zap99 Posted April 14, 2021 #4601 Share Posted April 14, 2021 3 minutes ago, nocl said: Still misusing efficacy. Against B.117 and the original strain which is primarily what you have in country - yes it is having benefits. Against B.1.351 and similar strains not so much. Efficacy noun FORMAL the ability to produce a desired or intended result. It works, so it's efficacous. 1 Link to comment Share on other sites More sharing options...
nocl Posted April 14, 2021 #4602 Share Posted April 14, 2021 Just now, zap99 said: Efficacy noun FORMAL the ability to produce a desired or intended result. It works, so it's efficacous. In a general term using the oxford dictionary but you used it with a measurement value where there is a specific definition. Much better to use effective which is how performance in the real world is described. Link to comment Share on other sites More sharing options...
zap99 Posted April 14, 2021 #4603 Share Posted April 14, 2021 2 minutes ago, nocl said: In a general term using the oxford dictionary but you used it with a measurement value where there is a specific definition. Much better to use effective which is how performance in the real world is described. I bow to your greater knowledge. I think that if they knew, the person who did not die would agree that it was effective. Just for fun, I looked at the ' effectiveness' of all 3. Pfizer, Modena and AZ. All about the same with the South African and Brazilian variants. We predominantly have the Kent, or pesky British variant. It works fine. Link to comment Share on other sites More sharing options...
nocl Posted April 14, 2021 #4604 Share Posted April 14, 2021 null 1 minute ago, zap99 said: I bow to your greater knowledge. I think that if they knew, the person who did not die would agree that it was effective. Just for fun, I looked at the ' effectiveness' of all 3. Pfizer, Modena and AZ. All about the same with the South African and Brazilian variants. We predominantly have the Kent, or pesky British variant. It works fine. Not sure where you are getting you info from but you stated performance against the SA variant is way off. Here are a couple of papers/articles reporting the results of the AZ trial https://www.nejm.org/doi/10.1056/NEJMoa2102214 A two-dose regimen of the ChAdOx1 nCoV-19 vaccine did not show protection against mild-to-moderate Covid-19 due to the B.1.351 variant. https://www.cidrap.umn.edu/news-perspective/2021/03/astrazeneca-vaccine-doesnt-prevent-b1351-covid-early-trial AstraZeneca vaccine doesn't prevent B1351 COVID in early trial On the other hand the J&J vaccine yielded 57% efficacy in their clinical trial in south Africa against B.1.351 lower than they results against B.117 or the original strain but far better than AZ 10% efficacy against B.1.351. Pfizer in a small trial indicated 100% efficacy, but the trials size was too small to be adequately statistically powered. Plus some Israeli qualitative data does some breakthrough of B.1.351 with the Pfizer vaccine. So its efficacy is still expected to be good against B.1.351 type variants, but lower than against the original and B.117. I can reference the actual papers if you would like. Link to comment Share on other sites More sharing options...
cangelmd Posted April 14, 2021 #4605 Share Posted April 14, 2021 4 hours ago, markeb said: Curious what cangelmd thinks, but I’m betting physiology, not vaccine mass. Which is why it could be really hard to tease out causality. There’s a concept that temporal association does not equal causation. It may, but it’s hard to ignore this happened after that. Sorry had to work. Short answer, probably not dosage. This is not my area of expertise, but I suspect they will reinstate the vaccine with some limitations similar to what happened with the AZ in the UK - although I’m worried the real damage will be to confidence in vaccines and that’s out of the barn. I think the reason why the complication was in women is because thrombosis in younger people in general is more common in women. Blood clots in younger people are usually multifactorial, with one of the biggest risk factors being oral contraceptives. Pregnancy is a big risk factor, too - so it would be no big surprise that if something about the vaccine (maybe a cross-reacting antibody to a protein in the clotting cascade) caused increased clotting, that increased clotting would be first seen in women - we tend to have more of all those other risk factors. I’m concerned that the central venous thrombosis may actually have some connection to the vaccine because it is such a rare and specific complication plus the low platelet count. Hopefully they will be able to quickly work backwards and either declare this a coincidence or identify groups that should not get J and J until the mechanism is better understood. 1 1 Link to comment Share on other sites More sharing options...
Rare markeb Posted April 14, 2021 #4606 Share Posted April 14, 2021 1 minute ago, cangelmd said: Sorry had to work. Short answer, probably not dosage. This is not my area of expertise, but I suspect they will reinstate the vaccine with some limitations similar to what happened with the AZ in the UK - although I’m worried the real damage will be to confidence in vaccines and that’s out of the barn. I think the reason why the complication was in women is because thrombosis in younger people in general is more common in women. Blood clots in younger people are usually multifactorial, with one of the biggest risk factors being oral contraceptives. Pregnancy is a big risk factor, too - so it would be no big surprise that if something about the vaccine (maybe a cross-reacting antibody to a protein in the clotting cascade) caused increased clotting, that increased clotting would be first seen in women - we tend to have more of all those other risk factors. I’m concerned that the central venous thrombosis may actually have some connection to the vaccine because it is such a rare and specific complication plus the low platelet count. Hopefully they will be able to quickly work backwards and either declare this a coincidence or identify groups that should not get J and J until the mechanism is better understood. I was thinking along the same lines, but also not my area of expertise. It's been a long time since I looked at them from a basic/applied sciences standpoint, but the things the female body has to do to so many processes to allow it to carry a "foreign object" to term really introduces a lot more complexity in things you never think of... It doesn't surprise me if this is in some way related to the vaccine that it would appear in younger women (first?). Link to comment Share on other sites More sharing options...
jagoffee Posted April 14, 2021 #4607 Share Posted April 14, 2021 5 hours ago, nocl said: They issued a pause. That is the regulatory level of action that occurs when there is a safety signal of this kind. A pause is a recommendation that all use of the product be stopped. Since the product was not withdrawn a state could continue to use it. But if they do they face considerably more liability if any body injected during the pause were to develop the problem. For the FDA to force stoppage rather than recommend they would need to withdraw the EUA. Something that the data does not yet support. It is a rather rare indication and an investigation is required. I stand behind by comments about showing how closely the FDA look at safety issues. One of the reasons why this was probably triggered is that J&J uses similar technology as AZ. When one drug in a class has a problem any other drugs in the same class will be scrutinized looking for the same issue. I expect that there will be a label change either restricting the population for which the vaccine is recommended or will result in a warning added to look out for blood clots and not to treat with Hiparin, the normal treatment for clots. Instead using an alternative therapy. I knew you would have a good explanation. At this point, I just wanted to understand. Thank you. Link to comment Share on other sites More sharing options...
UnorigionalName Posted April 14, 2021 #4608 Share Posted April 14, 2021 (edited) 49 minutes ago, cangelmd said: Sorry had to work. Short answer, probably not dosage. This is not my area of expertise, but I suspect they will reinstate the vaccine with some limitations similar to what happened with the AZ in the UK - although I’m worried the real damage will be to confidence in vaccines and that’s out of the barn. I think the reason why the complication was in women is because thrombosis in younger people in general is more common in women. Blood clots in younger people are usually multifactorial, with one of the biggest risk factors being oral contraceptives. Pregnancy is a big risk factor, too - so it would be no big surprise that if something about the vaccine (maybe a cross-reacting antibody to a protein in the clotting cascade) caused increased clotting, that increased clotting would be first seen in women - we tend to have more of all those other risk factors. I’m concerned that the central venous thrombosis may actually have some connection to the vaccine because it is such a rare and specific complication plus the low platelet count. Hopefully they will be able to quickly work backwards and either declare this a coincidence or identify groups that should not get J and J until the mechanism is better understood. I don't want to put a direct link. But go look at NEJM. There's some pretty significant evidence. Original article from the 9th. Edited April 14, 2021 by UnorigionalName Link to comment Share on other sites More sharing options...
cangelmd Posted April 15, 2021 #4609 Share Posted April 15, 2021 (edited) 13 hours ago, UnorigionalName said: I don't want to put a direct link. But go look at NEJM. There's some pretty significant evidence. Original article from the 9th. I will look. I’m trying to not blow out of proportion or understate, which is hard to express in a post. I’m very concerned with this situation that there is some connection to the vaccine. I am not sure that it will or should stop administration of the vaccine in the midst of a pandemic - that’s where changing who is eligible comes into play. Unfortunately, a large number of people who would otherwise be good candidates for J and J might not end up getting it. I will check out your link when I can Edited April 15, 2021 by cangelmd Link to comment Share on other sites More sharing options...
K.T.B. Posted April 15, 2021 #4610 Share Posted April 15, 2021 Not to make this all political, but just heard on the news that the "red states" are severely lagging behind in getting people vaccinated. They have the doses available, but people aren't doing it. That's very disappointing. Link to comment Share on other sites More sharing options...
Rare Mary229 Posted April 15, 2021 #4611 Share Posted April 15, 2021 23 minutes ago, K.T.B. said: Not to make this all political, but just heard on the news that the "red states" are severely lagging behind in getting people vaccinated. They have the doses available, but people aren't doing it. That's very disappointing. I am in Texas, as red as red can be, and every single dose the federal government sends to Texas is distributed during the week it is designated for. So maybe your report is from a biased source 1 1 Link to comment Share on other sites More sharing options...
Rare terrydtx Posted April 15, 2021 #4612 Share Posted April 15, 2021 3 minutes ago, Mary229 said: I am in Texas, as red as red can be, and every single dose the federal government sends to Texas is distributed during the week it is designated for. So maybe your report is from a biased source I am also in Texas and agree no dosses are going unused. In San Antonio we are getting close to 50% of adults with at least the first shot. If the fake news is the source, it is going to be biased. 2 1 Link to comment Share on other sites More sharing options...
K.T.B. Posted April 15, 2021 #4613 Share Posted April 15, 2021 13 minutes ago, Mary229 said: I am in Texas, as red as red can be, and every single dose the federal government sends to Texas is distributed during the week it is designated for. So maybe your report is from a biased source It was an overall assessment, not one state in particular. Link to comment Share on other sites More sharing options...
Rare Mary229 Posted April 15, 2021 #4614 Share Posted April 15, 2021 (edited) 2 minutes ago, K.T.B. said: It was an overall assessment, not one state in particular. Which state. Most southern states have dashboards where YOU can look to see the distribution. You tell me the state and I will provide the information. You don't need to rely on mass media for your facts. Generalizations are easy to throw around but facts are harder to fake Edited April 15, 2021 by Mary229 2 Link to comment Share on other sites More sharing options...
TrulyBlonde Posted April 15, 2021 #4615 Share Posted April 15, 2021 14 minutes ago, Mary229 said: Which state. Most southern states have dashboards where YOU can look to see the distribution. You tell me the state and I will provide the information. You don't need to rely on mass media for your facts. Generalizations are easy to throw around but facts are harder to fake My little ski town. Liberal, Sanctuary City, Heavily Dem, actually has so many cancellations now, they are forgoing the mass vaccination. It will instead be done by physician or pharmacy. Hispanic workforce is anti-vax. I have been begging my housekeeper and offered to pay her to get it. Nope. She is paid $35 and hr. and I am sure I can find someone else to do the job. We do love our Texans who come to get out of the heat. Especially the vaccinated ones 😉 Link to comment Share on other sites More sharing options...
Rare Mary229 Posted April 15, 2021 #4616 Share Posted April 15, 2021 Just now, TrulyBlonde said: My little ski town. Liberal, Sanctuary City, Heavily Dem, actually has so many cancellations now, they are forgoing the mass vaccination. It will instead be done by physician or pharmacy. Hispanic workforce is anti-vax. I have been begging my housekeeper and offered to pay her to get it. Nope. She is paid $35 and hr. and I am sure I can find someone else to do the job. We do love our Texans who come to get out of the heat. Especially the vaccinated ones 😉 Two sources for you but first a quote from the second source as of April 14. And realize April 14 was mid week and the dosages are delivered on Sunday/Monday. Colorado is only in stage 1 and 2 for some reason. The Hispanic population may be a more youthful population and not yet eligible. Colorado Doses distributed to state: 4,181,590 Doses administered: 3,464,019 Percentage of distributed vaccines that have been administered: 82.84 https://covid19.colorado.gov/vaccine-data-dashboard https://www.beckershospitalreview.com/public-health/states-ranked-by-percentage-of-covid-19-vaccines-administered.html Link to comment Share on other sites More sharing options...
cangelmd Posted April 15, 2021 #4617 Share Posted April 15, 2021 14 hours ago, UnorigionalName said: I don't want to put a direct link. But go look at NEJM. There's some pretty significant evidence. Original article from the 9th. 15 hours ago, UnorigionalName said: I don't want to put a direct link. But go look at NEJM. There's some pretty significant evidence. Original article from the 9th. Found an article in NEJM from April 9, concerning the AZ vaccine, but the findings likely apply to J and J as well. Compelling evidence that these rare events may be related to the vaccine. I still think the syndrome is rare enough to allow continued use, but maybe only older people or men? We will see. Link to comment Share on other sites More sharing options...
cangelmd Posted April 15, 2021 #4618 Share Posted April 15, 2021 1 hour ago, K.T.B. said: Not to make this all political, but just heard on the news that the "red states" are severely lagging behind in getting people vaccinated. They have the doses available, but people aren't doing it. That's very disappointing. Red states and New York, I’ve read that it is one of the worst. I can only speak to my red state - through this whole pandemic, there are 3 groups - the careful, the careless, and the clueless. Many of us have shifted from one group to another at different times and for different situations. Speaking to vaccination, the “careful” would be better described as the “motivated” - those people pretty much have all gotten at least one shot. Now it is time for the heavy lifting. Public health in general is poorly funded, and ours is worse than most. To date, much of their pure manpower has been concentrated on more rural and/or underserved areas - the National Guard has been helping with this. In the cities, public health has worked with the hospitals to hold mass vaccination sites weekly, rotating through different hospitals/locales. Publix, CVS Walmart seem to have plenty of appts, except during first week after groups opened. My criticism is I don’t see any publicity other than the local evening news (they are very faithful) about when and where the clinics are. I think they have started in last 2 weeks walk-in first doses, they are just beginning to identify and engage churches and other leaders. I see for every anti-vaxxer, there are 2-3 people who just haven’t gotten around to it - inertia, the clueless. Many may not get vaccinated unless being non-vaccinated prevents them from doing s9mething they want to do. Finally, because of that poor funding sometimes the reporting is not so great, so I agree, go to the local trackers, not national media. And look at the spread between first and last, sometimes it’s not so wide- but that doesn’t make a good headline. 2 Link to comment Share on other sites More sharing options...
Rare Mary229 Posted April 15, 2021 #4619 Share Posted April 15, 2021 (edited) @cangelmd Alabama does seem a bit slower than other states. Are they having difficulty delivering to rural locations. That was a major issue in Texas last month when the state organized teams to travel to rural communities and administer especially to the home bound and those with limited mobility and transportation options. Again this is as of Wednesday and the doses sent represent those for the entire week until next Sunday https://alpublichealth.maps.arcgis.com/apps/MapSeries/index.html?appid=d84846411471404c83313bfe7ab2a367 Edited April 15, 2021 by Mary229 Link to comment Share on other sites More sharing options...
Oville Posted April 15, 2021 #4620 Share Posted April 15, 2021 I’m not seeing Red Vs Blue on today’s chart from the CDC. It’s all over the place 37% 23% 250,998,265 194,791,836 78% New Hampshire 54% 26% 1,039,375 1,008,027 97% Palau 50% 42% 24,600 16,012 65% Maine 46% 30% 1,074,270 947,441 88% Connecticut 46% 29% 3,201,205 2,572,005 80% New Mexico 45% 30% 1,791,315 1,530,389 85% Massachusetts 45% 27% 5,610,090 4,800,301 86% Vermont 44% 28% 538,360 440,821 82% New Jersey 43% 28% 6,636,645 5,874,832 89% Rhode Island 42% 30% 833,545 733,129 88% South Dakota 42% 29% 764,525 603,930 79% Pennsylvania 41% 24% 10,014,035 7,936,989 79% New York 40% 26% 15,145,335 12,633,362 83% Wisconsin 40% 26% 4,322,845 3,759,176 87% Maryland 40% 25% 4,640,710 3,765,018 81% California 40% 22% 30,837,670 23,721,226 77% Minnesota 40% 27% 4,033,140 3,543,372 88% Virginia 40% 24% 6,431,875 5,268,328 82% American Samoa 40% 31% 43,810 34,786 79% Guam 40% 23% 140,740 105,497 75% Colorado 40% 24% 4,308,370 3,527,781 82% Delaware 39% 23% 761,005 599,682 79% Illinois 39% 23% 9,692,575 7,582,133 78% Nebraska 39% 26% 1,470,820 1,208,422 82% Iowa 39% 26% 2,331,755 1,970,222 84% Alaska 39% 31% 722,835 499,742 69% Kansas 38% 24% 2,225,795 1,688,602 76% Washington 38% 25% 5,740,920 4,641,399 81% Hawaii 38% 26% 1,202,300 881,413 73% Washington, D.C. 37% 21% 653,655 471,911 72% Kentucky 37% 25% 3,298,245 2,653,617 80% North Dakota 37% 27% 561,930 499,005 89% Montana 37% 25% 856,275 643,288 75% Oregon 36% 23% 3,150,545 2,415,448 77% Michigan 36% 24% 7,643,000 5,697,977 75% Ohio 36% 24% 8,774,035 6,847,460 78% Northern Mariana Islands 36% 27% 62,910 33,791 54% Oklahoma 36% 24% 3,277,215 2,356,622 72% Arizona 36% 23% 5,444,665 4,250,790 78% Florida 36% 22% 16,827,365 12,302,529 73% North Carolina 35% 22% 7,783,060 5,844,600 75% Nevada 34% 22% 2,142,040 1,709,620 80% West Virginia 34% 25% 1,441,565 1,036,782 72% Utah 34% 18% 2,064,210 1,755,776 85% Texas 33% 21% 20,671,965 15,610,120 76% South Carolina 33% 21% 3,646,715 2,734,788 75% Missouri 32% 21% 4,443,455 3,263,224 73% Arkansas 32% 20% 2,243,300 1,508,295 67% Wyoming 32% 23% 460,205 317,111 69% Indiana 31% 21% 4,640,750 3,443,028 74% Georgia 31% 17% 7,539,135 5,061,522 67% Idaho 31% 21% 1,214,365 917,256 76% Tennessee 31% 18% 4,826,180 3,320,761 69% Louisiana 30% 21% 3,421,430 2,355,526 69% Alabama 29% 18% 3,493,380 2,168,891 62% Mississippi 28% 20% 2,119,115 1,392,708 66% 2 Link to comment Share on other sites More sharing options...
Rare Mary229 Posted April 15, 2021 #4621 Share Posted April 15, 2021 2 minutes ago, Oville said: I’m not seeing Red Vs Blue on today’s chart from the CDC. It’s all over the place 37% 23% 250,998,265 194,791,836 78% New Hampshire 54% 26% 1,039,375 1,008,027 97% Palau 50% 42% 24,600 16,012 65% Maine 46% 30% 1,074,270 947,441 88% Connecticut 46% 29% 3,201,205 2,572,005 80% New Mexico 45% 30% 1,791,315 1,530,389 85% Massachusetts 45% 27% 5,610,090 4,800,301 86% Vermont 44% 28% 538,360 440,821 82% New Jersey 43% 28% 6,636,645 5,874,832 89% Rhode Island 42% 30% 833,545 733,129 88% South Dakota 42% 29% 764,525 603,930 79% Pennsylvania 41% 24% 10,014,035 7,936,989 79% New York 40% 26% 15,145,335 12,633,362 83% Wisconsin 40% 26% 4,322,845 3,759,176 87% Maryland 40% 25% 4,640,710 3,765,018 81% California 40% 22% 30,837,670 23,721,226 77% Minnesota 40% 27% 4,033,140 3,543,372 88% Virginia 40% 24% 6,431,875 5,268,328 82% American Samoa 40% 31% 43,810 34,786 79% Guam 40% 23% 140,740 105,497 75% Colorado 40% 24% 4,308,370 3,527,781 82% Delaware 39% 23% 761,005 599,682 79% Illinois 39% 23% 9,692,575 7,582,133 78% Nebraska 39% 26% 1,470,820 1,208,422 82% Iowa 39% 26% 2,331,755 1,970,222 84% Alaska 39% 31% 722,835 499,742 69% Kansas 38% 24% 2,225,795 1,688,602 76% Washington 38% 25% 5,740,920 4,641,399 81% Hawaii 38% 26% 1,202,300 881,413 73% Washington, D.C. 37% 21% 653,655 471,911 72% Kentucky 37% 25% 3,298,245 2,653,617 80% North Dakota 37% 27% 561,930 499,005 89% Montana 37% 25% 856,275 643,288 75% Oregon 36% 23% 3,150,545 2,415,448 77% Michigan 36% 24% 7,643,000 5,697,977 75% Ohio 36% 24% 8,774,035 6,847,460 78% Northern Mariana Islands 36% 27% 62,910 33,791 54% Oklahoma 36% 24% 3,277,215 2,356,622 72% Arizona 36% 23% 5,444,665 4,250,790 78% Florida 36% 22% 16,827,365 12,302,529 73% North Carolina 35% 22% 7,783,060 5,844,600 75% Nevada 34% 22% 2,142,040 1,709,620 80% West Virginia 34% 25% 1,441,565 1,036,782 72% Utah 34% 18% 2,064,210 1,755,776 85% Texas 33% 21% 20,671,965 15,610,120 76% South Carolina 33% 21% 3,646,715 2,734,788 75% Missouri 32% 21% 4,443,455 3,263,224 73% Arkansas 32% 20% 2,243,300 1,508,295 67% Wyoming 32% 23% 460,205 317,111 69% Indiana 31% 21% 4,640,750 3,443,028 74% Georgia 31% 17% 7,539,135 5,061,522 67% Idaho 31% 21% 1,214,365 917,256 76% Tennessee 31% 18% 4,826,180 3,320,761 69% Louisiana 30% 21% 3,421,430 2,355,526 69% Alabama 29% 18% 3,493,380 2,168,891 62% Mississippi 28% 20% 2,119,115 1,392,708 66% Thanks for posting this. I do want to remind people that the states can only administer what is delivered to them. The real measure is how many vaccines for the week are not delivered by week's end. Texas looks awful on this chart but they have a history of delivering every single vaccine provided. 1 Link to comment Share on other sites More sharing options...
jagoffee Posted April 15, 2021 #4622 Share Posted April 15, 2021 (edited) I am not sure what the implication/ motive is to compare red vs blue. Rural vs urban population might be more meaningful, but does it really matter? The fact that 80% of over 65% population has had at least one dose and 60% have both is awesome. Also the fact that almost 50% of the population that is 18 years or older in the US has had at least one dose is also impressive IMO. I for one am thankful that the administration continues to stay the course. I hope they do not take vaccines away from certain states and give them to other states. I know in IL they are trying to get the 65 years and older number higher by going to people homes that cannot leave the house. It makes since that this age group is having the best results since it has been a focus from almost the beginning. see attached https://covid.cdc.gov/covid-data-tracker/#vaccinations You are not likely to see these numbers in news reports. Edited April 15, 2021 by jagoffee 2 1 Link to comment Share on other sites More sharing options...
Rare Mary229 Posted April 15, 2021 #4623 Share Posted April 15, 2021 7 minutes ago, jagoffee said: Rural vs urban population might be more meaningful, but does it really matter? This is important because it indicates a delivery issue. It is unfortunate that they pulled the JNJ vaccine because it would be easier to deliver to rural, small communities who don't have the storage facilities required for the RNA vaccines. Of course that is important to the policy makers not us 1 Link to comment Share on other sites More sharing options...
jagoffee Posted April 15, 2021 #4624 Share Posted April 15, 2021 2 minutes ago, Mary229 said: This is important because it indicates a delivery issue. It is unfortunate that they pulled the JNJ vaccine because it would be easier to deliver to rural, small communities who don't have the storage facilities required for the RNA vaccines. Of course that is important to the policy makers not us True. Actually the CDC and FDA did not actually phase or pull the J&J vaccine, they just recommended that the states quit administered it. Of course, some harm has already been done even if they change their recommendation soon, 1 Link to comment Share on other sites More sharing options...
TrulyBlonde Posted April 15, 2021 #4625 Share Posted April 15, 2021 1 hour ago, Mary229 said: Two sources for you but first a quote from the second source as of April 14. And realize April 14 was mid week and the dosages are delivered on Sunday/Monday. Colorado is only in stage 1 and 2 for some reason. The Hispanic population may be a more youthful population and not yet eligible. Colorado Doses distributed to state: 4,181,590 Doses administered: 3,464,019 Percentage of distributed vaccines that have been administered: 82.84 https://covid19.colorado.gov/vaccine-data-dashboard https://www.beckershospitalreview.com/public-health/states-ranked-by-percentage-of-covid-19-vaccines-administered.html Nice info.Thanks. She is eligible and I even signed her up. She said she did not get the email or text. I also offered other alternative sites to get vaccinated. We are currently offering vaccine to ages 16 and up. Link to comment Share on other sites More sharing options...
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