Walensky additionally endorsed the mix-and-match strategy to boosters, saying eligible folks might select whichever vaccine they wished as a booster.
The CDC re-aligned its advice for the prevailing advice for Pfizer boosters, putting Moderna’s and Pfizer’s boosters in the identical class.
“For individuals who received a Pfizer-BioNTech or Moderna COVID-19 vaccine, the following groups are eligible for a booster shot at 6 months or more after their initial series,” it stated.
• 65 years and older
• Age 18+ who dwell in long-term care settings
• Age 18+ who’ve underlying medical circumstances
• Age 18+ who work or dwell in high-risk settings
“For the nearly 15 million people who got the Johnson & Johnson COVID-19 vaccine, booster shots are also recommended for those who are 18 and older and who were vaccinated two or more months ago,” it added.
“These recommendations are another example of our fundamental commitment to protect as many people as possible from COVID-19. The evidence shows that all three COVID-19 vaccines authorized in the United States are safe — as demonstrated by the over 400 million vaccine doses already given. And, they are all highly effective in reducing the risk of severe disease, hospitalization, and death, even in the midst of the widely circulating Delta variant,” Walensky stated in an announcement.
The CDC’s Advisory Committee for Immunization Practices had simply hours earlier voted to just accept the US Food and Drug Administration emergency use authorizations for every vaccine — after appreciable dialogue about whether or not such broad authorization was wanted for Moderna’s.
Members agreed that individuals who obtained Johnson & Johnson’s vaccine want a second vaccination, as that vaccine is much less efficient than Moderna’s and Pfizer’s in stopping an infection.
CDC officers stated they’d difficulty extra steering in an upcoming report.
They stated, as an example, that younger girls, who’ve a better threat of uncommon blood clots from the J&J Janssen vaccine, would possibly wish to think about using one of the mRNA vaccines — Pfizer’s or Moderna’s — as a booster, whereas younger males, who’ve a better threat of an inflammatory coronary heart situation often known as myocarditis from an mRNA vaccine, would possibly want Janssen’s vaccine for a booster if wanted.
At least one ACIP member expressed concern about recommending boosters for such a broad inhabitants.
“I would try to mitigate the harm by having some age restriction on the otherwise worried well. Because we don’t usually have vaccines because we have the worried well,” stated Dr. Sarah Long, a professor of pediatrics at Drexel University College of Medicine.
Long stated she thought providing boosters to individuals who might not likely want them would encourage them to get them, anyway, maybe risking side-effects.
“I echo Dr. Long’s feeling that there are probably many people who are going to get a Moderna booster who don’t need it,” stated ACIP member Dr. James Loehr, proprietor of Cayuga Family Medicine in Ithaca, New York.
“However, given the situation that we’ve already approved the Pfizer, and there are enough people who are looking for a booster, I’m inclined, reluctantly, to just go ahead and recommend a similar pattern for the Moderna booster, with much stronger feelings in favor of the Janssen booster.”
“The Johnson & Johnson vaccine provided 94% protection in the U.S. against COVID-19 when given as a booster following the single-shot Johnson & Johnson vaccine, and due to its unique mechanism of action, offers long-lasting, durable protection,” Dr. Paul Stoffels, chief scientific officer at Johnson & JOhnson, stated in an announcement. “We remain confident in the benefit it will provide to millions around the world.”