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US states placing orders to begin vaccinating children, White House says, as regulators poised to approve Pfizer jab for kids 5-11

Several US states have already put in orders for Covid-19 vaccine doses in preparation to immunize millions of children, the White House said, as the FDA is expected to greenlight the Pfizer formulation for kids as young as five.

“States have now placed their initial orders of vaccine for kids. And upon FDA authorization of the vaccine, millions of doses will be shipped immediately to tens of thousands of pediatricians, family doctors, children’s hospitals, community health centers, rural health clinics, and pharmacies – providers parents and kids know and trust,” White House coronavirus response coordinator Jeff Zients told reporters on Wednesday.

Some 28 million young Americans would become eligible for protection from Covid-19 should the FDA authorize and CDC recommend the vaccine for children ages five through 11.

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The adviser’s comments come less than 24 hours after an FDA advisory panel voted overwhelmingly in favor of authorizing the Pfizer-BioNTech vaccine for children aged between five and 11. Though the panel’s determination is not binding, the regulator tends to follow its recommendations, and approval for the younger age group is expected sometime in the next week. 

Currently, the Pfizer jab is authorized for anyone 12 and older, while Moderna and Johnson & Johnson’s formulations remain approved only for adults over the age of 18. Additional booster doses of each jab have also been given the FDA’s blessing for certain high-risk groups, including a mix-and-match approach that allows for combinations of different vaccine doses. 

Moderna, meanwhile, recently announced initial trial results for its vaccine in kids aged six to 11, saying the jab was “generally well tolerated” and produced a “robust neutralizing antibody response.” Though the company has completed recruitment for participants in its trial for those aged between six and 12, it says it is continuing research for even younger recipients, including those just “six months to under six years of age.”

Centers for Disease Control and Prevention (CDC) head Rochelle Walensky also attended Wednesday’s briefing. Asked about concerns of potential “unknown side effects” for younger vaccine recipients and whether that would mitigate regulators’ decision-making, Walensky demurred, saying “we’re seeing disease in children and we’ve seen deaths in children” without addressing the question of possible side effects. 

The FDA previously noted that while there is an increased chance for certain negative side effects in younger age groups – namely a form of heart inflammation known as myocarditis – it concluded earlier this month that “the overall benefits of the vaccine may still outweigh the risks.”

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