Cdc Changes Guidance And Advises Longer Interval Between Vaccine Doses
- Research suggests longer wait can provide better protection
- CDC advises eight-week interval between first and second shots
Some people getting Pfizer or Moderna Covid vaccines should consider waiting up to eight weeks between the first and second doses, instead of the three or four weeks previously recommended, US health officials said.
The Centers for Disease Control and Prevention on Tuesday quietly changed its advice on spacing the shots.
CDC officials said they were reacting to research showing that the longer interval can provide more enduring protection against the coronavirus. Research suggests that 12- to 64-year-olds especially males ages 12 to 39 can benefit from the longer spacing, the CDC said.
They also say the longer wait may help diminish an already rare vaccination side effect: a form of heart inflammation seen in some young men.
The change wont affect many people, coming 14 months after the beginning of the US vaccination campaign. The CDC says 73% of people 12 and older already have had two doses of vaccine.
Also, the suggestion to wait up to two months does not apply to all. The original, shorter interval is still recommended for people with weakened immune systems people 65 and older and anyone who needs fast protection due to risk of severe disease.
William Schaffner, a Vanderbilt University vaccines expert, said the action makes sense.
How Diverse Was The Trial Group
A: According to the CDC, clinical trials for the Pfizer-BioNTech vaccine included people from the following racial, ethnic, age, and sex categories:
Clinical Trial Demographic Information: 16 Years and Older
Clinical trials for the Pfizer-BioNTech vaccine in people 16 years and older included people from the following racial and ethnic, age, and sex categories:
- 3% other races, multiracial, or race not reported
- < 1% Native Hawaiian or Other Pacific Islander
- < 1% American Indian or Alaska Native
- 73% not Hispanic or Latino
- 26% Hispanic or Latino
What Approval Does The Vaccine Hold From The Fda
On December 11, 2020, the U.S. Food and Drug Administration authorized the Pfizer-BioNTech COVID-19 vaccine for emergency use authorization to prevent COVID-19 for individuals 16 years of age and older. On May 10, 2021, FDA expanded the EUA for the Pfizer-BioNTech COVID-19 vaccine to include adolescents aged 12 to 15 years. On October 29, 2021, the FDA again expanded the EUA for the Pfizer-BioNTech COVID-19 vaccine to include children 5 through 11 years of age. FDA reviews clinical testing, safety, and effectiveness data before granting EUA the same safety protocols the FDA usually use. The EUA process does not affect safety protocols and allows the FDA to speed up manufacturing and administrative processes to make medical products, such as vaccines, available faster during public health emergencies, such as the COVID-19 pandemic.
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Why You Should Consider Getting A Booster As Soon As You’re Eligible
Everyone’s individual health and risk profile is different, so consider consulting with your doctor before proceeding but generally speaking, most people should get a booster shot once eligible. It’s a low-risk, high-reward choice, experts say.
“There’s no indication that there’s something inherently risky about obtaining a booster of this vaccine,” Mores says. “There is certainly something inherently risky about becoming infected with Covid.”
You should especially plan for a booster shot if you want to be indoors with other people during the winter months, or travel over the holidays, says Dr. Sadiya Khan, assistant professor of medicine at Northwestern University Feinberg School of Medicine.
The bigger question may be which booster to get. Anyone who’s eligible can get a booster dose of any of the country’s three authorized vaccines, regardless of which one they initially received.
Adult women younger than 50 should consider an mRNA booster from either Pfizer or Moderna, says Dr. William Schaffner, Vanderbilt University professor of medicine in the division of infectious diseases. That’s because J& J’s vaccine can, in rare instances, lead to blood-clotting disorders for that demographic.
Similarly, both mRNA vaccines have become associated with increased rates of myocarditis, or inflammation of the heart, particularly among younger men but Kelley says such cases are very rare, extremely mild and fairly easy to manage.
Faqs About Mental Health Stress And Anxiety
What should I do if I have an existing mental health condition?
During and following an emergency, people with pre-existing mental health conditions should seek or continue treatment, following their treatment plans as set up through their provider. Individuals may experience a worsening of their symptoms if this happens, contact your provider for additional services immediately.
What if I am feeling anxious or stressed related to COVID-19?
Everyone reacts differently to stressful situations. The emotional impact of an emergency on a person can depend on the persons characteristics and experiences, the social and economic circumstances of the person and their community and the availability of local resources. People can become more distressed if they excessively see repeated images or hear repeated reports about the pandemic in the media.
Reactions during an infectious disease outbreak can include:
- Fear and worry about your own health status and that of your loved ones
- Changes in sleep or eating patterns
- Difficulty sleeping or concentrating
- Worsening of chronic health problems
- Increased use of alcohol, tobacco or other drugs
Feelings of fear, anxiety, sadness and uncertainty are normal during a pandemic. Fortunately, being proactive about your mental health can help to keep both your mind and body stronger.
What can I do to support myself?
Continue to maintain proper infection control techniques such as hand-washing and social distancing, and get vaccinated.
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‘no Sole Single Identity’
More education could help with vaccination efforts. The CDC report on vaccination in young adults found that about two-thirds of respondents who were not sure about getting vaccinated reported they didn’t have adequate information about vaccine safety or effectiveness.
“There’s a lot that we see on social media about vaccines, but not a lot that people really truly understand about them,” Chiasera said.
Through Connecticut Public Health College Corps, the trained students will attend vaccine clinics, community efforts and do other outreach over the course of four weeks and be there to answer people’s questions on topics like the availability, safety and efficacy of the vaccines and side effects, Chiasera said.
“We’re realists in knowing that there are people — it doesn’t matter what you say, it doesn’t matter what you do — they’re not going to get their vaccine, but that is a small percent,” she said. “There’s a lot more people that are on the fence, and I think our best efforts are really on those people that are on the fence — that really truly have questions that they need answered to help make that decision.”
As much attention is being paid to reaching unvaccinated young adults, vaccination is a hyperlocal effort that can’t be generalized, Schoch-Spana said.
‘Trusted influencers’ needed
It largely boils down to trust, and who the “trusted influencers” are, Schoch-Spana said.
Why Are People With Autism At Higher Risk Of Covid
The higher risks of COVID-19 that researchers found in people with autism arent due to the developmental or intellectual disabilities themselves, but rather because people with them are more likely to live in a group setting, be unable to communicate about having symptoms, or have trouble understanding or following safety measures, according to the CDC.
Sometimes it is difficult for people with ASD to wear masks and keep social distancing, themselves and others at increased risk of spreading or acquiring COVID-19, says Robert Hendren, DO, a psychiatrist and the director of the program for research on neurodevelopmental and translational outcomes at the University of California in San Francisco.
Early symptoms may be overlooked because people with ASD may not be able to express their discomforts, such as sore throat. If someone with ASD gets COVID-19, they may have a very difficult time being in the hospital and receiving treatments that are unfamiliar, uncomfortable, and potentially scary, Dr. Hendren explains.
Further, and as noted by the authors of the NEJM Catalyst report, people with intellectual disabilities are more likely to have other health problems at the same time that put them at higher risk for infection and COVID-19 disease, such as heart disease, obesity, and diabetes. Banks says this is true of people with ASD as well.
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Theres No Point Person In Bidens Hhs For Its $187 Billion Covid
The community corps model concept makes sense, argued Buttenheim, the vaccine acceptance expert.
This really seems to me like the sweet spot, she said, adding that community-based efforts, like a recent ad promoting vaccination in New Orleans, just land in a way that Dr. Biden smiling and saying we should all get vaccinated probably wouldnt.
She just wishes it started sooner.
Easy for me to say: It feels a little late, Buttenheim said. But thats OK.
It was not in my Instagram feed anywhere. Anything that was on Facebook or TikTok that I saw was false information.
Jordan Tralins, a 19-year-old from St. Petersburg, Fla.
A number of public health officials told STAT that the reopening of college campuses may be, paradoxically, a boon for controlling Covid-19 because campuses have a leg up in helping vaccinate their populations.
We know where people live, we know their email addresses, and we also know a lot about them. We know how to reach different parts of our students with the messages they need, explained Van Orman, the USC professor.
Already a handful of college campuses, including Rutgers University and Cornell University, have also mandated students get vaccinated, and others are likely to follow.
Summer Is A Better Time To Handle Any Reaction You Have To The Vaccine:
The relatively relaxed schedules of summer mean that if the vaccine makes you tired or gives you a headache or fever, you can sleep in or rest up.
But you may not have to. Less than 30% of people ages 12 to 15, and about 40% of people ages 16 to 25, said the first dose of vaccine made them tired. That was the most common reaction beside arm pain, according to recently released data from the Centers for Disease Control and Preventions text-message reaction tracking system. After the second dose, around 50% of the younger group and 60% of the older group felt tired, mostly for a day or so.
In all, only about one in four people ages 12 to 25 said that they couldnt do normal activities for a day or so in the first week after vaccination.
If you work, figure on a one-in-six chance of having to miss work the day after you get your second dose of an mRNA vaccine, or your single dose of the one-dose vaccine.
Chang advises patients to get vaccinated in the late afternoon or evening before a day off. That way, if you do feel tired, or get a headache or fever, its most likely to start the next morning and be done later that day.
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Ive Heard That Children Dont Get Sick From Covid
Preliminary evidence suggested that children may be less susceptible to COVID-19 than adults but more recent data is unclear or shows similar susceptibility, especially within households. In particular, there is some evidence that COVID-19 cases in children have increased following the emergence of new variants of the virus. When children do become sick with COVID-19, there are more likely to have asymptomatic or mild disease. Research also shows children, especially older adolescents, can transmit the virus like adults. As such, additional cases and exposures among children may increase the risk of infection and more serious COVID-19 disease in adults, especially household members. Moreover, exposure to other infected children may lead to the loss of in-person learning and other activities due to quarantine or isolation. Vaccination reduces childrens chances of contracting the virus and transmitting the virus to others, and allows for exception from some mitigation efforts that can disrupt their lives, including exclusion from school and isolation or quarantine.
What Advice Would You Give To A Young Person Who Wants To Get A Vaccine But Their Parents Don’t Agree
Dr. Liao: Being a parent myself, I think that having parental input is very important. I can see why parents would want to weigh in. Kids should talk to their parents and try to reason with them. Theres a lot of vaccine misinformation, so kids can help educate their parents. The conversation you have depends on the parents concerns. Is it about the science, the risk, or religious objections? Figure out what parents are worried about and go from there. I also think its helpful to explain to parents the benefits of the vaccine.
Dr. Boyd: I am fortunate to live in a region where counties have enabled teens to seek vaccination independently. To be clear, it is ideal for parents and caregivers to participate in these decisions with their teen and young adult children. But it is also important that teens and young adults can speak with a health care provider independently and make choices to protect their health. We often do this when we care for young people’s reproductive health, and it is important to do so now when we care for their health during this pandemic.
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Household Pulse Survey Shows Many Dont Trust Covid Vaccine Worry About Side Effects
The Centers for Disease Control and Prevention reports that as of December 14, roughly 85% of adults ages 18 and over in the United States had received at least one dose of a COVID-19 vaccine but 15% remained unvaccinated.
Who are the unvaccinated and why are they choosing not to get a COVID vaccine?
About 42% reported that they dont trust the COVID-19 vaccine.
According to the U.S. Census Bureaus newest phase of the experimental Household Pulse Survey , those who were unvaccinated against COVID in early December 2021, reported a variety of reasons why.
“Vaccinated” here refers to adults who have received at least one dose of any COVID vaccine, and “unvaccinated” refers to adults who have not received any.
Unvaccinated adults who responded to the survey could select more than one reason:
- About half reported that they were concerned about possible side effects of the vaccine.
- About 42% reported that they dont trust the COVID-19 vaccine.
- Less than 10% reported that they hadnt gotten the vaccine because their doctor had not recommended it.
- About 2% reported not getting the vaccine because of difficulty obtaining it.
Where Can I Get My Child Vaccinated
Federal health officials have encouraged Americans to check vaccines.gov to find locations near them with shots in stock. More locations will be added in the coming days as supplies are distributed around the country.
Vaccines for kids will be available at many pediatricians’ offices, as well as at children’s hospitals, rural health clinics, pharmacies, some school-based clinics and other community locations.
Almost two-thirds of parents surveyed by the CDC said they would prefer to get their child vaccinated at their regular doctor’s office.
Federal health officials have sought to recruit more of these providers to become COVID-19 vaccinators in recent weeks, though not all will be first in line to administer shots.
“The recently enrolled providers with a smaller patient base are less likely to get vaccine in this first week, when the minimum order is 300 doses. When the minimum order drops in the next week or so to 100 doses, I think some of those more newly enrolled providers would be able to get vaccine,” said Claire Hannan, executive director of the Association of Immunization Managers.
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Most Children And All Teens Can Get Covid
CDC recommends everyone ages 5 years and older get a COVID-19 vaccine to help protect against COVID-19.
Vaccines Authorized For
Children 4 years and under:
Children 511 years old:
Teens 1217 years old:
Everyone 18 years and older:
J& J / Janssen
Widespread vaccination for COVID-19 is a critical tool to best protect everyone from COVID-19 and COVID-19 related complications. Children and teens who are fully vaccinated can safely resume many activities that they did prior to the pandemic.
Everyone ages 16 years and older can get a COVID-19 booster shot. Learn more about booster shots.
Should Children Get Covid Vaccines What The Science Says
A student in Bogor, Indonesia, receives a Sinovac jab in a COVID-19 vaccination campaign for school kids aged 1218.Credit: Adriana Adie/NurPhoto/Getty
At a time when much of the world is still struggling to access COVID-19 vaccines, the question of whether to vaccinate children can feel like a privilege. On 19 July, vaccine advisers in the United Kingdom recommended delaying vaccines for most young people under 16, citing the very low rates of serious disease in this age group. But several countries, including the United States and Israel, have forged ahead, and others are hoping to follow suit when supplies allow.
Nature looks at where the evidence stands on children and COVID vaccines.
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Can My Child Get A Covid
The Centers for Disease Control and Prevention now recommends a COVID-19 vaccine for children ages 5 and older. Johns Hopkins Medicine encourages all families to have eligible children vaccinated with the COVID-19 vaccine. Currently, Pfizers vaccine is the only approved COVID-19 vaccine for children.
We encourage you to use all available local and state resources, including retail pharmacies, to get the COVID-19 vaccine. You can also review our resources to help find a vaccination site for your child.