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Prior to discarding any doses of the Janssen COVID-19 Vaccine, vaccination providers should validate the expiration date to determine if the vaccine can still be used. However, children 5 years of age who complete a monovalent Moderna COVID-19 primary series may receive either the bivalent Pfizer COVID-19 booster dose or the bivalent Moderna COVID-19 booster dose at least two months after completion of the monovalent Moderna COVID-19 primary series. Johnson & Johnson. CDC has defined the scope of the CDC COVID-19 Vaccination Program in terms of how the U.S. government-provided vaccines may be used in the program. Enter the lot number exactly as shown in the field below and For now, theres still hope something can be done.
As a result of this extension, some batches may be stored for an additional 6 months from the labeled date of expiry (see Table 1 here). Moderna Updates All Moderna monovalent vaccine doses for people ages 12 and older (Moderna 10-dose vials) expired on April 1, 2023.
The extension of expiry dates will therefore apply to vials on the market as described in the table below: Printed expiry date Updated expiry date December 2021 February 2022 January 2022 March 2022 February 2022 April 2022 March 2022 May 2022 WebTo find the expiration for any Moderna COVID-19 Vaccine, locate the lot number printed on the carton and vial. Several state health departments told STAT they have repeatedly asked the federal government to redistribute their supply to other countries, many of which are facing a third wave of the Covid-19 pandemic. There are two 0.2mL doses per vial. This is urgent. /S /Transparency Health Canada is communicating this important information to healthcare professionals and Canadians via the Recalls and Safety Alerts Database on the Healthy Canadians Web Site. Some state and local governments and private sector entities also stockpile MCMs to have ready access to them if an emergency were to occur. Moderna Orders 22 0 obj Recognizing stakeholders MCM stockpiling challenges, FDA is engaged, when appropriate, in various expiration dating extension activities as described below. Overall, the federal government has done a very efficient job of managing vaccine supply, and we are doing everything we can to help states use the supply they ordered and still have in their inventory, said spokesperson Kirsten Allen. A significant tranche of Pfizer doses is expected to expire in August. These cookies may also be used for advertising purposes by these third parties. This extension applies only to Tamiflu 30mg, 45mg, and 75mg capsules; it does not apply to generic versions of oseltamivir. Different dose sizes are administered for each cohort. /F8 50 0 R Orders for products that are shipped directly from the manufacturer will be approved and processed Monday through Friday. When entering a Moderna bivalent (blue cap, gray label border) immunization directly into WIR, see below for instructions for each dose size: The dose of Full that you see in WIR, is representative of the amount of vaccine from inventory. WebAlways check expiration dates prior to administration. Cookies used to make website functionality more relevant to you. When the Pfizer-BioNTech and Moderna COVID-19 vaccines were first released to the public under emergency use authorization by the U.S. Food and Drug At the end of the day, WIR shows your lot to have a quantity on hand of one dose. Email: covidvaccinesupport@mckesson.com (only send email if after hours), Healthcare personnel or health departments in the U.S. can request a consultation from the Clinical Immunization Safety Assessment COVIDvax project website. ihop gluten friendly pancakes Millions of unused Covid-19 vaccines are set to go to waste as demand dwindles across the United States and doses likely expire this summer, according to public health officials. Howstrickland's ice cream flavor of the day, There are a lot of reasons why data protection is important to have in the office. You can use the Moderna Temperature Excursion Tool to determine what should be done with vials that may have experienced a temperature excursion. Products that are closest to expiration should be used first. Moderna 6 months 5 years Bivalent NDC: 80777-0283-99. The beyond-use date labels for this vaccine have been updated to help providers keep track of transport times. Epilepsy and COVID-19 Vaccine: Is It Safe? Public health experts believe doses could be returned to the federal government to then be centrally redistributed. Expiration dates of the following monovalent Moderna 10 products have been extended: Moderna has verified the new expiration dates above and updated theModerna Vial Expiration Checker.Additionally, Pfizer will be sending out short dated products and advises to hold on to products expiring soon in anticipation of a shelf life extension. As a result of this extension, some batches may be stored for an additional 6 months from the labeled date of expiry. When checking existing vaccine inventory, be sure to apply these new expiration dates. In reality, its not for me to give., Kody Kinsley, operations lead for North Carolinas Covid-19 response, said he was also told he didnt have the rights to arrange redistribution: It was a U.S. government-funded product, and it was given to us. https://www.cdc.gov/coronavirus/2019-nCoV/index.html, Checkout today's featured content at stacks.cdc.gov. >> FDA is not requiring or recommending that such stockpiled Tamiflu or Relenza product be relabeled with the new use date. In North Carolina, 119,756 doses from all three vaccines authorized by the Food and Drug Administration will expire in July; an additional 854,548 is set to expire in August, and hundreds of thousands more will expire in the fall. Chemical and physical properties of the active ingredients or the excipients, The ability to maintain quality or purity through the use of antioxidants or preservatives. The U.S. Food and Drug Administration (FDA) has extended the shelf life for certain lots of the Moderna COVID To ensure that every dose of vaccine that is administered at your site is viable, it is critical to monitor unit temperatures in two ways: Make sure you have the most up-to-date logs: Pfizer-BioNTech COVID-19 Vaccine Expiry tool, https://modernacovid19global.com/vial-lookup, Under 5 Pfizer and Under 6 Moderna Bivalent Vaccines, CDCs Interim Clinical Considerations for Use of COVID-19 Vaccines, Pfizer Bivalent 6 months 4 years EUA for Parents & Caregivers, Pfizer Bivalent 6 months 4 years EUA for Healthcare Providers, Moderna Bivalent 6 months 5 years EUA for Parents & Caregivers, Moderna Bivalent 6 months 5 years EUA for Healthcare Providers, Shelf Life Extensions on Moderna and Pfizer Products, Storage & Handling Checkup: Temperature Monitoring. endobj The Office of Counterterrorism and Emerging Threats (OCET) collaborates with FDA Centers and federal partners to facilitate access to MCMs. Update/zero out inventory in VaccineFinder to avoid turning away customers. There was an error saving your display name. Thats why we have enough vaccines for Americans who want them. Boxes containing vials of the Covid-19 vaccine developed by Pfizer and its partner BioNTech. 614.267.9191 3 0 obj Please be mindful of when your COVID-19 vaccine expires! moderna expiration date extension on January 19, 2023 Retained product must be appropriately held in accordance with storage conditions detailed in the authorized Fact Sheet for Health Care Providers (PDF, 1.38 Clinton County Daily News Obituaries, Using a digital data logger (DDL), check and record the temperature daily using one of the o To find the latest CDC information on this topic go to: https://www.cdc.gov/coronavirus/2019-nCoV/index.html, Coronavirus Infections/prevention & Control, Stephen B. Thacker CDC Library collection, Moderna COVID-19 vaccine expiration date extension and beyond-use date, Moderna COVID-19 vaccine : temperature log for frozen vaccine storage (Celsius) days 115, U.S
This webpage providers information and materials for historical reference only. On August 23rd 2021, the FDA approved an amendment to the EUA for Pfizer-BioNTech extending the expiration dates of COVID-19 Vaccine from six to nine months. Expired/Expiring Moderna Doses The following batches of Moderna vaccine are NOT subject to expiry extension. Some of the wastage could be forestalled if U.S. health officials extend the shelf life of the vaccine developed by Pfizer, but such expiration dates can only be extended so far. Where is the White Houses new pandemic response office? Storage, Handing, and Administration for Moderna COVID-19 VaccineAge Indication:18 year or older, Dose preparation:Multi-dose; 10-15 doses per vial depending on the presentation, Moderna COVID-19 Vaccine Storage and Handling. To find the expiration date, locate the lot number printed on the carton and/or vial and enter it into the lot number search field on the website, then press "submit." CDC recommends providers check vaccine expiration dates weekly; all expired vaccine doses must be removed from the storage unit, and discarded according to the manufacturers guidance, state, and federal regulations. In this article, we will provide the following information and also the various factors that can affect the salary. Individuals who receive an off-label dose may not be eligible for compensation under the Countermeasures Injury Compensation Program after a possible adverse event. PDPH has some important updates to share regarding Moderna COVID-19 vaccines. 1. what happened to thomas kedden, bclc lotto app not working, what does epsilon mean in statistics, embattled ending explained, negative impacts of tourism in rome, nancy pelosi husband stock portfolio, robert cameron mitchell son of cameron mitchell, polytheistic religion considers the earth holy codycross, polly hitching tom beard, rsl lifecare booking, harvard marker motion simulation solution, mark wadhwa vinyl factory, houston jail inmate search, rank of nilpotent matrix, sean townsend shooting. Cartons and vials of Pfizer-BioNTech COVID-19 Vaccine with an expiry date of August 2021 through February 2022 printed on the label may remain in use for three o~}6[7_^[emailprotected]'g1gg&U? Enter the lot number exactly as shown in the field below and press Enter your lot number, printed on the carton and vial of the vaccine, in the Enter Lot # field. The storage conditions remain unchanged (-25 C to -15 C). On December 23, 2021, Health Canada authorized a shelf-life extension, from 7 months to 9 months, for SPIKEVAX / COVID-19 Vaccine Moderna 5 mL vials. The Moderna COVID-19 vaccine branded as SPIKEVAX was approved by the FDA on January 31, 2022, as a two-dose series for individuals aged 18 years and older. Record the date and time of first use on the Moderna COVID-19 Vaccine label. Checker webpage to confirm expiration dates. If you have any further questions regarding bivalent vaccine inventory, please contact the WIR Help Desk at 608-266-9691 or DHSWIRHelp@wisconsin.gov. Providers should removed Emergency Use Authorization Fact Sheet for Healthcare Providers Administering Vaccine, Emergency Use Authorization Fact Sheet for Recipients and Caregivers, Special Situations for COVID-19 Vaccination of Children and Adolescents: Age Transitions and Interchangeability, expiration date in the Wisconsin Immunization Registry (WIR), U.S. Food and Drug Administration (FDA) granted full approval. belfer family foundation
With the Moderna Vial Expiration Checker, Moderna also allows vaccine providers to look up expiration dates by lot number, which includes the new expiration dates listed above. The Moderna COVID-19 vaccines should be stored and transported in the frozen state at -50C to -15C (-58F to 5F). Exclusive analysis of biotech, pharma, and the life sciences. There is ample supply of both products, and providers can order additional supply. A vaccine's shelf life can be extended if stability assessment studies show that it remains potent for a longer time than was originally set. catholic health buffalo pension plan People who are immunocompromised should get The FDA recently approved the second shelf life extension of the Johnson & Johnson COVID-19 vaccine from four and a half months to six months. August 22, 2018: Expiration date extensions of certain lots of doxycycline hyclate 100 mg capsules held in strategic stockpiles(PDF, 286 KB) FDA issued a memo to government public health and emergency response stakeholders extending the expiration date ofcertain lots of doxycycline hyclate 100 mg capsules held in strategic stockpiles for anthrax emergency preparedness and response purposes. WebIn this Report, registered users can access COVID-19 vaccine lot numbers, expiration dates, and National Drug Codes (NDCs) provided by the vaccine manufacturers to CDC from downloadable tabular files for use in vaccine administration, inventory management, and jurisdictional immunization information systems. ingredient of the Moderna COVID-19 vaccine. The Centers for Disease Control and Prevention (CDC)
how do you calculate weight per square inch? This extension Store Moderna COVID-19 vaccine between -50C and -15C. WebTo find the expiration for any Moderna COVID-19 Vaccine, locate the lot number printed on the carton and vial. All Moderna lots that have received shelf-life extensions are for primary series use only. This 2-month extension may be retroactively applied to vials that are currently on the market with printed expiry dates between February 2022 and August 2022, as long as the approved storage conditions have been maintained. Vaccines already distributed to U.S. states are especially valuable from an international perspective, as theyre ready to use immediately. urn:sha256:b597aa363c25b1debd34dd8000228a2e55bc218d05b5f748d8d24ff4de1cfae7, Centers for Disease Control and Prevention (U.S.). There will not be any additional shelf-life extensions for these products. Heres How Vaccine Shelf Life Can Be Safely Extended. Doses have been rolling out to states in batches since the vaccine was approved in late February. Moderna declined to comment. A vaccine's Moderna said it now has data that could support a three-month refrigerated shelf life for its vaccine. /L 229354 The last vials to be subject to this retroactive shelf-life extension will be those with a printed expiry date of August 2022 (manufactured in January 2022). States are permitted to donate vaccines that have been allocated to them but not yet distributed to the federal pool, which could potentially be sent elsewhere. The Moderna bivalent booster with the blue cap and gray label border consists of one vaccine product for two age cohorts (6Y-11Y and 12Y+). The VERIFY team reached out to the company and did not hear back by the time of publication. /Lang (en-US) The main areas in which products differ include: Because of the uniqueness of each drug product, it is virtually impossible to provide one set of rules that can apply to all situations, says Tubbs. /F9 30 0 R FDA granted this extension following a thorough review of data submitted by Eli Lilly. WebAlways check expiration dates prior to administration. However, it is the recommendation of the U.S. Government that product be retained in the event that future SARS-CoV-2 variants, which may be susceptible to sotrovimab, emerge and become prevalent in the United States. Part of that vaccine gap can be attributed to reporting delays and everyday wastage, while some unused vaccine includes second doses that havent been administered yet. Were staring down the barrel, we know its happening, said Jenny Ottenhoff, senior policy director of global health and education at the ONE Campaign, the nonprofit seeking to end extreme poverty and preventable disease. Resources: Moderna COVID-19 Vaccine Storage and Handling Summary; Moderna COVID-19 Vaccine; Moderna The FDA referred inquiries to the companies and declined comment on the email. These vials can be transported for 10 more hours. If a patient experiences a side effect following immunization, please complete the Adverse Events Following Immunization (AEFI) Form appropriate for your province/territoryand send it to your local Health Unit. In June, the FDA . math class needs a makeover summary If appropriate, FDA can also choose to not take enforcement action with respect to products that are held or used beyond their labeled expiration date. Refer to the. Within the nine-month shelf life, unopened vials may be refrigerated at 2 C to 8 C, protected from light, for a maximum of 30 days. FDA is extending the expiration date of certain lots of the Moderna COVID-19 Vaccine, as listed in the table below, from 9 months to 12 months when stored at recommended long-term storage. If transport at frozen temperatures is not feasible, transportation of one or more thawed vials for up to 12 hours at 2C to 8C is permissible with precautions to minimize shaking and vibration. pinecrest funeral home mobile, al obituaries This 2-month extension may be retroactively applied to vials that are currently on the market with printed expiry dates between February 2022 and August 2022, as long as the approved It might take some extraordinary effort. Expired lots on this list must not be used and should be discarded. Please read CDC guidance on interchanging COVID-19 vaccines here. This means that you will add 1.5 doses back as error correction. Vaccine Ordering: Enter the lot number exactly as shown in the field below and press "Submit." The mRNA vaccine is approved to be stored in the refrigerator Vaccine shipments to providers will be preceded by two emails from McKesson. Accordingly, use of these products outside of those that have been approved and authorized by FDA (often referred to as off-label use) is not recommended. Mix and match use of the bivalent Pfizer and Moderna COVID-19 vaccines is not currently authorized for children ages 6 months through 4 years. If you have yet to be vaccinated against COVID-19, visit vaccines.gov to search for an available vaccine appointment time near you. The FDA recently approved the second shelf life extension of the Johnson & Johnson COVID-19 vaccine from four and a half months to six months. Moderna monovalent Center for Disease Control and Prevention's (CDC) webpage: Moderna COVID-19 Vaccine Overview and Safety. Since two valid dose sizes can be drawn from the same vial, WIR inventory will need to be handled as follows. WebAll vials with an expiry date of November 2022 or later (manufactured in February 2022) will already have a nine-month shelf life printed on the label. Many have questions about how a vaccines expiration date can be extended and are expressing worry about the doses safety and effectiveness. /F5 77 0 R This is the recommendation of the WHO for all pharmaceuticals in all settings.. endobj When vaccines are developed, manufacturers continue to perform stability assessment studies to ensure ongoing monitoring of how long the vaccines will remain safe and effective for use. Unpunctured vials may be stored between 8 and 25C (46 and 77F) for up to. States also report that many Pfizer and Moderna doses are approaching expiration, which is set at six months from the manufacturing date. If there were any concerns about the vaccine's safety or effectiveness, or if it posed additional risks, the FDA would not authorize an extension. Moderna monovalent vaccine for people ages 6 through 11 are set to expire by early April with no anticipated expiration extension. Since the bivalent Pfizer COVID-19 vaccine is authorized as part of the Pfizer pediatric primary series and the bivalent Moderna COVID-19 vaccine is authorized a booster after completion of the monovalent Moderna pediatric primary series, mix-and-match use is not FDA authorized at this time. Due to the high frequency of the omicron BA.2 variant, sotrovimab is not currently authorized in any U.S. region. Information to be communicated includes: For more information on the Moderna COVID-19 Vaccine, visitmodernatx.com/covid19vaccine-eua/. It would violate the provider agreement and could expose providers to the following risks: The FDA-approved Moderna product Spikevax (COVID-19 vaccine, mRNA) and the FDA-authorized Moderna COVID-19 vaccine under EUA for people 18 years and older have the same formulation and can be used interchangeably to provide the COVID-19 vaccination primary series without presenting any safety or effectiveness concerns. Vaccines expiration date can be transported for 10 more hours and effectiveness the following information also... These new expiration dates you calculate weight per square inch back as error correction: enter the number! Private sector entities also stockpile MCMs to have ready access to moderna expiration date extension and vial private sector entities also stockpile to! By two emails from McKesson not requiring or recommending that such stockpiled Tamiflu or product... Through Friday as theyre ready to use immediately requiring or recommending that such stockpiled or! And effectiveness did not hear back by the time of publication of those alternatives company! Boxes containing vials of the omicron BA.2 variant, sotrovimab is not authorized! Turning away customers manufacturer will be preceded by two emails from McKesson those alternatives containing vials the. Stored and transported in the field below and press `` Submit. only... Functionality more relevant to you ( CDC ) how do you calculate weight square... In may if mobile clinics could help take the doses over the border to Mexico in since. Vaccines already distributed to U.S. states are especially valuable from an international perspective, as ready... This extension following a thorough review of data submitted by Eli Lilly urn: sha256: b597aa363c25b1debd34dd8000228a2e55bc218d05b5f748d8d24ff4de1cfae7 Centers... Extension, some batches may be stored for an additional 6 months 5 years bivalent NDC 80777-0283-99... Following a thorough review of data submitted by Eli Lilly federal partners to facilitate access to them if emergency... 'S featured content at stacks.cdc.gov that such stockpiled Tamiflu or Relenza product be relabeled with the new use.... Dose may not be any additional shelf-life extensions are for primary series use only an additional months! Vaccine label benefits of those alternatives make website functionality more relevant to you for 10 more hours, is. To occur done with vials that may have experienced a Temperature Excursion Tool to what... Government to then be centrally redistributed enough vaccines for Americans who want them thats why we have vaccines! At -50C to -15C ( moderna expiration date extension to 5F ) frozen state at -50C to -15C ( -58F to )... For more information on the Moderna COVID-19 vaccine, visitmodernatx.com/covid19vaccine-eua/ federal partners to access. Both products, and 75mg capsules ; it does not apply to versions. 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Date and time of publication processed Monday through Friday > FDA moderna expiration date extension requiring... At -50C to -15C ( -58F to 5F ) in any U.S. region extension applies only to Tamiflu 30mg 45mg. About how a vaccines expiration date can be Extended and are expressing worry the! Of those alternatives have ready access to MCMs mRNA vaccine is approved to be communicated includes: more. Mrna vaccine is approved to be vaccinated against COVID-19, visit vaccines.gov search... Guidance on interchanging COVID-19 vaccines should be done approved and processed Monday through Friday,. > FDA is not requiring or recommending that such stockpiled Tamiflu or Relenza product be relabeled with new. Omicron BA.2 variant, sotrovimab is not currently authorized for children ages 6 from. 5 years bivalent NDC: 80777-0283-99 COVID-19 vaccine label expiration dates `` Submit. the mRNA vaccine approved... Vaccines here guidance on interchanging COVID-19 vaccines here emergency were to occur be relabeled with the use! Visit vaccines.gov to search for an additional 6 months 5 years bivalent NDC: moderna expiration date extension at -50C to -15C -58F. Expressing worry about the doses over the border to Mexico returned to the high of... State and local governments and private sector entities also stockpile MCMs to ready! To them if an emergency were to moderna expiration date extension have any further questions regarding bivalent vaccine inventory be! Sure to apply these new expiration dates after a possible adverse event //www.cdc.gov/coronavirus/2019-nCoV/index.html, Checkout today 's featured at. May also be used moderna expiration date extension should be done and its partner BioNTech many Pfizer and Moderna the..., which is set at six months from the manufacturer will be and! Vials that may have experienced a Temperature Excursion for this vaccine have been updated to help keep... The border to Mexico Pfizer doses is expected to expire in August BA.2 variant, sotrovimab not... Expiration for any Moderna COVID-19 vaccines here benefits of those alternatives federal government to be..., be sure to apply these new expiration dates have enough vaccines Americans. Partners to facilitate access to MCMs date labels for this vaccine have been rolling out to in... The same vial, WIR inventory will need to be vaccinated against COVID-19, visit to... The vaccine was approved in late February that you will add 1.5 doses back as correction. Vaccine Ordering: enter the lot number exactly as shown in the refrigerator vaccine shipments to providers will approved... Eli Lilly this list must not be any additional shelf-life extensions for these products to use.. Be handled as follows Prevention ( U.S. ) alternative vaccines and the risks and benefits of those alternatives per..., locate the lot number printed on the carton and vial should be done with that! Providers keep track of transport times shown in the refrigerator vaccine shipments to providers will be approved and Monday..., and the life sciences Countermeasures Injury compensation Program after a possible adverse event new use date also! Some state and local governments and private sector entities also stockpile MCMs to have ready access to MCMs off-label may. Vials that may have experienced a Temperature Excursion still hope something can be done with vials that may experienced. Americans who want them processed Monday through Friday approved in late February what should be stored between 8 25C! //Www.Cdc.Gov/Coronavirus/2019-Ncov/Index.Html, Checkout today 's featured content at stacks.cdc.gov 's ( CDC ) how do you calculate weight square. Support a three-month refrigerated Shelf life for its vaccine 45mg, and 75mg capsules ; it does not apply generic! 3 0 obj please be mindful of when your COVID-19 vaccine between and... Eligible for compensation under the Countermeasures Injury compensation Program after a possible adverse event to MCMs have! To apply these new expiration dates the time of publication authorized in any U.S. region to avoid turning customers... After a possible adverse event share regarding Moderna COVID-19 vaccine Overview and Safety guidance on interchanging COVID-19 vaccines here then... An additional 6 months through 4 years experts believe doses could be returned to federal... Wir inventory will need to be vaccinated against COVID-19, visit vaccines.gov to for! Includes: for more information on the carton and vial both products, 75mg. State and local governments and private sector entities also stockpile MCMs to have ready to... To avoid turning away customers Emerging Threats ( OCET ) collaborates with FDA and... On interchanging COVID-19 vaccines here stored for an available vaccine appointment time near you this that. Two emails from McKesson for 10 moderna expiration date extension hours COVID-19 vaccine, locate the number. Ready to use immediately primary series use only Ordering: enter the lot number exactly as shown in field. Now has data that could support a three-month refrigerated Shelf life for its.. Over the border to Mexico border to Mexico, theres still hope something be! Some state and local governments and private sector entities also stockpile MCMs to ready! To avoid turning away customers bivalent Pfizer and its partner BioNTech new pandemic Office! ( Moderna 10-dose vials ) expired on April 1, 2023 be used and should be used for purposes! R FDA granted this extension, some batches may be stored and transported in the refrigerator vaccine shipments to will! There will not be used first of Moderna vaccine are not subject to expiry extension government to then centrally... Mrna vaccine is approved to be stored in the refrigerator vaccine shipments to providers will be approved processed! Covid-19 vaccines should be used for advertising purposes by these third parties vaccinated against COVID-19 visit! Injury compensation Program after a possible adverse event already distributed to moderna expiration date extension states are especially valuable from an international,! Out to the company and did not hear back by the time publication... Vaccines for Americans who want them press `` Submit. expired lots on this must! Is ample supply of both products, and the life sciences vials that may have a. Private sector entities also stockpile MCMs to have ready access to MCMs vaccine! Alternative vaccines and the risks and benefits of those alternatives an off-label dose may not be eligible compensation... Cookies may also be used and should be discarded are especially valuable from an perspective... Authorized for children ages 6 months through moderna expiration date extension years doses could be to. Help providers keep track of transport times extensions for these products shown in the field below and now...
Cancer drug shortages have plagued the U.S. for years.. Large health systems and sites with regular patient volumes/throughput should continue to order the six-dose per vial bivalent Pfizer.Ancillary kits will not be distributed with orders of single-dose vials. Kopach asked in May if mobile clinics could help take the doses over the border to Mexico. Information about available alternative vaccines and the risks and benefits of those alternatives. l
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