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

With COVID-19 vaccine eligibility expanding this week and the news that federal health officials have actually recommended a “pause” in vaccinations with Johnson & & Johnsons shots, UC Davis Health pediatric infectious disease expert Dr. Dean Blumberg joined KCRA 3 Tuesday to answer audience questions about the vaccines.Q: Lets discuss 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 really 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 advantages compared to the other vaccines because it was only one dose. It was easier to save, simpler to carry. It was actually a benefit for those who might not seek health care so much such as those who are homeless or homebound. Q: People who got the Johnson & & Johnson vaccine in the previous week, should they be worried or perhaps even individuals who got it more than a week ago? Dr. Blumberg: The Johnson & & Johnson vaccine, the adverse effects that have actually been seen is a really unusual negative effects. Its less than one and a million of the Johnson & & Johnson dosages. All of these occasions have actually been between 5 and 16 days post-vaccination. So the CDC and others are advising to be alert, keep an eye on things within the first 3 weeks after vaccination. If you experience extreme headaches, extreme leg discomforts, shortness of breath or abdominal pain, then you must look for treatment. There is a great deal of promotion on this so that doctors should know the next actions and what to do. Q: Weve heard a lot about some of the more moderate negative effects that individuals have experienced after getting the shot. Among our viewers was questioning, what if you do not have any sort of reaction? Could that imply that the vaccine is any less reliable for you? Dr. Blumberg: I think the message has gone out– thats incorrect– which states that if you experience adverse effects, thats typical and that just means that your body is forming immunity. But then the corollary to that is that if you have moderate signs, does that imply you are not forming immunity? And Ive heard individuals be concerned about that. Thats just not real. Remember in the vaccine trials, about half individuals had some negative effects and half didnt. However the vaccines safeguarded 90% to 95%. Plainly, those who do not have significant side impacts are also protected. 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 dose compared to the very first, and the Johnson & & Johnson is simply a one-dose, so you do not have that 2nd dose, and you dont have those more substantial responses. Q: And we know that the Pfizer and Moderna vaccines are two dosages. Among our viewers needed to know if you get your 2nd shot a little bit later than what you are expected to get, is that OK?Dr. Blumberg: Thats completely great. The CDC recommends trying to get your second dose on time, and if not, within six weeks of your very first dose. You do not have to reboot the vaccine series if its postponed longer than six weeks. In fact, a longer period in between dosages does lead to better immune actions with other vaccines. We expect the exact same with these vaccines. Q: What about, are there any unique recommendations for ladies who are pregnant or may be breastfeeding. Dr. Blumberg: We understand that COVID during pregnancy is more extreme ladies who arent pregnant of the exact same age. Theres a greater danger of hospitalization, ICU admission and requiring to be placed on the ventilator. We likewise stress over COVID inducing pre-term shipment. So women need to talk with their physicians about this. But I have been advising it during pregnancy. I believe its safe. I have not seen any concerns about adverse effects throughout pregnancy. Theres more than 86,000 women who have actually been reported to receive the vaccine in the U.S. while pregnant and over 4,400 of those have actually been studied really closely by the CDC. There have actually been no signals about negative outcomes for birth. The exact same with breastfeeding. The vaccine must not remain in breast milk. The mom who is immunized will get antibodies. And those antibodies then are noticeable in breastmilk and are handed down to the breastfeeding kid and ought to assist secure them. Q: Are you interested in this most current halt on the J&J vaccine that this might impact other people may be not wishing to get any vaccine at all considering that there has been a huge push to get individuals to get immunized, particularly people that might have been hesitant to do so? Dr. Blumberg: I am concerned about that, however I have actually been really pleased with the method the message has been rolling out, which is basically this reveals that our vaccine security system works. Its able to get these extremely unusual negative effects. Its only one in a million dosages. Its clear that the advantages of vaccination exceed these really little threats that are occurring. And the risk of this comparable type episode of the low platelets and possible strokes that may happen– its much greater with other medications, such as birth control pills and contraceptive pills. If you put this into perspective, these vaccines are still very safe but it is suitable still to stop briefly vaccinations while the CDC and FDA and others collect more information. Q: I understand there is testing going on in regards to vaccinating kids. What are your ideas on vaccinating children? Dr. Blumberg: We require kids to be inoculated for numerous reasons. One is we desire to avoid them from getting COVID. Although they generally tolerate infection much better than adults, I have actually seen kids hospitalized with COVID pneumonia and I have seen them in the ICU on ventilators. Kids also get the post-COVID, the multisystem inflammatory syndrome in children, and those kids could be extremely sick. For their own sakes, kids need to be inoculated. And after that children are members of our community. If we are going to accomplish any level of immunity in our neighborhoods, herd immunity, then we require to make sure that kids, who make up a significant portion of the population, that they are immune, too.

Dr. Blumberg: That implies one less arrow in our quiver really because thats one less vaccine that we have and that 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 dose.
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 actually been seen is an extremely rare side effect. Its less than one and a million of the Johnson & & Johnson dosages. All of these occasions have been between 5 and 16 days post-vaccination. The CDC and others are recommending to be vigilant, keep an eye on things within the first 3 weeks after vaccination. If you experience severe headaches, serious leg discomforts, shortness of breath or abdominal discomfort, then you need to look for healthcare. There is a great deal of promotion on this so that doctors ought to know the next steps and what to do.
Q: Weve heard a lot about some of the more moderate adverse effects that individuals have actually experienced after getting the shot. Among our audiences was questioning, what if you do not have any sort of response? Could that imply that the vaccine is any less efficient for you?
Dr. Blumberg: I think the message has gone out– thats incorrect– which says that if you experience adverse effects, thats regular and that just suggests that your body is forming resistance. However then the corollary to that is that if you have moderate signs, does that imply you are not forming immunity? And Ive heard individuals be worried about that. Thats just not real. Keep in mind in the vaccine trials, about half the individuals had some side effects and half didnt. The vaccines safeguarded 90% to 95%. Plainly, those who do not have considerable negative effects are also secured.
Q: Are there distinctions in the adverse effects depending upon what vaccine you get?
Dr. Blumberg: There are small distinctions because theres more reactions after the 2nd dose compared to the very first, and the Johnson & & Johnson is simply a one-dose, so you do not have that second dosage, and you do not have those more significant reactions.
Q: And we understand that the Pfizer and Moderna vaccines are two dosages. One of our audiences needed to know if you get your second shot a bit later than what you are expected to get, is that OKAY?
If its postponed longer than six weeks, you dont have to reboot the vaccine series. A longer interval in between dosages does result in much better immune responses with other vaccines.
Q: What about, exist any special suggestions for ladies who are pregnant or may be breastfeeding.
Theres more than 86,000 women who have 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 mom who is vaccinated will get antibodies.
Q: Are you interested in this latest halt on the J&J vaccine that this might impact other individuals may be not wishing to get any vaccine at all since there has been a big push to get people to get immunized, specifically individuals that might have been hesitant to do so?
Dr. Blumberg: I am concerned about that, but I have been actually pleased with the way the message has actually been rolling out, which is essentially this reveals that our vaccine security system works. Its able to choose up these really uncommon negative effects. Its just one in a million dosages. Its clear that the benefits of vaccination outweigh these extremely little threats that are occurring. And the risk of this comparable type episode of the low platelets and possible strokes that may take place– its much greater with other medications, such as contraceptive pill and oral contraceptives. These vaccines are still really safe however it is appropriate still to stop briefly vaccinations while the CDC and FDA and others collect more data if you put this into viewpoint.
Q: I understand there is screening going on in regards to vaccinating children. What are your thoughts on immunizing kids?
Dr. Blumberg: We need kids to be vaccinated for numerous factors. One is we desire to prevent them from getting COVID. Children likewise get the post-COVID, the multisystem inflammatory syndrome in children, and those kids could be very ill.

SACRAMENTO, Calif.–.
With COVID-19 vaccine eligibility broadening today and the news that federal health authorities have actually advised a “pause” in vaccinations with Johnson & & Johnsons shots, UC Davis Health pediatric contagious disease specialist Dr. Dean Blumberg signed up with KCRA 3 Tuesday to address viewer 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?

Blumberg: That indicates one less arrow in our quiver truly since thats one less vaccine that we have and that impacts our vaccine supply. And remember also, the Johnson & & Johnson vaccine had actually some benefits compared to the other vaccines in that it was only one dosage. Q: Are you concerned with this newest stop on the J&J vaccine that this might impact other individuals may be not desiring to get any vaccine at all given that there has been a big push to get individuals to get immunized, especially people that might have been hesitant to do so? Dr. Blumberg: That implies one less arrow in our quiver truly because thats one less vaccine that we have and that affects our vaccine supply. And remember likewise, the Johnson & & Johnson vaccine had actually some benefits compared to the other vaccines in that it was just one dosage.

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