The Day

Vaccine makers pledge a boost to U.S. supply

Pfizer and Moderna say problems that slowed rollout have been solved

- By ISAAC STANLEY-BECKER and CHRISTOPHE­R ROWLAND

Washington — Drug companies told lawmakers Tuesday that they project a major increase in vaccine deliveries that will result in 140 million more doses over the next five weeks, saying they have solved manufactur­ing challenges and are in a position to overcome scarcity that has hampered the nation’s fight against the coronaviru­s.

“The United States and every other country needs more doses more quickly,” John Young, Pfizer’s chief business officer, told members of the House Energy and Commerce oversight and investigat­ions subcommitt­ee.

But achieving a surge on that scale remains daunting. Pfizer and Moderna, the companies with the only authorized vaccines in the United States, will need to increase their combined deliveries of 80 million doses to reach their promised target of 220 million shots by March 31.

That’s a goal of 28 million doses each week on average, far greater than their performanc­e so far. The Biden administra­tion told governors Tuesday that doses allotted to states would grow from 13.5 million to 14.5 million per week, and it also directed 2.1 million doses to pharmacies, according to people who participat­ed in a weekly White House call and spoke on the condition of anonymity to discuss the conversati­on.

If the companies are able to meet their projection­s,it would signal the beginning of the end of a period of deep frustratio­n and mark faster progress against a pandemic that has claimed 500,000 lives in the United States.

The slower-than-anticipate­d vaccine rollout has hampered progress toward vaccinatin­g the 70% or 80% of the U.S. population of 330 million people required to achieve herd immunity against the coronaviru­s.

The federal government has spent about $16 billion on lab and clinical developmen­t, jump-starting manufactur­ing, and placing advance orders of vaccine.

“Many of these companies received significan­t federal investment to build their manufactur­ing capacity last year while their clinical trials were still ongoing, so that we would be able to rapidly deliver millions of vaccines as soon as they were authorized,” said Rep. Diana DeGette, D-Colo., the subcommitt­ee’s chairwoman, in her opening remarks. “Two vaccines have been authorized and production is ramping up, but there is still insufficie­nt supply to meet current demand.”

Pfizer and Moderna, which both make mRNA vaccines, fell far short of the delivery schedules set by the Trump administra­tion in December, when their vaccines received emergency authorizat­ion from the Food and Drug Administra­tion. But both companies are expressing confidence in their latest promises after continuing to invest in manufactur­ing and steadily advancing production. Combined, the two companies have contracts to provide 600 million doses, which they say will be ready by the end of July.

Pfizer, which is partnered with Germany’s BioNTech in production of its vaccine, has laid out an aggressive timeline for boosting deliveries in coming weeks, according to Young’s advance testimony. The company has been pouring money into doubling batch sizes and adding manufactur­ing suites, as well as making its own supply of crucial raw materials called lipids and creating its own finish-fill capacity to put batches of vaccine into vials for shipment.

Pfizer reported last week during President Biden’s visit to its Kalamazoo, Mich., manufactur­ing plant that it had reduced manufactur­ing time from 110 days to about 60 days.

Pfizer also benefited from an FDA decision that recognized “overfill” in its vials as a sixth dose, creating a 20% increase in its deliveries.

Uneven weekly production is among the reasons the Biden administra­tion has not issued new promises beyond its initial goal of delivering 100 million shots within the president’s first 100 days, despite drugmakers’ more ambitious promises, according to a senior administra­tion official who, like other officials addressing production schedules, spoke on the condition of anonymity because of the matter’s sensitivit­y.

The administra­tion is aiming to hold the companies to their commitment­s, the official said, while maintainin­g “collaborat­ive enough relationsh­ips where they will share risks, as opposed to putting a gun to their head and saying, ‘You have to do X or Y and we don’t want to hear anything about it.’”

Two other Biden administra­tion officials said it was unlikely that 220 million vaccine doses would be distribute­d by the end of March, even if a quantity approachin­g that total was allocated to states and other jurisdicti­ons without being shipped by then. One official said just shy of 200 million doses was a more realistic estimate.

The potential for a supply pinch as the first quarter draws to a close late next month could represent a smaller-scale reprise of problems that bedeviled the Trump administra­tion at the end of last year. Nancy Messonnier, director of the National Center for Immunizati­on and Respirator­y Diseases at the Centers for Disease Control and Prevention, estimated Dec. 20 at a meeting of a CDC advisory panel that there would be 40 million doses delivered in December, 60 million in January and 100 million in February. The projection­s, based on figures from the government’s vaccine accelerato­r, formerly known as Operation Warp Speed, proved much higher than reality.

Publicly posted CDC data indicates that about 82 million doses had been delivered as of Tuesday. Federal officials said delivered doses were split about evenly between the two companies. About 45 million people have received shots, with nearly 20 million of those people having received both required injections, for a total of about 65 million shots.

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