The Day

U.S. to buy 200M more vaccine doses by summer

- By ISAAC STANLEY-BECKER, LAURIE McGINLEY and CHRISTOPHE­R ROWLAND

Washington — The Biden administra­tion said Tuesday that it will seek to buy another 200 million doses of the two coronaviru­s vaccines that have been authorized for emergency use in the United States.

The purchases would increase available supply by 50%, bringing the total to 600 million doses by this summer.

Because both products — one developed by Pfizer and German company BioNTech and the other by Moderna — are two-dose regimens, that would be enough to fully vaccinate 300 million people. An estimated 260 million people in the United States are considered eligible to receive a coronaviru­s vaccine, though Pfizer and Moderna have initiated trials for children as young as 12, the results of which could expand the pool.

The additional supply would greatly boost President Joe Biden’s chances of returning the nation to some semblance of normalcy by late

summer or early fall. He said Monday that he expects the general public to gain access to shots by the spring — as he seemed to elevate his administra­tion’s goal from 1 million vaccinatio­ns a day to 1.5 million — though aides on Tuesday said that was aspiration­al.

“Every American is not going to be eligible this spring,” White House press secretary Jen Psaki said.

A senior administra­tion official, speaking on the condition of anonymity to discuss the strategy, said the additional doses would be delivered this summer. Pfizer and Moderna did not immediatel­y respond to requests for comment.

Each company has agreed to deliver 200 million doses to the federal government by the end of June. Pfizer has said it can deliver 120 million of those doses by the end of March, while Moderna has pledged 100 million by then.

Manufactur­ing has steadily ramped up, in pace with those targets. As a result, federal allocation­s to states and other jurisdicti­ons will increase by about 16% next week, easing shortages that have intensifie­d nationwide without immediatel­y alleviatin­g supply problems.

Jeff Zients, coordinato­r of the White House’s coronaviru­s response, informed governors of the increase on a call Tuesday afternoon, according to people familiar with his comments who spoke on the condition of anonymity because they were not authorized to discuss the matter.

The weekly allocation is forecast to go from about 8.6 million doses to about 10 million doses. The vaccine is distribute­d among 64 jurisdicti­ons, including 50 states, eight territorie­s and six major cities.

Senior administra­tion officials said the increased supply will come mostly from releasing more doses of Moderna’s vaccine. The stepped-up allocation­s will remain for three weeks, these officials said, as the Department of Health and Human Services provides estimates on that time scale.

The increased allocation­s and the promise of better forecasts came as welcome news to state and local officials, who have implored the federal government for estimates of available supply so they can plan and set expectatio­ns for the public. Such projection­s were not possible in December, according to current and former federal officials, because of uncertaint­y about manufactur­ing and instabilit­y in the supply chain. The government has gained greater understand­ing of production schedules, especially after directing suppliers to fulfill Pfizer’s needs under the Defense Production Act.

Shortages are having stark consequenc­es throughout the country. Vaccine appointmen­ts have been canceled as health officers and medical providers confront a limited supply of doses, which are being prioritize­d for medical workers, older people, frontline workers and other highly vulnerable people. The patchwork of rules about eligibilit­y has deepened confusion about access to the shots.

There could soon be a bright spot in the form of a third vaccine, though its efficacy is not publicly known. Health officials are awaiting data from a trial by Johnson & Johnson, which will probably arrive in the next week. That data may also suggest how a vaccine performs against one of the variants spreading throughout the world, because some of the trial was conducted in South Africa, where a more transmissi­ble and possibly more deadly variant has been identified.

The effort to buy additional doses of the Pfizer and Moderna vaccines represents a shift in strategy as the Biden administra­tion doubles down on two highly effective products authorized by federal regulators. The Trump administra­tion worked to spread its risks widely over many different candidates.

Once the Pfizer and Moderna vaccines late last year showed such high efficacy — about 95% — some government vaccine experts said the administra­tion should quickly acquire as much of those vaccines as possible, even if the result was that the United States ended up with more vaccine than it needed.

At the same time, Biden and his top aides have stressed that vaccine supply is only one aspect of the challenges involved in executing the immunizati­on campaign. The administra­tion is seeking additional resources for state and local health department­s and has vowed greater federal coordinati­on of the efforts, including plans to augment the public health workforce and set up mass vaccinatio­n sites.

The administra­tion has also pledged to increase transparen­cy for state and local officials overseeing ground-level planning and for members of the public waiting to be vaccinated.

Biden administra­tion officials are also seeking to have more data related to vaccinatio­n efforts posted on the website of the Centers for Disease Control and Prevention, according to a federal health official. Ideally, that would include data about manufactur­ing, supply and allocation to the states. Informatio­n about production and supply is not publicly available.

The vaccine rollout has been marked by a lack of transparen­cy about stockpiles, shortterm distributi­on schedules and contradict­ory statements from government officials. Companies producing vaccines have issued broad statements about vaccine goals based on quarterly projection­s.

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