๐•๐€๐‚๐‚๐ˆ๐๐„ ๐’๐„๐‘๐ˆ๐„๐’: ๐๐Ž๐’๐“ ๐Ÿ๐Ÿ ๐๐…๐ˆ๐™๐„๐‘ ๐•๐€๐‚๐‚๐ˆ๐๐„ ๐&๐€

“The Pfizer-BioNTech COVID-19 vaccine is recommended for persons 16 years of age and older in the U.S. population under the FDAโ€™s Emergency Use Authorization.”

The CDC gave the final recommendations on the Pfizer vaccine after the FDA’s committee reviewed. As a recap, the data went to the FDA’s committee, the CDC ACIP’s committee, and then both directors of the FDA and the CDC reviewed. Here’s a recap that might answer several of your questions based on the final recommendations.

Here’s the link and the main outline: https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2020-12/slides-12-12/COVID-03-Mbaeyi.pdf?fbclid=IwAR2y-gKQqTLI3lzZxBv6bcAxiLLs9CUTQmlZ3sbYb7q_3r75XYT2kYg8UcI

โœ…GENERAL INFO Slide 4 – Administration Slide 5 – Can you take the Pfizer vaccine with other COVID-19 vaccines? (This is applicable to those of you in the other trials)

โœ…WHAT ABOUT PERSONS WITH PRIOR INFECTION OR EXPOSURE? Slide 8 – Recommendations if you’ve already had COVID-19 Slide 9 – Recs if you CURRENTLY have COVID-19 Slide 10 – Recs if you’ve recently recovered within 90 days Slide 11 – Recs if you have a known recent COVID-19 exposure

โœ…SPECIAL POPULATIONS Slide 13 – Underlying medical conditions Slide 14 – Immunocompromised persons Slide 15, 16, 17 – Pregnant and breastfeeding/lactating women (*Key takeaway: mRNA vaccines are not considered live virus vaccines are are not thought to be a risk to the breastfeeding infant. Studies in pregnant women are ongoing and planned. Pregnant women can get the vaccine but need to have a conversation with their with their healthcare provider first to make an informed decision. If they get the vaccine and get a fever, they should be counseled to take acetaminophen. It is not recommended to do routine testing for pregnancy prior to receipt of a COVID-19 vaccine.) Here’s another article for pregnant or breastfeeding women about the vaccine that might be helpful: https://www.nytimes.com/2020/12/11/health/coronavirus-vaccine-pregnant-breast-feeding.html

โœ…SAFETY AND EFFICACY Slides 19-23 – Nothing new here from what we already know

โœ…DOES THE PFIZER VACCINE PREVENT YOU FROM SPREADING THE DISEASE? We don’t know yet. We need to wait for more data to get this answer. The trial was designed to evaluate if people were shielded from developing disease symptoms – that’s a good thing! But, we do not know whether vaccinated people could still develop asymptomatic infections and still be able to spread to others. This highlights the importance to continue masking and distancing!

โœ…COMING UP THIS WEEK

1. We will talk this week about vaccine hesitancy concerns including more on ingredients and concerns among certain populations. These are real concerns for many of you and I’d like to talk about it in more detail. I’m calling in some friends who can speak on the ingredient aspects from a MD perspective.

2. I also want to highlight vaccine concerns among our Black American neighbors, who are also disproportionally affected by the pandemic. It’s important to build trust in this community. Communities of color have historically been underrepresented in vaccine trials and have lived experiences like Tuskegee or Henrietta Lacks that many of us have never lived through or feared. If you don’t know what that history is, I would encourage you to go read about it this week. It’s important for us, if you are white, to recognize and acknowledge this part of our history. I want to highlight leading science voices in the Black community, including Dr. Kizzmekia Corbett, a lead scientist at the National Institute of Health (Picture 2). who is heavily involved in developing the Moderna vaccine #womeninscience. โ€œI would say to people [in the Black community] who are vaccine-hesitant that ๐ฒ๐จ๐ฎโ€™๐ฏ๐ž ๐ž๐š๐ซ๐ง๐ž๐ ๐ญ๐ก๐ž ๐ซ๐ข๐ ๐ก๐ญ to ask the questions that you have around these vaccines and this vaccine development process,โ€ Dr. Corbett said in a podcast โ€œCoronavirus: Fact vs. Fiction.โ€ โ€œ๐“๐ซ๐ฎ๐ฌ๐ญ, ๐ž๐ฌ๐ฉ๐ž๐œ๐ข๐š๐ฅ๐ฅ๐ฒ ๐ฐ๐ก๐ž๐ง ๐ข๐ญ ๐ก๐š๐ฌ ๐›๐ž๐ž๐ง ๐ฌ๐ญ๐ซ๐ข๐ฉ๐ฉ๐ž๐ ๐Ÿ๐ซ๐จ๐ฆ ๐ฉ๐ž๐จ๐ฉ๐ฅ๐ž, ๐ก๐š๐ฌ ๐ญ๐จ ๐›๐ž ๐ซ๐ž๐›๐ฎ๐ข๐ฅ๐ญ ๐ข๐ง ๐š ๐›๐ซ๐ข๐œ๐ค-๐›๐ฒ-๐›๐ซ๐ข๐œ๐ค ๐Ÿ๐š๐ฌ๐ก๐ข๐จ๐ง,โ€ Dr. Corbett said. โ€œAnd so, what I say to people firstly is that I empathize, and then secondly is that Iโ€™m going to do my part in laying those bricks. And I think that if everyone on our side, as physicians and scientists, went about it that way, then the trust would start to be rebuilt.โ€ ๐˜๐ž๐ฌ!! ๐‹๐ž๐ญ’๐ฌ ๐ญ๐š๐ฅ๐ค ๐š๐›๐จ๐ฎ๐ญ ๐ก๐จ๐ฐ ๐ฐ๐ž ๐œ๐š๐ง ๐›๐ž ๐จ๐ง ๐ญ๐ก๐ž ๐ฌ๐ข๐๐ž ๐จ๐Ÿ ๐ž๐ช๐ฎ๐ข๐ญ๐ฒ.

3. I also want to talk about vaccines from a faith perspective, including hearing from leaders in the Catholic community and conservative faith community (like Russell Moore from the Southern Baptist Convention). Let’s talk about that this week. I usually try to do only one post a day – but, this week might be a two-post-a-day week. =)

Stay tuned. Stay safe this week, web-peeps. If you have other vaccine questions, look at the VACCINE SERIES posts below for way.too.much.info. on ingredients, side-effects, mRNA technology, etc. =)

โœ… And, I want to again say a huge ‘Thank You’ to the many, many people working in the distribution pipeline to make sure the vaccines get to where they need to go – to our families. Thank you to the warehouse workers, pilots, drivers, logistical-gurus, and all in between. ๐Ÿ‘ ๐Ÿ‘ ๐Ÿ‘ As always, talk with your healthcare provider if you have questions. -Friendly neighbor epidemiologist

โœ…๐’๐Ž๐”๐‘๐‚๐„๐’:

CDC recommendation:

https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2020-12/slides-12-12/COVID-03-Mbaeyi.pdf?fbclid=IwAR2y-gKQqTLI3lzZxBv6bcAxiLLs9CUTQmlZ3sbYb7q_3r75XYT2kYg8UcI CDC recommendations: https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/covid-19.html Full CDC hearing: https://www.ustream.tv/channel/VWBXKBR8af4

Photo 1: Two shipping containers holding the first doses of the Pfizer and BioNTech COVID-19 vaccine arrived at the UPS Worldport in Louisville, Ky., on Sunday. Michael Clevenger/Getty Images https://www.npr.org/2020/12/13/946101104/ups-executive-vaccine-shipments-will-reach-distribution-centers-monday-morning

Photo 2: Credit – Evan Vucci (AP) from March 3, 2020.

CNN podcast: https://www.cnn.com/audio/podcasts/corona-virus?episodeguid=f5696a06-6030-46b4-9211-ac8d0013cb6f

โœ… ๐•๐€๐‚๐‚๐ˆ๐๐„ ๐’๐„๐‘๐ˆ๐„๐’

1. Herd immunity and vaccines: Vaccines 101 – https://tinyurl.com/y27txvro

2. Vaccine distribution info and how well do the current vaccines work? – https://tinyurl.com/y2vte5lz

3. Whoa, these were made quick, right? How can we make sure they are safe? https://tinyurl.com/y2awosyn

4. When will I get the vaccine? Who decides who gets a vaccine first? And, a note on solidarity versus individualistic thinking. – https://tinyurl.com/y39cbptv

5. Myth-busters for vaccines (we talk about fertility questions, 5G/micro-chips, fetal cells, and why the mRNA won’t change your DNA) – https://tinyurl.com/y2woz462

6. Explaining the FDA review and talking about the final Pfizer study results. https://tinyurl.com/y22jd32f

7. Should we be worried about the side-effects seen in the UK? – https://tinyurl.com/yxvb36y4

8. Let’s talk about the FDA panel meeting- https://tinyurl.com/y6hzmcgt

9. Reflections on the EUA Pfizer FDA meeting – https://tinyurl.com/y4k2o6kc

10. Pfizer EUA approval, vaccine ingredients, and recommendations – https://tinyurl.com/yyvzeynx #loveyourneighborfne

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