Ottawa Citizen

Taking the confusion out of getting your vaccine

What you need to know about getting your COVID-19 shot

- ANDREW DUFFY aduffy@postmedia.com

With daily COVID-19 numbers reaching new record highs in Ottawa, residents are anxiously waiting their turn in the vaccinatio­n line.

But the vaccine rollout has sometimes been confusing, and its local availabili­ty influenced by fluctuatin­g levels of supply. The federal government is responsibl­e for procuring the vaccine supply, while the province decides how to distribute it across Ontario.

In Ottawa, more than 236,000 doses of vaccine have been administer­ed, most commonly the Pfizer vaccine.

Q Where can I book a vaccine?

A Ottawa Public Health (OPH) operates four local vaccinatio­n clinics for people aged 60 and older. Those eligible can secure appointmen­ts through the online provincial booking system, or by calling 1-833-943-3900 between 8 a.m. and 8 p.m., seven days a week.

In addition, OPH operates popup clinics in high-priority neighbourh­oods for people 60 and older, and those receiving chronic home health care. Eligible residents can call 613-691-5505 to book a vaccine appointmen­t.

The province oversees Ontario's pharmacy vaccinatio­n program, which is now reserved for those aged 55 and over, or those who turn 55 this year. The Ontario Ministry of Health publishes a list of participat­ing pharmacies, which can be searched by postal code. It now includes more than 1,400 pharmacies.

Pharmacies are not part of Ontario's central booking system for vaccinatio­ns. That means eligible individual­s must register with participat­ing local pharmacies, either online or by telephone. Each pharmacy has its own booking system.

In Ottawa, there's an online community continuall­y trading informatio­n about what pharmacy has bookings available. Many say that phoning local pharmacies has proven more fruitful than waiting to be notified through online booking systems.

Only the AstraZenec­a vaccine is available at pharmacies.

Q What about larger pharmacies like Shoppers Drug Mart?

A Shoppers Drug Mart and Loblaw pharmacies are using an online booking system for COVID vaccinatio­ns. However, the company says it generally has more demand than vaccine.

“As appointmen­ts become available, we are contacting those who have already registered through the online system or via phone for stores with more urgent availabili­ty — for example, due to cancellati­ons,” the company said Thursday. “We understand customer frustratio­n with the delays, and we are hopeful that we will be able to get to most registered customers at some point over the next week.”

Q I have already booked or received my first shot, but I'm not scheduled to receive my next dose for months. How come others are receiving their second doses only weeks later?

A The National Advisory Committee on Immunizati­on (NACI) makes recommenda­tions for the use of vaccines in Canada. While vaccine manufactur­ers have advised administer­ing second doses within weeks of the first, NACI in March recommende­d delaying second doses for up to four months to allow more Canadians to receive their shots. Ontario is following this recommenda­tion, but there are some exemptions for people with underlying health conditions, including those who are immunocomp­romised, that allow them to receive their second dose within the manufactur­er's advised timelines.

Q I'm over 60. Should I book with the city or a pharmacy?

A Individual­s have to assess their own situations. The main advantage of using the city to book a vaccinatio­n is that it has access to the Moderna and Pfizer vaccines, in addition to AstraZenec­a. The main benefit of using a pharmacy is that an earlier time slot may be available. The pharmacies only have access to the AstraZenec­a vaccine.

Q What is the issue with AstraZenec­a?

A There have been 222 reports of blood clots arising out of 34 million administer­ed doses of the AstraZenec­a vaccine. Health Canada continues to stand by its approval of AstraZenec­a and says Canadians should be warned there's a one-in-250,000 risk of blood clots in connection with the vaccine.

Health experts say people need to consider risk carefully, and understand that COVID-19 poses vastly more risk than the vaccines, including AstraZenec­a.

Earl Brown, University of Ottawa professor emeritus of virology, said the side-effects of AstraZenec­a “appear real, but very rare.”

“We have other drugs, like the birth control pill, that clots at a pretty high rate — one in 1,000 — and we live with the complicati­ons of aspirin and ibuprofen,” he said. “But when vaccines come along, people are really nervous about any side-effect.”

University of Toronto medical professor Isaac Bogoch, an infectious-disease specialist and a member of Ontario's vaccinatio­n task force, called the AstraZenec­a situation unfortunat­e. He said Ontario has a lot of AstraZenec­a vaccine on hand, and as a result should consider broadening eligibilit­y and expanding distributi­on to include primary caregivers. “It's pretty clear why the uptake of AstraZenec­a is slow,” he said in a Twitter feed Thursday. “There have been some preventabl­e and perhaps less preventabl­e communicat­ions (and policy?) issues at various levels.”

Q Is there any danger that recent Moderna supply problems will affect vaccinatio­n bookings in Ottawa?

A Canada has experience­d recent delays in the delivery of the Moderna vaccine, affecting hundreds of thousands of doses. The delays led to the postponeme­nt of thousands of scheduled vaccine appointmen­ts in the Toronto area this week. Ontario Premier Doug Ford has called the situation a “logistical nightmare.”

The City of Ottawa, however, said Thursday it has not yet been forced to cancel any vaccine appointmen­ts.

“At this time, all appointmen­ts are being honoured and the city has not had to cancel any vaccine appointmen­ts due to the current vaccine supply,” said Anthony Di Monte, general manager of emergency and protective services.

“The city is aware of delays to our vaccine shipments, and is currently working with the province to develop contingenc­y plans. If there is any impact on residents, we will communicat­e as soon as possible.”

 ?? TONY CALDWELL ?? A pharmacist administer­s a dose of the AstraZenec­a vaccine at the Billings Bridge Walmart on Thursday. Vaccines can also be booked through Ottawa Public Health for those aged 60 and older.
TONY CALDWELL A pharmacist administer­s a dose of the AstraZenec­a vaccine at the Billings Bridge Walmart on Thursday. Vaccines can also be booked through Ottawa Public Health for those aged 60 and older.

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