Albany Times Union

U.S. to advise boosters for most Americans

Administra­tion of third shots could begin in September

- By Sharon Lafraniere

The Biden administra­tion has decided that most Americans should get a coronaviru­s booster vaccinatio­n eight months after they received their second shot, and could begin offering third shots as early as the third week of September, according to administra­tion officials familiar with the discussion­s.

Officials are planning to announce the decision on Wednesday at the White House. Their goal is to let Americans who received the Pfizer-biontech or Moderna vaccines know now that they will need additional protection against the delta variant, which is causing caseloads to surge across much of the nation. But the new policy will depend on the Food and Drug Administra­tion authorizin­g additional shots.

Recipients of the Johnson & Johnson vaccine, which was authorized as a one-dose regimen, will also most likely require an additional dose, the officials said. But they are waiting for results, expected this month, from a clinical trial that provided participan­ts with two doses. So far, only about 14 million people in the United States have gotten the Johnson & Johnson shot, which the government began offering in March. The first Pfizer and Moderna vaccines were given in December.

The first boosters would probably go to nursing home residents, health care workers and emergency workers, who were the first to be vaccinated last winter. They would likely be followed by other older people, then by the general population. Officials envision giving people the same vaccine they originally received.

Some 5 million people in the United States — everyone who got two doses of Pfizer or Moderna vaccine by the end of January — would be eligible for boosters by late September under the plan. In all, more than 90 million people in the country have been fully vaccinated with Pfizer’s product, and more than 64 million with Moderna’s. But about 40 percent of the population has still not gotten even a first dose, a problem the administra­tion will need to stay focused on even as it turns to providing boosters.

Administra­tion officials are expected to make the case Wednesday that even if the booster plan shifts based on new data, it is prudent to have a strategy in place now.

White House officials are expected to present data showing that the vaccines’ protection against COVID -19 infections is declining — a trend they attribute to a combinatio­n of the delta variant and a degree of waning in the vaccines’ protection. Unvaccinat­ed people still make up the vast majority of those who become seriously ill or are hospitaliz­ed with COVID -19.

The announceme­nt comes as the Biden administra­tion is struggling to regain control of a pandemic that it had claimed to have tamed little more than a month ago. President Joe Biden had declared the nation reopened for normal life for the July 4 holiday, but the wildfire spread of the delta variant has thwarted that.

COVID -19 patients are again overwhelmi­ng hospitals in some states, and federal officials are worried about an increase in the number of children hospitaliz­ed just as the school year is set to begin.

The booster strategy has been under discussion for several weeks, but a consensus about how to proceed was reached in meetings only this weekend. Officials said senior health officials all endorsed it.

 ?? James Estrin / New York Times ?? A nurse administer­s a coronaviru­s vaccine dose in the Bronx on Monday. Biden administra­tion officials are planning to recommend third doses for recipients of the Moderna and Pfizer-biontech vaccines.
James Estrin / New York Times A nurse administer­s a coronaviru­s vaccine dose in the Bronx on Monday. Biden administra­tion officials are planning to recommend third doses for recipients of the Moderna and Pfizer-biontech vaccines.

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