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No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 11:46:30 2021

Operation warped speed promised to expedite vaccines to the state when none existed.

Vaccine reserve was already exhausted when Trump administration vowed to release it, dashing hopes of expanded access
States were anticipating a windfall after federal officials said they would stop holding back second doses. But the approach had already changed, and no stockpile exists.


By
Isaac Stanley-Becker and Lena H. Sun
Jan. 15, 2021 at 11:31 a.m. EST

When Health and Human Services Secretary Alex Azar announced this week that the federal government would begin releasing coronavirus vaccine doses held in reserve for second shots, no such reserve existed, according to state and federal officials briefed on distribution plans. The Trump administration had already begun shipping out what was available beginning at the end of December, taking second doses directly off the manufacturing line.

Now, health officials across the country who had anticipated their extremely limited vaccine supply as much as doubling beginning next week are confronting the reality that their allocations will not immediately increase, dashing hopes of dramatically expanding eligibility for millions of elderly people and those with high-risk medical conditions. Health officials in some cities and states were informed in recent days about the reality of the situation, while others are still in the dark.

Because both of the vaccines authorized for emergency use in the United States are two-dose regimens, the Trump administration’s initial policy was to hold back second doses to protect against the possibility of manufacturing disruptions. But that approach shifted in recent weeks, according to the officials, who spoke on the condition of anonymity because they were not authorized to discuss the matter. The result is that next week’s allocations will remain flat.

These officials were told that Operation Warp Speed, the Trump administration’s initiative to speed the development of vaccines and therapeutics, stopped stockpiling second doses of the Pfizer-BioNTech vaccine at the end of last year, instead taking second doses directly off the manufacturing line. The last shots held in reserve of Moderna’s supply, meanwhile, began shipping out over the weekend.

The shift, in both cases, had to do with increased confidence in the supply chain, so that Operation Warp Speed leaders were confident they could reliably anticipate the availability of doses for booster shots — required three weeks later in the case of the Pfizer-BioNTech product and four weeks later under Moderna’s protocol.

But it also meant there was no stockpile of second doses waiting to be shipped, as Trump administration officials suggested this week. Azar, at a Tuesday briefing, said, “Because we now have a consistent pace of production, we can now ship all of the doses that had been held in physical reserve.” He explained the decision as part of the “next phase” of the nation’s vaccination campaign.

The lack of reserve is not expected to interfere with people getting their second shots. States are still getting a regular supply of vaccine, if smaller than they had anticipated, but officials say they are angry and bewildered by the shifting directions.

HHS spokesman Michael Pratt confirmed in an email that the final reserve of second doses had been released to states for order over the weekend but did not address Azar’s comments this week, saying only, “Operation Warp Speed has been monitoring manufacturing closely, and always intended to transition from holding second doses in reserve as manufacturing stabilizes and we gained confidence in the ability for a consistent flow of vaccines.”

He also said states have ordered only about 75 percent of what is available to them.

Azar’s comments followed a Jan. 8 announcement by President-elect Joe Biden’s transition team that his administration would move to release all available doses, rather than holding half in reserve for booster shots. Biden’s advisers said the move would be a way to accelerate distribution of the vaccine, which is in short supply across the country.

HHS spokesman Michael Pratt confirmed in an email that the final reserve of second doses had been released to states for order over the weekend but did not address Azar’s comments this week, saying only, “Operation Warp Speed has been monitoring manufacturing closely, and always intended to transition from holding second doses in reserve as manufacturing stabilizes and we gained confidence in the ability for a consistent flow of vaccines.”

He also said states have ordered only about 75 percent of what is available to them.

Azar’s comments followed a Jan. 8 announcement by President-elect Joe Biden’s transition team that his administration would move to release all available doses, rather than holding half in reserve for booster shots. Biden’s advisers said the move would be a way to accelerate distribution of the vaccine, which is in short supply across the country.

When Azar embraced the change four days later — after initially saying it was shortsighted and potentially unethical to risk the availability of a booster shot — he did not say the original policy had already been phased out, or that the stockpile had been exhausted. Signaling to states that they would soon see expanded supply, he also urged them to begin vaccinating adults 65 and older and those under 64 with a high-risk medical condition. Officials in some states embraced that directive, while others said suddenly putting hundreds of thousands of additional people at the front of the line would overwhelm their capacity.

In subsequent conversations with state and local authorities, federal officials sought to temper those instructions, said people who participated in the conversations. Gustave F. Perna, chief operating officer of Operation Warp Speed, spoke directly to officials in at least two of the jurisdictions receiving vaccine supply, explaining that allocations would not increase and that they did not have to broaden eligibility as they had previously been told, according to a health official who was not authorized to discuss the matter.

The health director in Oregon, Patrick M. Allen, was so disturbed by the realization that he wrote a letter Thursday to Azar demanding an explanation.

“Earlier today, we became concerned when we discovered there were no additional doses available for allocation,” he said in the letter, which was reviewed by The Washington Post.

On a call with Perna earlier the same day, Allen wrote, the four-star Army general “informed us there is no reserve of doses, and we are already receiving the full allocation of vaccines.”

“If true, this is extremely disturbing, and puts our plans to expand eligibility at grave risk,” Allen added. “Those plans were made on the basis of reliance on your statement about “releasing the entire supply” you have in reserve. If this information is accurate, we will be unable to begin vaccinating our vulnerable seniors on Jan. 23, as planned.”

The revised instructions led additional jurisdictions to hold off on broadening their priority groups. One state health official noted that the updated guidance announced Tuesday as to eligibility did not appear on the website of the Centers for Disease Control and Prevention, even though it was stated as federal policy by Azar and by Robert R. Redfield, the CDC director, in their remarks earlier this week. Under the original recommendations, adults 65 and older and front-line essential workers were to comprise the second priority group, known as phase 1b, in line after medical workers and residents and staff of long-term care facilities.

But the issue of supply was most troubling to state health officials.

“States were shocked and surprised that they did not see an increase in their allocations, and when they asked for explanations, some of them were told there was not a large stockpile of second doses to draw from,” said an official working with numerous states on vaccination planning who spoke on the condition of anonymity to recount sensitive conversations. “They thought they were getting more doses and they planned for more doses and opened up to 65 and up, thinking they were getting more.”

In an email that reached some state officials on Friday morning, Christopher Sharpsten, an Operation Warp Speed director, called it a “false rumor” that “the federal government was holding back vaccine doses in warehouses to guarantee a second/booster dose.”

But it had been Azar who said Tuesday hat one of the changes being made in the government’s “next phase” of vaccination was that “we are releasing the entire supply we have for order by states, rather than holding second doses in physical reserve.”

There was additional confusion. Another change Azar announced this week — making allocation of doses dependent on how quickly states administer them — would not take effect for two weeks, he said. But Connecticut Gov. Ned Lamont (D) on Thursday tweeted that federal officials had notified the state that it would receive an additional 50,000 doses next week “as a reward for being among the fastest states” to get shots into arms. West Virginia, meanwhile, which is moving at the fastest clip based on CDC data, did not get any additional doses, said Holli Nelson, a spokeswoman for the state’s National Guard.

In a sign that the incentive structure may not be long-lived, a senior Biden transition official, speaking on the condition of anonymity to address ongoing deliberations, said this week the team did not look kindly on a system that “punishes states.”



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Re: No More Covid Vaccine Available

Posted by Dave on Fri Jan 15 12:17:36 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

Not good.

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 12:48:09 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

This corroborates what I posted a few days ago about the numbers not adding up.



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Re: No More Covid Vaccine Available

Posted by Easy on Fri Jan 15 12:58:19 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

In a sign that the incentive structure may not be long-lived, a senior Biden transition official, speaking on the condition of anonymity to address ongoing deliberations, said this week the team did not look kindly on a system that “punishes states.”

Interesting. So keep sending more vaccine to states that throw them in the trash and don't send additional to states that distribute the vaccine effectively?

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Re: No More Covid Vaccine Available

Posted by Easy on Fri Jan 15 12:58:30 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

In a sign that the incentive structure may not be long-lived, a senior Biden transition official, speaking on the condition of anonymity to address ongoing deliberations, said this week the team did not look kindly on a system that “punishes states.”

Interesting. So keep sending more vaccine to states that throw them in the trash and don't send additional to states that distribute the vaccine effectively?

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 13:10:17 2021, in response to Re: No More Covid Vaccine Available, posted by Easy on Fri Jan 15 12:58:19 2021.

Extremely small quantities have been tossed in the trash. Those that were are serious mistakes but they hardly affect the overall picture.


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Re: No More Covid Vaccine Available?

Posted by Olog-hai on Fri Jan 15 13:31:00 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

Who stole it all?

Why link garbage out of the Compost?

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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 13:33:12 2021, in response to Re: No More Covid Vaccine Available, posted by Dave on Fri Jan 15 12:17:36 2021.

It's actually worse.

If there are no doses available on time for the second dose, the first dose will have been worthless.

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 14:20:46 2021, in response to Re: No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 13:33:12 2021.

There will be doses on time for the second dose - they will cancel appointments for first doses if necessary.



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Re: No More Covid Vaccine Available

Posted by Fisk Ave Jim on Fri Jan 15 15:33:36 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

Damn...can't you post some good news once and awhile?? Your handle should be Grim Reaper!

That said, with an undertaking as big as this, there's going to be some hiccups. But in time they will be ironed out. They have to be. Theres too much at stake. Since your post was based on a Wash. Post article, the required shot/inuendo at Trump was duly noted.

Besides, come Wednesday, 12:01 EST, President Biden will wave his magic wand and all will be well.

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Re: No More Covid Vaccine Available

Posted by Orange Blossom Special on Fri Jan 15 15:34:38 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

"States were anticipating a windfall "

They lost me at this line and I stopped reading. The state is too incompetent's to give out what they already have. People spend hours trying to make reservations.

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Re: No More Covid Vaccine Available

Posted by Easy on Fri Jan 15 15:40:48 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 13:10:17 2021.

If one local clinic has distributed 100 of their 1,000 doses received and another local clinic has distributed 800 of their 1,000 doses received, which clinic would you send more doses to? I think that it’s the same thing at the state level. It’s not punishment to distribute the vaccine expediently.

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 15:55:33 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 15:33:36 2021.

there's going to be some hiccups

This hiccup is a massive underproduction in vaccine (20 million per month rather than the promised 100 million per month) that has been concealed from the American public for the past month.

I'm sure Pfizer and Moderna are doing the best they can, but why the hell did the federal government have to conceal the problems?



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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 15:56:11 2021, in response to Re: No More Covid Vaccine Available, posted by Orange Blossom Special on Fri Jan 15 15:34:38 2021.

People spend hours trying to make reservations.

Because the promised doses don't exist.



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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 15:57:29 2021, in response to Re: No More Covid Vaccine Available, posted by Easy on Fri Jan 15 15:40:48 2021.

It might take a state a week or two to get up to speed. There shouldn't be a long term shortfall because of that.

The big problem is that the federal government promised 25 million does a week and they only have 5 million a week.



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Re: No More Covid Vaccine Available

Posted by Easy on Fri Jan 15 16:02:10 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 15:57:29 2021.

I haven’t kept up but I know that the vaccine rollout was planned to be phased so that those at highest risk were vaccinated first. If they were anticipating 25 million per week from the start there would hardly be a need for phases.

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Re: No More Covid Vaccine Available

Posted by Dutchrailnut on Fri Jan 15 16:07:13 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 15:55:33 2021.

think reason is leaving morning of 20th.

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Re: No More Covid Vaccine Available

Posted by 3-9 on Fri Jan 15 16:13:48 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 15:33:36 2021.

Trump is the one who stuck his neck out for Warp Speed, now it's getting cut. After next Wednesday, if Biden doesn't fix this fubar, he's going to get it as well.

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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 16:20:10 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 15:33:36 2021.

Damn...can't you post some good news once and awhile??

Did I omit any?

Your handle should be Grim Reaper!

On the contrary. I made it a point to discuss strategies that were proven to eliminate Covid's spread. Plenty of people on this forum objected to being reminded of successes.

with an undertaking as big as this, there's going to be some hiccups. But in time they will be ironed out.

I've been involved in undertakings that had to work the first time and on time, in both my career and recreation. That experience has made me far less tolerant than others for first time blunders.

They have to be. Theres too much at stake.

One should be far less tolerant, when the stakes are high.

President Biden will wave his magic wand and all will be well.

Biden will have far fewer options after a year of Trump's Covid management.

Administering 100 million doses in 100 days is part of a reasonable strategy of eliminating Covid's threat. First question, where is he going to find 100 million doses in 3 month's time? Did his team think through all the problems before Biden opened his mouth?

What's Plan B, if 100 million doses cannot be found?

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 16:28:01 2021, in response to Re: No More Covid Vaccine Available, posted by Easy on Fri Jan 15 16:02:10 2021.

If they were anticipating 25 million per week from the start there would hardly be a need for phases.

Since 2 doses are needed for each of about 250 million Americans, that would still have been 20 weeks. So yes, phases were needed.






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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 16:30:39 2021, in response to Re: No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 16:20:10 2021.

First question, where is he going to find 100 million doses in 3 month's time?

Don't you think his team talked to Pfizer and Moderna to find out what they could reasonably produce?

The originally announced plan was 50 million does per month from each. So 100 million in 3 months from both combined would still be a huge reduction in production.


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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 16:32:27 2021, in response to Re: No More Covid Vaccine Available, posted by Orange Blossom Special on Fri Jan 15 15:34:38 2021.

People spend hours trying to make reservations.

There is no doubt that various state entities have proven themselves incapable of implementing a reasonable reservation system, let alone administering the doses once the reservations are made.

There is no excuse for this. They had plenty of time to plan for mass vaccinations. The results were entirely predictable based on the design course that was chosen.

My only solace is that had I been successful in making a reservation the vaccine supply would have been exhausted before my appointment.

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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 16:37:34 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 15:55:33 2021.

why the hell did the federal government have to conceal the problems?

Could this be one possible explanation?

Feds rebuff Pfizer's pleas to speed up supplies of COVID-19 vaccine raw materials: reports by Arlene Weintraub | Dec 16, 2020 11:47am

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Re: No More Covid Vaccine Available

Posted by Dutchrailnut on Fri Jan 15 16:37:49 2021, in response to Re: No More Covid Vaccine Available, posted by 3-9 on Fri Jan 15 16:13:48 2021.

name gets cut. not program


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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 16:40:51 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 16:30:39 2021.

Don't you think his team talked to Pfizer and Moderna to find out what they could reasonably produce?

It remains to be seen.

Remember the second law of thermodynamics, if you believe things cannot get more disorganized.

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Re: No More Covid Vaccine Available

Posted by 3-9 on Fri Jan 15 16:41:52 2021, in response to Re: No More Covid Vaccine Available, posted by Dutchrailnut on Fri Jan 15 16:37:49 2021.

My bad. Yes I meant the person(s).

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Re: No More Covid Vaccine Available

Posted by Easy on Fri Jan 15 17:05:27 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 16:28:01 2021.

What I mean is that the doses for the initial phases would be completed in the first 2 weeks, not including the second dose. That wouldn't require a "rollout" as phased as was detailed. I was always under the impression that the general public was more than two weeks out from the start.

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Re: No More Covid Vaccine Available

Posted by bingbong on Fri Jan 15 17:26:12 2021, in response to Re: No More Covid Vaccine Available, posted by Easy on Fri Jan 15 17:05:27 2021.

There was a tool on the NYt that, upon answering a few simple questions, would tell you where you fell along the priority groups for vaccine, more or less. My response was that I would be in a group after the 30.000 New Yorkers. Supposedly, according to the Federal government, more vaccine than that has been delivered (?) to NYS, yet I am unable to make an appointment (locked out of website) while I see young apparently healthy people getting shots on television.

Someone's lying big time here. I have no doubt who.

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Re: No More Covid Vaccine Available

Posted by bingbong on Fri Jan 15 17:27:54 2021, in response to Re: No More Covid Vaccine Available, posted by 3-9 on Fri Jan 15 16:13:48 2021.

Fix it he will,he knows all about it. Won't happen immediately though, it’s going to take some time. Problem here is whether or not we actually have it.

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Re: No More Covid Vaccine Available

Posted by Fisk Ave Jim on Fri Jan 15 18:26:31 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 15:55:33 2021.

"...but why the hell did the federal government have to conceal the problems?"

Only speculation can answer that question. Trump's tendency to downplay things could be a factor. But the bottom line here if nothing was concealed, would anything be different?

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Re: No More Covid Vaccine Available

Posted by Fisk Ave Jim on Fri Jan 15 18:32:46 2021, in response to Re: No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 16:20:10 2021.

"I've been involved in undertakings that had to work the first time and on time..."

I'll stick my neck out and guess that the undertakings that you had to work with didn't rise to a level that involved manufacture, distribution, & logistics of vaccinating 300+ million people.

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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 18:33:58 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 18:26:31 2021.

if nothing was concealed, would anything be different?

Yes. There would have been a lot more emphasis on the priority of who gets vaccinated first. There would not have been a rush to get non-essential workers registered.

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Re: No More Covid Vaccine Available

Posted by bingbong on Fri Jan 15 18:35:34 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 18:26:31 2021.

Yes. We'd all have more realistic expectations. And there'd be a demand for lockdown.The new mutations are more more virulent. They may not be more deadly, but hey, this thing is damn well deadly enough as it is. I don't relish a future of weeks in the hospital.

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 18:48:07 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 18:26:31 2021.

But the bottom line here if nothing was concealed, would anything be different?

Yes.

The states opened up eligibility to 65-74 year olds and other groups because they thought there was plenty of vaccine available.

Result: a whole bunch of 75+ year olds, who need it most, have gotten crowded out. Now they may have to wait many extra weeks.

Less damaging result: huge amounts of wasted time and effort of people pursuing shots that don't exist.


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Re: No More Covid Vaccine Available?

Posted by Olog-hai on Fri Jan 15 19:04:24 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 18:32:46 2021.

I'd say that's a good guess.

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Re: No More Covid Vaccine Available

Posted by BILLBKLYN on Fri Jan 15 19:37:29 2021, in response to No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 11:46:30 2021.

Eh, who cares?

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Re: No More Covid Vaccine Available

Posted by BILLBKLYN on Fri Jan 15 19:48:14 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 15:33:36 2021.

He's of "the sky is falling" mindset

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 19:50:58 2021, in response to Re: No More Covid Vaccine Available, posted by BILLBKLYN on Fri Jan 15 19:37:29 2021.

75 year olds who thought they were about to get a shot and now none are available.



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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 19:53:07 2021, in response to Re: No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 16:40:51 2021.

But you can reduce entropy by applying energy to the system in the appropriate way.



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Re: No More Covid Vaccine Available

Posted by BILLBKLYN on Fri Jan 15 20:03:58 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 19:50:58 2021.

That's how the cookie crumbles.

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Re: No More Covid Vaccine Available

Posted by Spider-Pig on Fri Jan 15 20:08:49 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 19:53:07 2021.

On this board we obey the laws of thermodynamics!

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 20:11:03 2021, in response to Re: No More Covid Vaccine Available, posted by BILLBKLYN on Fri Jan 15 20:03:58 2021.

I know you don't care about them, but many of us do.



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Re: No More Covid Vaccine Available

Posted by BILLBKLYN on Fri Jan 15 20:27:16 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 20:11:03 2021.

Of course I do. I just don't subscribe to the panic.

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Re: No More Covid Vaccine Available

Posted by AlM on Fri Jan 15 20:33:28 2021, in response to Re: No More Covid Vaccine Available, posted by BILLBKLYN on Fri Jan 15 20:27:16 2021.

Eh, who cares?

This is not the comment of someone who cares.



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Re: No More Covid Vaccine Available

Posted by BILLBKLYN on Fri Jan 15 20:54:56 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 20:33:28 2021.

I don't care about the vaccine.

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Re: No More Covid Vaccine Available

Posted by Jeff Rosen on Fri Jan 15 21:37:23 2021, in response to Re: No More Covid Vaccine Available, posted by AlM on Fri Jan 15 19:50:58 2021.

Before they lowered the range to 65 it was very easy to get an appointment. It was the change in age which caused the whole system to crash.

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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Fri Jan 15 22:13:41 2021, in response to Re: No More Covid Vaccine Available, posted by Fisk Ave Jim on Fri Jan 15 18:32:46 2021.

I'll stick my neck out and guess that the undertakings that you had to work with didn't rise to a level that involved manufacture, distribution, & logistics of vaccinating 300+ million people.

The first thing one does with a large and complex operation is to subdivide it into smaller and manageable tasks. Implicit with this subdivision is establishing lines of communication between those in charge of the sub-tasks, as well as communication up and down the ladder to and from the people in overall charge.

I question whether such planning occurred or followed for vaccinating 300+ million people. One case in point is the subject of the original post. A decision was made in late December to send the second dose vaccinations to the states, rather than withhold them. This was not adequately communicated down the chain to the states that were told they would be receiving more vaccines than originally planned. The implication was that more people had to be vaccinated sooner than originally anticipated. Fine, the states lined up more people to get vaccinations. Guess what? There weren't any more vaccinations in the larder, when the states were told to get more people vaccinated sooner. Is there a paper trail to see how things went wrong?

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Re: No More Covid Vaccine Available

Posted by Henry R32 #3730 on Fri Jan 15 23:03:59 2021, in response to Re: No More Covid Vaccine Available, posted by Stephen Bauman on Fri Jan 15 13:33:12 2021.

Incorrect. The first dose confers 52% effective protection. Source.

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Re: No More Covid Vaccine Available

Posted by 3-9 on Sat Jan 16 00:21:51 2021, in response to Re: No More Covid Vaccine Available, posted by bingbong on Fri Jan 15 17:27:54 2021.

We'll see. Biden is also unproven with this. This may even be considered a critical point in his presidency.

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Re: No More Covid Vaccine Available

Posted by Stephen Bauman on Sat Jan 16 00:32:28 2021, in response to Re: No More Covid Vaccine Available, posted by Henry R32 #3730 on Fri Jan 15 23:03:59 2021.

Thank you for including the source link. Pfizer executive Dr. William C. Gruber told The New York Times that the efficacy of the first dose is probably about 52% compared to 95% after the second dose. Did Dr. Gruber include the confidence interval around that 52%.

The question is how effective need a vaccine be? Scientists are hoping for a coronavirus vaccine that is at least 75% effective, but 50% or 60% effective would be acceptable, too, Fauci, director of the National Institute of Allergy and Infectious Diseases, said during a Q&A.

So, that 52% is on the low border line of what they were looking for back in August.

The next question is how good is the vaccine in preventing Covid's transmission? That question hasn't been answered in any of the vaccine tests. A vaccine could prevent a person from getting Covid but that person would still be capable of transmitting it.

A recent article suggests this is a distinct possibility.

The next stage of the study will evaluate whether people who have recovered from COVID-19 could still carry and transmit the SARS-CoV-2 virus which causes it. However, PHE warned that early evidence suggests that some individuals carrying high levels of virus and could continue to transmit the virus to others, even though they have immunity themselves.

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