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Medicine

FDA Authorizes Pfizer Booster Shots For Older and At-Risk Americans (nytimes.com) 85

After weeks of internal strife at the Food and Drug Administration, the agency on Wednesday authorized people over 65 who had received Pfizer-BioNTech's coronavirus vaccine to get a booster shot at least six months after their second injection. The New York Times reports: The F.D.A. also authorized booster shots for adult Pfizer-BioNTech recipients who are at high risk of becoming severely ill with Covid-19 or are at risk of serious complications from the disease due to frequent exposure to the coronavirus at their jobs. The authorization sets up what is likely to be a staggered campaign to deliver the shots, starting with the most vulnerable Americans. It opens the way for possibly tens of millions of vaccinated people to receive boosters at pharmacies, health clinics, doctors' offices and elsewhere. Roughly 22 million Americans are at least six months past their second dose of the Pfizer-BioNTech vaccine, according to the Centers for Disease Control and Prevention. About half of them are 65 and older. Millions of Americans who received the Moderna and Johnson & Johnson vaccines are still waiting to learn whether they, too, can get boosters.

The F.D.A.'s decision will be followed as soon as Thursday by a recommendation from the C.D.C., which issues guidance on vaccine policy for clinicians and public health officials throughout the United States. An advisory committee of the C.D.C. is now in the midst of a two-day meeting on the issue. But even if the C.D.C. takes a different stance, health care providers are now authorized to offer third shots to Pfizer-BioNTech recipients who meet the F.D.A.'s eligibility criteria. The ruling followed weeks of internal disagreement at the F.D.A., where some vaccine regulators openly challenged the idea of offering booster shots to the general population. Public health experts and state officials have criticized what they said were confusing public messages from the Biden administration about who should be eligible for a booster shot and when.

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FDA Authorizes Pfizer Booster Shots For Older and At-Risk Americans

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  • I heard POTUS Biden say boosters at 8 months.

    Why all the confusing and misleading messaging from the Biden Government?

    They wonder why some people don't believe what they say.
    Shop around and another part of the Executive branch will give you a better deal!?!
    • by edwdig ( 47888 )

      The people making the recommendation were debating multiple options. Biden spoke before they made a final decision on which timeline to recommend.

    • by HiThere ( 15173 )

      Why do you consider Biden an expert on when vaccine boosters are appropriate? Even if he were, and as far as I understand, the experts are still hashing over exactly when and to what extent boosters are desirable.

      FWIW, what's fading quickly are the antibodies, which are easy to measure. What provided durable resistance are the TCells, which are a real pain to measure. Almost no studies measure the TCell duration, and it's quite possible that booster shots aren't needed. Do you feel lucky?

      (OTOH, high lev

      • by Rei ( 128717 )

        It's not just neutralization data that suggests they're needed, but also real-world efficacy data. All issues of how clearly R isn't being kept low enough to prevent surges, and mortality rates are proportional to IFR * (1 - 1 / R), not simply IFR. To say nothing of hospital overload and post-viral syndrome risks, which are also relative to (1 - 1 / R). Or the fact that the virus spreading through a partially-immune population creates selective pressure for immune escape.

        Also, the efficacy data coming out

    • by Rei ( 128717 )

      I heard POTUS Biden say boosters at 8 months.

      How can people still not understand that professionals are figuring things out as they go along? Nobody has a crystal ball and global vaccine supplies are limited, so nobody wants to advise any more than is needed (there's also generally a greater immune broadening advantage with greater delay on boosters, and there's the possibility of better types of vaccines becoming available in the future).

      8 months was initially chosen based on some limited early data, and

  • And we all know that we have to Do Something...is there any reason to believe this move will unclog the ICUs...given that the ICUs are conspicuously clogged with unvaccinated people?

    There's probably no harm in getting a booster (unless you happen to treat the stuff like heroin and go in for a hit every day or so) but again, is it going to help in any real way?

    Discuss.

    • It'll help keep the 65+ immunocompromised guys from needing one of those beds
    • And we all know that we have to Do Something...is there any reason to believe this move will unclog the ICUs...given that the ICUs are conspicuously clogged with unvaccinated people?

      There's probably no harm in getting a booster (unless you happen to treat the stuff like heroin and go in for a hit every day or so) but again, is it going to help in any real way?

      Discuss.

      We have the same problem here in Canada where some of our ICUs are clogged with unvaccinated as well.

      IMO if boosters keep an older or compromised person from the hospital that is still a win, even if that spot is rapidly filled with an anti-vaxxer. Actually I would consider that a good outcome.

      • by NFN_NLN ( 633283 )

        > Actually I would consider that a good outcome.

        The ICUs are usually full of unhealthy people; obese, poor diet, poor exercise which allows diseases to take hold.

        Still consider that a good outcome? It was the choice: https://www.imdb.com/title/tt0... [imdb.com]

        • The ICUs are usually full of unhealthy people; obese, poor diet, poor exercise which allows diseases to take hold.

          I'll bet every single one of them would take a couple of shots instead to prevent that.

          OK, some might still take pet meds instead.

    • by edwdig ( 47888 )

      Unclog the ICUs? No.

      Prevent the clog from getting worse? Yeah. Apparently there's enough data to suggest a booster for high risk groups is a good idea.

    • And we all know that we have to Do Something...is there any reason to believe this move will unclog the ICUs...given that the ICUs are conspicuously clogged with unvaccinated people?

      Eh, don't worry about the unvaccinated clogging ICUs. They're killing themselves off quite nicely [imgur.com]. This in turn opens up beds [gadsdentimes.com] for those who truly need medical care so we'll see fewer of these such incidents [cbsnews.com].

  • This is how a functioning free market with real transparency should work. For everyone gaming the system, someone else will game THAT system. Anyone who invests in stocks should realize, however, that it's a network of government-run casinos, not a good basis for a stable economy. That lesson may or not may be sinking in.
  • by Anonymous Coward
    Triple vaccinated and double masked while sitting alone at home! I am going to live forever. Nothing can g
  • What's really kind of surprising is the number of healthcare workers who don't want to be vaccinated. Technicians, nurses, even doctors don't want to get it.

    https://fortune.com/2021/08/30... [fortune.com]
    https://fee.org/articles/massi... [fee.org]

    I'm sure the reasons are varied, but big pharma has done everything in it's power to portray itself as evil and untrustworthy.

    https://www.pharmaceutical-tec... [pharmaceut...nology.com]
    https://www.nytimes.com/2021/0... [nytimes.com]

    "Pfizer asked for liability protection not only against civil claims from citizens who suffer ser

    • Vaccine manufacturers have always been immune from damages. The monoclonal antibody Regeneron essentially cures COVID, since it is giving you the antibodies you'd have made on your own if you'd been vaccinated. I'd expect antivirals specific for coronaviruses to come in the future, as we have for flu, but those are a bit trickier to make well. An unvaccinated person will shed more virus than a vaccinated one, its part of why the latter has fewer symptoms and better prognosis if they were to be infected.
      • by F.Ultra ( 1673484 ) on Wednesday September 22, 2021 @09:52PM (#61822873)

        No always, it has been since 1986 when the National Childhood Vaccine Injury Act was put into law. It was introduced due to lawsuits being filed en masse for something that the vaccine was not responsible for and the number of lawsuits made vaccine no longer be profitable in the US and the manufacturers thought about no longer supply vaccines in the US.

        In the 1970s and 1980s, a controversy erupted related to the question of whether the whole-cell pertussis component caused permanent brain injury known as pertussis vaccine encephalopathy, in rare cases. No studies showed a causal connection, and later studies showed no connection of any type between the DPT vaccine and permanent brain injury. The alleged vaccine-induced brain damage proved to be an unrelated condition, infantile epilepsy. In 1990, the Journal of the American Medical Association called the connection a "myth" and "nonsense". However, before that point, criticism of the studies showing no connection and a few well-publicized anecdotal reports of permanent disability that were blamed on the DPT vaccine gave rise to 1970s anti-DPT movements.

        In the United States, low profit margins and an increase in vaccine-related lawsuits led many manufacturers to stop producing the DPT vaccine by the early 1980s. By 1985, vaccine manufacturers had difficulty obtaining liability insurance. The price of DPT vaccine skyrocketed, leading providers to curtail purchases, limiting availability. Only one company was still manufacturing pertussis vaccine in the US by the end of 1985. Because of this, Congress passed the National Childhood Vaccine Injury Act (NCVIA) in 1986, establishing a federal no-fault system to compensate victims of injury caused by mandated vaccines

        So basically, it was anti-vaxxers back in the day that forced the government to react in a way that the anti-vaxxers now use as an argument for why vaccines are bad...

      • by rsilvergun ( 571051 ) on Wednesday September 22, 2021 @10:42PM (#61822955)
        It treats it. There's no shortage of people who died or had otherwise severe outcomes despite Regeneron. This distinction is important because the fact that there are some treatments is being used as an excuse to go un vaccinated. Tennessee has just restricted the use of antibody treatments to people who *didn't* get vaccinated... So if you happen to win the crap lottery in life and not only have a breakthrough case in Tennessee but a severe one that is a good chance you're not going to get treatment because of someone who didn't take the vaccine.
        • Oh, yes, but if we define 'cure' so narrowly then I can't see that anything would be considered a cure for any pathogen. I agree that people shouldn't pin their plans on getting mAb, since if you get it too late it isn't going to do enough good. Like taking antibiotics when the sepsis has already caused organ failure. While TN is indeed not handling things well, it may well be a better use of scarce resources to save mAb for unvaccinated persons, although immunocompromised/high risk vaccinated patients o
          • Because in colloquial speech cure means to completely heal. Where is treat means that a given drug might heal. The Distinction is important because people are making the decision to skip the vaccine based on whether there's a cure or whether there's a treatment. This is why medical and science communication is important.
            • I don't envy Public Health officials having to suss out these things... but I can see why it'd be viewed as such by the general public the way cures work in fiction.
      • The monoclonal antibody Regeneron essentially cures COVID, since it is giving you the antibodies you'd have made on your own if you'd been vaccinated.

        On average, 2000 people a day are dying of COVID-19. Clearly, Regeneron is not a cure for COVID.
        • Sure, a prophylactic like the vaccine is always going to be superior to a treatment after the fact. From how I was corrected above as for how the general public approaches the term 'cure' then yes I agree there are not cures for communicable diseases.
    • Re: (Score:3, Informative)

      by fafalone ( 633739 )
      Notice how the percentage who want it increases with education? As of early June, 96% of doctors were vaccinated. We also know some of the doctors in opposition... "Doctors" like Stella Immanuel, promoter of HCQ, ivermectin, and that gynecological problems are the result of sperm deposited by demons who have sex with you in your sleep. America's Frontline "Doctors" are perfectly fine being represented by her. Doctors like the ones advocating doing nothing about covid and maximizing infection and death rates
    • by HiThere ( 15173 )

      Since anyone can carry the virus, vaccinated or not, and since vaccinated folks are returning the public square en-masse, who now poses the greatest risk to the immunocompromised? The unvaccinated, or the social-non-distancing vaccinated?

      That's actually a difficult question. If you asked on a per individual basis, I could guess at an answer. And you left out those are are both vaccinated and socially distancing...which in my NSHO medical people should be. And the immunocompromised should already be selec

  • Makes sense to limit it to immuno-compromised people such as organ transplant recipients, immuo-deficients (HIV patients, ...).

    For the general public though, several specialists have written a viewpoint in The Lancet [thelancet.com], a respected medical publication, saying that so far there is no need for a 3rd dose.

    See the discussion by virologists and an immuologist at TWiV #805 [microbe.tv]

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