I’ve heard questions from friends, family, and dozens of readers. Should a person who has received a single vaccination with Johnson & Johnson Covid receive a booster vaccination?
Karen, Michigan’s Morning Leader, wrote: I’m scared. Leah of California wrote: Not told at all! Lauren of Nashville asked, “What is the guidance for us?”
Today’s newsletter is for them. We try to lay out the facts so you can make your own decisions.
The issue of booster shots of the other two vaccines used in the United States, both of which are genetically engineered Moderna and Pfizer double-shot vaccines known as mRNA, is receiving more attention. Many experts believe that at least immunocompromised people and the elderly are likely to benefit from the third shot.
J. & J uses more traditional virus-based technology. The situation is exacerbated with the single-shot vaccine. J. & J. Not much attention has been paid to it, as only 8 percent of vaccinated Americans were shot. However, it still covers 14 million people, many seeking guidance.
J. & J. How effective is it?
From the beginning, J. & J. It seems to be less effective than the other two US vaccines. The latest CDC data suggests that the gap may widen over time, in part due to the Delta variant. “All the evidence we have shown is J. & J. It is less effective at blocking both infections and hospitalization,” Dr. Michael Lin of Stanford University told us.
1 in 20,000 of J. & J. Colorado recipients were admitted to Covid at some point in the last week, according to states that publish statistics by type of vaccine. In the case of Pfizer, the share was 1 in 27,000, and in the case of Moderna, it was 1 in 32,000.
Indeed, these possibilities remain very low. Dr. Linda Galebecker of the University of Cape Town, who co-led J. & J’s recent research. A variant of Delta told The Times, “I believe this vaccine is working as designed to stop people from going to the hospital and end up in the ICU and die.”
Still, providing more protection to people for severe cases of Covid is of tremendous value. And considering the infectivity of Delta, J. & J. Recipients are infected with less serious cases and others, so it seems worth paying attention to.
How about the second J. & J? shot?
Multiple doses are common for many vaccines, not just Covid.
The Food and Drug Administration has approved J. & J. The one-shot vaccine was not a statement as to whether the second shot would provide additional protection. This is because the data is J. & J. Vaccines are very effective in one shot, and scientists and regulators have felt urgent about getting the Covid vaccine in people’s arms.
Experts have long assumed that the government would ultimately recommend a second shot. Last month, J. & J. We have published an internal study showing that the second shot enhances the immune response. Dr. Vivek Murthy, President of Biden’s Surgeon, suggests that regulators are likely to approve a second shot in the coming months.
How about another booster shot?
But many J. & J. Recipients are less interested in receiving a second J. & J. Shots rather than follow-up shots using either the Moderna or Pfizer vaccine. They are J. & J. Some J. & J seem to be less effective than other vaccines. Recipients are frightened by reports of very rare but serious blood clots.
Especially J. There are many & J award-winning doctors and prominent professionals. The vaccine chose to receive a follow-up Moderna or Pfizer vaccine. This list includes Bill Enright, CEO of Biotechnology. Zoe McLellan, Health economist; and Angela Rasmusen, A prominent virologist. San Francisco is also J. & J now offers Moderna or Pfizer booster shots. Recipients about a month ago.
There is little data on the combination of these vaccines. This is probably the biggest reason to watch out for. However, there is data on another related combination.
The AstraZeneca vaccine is given in many countries, not the United States, but its design is similar to J. & J. vaccination. Many people in Europe and Canada received AstraZeneca on the first shot and Pfizer on the second shot. They seem to be on track.
This approach is sometimes referred to as “mix and match” and is intuitive. People are immune to two types of vaccines.
“I think I did the right thing to protect others as much as possible from the delta variant and only one shot.” Rasmussen wrote in June.. “Public health may need to make difficult decisions without a complete dataset to support it.”
Dr. Linawen of George Washington University said: “I strongly feel that the federal government needs to allow J. & J boosters. Recipients.”
In a podcast interview this summer, CDC director Dr. Rochelle Walensky refused to discourage J. & J. Recipients from looking for shots of Moderna or Pfizer. She said she didn’t have enough data to be convinced of the benefits and risks. But when Andy Slavit, the host of the podcast and former Biden adviser, asked her if she would describe it as a “big mistake,” Warrensky said, “It’s not what I’ve ever seen.” answered.
From the infamous and cautious head of the institution, it was a noteworthy and telling statement.
But can you get a booster shot?
That’s a difficult question. If a follow-up shot is needed, the US government hasn’t approved it, and doctors generally say no to the patient they ask.
Many people are, of course, dissatisfied with the situation. Some experts point out scientific evidence and seek follow-up shots. And some doctors figured out how to get a second shot for themselves.
But if you go into the clinic and ask for it, you’ll probably be turned down. You can feel like there are rules for people with medical care and rules for everyone else.
what to do? If you want follow-up shots, you have several options. You can experiment with different drugstores and clinics, hoping to find one that will provide J. & J with shots of Pfizer and Moderna. Recipient — or someone who doesn’t ask about your history. Alternatively, you can choose not to be completely honest. You are not alone.
As New Hampshire reader Alison wrote to us, “I got J. & J. Do you pretend that Pfizer and Moderna didn’t?”
This is J. A simple case for taking a shot of Pfizer or Moderna as a follow-up to & J. Shot: The evidence available suggests that you will benefit. So far, there are no signs of side effects of concern. And delta mutants pose an even greater threat to human life than previous versions of the coronavirus. By waiting, you may allow bureaucratic attention to interfere with your own health.
Here’s a simple case for a follow-up shot: J. & J’s single shot. The vaccine still provides good protection and the government may soon allow a second J. & J. shot. We do not yet have rigorous data on the benefits and risks of the mix-and-match approach with J. & J. And you may need to resort to some malicious intent to get another shot.
I understand why so many people are confused.
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