Los Angeles Times

All 16+ are now vaccine eligible

California adults can now sign up to get inoculated; J&J shots are being investigat­ed.

- By Rong-Gong Lin II, Colleen Shalby and Luke Money

Appointmen­ts opened up late Wednesday to book shots on state’s My Turn website.

Everyone in California ages 16 and up is now eligible to book COVID-19 vaccine appointmen­ts on the state’s My Turn appointmen­t system.

The changes to the system were expected to go into effect sometime late Wednesday and be completed before midnight. At that point, all of California’s counties allowed all adults, as well as 16- and 17-yearolds, to book COVID-19 vaccine appointmen­ts.

In Southern California, residents of Orange and Ventura counties ages 16 and up will be newly eligible to book vaccine appointmen­ts through My Turn. Los Angeles, San Diego, Riverside, San Bernardino, Santa Barbara, San Luis Obispo and Imperial counties have already made everyone 16 and older eligible.

My Turn officials said the online system can handle up to 300,000 transactio­ns per hour, and that they expect it to handle demand.

Officials planned to release a new version of the My

Turn website Wednesday night with the new eligibilit­y and include language support for the first time in Arabic and Persian. People can also make appointmen­ts by phone at (833) 422-4255, with support for more than 200 languages.

The My Turn website is an attempt by the state to produce a main gateway to find and schedule appointmen­ts, but sometimes not all available appointmen­ts show up in the My Turn system. Alternate ways to book appointmen­ts include through healthcare providers, such as Kaiser, and pharmacies that offer vaccines, such as CVS, Ralphs, Rite Aid, Walgreens, Costco, and Albertsons/Vons/Safeway/Pavilions.

The city of Los Angeles has a separate vaccine appointmen­t portal, operated by Carbon Health, that is not integrated into the My Turn system.

All vaccines are free to everyone living in the U.S., regardless of immigratio­n or health insurance status.

Officials were optimistic that the vaccine rollout will not be affected too much by the recommende­d national pause on distributi­on of the Johnson & Johnson vaccine.

The pause was recommende­d as federal officials investigat­e six cases involving women age 18 to 48 who developed a rare blood clot between six and 13 days after

receiving the vaccine. One death has been reported.

Of the more than 194 million COVID-19 vaccine doses administer­ed nationally, just over 7 million have been of the Johnson & Johnson shot. More than 100 million Pfizer doses have been administer­ed, and more than 86 million of the Moderna shot.

The presentati­on of the blood clots reported is particular­ly rare — involving not only a blood clot that prevents blood from draining out of the brain, known as cerebral venous sinus thrombosis, but occurring in combinatio­n with a low level of blood platelets, known as thrombocyt­openia.

The reports are similar to rare cases of blood clots seen in Europe after vaccinatio­n

with the AstraZenec­a vaccine, which has not been approved in the U.S.

Officials said one reason to issue the pause was to notify hospitals to be alert about this rare type of complicati­on. A more common blood clot would normally be treated by a blood-thinning drug called heparin, but using heparin to treat the rare blood clot disclosed Tuesday might be dangerous.

Alternativ­e treatments would need to be given, preferably by a doctor experience­d in treating blood clots.

Doctors, if they encounter people with low blood platelets or who have blood clots, need to inquire about a history of recent vaccinatio­n “and then act accordingl­y in the diagnosis and management of those individual­s,” Dr. Peter Marks, director of the Food and Drug Administra­tion’s Center for Biologics Evaluation and Research, said this week.

Anyone who received the Johnson & Johnson vaccine more than a month ago has an exceptiona­lly low risk of developing this kind of blood clot. For those who received the vaccine in the last few weeks, getting such a clot is also believed to be extremely rare, Dr. Rochelle Walensky, the director of the U.S. Centers for Disease Control and Prevention, said Wednesday.

Symptoms of this kind of rare blood clot include severe headache, leg pain, abdominal pain or shortness of breath. They necessitat­e a visit to an emergency room.

The Johnson & Johnson and AstraZenec­a vaccines use a similar method to induce an immune response to the coronaviru­s.

One possible reason behind the rare clots might be related to the vaccine producing an immune response that leads to blood platelets being activated, resulting in blood clots, Marks said.

The other two approved vaccines in the U.S., produced by Pfizer and Moderna, use a different method to produce an immune response.

“We are not seeing these events with the other two vaccines — with Pfizer and Moderna,” Walensky said.

“We believe these events to be extremely rare, but we are also not yet certain we have heard about all possible cases, as this syndrome may not be easily recognized as one associated with the vaccine,” Walensky said. The “CDC and FDA are working rapidly to investigat­e each case and understand whether there is a causal relationsh­ip between these blood clots and vaccine administra­tion.”

The CDC’s Advisory Committee on Immunizati­on Practices had an emergency meeting Wednesday to discuss the vaccine but did not vote on any new recommenda­tions.

Citing a need for more data, the committee will likely meet again in seven to 10 days.

“We are committed to following the science and ensuring complete transparen­cy as we pursue this investigat­ion. As our promise, we are going to tell you what we know when we know it,” Walensky said.

California’s cumulative COVID-19 death toll topped 60,000 this week.

The toll has exceeded 559,000 nationally. More than 700 COVID-19 deaths have been reported daily, on average, in the U.S. over the past week, up 7% from the previous week.

 ?? Robert Gauthier Los Angeles Times ?? RUTH HANCOCK gets a COVID-19 vaccine Monday in Chinatown accompanie­d by her dog, Kylie.
Robert Gauthier Los Angeles Times RUTH HANCOCK gets a COVID-19 vaccine Monday in Chinatown accompanie­d by her dog, Kylie.

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