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City of Long Beach Is Sending Inaccurate/Misleading Information To Persons It Gave First Vaccine Shots Re Up To 42 Day Delay In City Providing Second Shots; Compare What CDC Actually Says



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Prior to publishing this story, at 5:08 p.m. yesterday (Feb. 3) LBREPORT.com advised city management's Joint Information Center that we were preparing to report that portions of its email text were inaccurate, inconsistent and misleading, cited our bases for this and invited management's comments in anticipation of publication. None were received at that time.
(Feb. 4, 2021, 6:15 a.m.) -- The City of Long Beach is emailing inaccurate and misleading information to LB residents who received their first vaccine shot from the City of LB and now await a belated second shot from the City.

The emails, sent or about Jan. 30 from:"Alert Long Beach -- Vax LB," state in pertinent part "The recommended amount of time between first and second doses depends on the kind of vaccine you received. The CDC recommends that those who received the Pfizer vaccine get their second dose between 21 and 42 days after receiving the first dose; for Moderna, the CDC recommends getting the second dose of vaccine between 28 and 42 days after receiving the first dose.'

This City statement regarding the 42 day period is untrue. The CDC does NOT recommend a delay of up to 42 days (six weeks) for the second dose of either vaccine. The CDC recommends a timely second dose within 21-28 days but allows up to 42 days unless it isn't "feasible" to administer the vaccine in a more timely fashion.

CDC website text [viewed 5:20 a.m. Feb. 4 and previously)

[CDC text] "CDCís updated guidance was revised to allow for second dose administration up to 6 weeks (42 days) after the first if it is not feasible [italics in original] to adhere to the recommended.[bold in original] interval. CDC is not advocating for people to delay getting their second dose, but the data from clinical trials support this range."

And it was feasible until actions by the City of LB made it now infeasible. Proof is next door where the Los Angeles County Department of Public Health prudently reserved sufficient vaccine to ensure it could give a second shot to those to whom it ave a first shot.

The City of Long Beach chose not to do this. Long Beach city management (we presume through its Health Dept independent of LA County) failed to reserve sufficient vaccines to ensure it could give second sots to those to whom it gave first shots. This enabled Long Beach Mayor Robert Garcia to make multiple appearances claiming that Long Beach was "first" and "ahead" of other cities in vaccine distribution, a narrative he continues to purvey, but outside of camera view, Long Beach residents now face the consequences:

LB residents who got their first shot from the City may not get their second shot in the recommended 21-28 day periods. Instead, the Cit has told them they may have to wait for up to 42 days. In addition, others who haven't yet received their first shots will have to wait longer before they receive them. .

[Scroll down for further.]







Another section of the City's Jan 30 mail uses slightly different verbiage: "While it is recommended for second doses to be administered within a 21- to 28- day period depending on the vaccine, guidance provided by the Centers for Disease Control and Prevention (CDC) indicates that the effectiveness is not reduced if the second dose is received within six weeks of the first dose, or up to 42 days.'

But the CDC website doesn't say that either. Below is the CDC website text. The City of LB'sactions have effectively relegated those it first vaccinated to the level of "clinical trials" rather than completed vaccine tests. This might be just fine, or it might be less protective than the recommended period. The CDC cites "clinical studies" suggesting its continued effectiveness at 42 days but we see no data on the CDC website conclusive on the matter.

In other words, the City of LB has effectively made residents it vaccinated guinea pigs on this issue. Below is the pertinent portion, verbatim of the CDC website. It speaks for itself..

CDC website text:

Background

The Advisory Committee on Immunization Practices (ACIP) has issued interim recommendations for the use of Pfizer-BioNTech and Moderna COVID-19 vaccines for the prevention of coronavirus disease 2019 (COVID-19) in the United States. Both vaccines are lipid nanoparticle-formulated, nucleoside-modified mRNA vaccines encoding the prefusion spike glycoprotein of SARS-CoV-2, the virus that causes COVID-19.

These interim CDC clinical considerations are informed by data submitted to the Food and Drug Administration (FDA) for Emergency Use Authorization (EUA) of the vaccines, other data sources, general best practice guidelines for immunization, and expert opinion. These considerations for mRNA vaccines only apply to the currently authorized vaccine products in the United States (i.e., Pfizer-BioNTech and Moderna COVID-19 vaccines). Considerations will be updated as additional information becomes available and/or if additional vaccine products are authorized.

In addition to the following considerations, the EUA conditions of use and storage, handling, and administration procedures described in the prescribing information should be referenced when using the Pfizer-BioNTechexternal icon and Modernaexternal icon COVID-19 vaccines. 

Authorized age groups

Under the EUAs, the following age groups are authorized to receive vaccination:

  • Pfizer-BioNTech: ages ≥16 years
  • Moderna: ages ≥18 years

Children and adolescents outside of these authorized age groups should not receive COVID-19 vaccination at this time.

Administration

The mRNA COVID-19 vaccine series consist of two doses administered intramuscularly:

  • Pfizer-BioNTech (30 µg, 0.3 ml each): 3 weeks (21 days) apart
  • Moderna (100 µg, 0.5 ml): 1 month (28 days) apart

Persons should not be scheduled to receive the second dose earlier than recommended (i.e., 3 weeks [Pfizer-BioNTech] or 1 month [Moderna]). However, second doses administered within a grace period of 4 days earlier than the recommended date for the second dose are still considered valid. Doses inadvertently administered earlier than the grace period should not be repeated.

The second dose should be administered as close to the recommended interval as possible. However, if it is not feasible to adhere to the recommended interval, the second dose of Pfizer-BioNTech and Moderna COVID-19 vaccines may be scheduled for administration up to 6 weeks (42 days) after the first dose. There are currently limited data on efficacy of mRNA COVID-19 vaccines administered beyond this window. If the second dose is administered beyond these intervals, there is no need to restart the series.

Vaccine administration errors should be reported to the Vaccine Adverse Event Reporting System (VAERS)external icon.

Administration Summary:

  • CDC continues to recommend that people get their second dose of COVID-19 vaccine as close to the recommended interval as possible (3 weeks for Pfizer-BioNTech, and one month for Moderna).
  • CDC’s updated guidance was revised to allow for second dose administration up to 6 weeks (42 days) after the first if it is not feasible to adhere to the recommended interval. CDC is not advocating for people to delay getting their second dose, but the data from clinical trials support this range.
Related coverage:

  • Nat'l Vaccine Shortage + Outcome Of Mayor Garcia Vax Policy = No LB First Vaccine Doses In February and Possibly March

  • City Bent COVID-19 Vaccine Rules To Let LB Mayor, Councilmembers Get Vaccinations Ahead of Prioritized Others

  • For Several Days LB Health Dept. Quietly Gave Vaccinations At Day's End To Some Without Appointments

  • City of Long Beach Spox Admits It Has 15,000 Persons On Its 65+ Vax "Waiting List"

  • Read Details Of Gov Newsom's Newly Imposed "My Turn" Vax Distrib System; It's "Don't Call Us, We'll Call You" System Letting Sac'to Decide Who Gets Vax'd Locally And When; City Hall Implements Via Its "VaxLB" Page

  • Statement by the Publisher: I'm 65+, Immune Compromised With Underlying Health Issue. I Sought Vaccine Appt'ment Jan. 14. Some Got Vax'd But I Got Nothing And Undisclosed Number Of Others Got Digital Brushoff...And See What City Staffers Offered Me (And I Refused)

  • LB Health Dept. Will Use/Distribute Vaccine Lot In Which Multiple Potential Adverse Events Reported When Used Elsewhere; City Says CDC & Sac'to Have Cleared It For Use

  • Gov. Newsom Says Sac'to System Will Control/Tell Residents When/Where They Can Get COVID-19 Vaccines, Also Lifts Statewide Lockdown To LA County (Despite Purple/Virus Widespread Category) To Resume Outdoor Dining, Outdoor Gyns, Hair Salons

  • City Of Long Beach Now Admits Roughly a Fifth Of Its Residents -- Those Deemed At High Risk (Age 65+, Food Workers and Education Employees) -- May Not Get Vax'd For "Several Weeks"

  • LBUSD Has Only Roughly 1,000 Vaccine Doses Currently Available For Jan 25 Vaxing Of Teachers/Related Staff Touted By Mayor Garcia

  • Publisher's First Person: Mayor Garcia. City Mgr. Mum When Asked How Many Persons Are Now On City's COVID-19 "Waiting Lists" For Vaccine App'tments, How Many Are Between Ages 65-74 (CDC Priority), And With Whom Mayor/Mgr Have Communicated In DC and/or Sac'to to Increase LB Vax Supply Naming Names And Responses

  • Publisher's First Person: We Heard Some Vaccine Was Available Thru LB Convention Ctr Webpage. We Tried. Here's What Happened

  • LBREPORT.com Makes Public Records Request Seeking Docs Disclosing City's Vaccine Levels, Who Got It, And How; And Today Asks Mayor And City Mgr To Publicly Disclose Number of Residents On City's Vaccine Appointment "Waiting List"

  • Publisher's First Person: While Mayor Holds Mass Vaccination Media Event And Some Age 65+ Are Vax'd, Many Others Report Digital Brushoffs And Delays That May Extend Into February

    Publisher's First Person:Long Beach Mayor/City Hall Mgm't Get Vax, Some Residents Get App'tments, Others Say They Got Email/Voice Mail/Digital Brush-offs. I'm 65+ And Here's What I Encountered

  • LA County Health Dept. Warns Of COVID-19 Outbreaks Linked To Workplaces Incl. Grocery Stores, Warehouses, Manufacturing And Logistics Facilities, Also Cites Increases In School Daycare Settings
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