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Morning Briefing

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Monday, Apr 26 2021

Full Issue

Many States Again Using J&J Vaccine After FDA Lifts Safety Pause

Florida reports low demand on the first day of distribution for Johnson & Johnson covid shot since the FDA's Friday decision. And a new Washington Post-ABC News survey finds that public confidence in the vaccine has taken a hit.

With a green light from federal health officials, many states resumed use of the one-shot Johnson & Johnson coronavirus vaccine on Saturday. Among the venues where it was being deployed: the Indianapolis Motor Speedway. Among the other states ordering or recommending a resumption, along with Indiana, were Arizona, Colorado, Connecticut, Louisiana, Maine, Massachusetts, Michigan, Missouri, Nevada, New York, Tennessee, Texas and Virginia. (Crary, 4/24)

Fewer than 1 in 4 Americans not yet immunized against the coronavirus say they would be willing to get the vaccine made by Johnson & Johnson, according to a Washington Post-ABC News poll that finds broad mistrust of the shot鈥檚 safety after federal health officials paused its use. The nationwide survey shows that slightly fewer than half of U.S. adults overall say they consider the Johnson & Johnson vaccine very or somewhat safe after its use was halted this month following reports of rare, severe blood clots. (Goldstein and Clement, 4/26)

Turnout was so low for the Johnson & Johnson single-shot vaccine at a central Florida FEMA-run site that about 90% of the daily supply went unused following a 11-day pause, health officials said. (4/26)

Federally supported vaccination sites in Florida will resume the use of the one-dose Johnson & Johnson COVID-19 vaccine at 7 a.m. Sunday, state emergency officials said. The decision to resume came swiftly after U.S. health officials said Friday evening they were lifting an 11-day pause on vaccinations using the J&J vaccine. The four main sites in Tampa, Jacksonville, Miami and Orlando will have the capacity to administer up to 3,000 doses per day, the Florida Division of Emergency Management said. (4/24)

Department of State Health Services officials notified providers that they can resume administering the vaccine following a safety review and a determination by a Centers for Disease Control and Prevention committee that benefits outweigh risks, according to DSHS. 鈥淲e know some Texans prefer the simplicity of a single-dose vaccine, and the ease of storing and handling this vaccine gives providers more flexibility,鈥 Dr. John Hellerstedt, the agency鈥檚 commissioner, said in a statement. 鈥淩esuming the use of the Johnson & Johnson vaccine will prevent hospitalizations and save lives in Texas.鈥 (Serrano, 4/24)

The State of Nevada said Saturday it鈥檚 joining other Western states in聽resuming use of the one-shot Johnson & Johnson doses. A panel of public health experts from California, Nevada, Oregon and Washington met Saturday to discuss lifting the pause on the Johnson & Johnson vaccine, the Associated Press reported. In an afternoon statement, the panel concluded that the 鈥淛&J vaccine is safe, effective, and that resumption of its use will support COVID-19 vaccine uptake, help reduce severe COVID-19 illnesses, and control the pandemic.鈥 (Davis, 4/24)

Massachusetts is expected to receive about 4,000 doses of one-shot Johnson & Johnson vaccine this week, according to the state, after federal officials allowed health providers to resume its use following reports of a rare, though serious, blood-clotting condition. And CVS expects to make appointments through stores currently holding Johnson & Johnson vaccine supply starting this week, according to Joe Goode, a company spokesman Sunday. News of the expected Johnson & Johnson vaccine doses came as the state reported 77,703 new vaccinations Sunday, bringing the total number of administered doses to more than 5.6 million. That total included vaccines produced by Pfizer/BioNTech and Moderna, as well as Johnson & Johnson. (Hilliard, 4/25)

In other news about the Johnson & Johnson vaccine 鈥

Blood-clotting episodes linked to the Johnson & Johnson vaccine are extremely 鈥渞are鈥 鈥 and about a 鈥渢housand times less likely鈥 than experiencing intestinal bleeding from taking aspirin, the head of the National Institutes of Health said on Sunday. Dr. Francis Collins said that the blood-clotting issues may sound 鈥渟cary,鈥 but the COVID-19 shot comes with a lower risk of adverse side effects than the over-the-counter medication. (Salo, 4/25)

The stock price of government contractor Emergent BioSolutions has fallen sharply since the disclosure at the end of March that production problems at the firm鈥檚 plant in Baltimore had ruined 15 million doses of Johnson & Johnson鈥檚 coronavirus vaccine. Since then, AstraZeneca moved production of its own vaccine out of the facility, and Emergent temporarily halted new production there altogether. Those developments came after Emergent鈥檚 stock price had tumbled on Feb. 19, following the company鈥檚 published financial results. Emergent stock has fallen since mid-February to about $62 a share from $125 a share, or just more than 50聽percent. (Swaine, 4/25)

Two days after federal regulators lifted the temporary nationwide pause on administering Johnson & Johnson鈥檚 COVID-19 vaccine, UCSF on Sunday reported the first known case of a male in the United States developing a clot after receiving the shot. All 15 similar cases the U.S. Centers for Disease Control and Prevention had learned about and examined 鈥 after they emerged from about 7 million Johnson & Johnson shots administered 鈥 involved women who developed rare blood clots after their vaccinations. The UCSF case was a Bay Area resident in his early 30s who got a clot in his leg and was hospitalized, officials said. (Dineen, 4/25)

Maine saw a 20 percent decrease in weekly COVID-19 vaccinations this week, a development that will challenge public health officials as they pursue more flexible options. The vaccination effort is slowing as more doses and ways to get vaccinated have become available. States, including Maine, opened up vaccines to the general public, creating an initial burst of interest. That was then complicated by a federal pause on the one-shot Johnson & Johnson vaccine, an option that was heralded as a way to solve access issues. (Andrews and Piper, 4/25)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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