ask to be referred to the Vaccine Data Resolution Service . Your GP cannot make changes to your vaccination record so please do not contact your practice.
If there is an error with the personal information on your NHS COVID Pass, such as an incorrect name or address, please contact your GP practice. The practice will be able to correct this.
Please note that you only need to have proof of your first and second dose to obtain a COVID Pass for events and travel. Proof of having had a booster jab is not currently available via the NHS app but should be included soon.
Myocarditis Or Pericarditis In Young People
In rare cases, myocarditis and pericarditis can develop after vaccination with Pfizer.
Most cases have mild symptoms and recover well.
The TGA reports that these rare effects on the heart typically occur:
- within 10 days of vaccination
- after the second dose
- more often in men aged under 30.
Contact a doctor or go to hospital immediately if you develop any of the following symptoms after a Pfizer vaccination:
- chest pain
- pressure or discomfort in the chest
- irregular, skipped heartbeats or fluttering
Low risk of developing myocarditis or pericarditis
The risk of developing myocarditis or pericarditis is very low.
In the US, reported rates in males were 10 cases per million after first doses, and 67 cases per million after second doses. The TGA is monitoring the risk in the Australian population.
The risk in children aged 5 to 11 years is not yet known. The clinical trial in children aged 5 to 11 years did not have enough participants to assess rates of myocarditis or pericarditis following the Pfizer COVID-19 vaccine, but no specific safety concerns have been identified so far from millions of doses of this vaccine administered overseas to children aged 5 to 11 years. The benefits of vaccination outweigh this very rare risk, and vaccination is still recommended for all eligible age groups.
The Melbourne Vaccine Education Centre has a page on myocarditis and pericarditis that includes an explanatory video.
Injection technique unlikely to cause myocarditis
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Why You Should Register Your Vaccination
If you get a COVID-19covid 19 vaccine outside of Ontario or Canada, you should register it so you can:
- book a second or additional dose in Ontario
- be contacted if there is any clinical guidance about the vaccine you got
- obtain an enhanced vaccination certificate that may be required by certain settings or for travel purpoes
- easily access a copy or your vaccine certificate if you lose your original receipts
Why Is This Important
When the immune system first encounters a vaccine, it activates 2 important types of white blood cells.
First up are the plasma B cells, which primarily focus on making antibodies against the pathogen .
Unfortunately, this cell type is short-lived. Your body might be swimming in antibodies within just a few weeks. But without the second shot there is usually a rapid decline in antibodies against the pathogen.
Then there are the T cells, each of which identifies a particular pathogen to kill it.
Some of these memory T cells linger in the body for decades until they meet their target. This means immunity from vaccines or infections can sometimes last a lifetime. But you usually won’t have many of this cell type until there is a second exposure to that pathogen, which happens through the booster dose.
On second exposure to the same vaccine, the body can respond by creating a stronger immune response to fight the virus if required.
It is not yet known how long the COVID-19 vaccine protection will last. Clinical trials are currently happening to find out if we will need annual or longer booster doses to ensure long term immunity.
With new COVID-19 vaccine developments every day, its normal to have questions or concerns, and possibly feel hesitant about getting a vaccine. That’s why we’re providing accurate, evidence-based answers to questions about COVID-19 vaccines.
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