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Q&A: Dr. Blumberg answers viewer questions about COVID-19 vaccine safety – KCRA Sacramento

With COVID-19 vaccine eligibility broadening today and the news that federal health officials have suggested a “pause” in vaccinations with Johnson & & Johnsons shots, UC Davis Health pediatric infectious illness specialist Dr. Dean Blumberg signed up with KCRA 3 Tuesday to address audience concerns about the vaccines.Q: Lets speak about Johnson & & Johnson being put on hold today in the U.S. What does that mean for all of us?Dr. Blumberg: That indicates one less arrow in our quiver actually because thats one less vaccine that we have which impacts our vaccine supply. And remember likewise, the Johnson & & Johnson vaccine had actually some advantages compared to the other vaccines in that it was just one dosage. It was easier to keep, easier to carry. It was truly an advantage for those who might not look for health care so much such as those who are homeless or homebound. Q: People who got the Johnson & & Johnson vaccine in the past week, should they be worried or perhaps even individuals who got it more than a week ago? Dr. Blumberg: The Johnson & & Johnson vaccine, the negative effects that have actually been seen is an extremely uncommon adverse effects. Its less than one and a countless the Johnson & & Johnson doses. All of these events have been in between 5 and 16 days post-vaccination. So the CDC and others are recommending to be vigilant, keep an eye on things within the very first three weeks after vaccination. If you experience serious headaches, serious leg pains, shortness of breath or stomach pain, then you should look for medical care. There is a great deal of publicity on this so that medical professionals must know the next steps and what to do. Q: Weve heard a lot about a few of the more mild negative effects that individuals have experienced after getting the shot. Among our audiences was questioning, what if you do not have any sort of reaction? Could that imply that the vaccine is any less efficient for you? Dr. Blumberg: I believe the message has actually gotten out– thats incorrect– which states that if you experience adverse effects, thats normal which just implies that your body is forming immunity. However then the corollary to that is that if you have mild symptoms, does that indicate you are not forming resistance? And Ive heard people be concerned about that. Thats simply not true. Keep in mind in the vaccine trials, about half individuals had some side impacts and half didnt. But the vaccines safeguarded 90% to 95%. Plainly, those who do not have substantial negative effects are likewise safeguarded. Q: Are there distinctions in the side effects depending on what vaccine you get?Dr. Blumberg: There are minor differences in that theres more responses after the second dosage compared to the first, and the Johnson & & Johnson is just a one-dose, so you dont have that 2nd dosage, and you do not have those more substantial responses. Q: And we understand that the Pfizer and Moderna vaccines are 2 doses. One of our audiences desired to understand if you get your second shot a little bit later than what you are supposed to get, is that OK?Dr. Blumberg: Thats completely fine. The CDC suggests attempting to get your second dosage on time, and if not, within 6 weeks of your first dosage. If its delayed longer than six weeks, you do not need to reboot the vaccine series. A longer interval in between dosages does result in better immune responses with other vaccines. We anticipate the same with these vaccines. Q: What about, exist any unique recommendations for females who are pregnant or may be breastfeeding. Dr. Blumberg: We understand that COVID throughout pregnancy is more extreme females who arent pregnant of the very same age. Theres a greater risk of hospitalization, ICU admission and needing to be placed on the ventilator. We likewise fret about COVID causing pre-term delivery. So women must talk with their physicians about this. I have actually been advising it during pregnancy. I believe its safe. I have not seen any issues about adverse effects throughout pregnancy. Theres more than 86,000 females who have been reported to receive the vaccine in the U.S. while pregnant and over 4,400 of those have actually been studied very closely by the CDC. There have actually been no signals about negative outcomes for birth. The very same with breastfeeding. The vaccine must not remain in breast milk. The mother who is vaccinated will get antibodies. And those antibodies then are noticeable in breastmilk and are passed on to the breastfeeding child and must assist secure them. Q: Are you interested in this latest halt on the J&J vaccine that this might affect other people may be not desiring to get any vaccine at all because there has been a huge push to get individuals to get immunized, especially people that might have been hesitant to do so? Dr. Blumberg: I am concerned about that, however I have been actually pleased with the method the message has been presenting, which is basically this reveals that our vaccine safety system works. Its able to get these very unusual side effects. Its only one in a million dosages. Its clear that the advantages of vaccination surpass these extremely little dangers that are happening. And the danger of this similar type episode of the low platelets and possible strokes that may happen– its much greater with other medications, such as contraceptive pill and oral contraceptives. If you put this into point of view, these vaccines are still really safe however it is proper still to pause vaccinations while the CDC and FDA and others collect more data. Q: I know there is screening going on in terms of vaccinating children. What are your ideas on immunizing children? Dr. Blumberg: We need kids to be immunized for a number of factors. One is we wish to prevent them from getting COVID. Although they normally endure infection much better than adults, I have seen kids hospitalized with COVID pneumonia and I have seen them in the ICU on ventilators. Children likewise get the post-COVID, the multisystem inflammatory syndrome in kids, and those kids could be very sick. For their own sakes, kids need to be vaccinated. And after that children are members of our community. If we are going to achieve any level of immunity in our neighborhoods, herd immunity, then we require to make certain that kids, who comprise a significant part of the population, that they are immune, too.

SACRAMENTO, Calif.–.
With COVID-19 vaccine eligibility expanding this week and the news that federal health officials have actually suggested a “pause” in vaccinations with Johnson & & Johnsons shots, UC Davis Health pediatric infectious illness professional Dr. Dean Blumberg joined KCRA 3 Tuesday to address viewer questions about the vaccines.
Q: Lets speak about Johnson & & Johnson being put on hold today in the U.S. What does that mean for everyone?

Dr. Blumberg: That indicates one less arrow in our quiver truly since thats one less vaccine that we have which impacts our vaccine supply. And keep in mind likewise, the Johnson & & Johnson vaccine had actually some benefits compared to the other vaccines because it was only one dose. It was easier to keep, simpler to transport. It was really a benefit for those who might not look for health care so much such as those who are homeless or homebound.
Q: People who got the Johnson & & Johnson vaccine in the past week, should they be worried or perhaps even individuals who got it more than a week back?
Dr. Blumberg: The Johnson & & Johnson vaccine, the adverse effects that have been seen is a very rare adverse effects. Its less than one and a countless the Johnson & & Johnson doses. All of these events have been in between 5 and 16 days post-vaccination. So the CDC and others are advising to be vigilant, watch on things within the very first three weeks after vaccination. If you experience serious headaches, severe leg pains, shortness of breath or abdominal discomfort, then you need to seek healthcare. There is a lot of promotion on this so that doctors need to know the next steps and what to do.
Q: Weve heard a lot about a few of the more moderate adverse effects that people have actually experienced after getting the shot. One of our viewers was questioning, what if you dont have any sort of reaction? Could that mean that the vaccine is any less reliable for you?
Dr. Blumberg: I believe the message has gotten out– thats incorrect– which says that if you experience adverse effects, thats normal and that simply implies that your body is forming immunity. Then the corollary to that is that if you have mild signs, does that indicate you are not forming resistance? And Ive heard people be concerned about that. Thats simply not real. Remember in the vaccine trials, about half individuals had some side effects and half didnt. The vaccines protected 90% to 95%. Clearly, those who dont have considerable negative effects are also secured.
Q: Are there distinctions in the negative effects depending upon what vaccine you get?
Dr. Blumberg: There are minor differences because theres more responses after the second dosage compared to the first, and the Johnson & & Johnson is just a one-dose, so you dont have that second dosage, and you do not have those more substantial responses.
Q: And we understand that the Pfizer and Moderna vaccines are two doses. One of our audiences wished to know if you get your 2nd shot a little bit later than what you are expected to get, is that OKAY?
If its postponed longer than 6 weeks, you dont have to restart the vaccine series. A longer period in between dosages does result in much better immune reactions with other vaccines.
Q: What about, exist any unique recommendations for ladies who are pregnant or may be breastfeeding.
Theres more than 86,000 females who have actually been reported to get the vaccine in the U.S. while pregnant and over 4,400 of those have been studied extremely closely by the CDC. The vaccine needs to not be in breast milk. The mother who is immunized will get antibodies.
Q: Are you worried with this latest halt on the J&J vaccine that this might impact other individuals may be not wishing to get any vaccine at all considering that there has been a big push to get people to get vaccinated, especially individuals that might have been reluctant to do so?
Dr. Blumberg: I am concerned about that, however I have been actually pleased with the method the message has actually been rolling out, which is generally this shows that our vaccine security system works. Its able to pick up these very unusual side results. If you put this into point of view, these vaccines are still really safe however it is suitable still to stop briefly vaccinations while the CDC and FDA and others collect more data.
Q: I understand there is screening going on in terms of vaccinating kids. What are your thoughts on immunizing children?
Dr. Blumberg: We need children to be inoculated for a number of reasons. One is we desire to prevent them from getting COVID. They typically endure infection much better than grownups, I have seen children hospitalized with COVID pneumonia and I have seen them in the ICU on ventilators. Children likewise get the post-COVID, the multisystem inflammatory syndrome in children, and those kids might be very ill. For their own sakes, kids must be immunized. And after that children are members of our community. If we are going to accomplish any level of immunity in our neighborhoods, herd resistance, then we need to ensure that children, who make up a significant portion of the population, that they are immune, too.

Blumberg: That indicates one less arrow in our quiver really because thats one less vaccine that we have and that impacts our vaccine supply. And remember also, the Johnson & & Johnson vaccine had actually some advantages compared to the other vaccines in that it was only one dosage. Q: Are you concerned with this newest halt on the J&J vaccine that this might affect other individuals may be not desiring to get any vaccine at all considering that there has been a huge push to get people to get immunized, especially people that might have been hesitant to do so? Dr. Blumberg: That means one less arrow in our quiver actually because thats one less vaccine that we have and that impacts our vaccine supply. And keep in mind likewise, the Johnson & & Johnson vaccine had actually some benefits compared to the other vaccines in that it was only one dose.

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