Vaccines<\/p>\n
Respiratory viruses<\/p>\n
New in medicine<\/p>\n
Children’s health<\/p>\n
<\/a><\/p>\n Facebook<\/p>\n Tweet<\/p>\n <\/p>\n Email Link<\/p>\n \n This year\u2019s updated Covid-19 vaccines have been approved by the US Food and Drug Administration for adults 65 and older and younger people with certain medical conditions that put them at a higher risk of a severe Covid-19 infection.\n <\/p>\n \n Although federal officials have emphasized that people who want a Covid-19 vaccine can get one after consulting with a doctor, the narrower approval may limit access<\/a> to shots for some people who were routinely able to get them in the past.\n <\/p>\n \n Here\u2019s what to know about getting an updated Covid-19 vaccine.\n <\/p>\n \n \u201cFDA has now issued marketing authorization for those at higher risk: Moderna (6+ months), Pfizer (5+), and Novavax (12+). These vaccines are available for all patients who choose them after consulting with their doctors,\u201d US Health and Human Services Secretary Robert F. Kennedy Jr. said in a post on X<\/a> this week.\n <\/p>\n \n According to the US Centers for Disease Control and Prevention<\/a>, the conditions that put someone at a higher risk of severe Covid-19 include:\n <\/p>\n Asthma<\/p>\n Blood cancers<\/p>\n Cerebrovascular diseases<\/p>\n Chronic kidney disease<\/p>\n Some chronic lung diseases<\/p>\n Some chronic liver diseases<\/p>\n Cystic fibrosis<\/p>\n Type 1 and 2 diabetes<\/p>\n Gestational diabetes<\/p>\n Disabilities, including Down syndrome<\/p>\n Heart conditions<\/p>\n HIV<\/p>\n Mood disorders, including depression and schizophrenia<\/p>\n Dementia<\/p>\n Parkinson\u2019s disease<\/p>\n Obesity<\/p>\n Physical inactivity<\/p>\n Current or recent pregnancy<\/p>\n Primary immunodeficiencies<\/p>\n Current or former smoking<\/p>\n Solid organ or blood stem cell transplant recipients<\/p>\n Tuberculosis<\/p>\n Use of immunosuppressive drugs<\/p>\n \n Most of these conditions can affect the immune system in such a significant way that they would inhibit the body\u2019s ability to fight off a Covid-19 infection, increasing the risk of that infection causing severe illness or death.\n <\/p>\n \n These underlying conditions will make an estimated 100 million to 200 million people in the US eligible for a Covid-19 vaccine under the new framework, FDA Commissioner Dr. Marty Makary and Dr. Vinay Prasad, the director of the FDA\u2019s Center for Biologics Evaluation and Research, wrote in an editorial<\/a> in May in the New England Journal of Medicine.\n <\/p>\n When and where will the vaccines be available?<\/p>\n \n Covid-19 vaccines are expected to be available at many pharmacies and doctor\u2019s offices in the United States this fall.\n <\/p>\n \n Both Pfizer\/BioNTech<\/a> and Moderna<\/a> said their updated Covid-19 vaccines are expected to be available in the \u201ccoming days.\u201d\n <\/p>\n \n Pfizer and BioNTech said that their Covid-19 vaccine this season \u201cwill begin shipping immediately and be available in pharmacies, hospitals, and clinics\u201d across the country.\n <\/p>\n \n John C. Jacobs, president and CEO of vaccine maker Novavax, said in that company\u2019s news release<\/a> that it will \u201cwork with our partner Sanofi to provide access to a protein-based, non-mRNA COVID-19 vaccine for eligible individuals this fall.\u201d\n <\/p>\n \n CVS Pharmacy locations expect to receive the updated Covid-19 vaccines in the coming days, spokesperson Amy Thibault said.\n <\/p>\n \n \u201cWe\u2019ll administer FDA-authorized COVID-19 vaccines in states where legally permitted at CVS Pharmacy and\/or MinuteClinic to meet our patients\u2019 needs,\u201d Thibault said in an email. \u201cAppointments can be scheduled online via CVS.com, through the CVS Health app, or patients can walk into our pharmacies and clinics.\u201d\n <\/p>\n \n But CVS is not yet offering Covid-19 vaccinations in some states, even if someone meets the eligibility criteria. The pharmacy chain said that it follows state-level pharmacy regulations and that in some states, pharmacists are forbidden from giving vaccines that are not recommended by the CDC\u2019s Advisory Committee on Immunization Practices. That group of independent vaccine advisers is scheduled to meet September 18-19.\n <\/p>\n \n CVS said Friday that it\u2019s not offering Covid-19 vaccinations in 16 states and Washington, DC, due to the current regulatory environment: Arizona, Colorado, Florida, Georgia, Kentucky, Louisiana, Maine, Massachusetts, Nevada, New Mexico, New York, North Carolina, Pennsylvania, Utah, Virginia and West Virginia.\n <\/p>\n \n In all but three of those states \u2014 Massachusetts, Nevada and New Mexico \u2014 CVS pharmacies can administer a Covid-19 vaccination, depending on the patient\u2019s age, with an authorized prescriber\u2019s prescription, Thibault said.\n <\/p>\n \n Walgreens also said in an email that most of its pharmacies are preparing to offer the Covid-19 vaccine where regulations allow.\n <\/p>\n \n \u201cWalgreens is prepared to offer the vaccine in states where we are able to do so. In accordance with FDA approval and state requirements, we will offer the vaccine to all adults ages 65 years and older, as well as to individuals under 65, who are at higher risk for severe outcomes from COVID-19, as determined by the CDC,\u201d a spokesperson said in an email Friday.\n <\/p>\n \n Most Covid-19 vaccinations in the US have happened at pharmacies. During the 2023-24 respiratory virus season, an estimated 71.5% of shots were given in pharmacies or drug stores, according to CDC data<\/a>, followed by an estimated 9.2% at clinics or health centers.\n <\/p>\n Can children and pregnant people get the vaccine?<\/p>\n \n Access may be different for some pregnant people and children.\n <\/p>\n \n In May, Kennedy announced major changes to Covid-19 recommendations for children and pregnant women<\/a>. In updated recommendations, children are able to get the vaccines after consulting with a health care provider, what\u2019s known as shared decision-making.\n <\/p>\n \n Then, emergency use authorizations for Covid-19 vaccines were rescinded, which means Pfizer\u2019s Covid-19 vaccine<\/a>, Comirnaty<\/a>, is no longer authorized for children younger than 5. Moderna\u2019s Spikevax <\/a>vaccine is approved for children as young as 6 months, but only if they have an underlying condition that puts them at higher risk. Children who are 12 and older and have at least one underlying condition that puts them at severe risk of severe disease are eligible for Novavax\u2019s Covid-19 vaccine<\/a>, the only protein-based, non-mRNA vaccine available in the US.\n <\/p>\n \n The American Academy of Pediatrics broke with the CDC to make a broader recommendation for the Covid-19 vaccine.<\/a> It says that all children ages 6 months through 23 months should receive a Covid-19 vaccine unless they have known allergies to the vaccine or its ingredients. It also recommends a single dose of the vaccine for children ages 2 through 18 years if they are at high risk of Covid-19, residents of long-term care facilities, have never been vaccinated against Covid-19 or live in a household with people who are high-risk for Covid-19. It also says the vaccine should be available for this age group even if they are not in these risk groups.\n <\/p>\n \n AAP President Dr. Susan Kressly said this week\u2019s more limited vaccine approvals add \u201cfurther confusion and stress for parents trying to make the best choices for their children,\u201d which could be a barrier to vaccination.\n <\/p>\n \n Experiences may vary for people during pregnancy, as well. After the recommendation changes announced by Kennedy, there is no CDC guidance or recommendation for women who are pregnant. Some women reported since the shift that they were unable<\/a> to get a Covid-19 vaccine.\n <\/p>\n \n However, pregnancy or recent pregnancy remain on the list of conditions that put someone at higher risk for severe Covid-19, and the American College of Obstetricians and Gynecologists recently reaffirmed support<\/a> for Covid-19 vaccination during pregnancy.\n <\/p>\n \n People who are covered by public insurance such as Medicare and Medicaid and who meet the new FDA eligibility requirements will probably continue to have Covid-19 vaccines covered, experts say.\n <\/p>\n \n There\u2019s more uncertainty around how private insurance companies will choose to adjust coverage. Some of the conditions listed as high risk for Covid-19 \u2013 such as physical inactivity \u2013 are loosely defined and may be left up to individual plans to interpret.\n <\/p>\n \n Under the Affordable Care Act, insurance companies are required to cover vaccines for adults if they\u2019ve been recommended by ACIP, the CDC\u2019s vaccine advisers. That group has endorsed Covid-19 vaccines in previous years, but there\u2019s a gray area around what will happen if their recommendations differ from the CDC\u2019s own recommendations, experts say.\n <\/p>\n \n The committee also votes on whether vaccines should be added to the federal Vaccines for Children program, which provides immunizations to children whose families would not otherwise be able to afford them.\n <\/p>\n \n FDA Commissioner Dr. Marty Makary said in a post on X<\/a> that \u201c100% of adults in this country can still get the vaccine if they choose. We are not limiting availability to anyone.\u201d\n <\/p>\n \n Health care providers can provide Covid-19 vaccines \u201coff-label\u201d for those who do not meet the new eligibility criteria based on their age or overall health, Dr. Tina Tan, president of the Infectious Diseases Society of America, said in a statement<\/a> Wednesday. A medical product is \u201coff-label\u201d when it\u2019s used outside of the terms for which the FDA has explicitly approved it.\n <\/p>\n \n \u201cAnd IDSA strongly urges doctors to continue recommending and administering vaccination to their patients based on the best available science,\u201d she said. \u201cHowever, pharmacists\u2019 ability to provide off-label vaccines may be severely constrained, underscoring the vital role of physicians and other clinicians in maintaining access.\u201d\n <\/p>\n \n Determining whether someone is eligible for Covid-19 vaccination may be part of the process of making the appointment.\n <\/p>\n \n But it\u2019s unclear whether a simple self-report of a condition will be sufficient to justify vaccination, said Dr. Kelly Moore, president and CEO of immunize.org, a nonprofit organization focused on vaccine access.\n <\/p>\n \n \u201cUntil now, CDC has specific clinical guidance instructing people who vaccinate that they should not require documentation of health conditions reported by a person requesting vaccination,\u201d Moore said in an email.\n <\/p>\n \n \u201cFor example, if you say you are immunocompromised and need an additional dose of vaccine, CDC\u2019s guidance has been that you should document what the patient said and take them at their word,\u201d she said. \u201cIf that were to change, and documentation were require, say, by pharmacists, then that could complicate Covid-19 vaccine access for many people whose conditions are not necessarily obvious, but nonetheless put them at risk.\u201d\n <\/p>\n Can I get my flu and Covid shot at the same time?<\/p>\n \n People can get a seasonal flu shot and Covid-19 vaccine at the same time if they are eligible for each vaccine, according to the CDC<\/a>.\n <\/p>\n \n These vaccines come in separate formulations and packaging. There isn\u2019t a flu and Covid combination vaccine available yet, but it might not be too far off; vaccine makers have been developing shots that combine them to make vaccination more efficient.\n <\/p>\n \n Moderna has developed an experimental flu+Covid combination vaccine and released clinical trial data last year<\/a> showing that, in adults 50 and older, it was safe and elicited higher immune responses against influenza virus and the coronavirus compared with the seasonal flu and Covid-19 vaccines that were licensed at the time.\n <\/p>\n \n Pfizer and BioNTech have teamed up to develop an influenza and Covid-19 combination vaccine<\/a>, starting multiple clinical trials evaluating updated formulations. Novavax said this year that it intends to seek a business partner to continue the research and development of its influenza and Covid-19 combination vaccine candidate<\/a>.\n <\/p>\n","protected":false},"excerpt":{"rendered":"Vaccines Respiratory viruses New in medicine Children’s health See all topics Facebook Tweet Email Link This year\u2019s updated…\n","protected":false},"author":2,"featured_media":121673,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253],"class_list":["post-121672","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/121672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=121672"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/121672\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/121673"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=121672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=121672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=121672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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