Vaccine News

Vaccine news brought to you by Precision Vaccinations.

Oct 11, 2023 • 4:51 pm CDT
US CDC dengue case map October 7, 2023

Throughout 2023, the Florida Health Department has been reporting travel-related and locally acquired dengue cases. Dengue is a vectorborne infectious disease spread by infected mosquitoes and endemic in about 125 countries.

During week #40, Florida reported 32 new dengue cases.

As of October 7, 2023, Florida's Arbovirus Surveillance report confirmed 17 new travel-associated Dengue cases. In 2023, there have been 351 dengue cases associated with international travelers, led by Miami-Dade County with 207.

Over sixty-two percent (220) of these dengue cases are related to visitors from Cuba.

Of more concern to health officials is the recent increase in locally acquired dengue cases.

Furthermore, there were 15 new cases of locally acquired dengue last week. This data increases 2023's total to 53 cases, with Miami-Dade County reporting 47 locally acquired cases.

According to the Centers for Disease Control and Prevention, there have been 1,289 dengue cases reported by 48 U.S. jurisdictions in 2023. In addition to Florida, New York has reported 90 dengue cases this year.

About 3.4 million dengue cases have been reported in the Region of the Americas so far this year.

As of October 11, 2023, two dengue vaccines are available globally, but only one is licensed in the U.S. Sanofi Pasteur's Dengvaxia® vaccine is available for certain people following a diagnostic test review.

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Oct 11, 2023 • 11:25 am CDT
GPEI polio case map October 3, 2023

The European Commission (EC), the European Investment Bank (EIB), and the Bill & Melinda Gates Foundation today announced a new financing partnership focused on eradicating polio and ensuring that innovations in health are more accessible to the people.

Confirmed on October 11, 2023, the expected $1.1 billion financing package aims to provide new funding to eradicate a human disease for only the second time in history: polio.

As implementing partners for the polio funding, the World Health Organization (WHO) and UNICEF will deploy the resources to eradicate polio, support the distribution of other childhood immunizations, and strengthen health systems to better respond to emerging health threats.

According to the Global Polio Eradication Initiative (GPEI), there are 35 countries with poliovirus detections, two polio-endemic endemic countries, and eight at-risk countries as of August 2023.

The total number of poliomyelitis samples collected in countries with poliovirus transmission was 12,259 from 40 countries in 2022, an increase from 36 countries in 2021.

These poliovirus detections included the southern part of New York.

President of the European Commission Ursula von der Leyen commented in a related press release, "We are about to wipe polio off the face of the Earth."

"The EC, the EIB and the Bill & Melinda Gates Foundation are partnering to get through the final stretch."

"With 1 billion euros supported by our European investment strategy Global Gateway, we will invest in stronger health systems globally and local vaccine and medicines production, manufacturing and administration, where it is most needed."

According to the WHO and the U.S. Centers for Disease Control and Prevention's updated Global Polio Alert - Level 2, Practice Enhanced Precautions Travel Health Notice, issued on September 11, 2023, polio outbreaks and poliovirus detections. are expected to continue.

The WHO confirmed on August 25, 2023, that the spread of poliovirus remained a Public Health Emergency of International Concern and extended the ongoing emergence for an additional three months.

There are several polio vaccines available worldwide in 2023. In the U.S., polio vaccines are generally available at health clinics and pharmacies.

Furthermore, the WHO and GPEI have led the distribution of about 750 million nOPV2 vaccines in Africa over the past few years.

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Oct 10, 2023 • 5:28 pm CDT
by Gerd Altmann

During the 2023 Grand Challenges Annual Meeting, Bill Gates, Co-chair of the Bill & Melinda Gates Foundation, announced new $40 million investments to advance access to mRNA research and vaccine manufacturing technology that will support low- and middle-income countries (LMICs) capacity to develop high-quality, lifesaving vaccines.

Announced on October 9, 2023, this new funding builds on the Gates Foundation's previous $55 million investment in mRNA manufacturing technology.

"Expanding the availability of affordable, high-quality vaccines that meet the needs of local communities is one of the best ways to improve global health outcomes and reduce preventable deaths," commented Trevor Mundel, president of the Gates Foundation's Global Health Division, in a press release.

"By lowering barriers to access for LMICs, we can help ensure more people around the world benefit from lifesaving health innovation."

The foundation's funding advances access to Quantoom Biosciences' low-cost mRNA research and manufacturing platform, developed with an early-research Grand Challenges grant made to its parent company, Univercells.

The Institut Pasteur de Dakar and Biovac, research institutes with vaccine manufacturing experience based in Senegal and South Africa, respectively, will receive US$5 million each to acquire the technology and will be able to use it to develop locally relevant vaccines.

To further advance the technology and lower costs for commercialization, the foundation will also provide US$20 million to Quantoom Biosciences, ensuring LMICs can benefit from the next-generation mRNA health tools.

The Gates Foundation will grant another US$10 million to other LMIC vaccine manufacturers to be named.

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Oct 10, 2023 • 4:54 pm CDT
AAP journal October 10, 2023

New strategies to improve flu shot uptake were recently deployed during the recent pandemic in the United States.

Despite the clearly defined risks to children from influenza, pediatric flu shot rates have been suboptimal. 

A new study published in the journal Pediatrics evaluated the impact of an influenza vaccine mandate on schoolchildren's behavior in Massachusetts during the 2020–2021 flu season.

In August of 2020, Massachusetts mandated that all children aged six months and older attending daycare through college virtually or in person receive an influenza vaccine, allowing for certain exemptions.

However, Massachusetts's neighboring states of Maine and New Hampshire did not adopt similar mandates.

Published on October 10, 2023, this study found children, mean age of 9.7 years, had a higher predicted probability of receiving an influenza vaccine than those living in states without a mandate (47.7%, confidence interval 46.4%–49.0%, vs. 21.2%, confidence interval 18.8%–23.6%, respectively, for previous non-vaccinators.

And 78.2%, confidence interval 77.4%–79.0%, vs 58.2%, confidence interval 54.7%–61.7%, for previous vaccinators).

The difference was 6.5% greater among previous nonvaccinators (confidence interval 1.3%–11.7%).

Previously vaccinated children had a lower predicted probability of receiving an influenza vaccine if they lived in a county with the highest COVID-19 severity compared with a county with low COVID-19 severity (72.1%, confidence interval 70.5%–73.7%, vs 77.3%, confidence interval 74.7%–79.9%).

These researchers concluded that an influenza vaccine mandate appears to be an effective but insufficient strategy to achieve optimal vaccine coverage rates.

For the 2023-2024 flu season, over 116 million flu shots have been distributed throughout the U.S. About 173 million influenza vaccines were distributed in the U.S. during the 2022-2023 flu season.

Furthermore, the U.S. CDC recommends an annual flu shot for most people early in the evolving flu season. These vaccines are offered at most health clinics and pharmacies in the U.S.

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Oct 10, 2023 • 11:55 am CDT
AAP Pediatrics October 2023

Pertussis vaccination during pregnancy has been implemented in many high-resource countries, and recent data from the United States, the United Kingdom, and South America demonstrate its effectiveness in reducing infant pertussis in the first two months of life.

What has not been well established is whether 'blunting' (maternal immunological interference) has clinical consequences.

Blunting of the infant’s subsequent response to primary immunization by maternally derived antibodies has been demonstrated for many antigens.

A new study published in the journal Pediatrics disclosed pertussis vaccination near 28 weeks' gestation was associated with a lower risk of infection among infants through 8 months of age.

These Australian researchers reviewed records from 2013 through 2017 to calculate the impact after infants received diphtheria, tetanus, and pertussis DTaP doses.

The vaccine effectiveness (VE) from maternal vaccination in infants younger than two months was 70.4% (95% confidence interval 50.5% to 82.3%). 

Published on October 9, 2023, these researchers observed slightly lower VE point estimates for the third dose of infant pertussis vaccine among maternally vaccinated compared with unvaccinated infants (76.5% vs. 92.9%, P = .002) and did not observe higher rates of pertussis infection (hazard ratio, 0.70; 95% CI, 0.61–3.39).

The vaccine was given usually between 28 to 31 weeks gestation.

A commentary by Kathryn Edwards, MD, professor of pediatrics at Vanderbilt University Medical Center, stated, 'The consequences of maternally derived antibody on infant responses will need to continue to be monitored, as was done in the carefully conducted study of pertussis reported in this issue of Pediatrics. It will be critical to assess the burden of vaccine-preventable diseases and affirm that blunting from maternal immunization has no material impact on disease control.'

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Oct 9, 2023 • 9:57 am CDT
CDC Director video - World Polio Day October 2023

World Polio Day  is an opportunity to highlight efforts toward a polio-free world and honor the tireless contributions of those on the frontlines in the fight to eradicate polio from every corner of the globe.

The Global Polio Eradication Initiative (GPEI) confirmed World Polio Day is on October 24, 2023, and has launched a Make Polio History campaign to rally existing and new supporters of polio eradication..... through vaccination programs.

Over the past few years, the GPEI has led the deployment of the type 2 novel oral polio vaccine (nOPV2), which is genetically more stable than existing oral polio vaccines, with a lower risk of reversion to neurovirulence.

Approximately 750 million nOPV2 doses have been administered in more than 35 countries worldwide.

Unfortunately, polio outbreaks have been confirmed in various countries in 2023, led by Afghanistan and Pakistan.

The World Health Organization confirmed on August 25, 2023, that the spread of poliovirus remained a Public Health Emergency of International Concern and extended the emergency notice for an additional three months.

"It's Time to Make Polio History,' says U.S. CDC Director Mandy K. Cohen, MD, MPH, in a related video message posted on YouTube on October 4, 2023. "It won't be easy, but making history never is. We have the tools and knowledge to ensure no child is paralyzed by polio again."

In the United States, the IPV polio vaccine is offered at most health clinics and pharmacies.

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Oct 9, 2023 • 5:15 am CDT
from Pixabay

LimmaTech Biologics AG announced today the closing of a USD 37 million Series A financing round that will empower its proprietary technology platform and accelerate its preclinical and clinical vaccine candidates against increasingly dangerous bacterial infections, including programs addressing shigellosis and gonorrhea. 

Antimicrobial Resistance is responsible for approximately 5 million deaths annually. Infections that were once easily treatable have now become difficult, if not impossible, to cure.

As a leading example of this threat to global health, half of the approximately 700,000 annual gonorrhea infections in the U.S. are already resistant to antibiotics, and there is a real threat of gonorrhea soon becoming untreatable.

While there are no gonorrhea vaccines available, off-label vaccines and treatments are in use.

Later-stage clinical development efforts will focus on the company's Shigella vaccine program, which LimmaTech developed with GSK. The company expects to announce preliminary results from the Shigella program's ongoing Phase 2 clinical trial in the second half of 2023.

Shigella cause an estimated 450,000 infections in the U.S. each year.

According to the U.S. CDC, people can get a Shigella infection (shigellosis) after putting something in their mouth or swallowing something that has come into contact with the stool of someone with a Shigella infection.

"Within the next decade, multiple bacterial infections will become untreatable due to antimicrobial Resistance, which is already a significant burden on global health. By advancing our innovative technology platform, LimmaTech has the potential to simultaneously provide vaccine-induced protection against bacterial infections, mitigate the increasing risk of antibiotic resistance, and move toward the control of several highly transmissible pathogens," commented Dr. Franz-Werner Haas, CEO of LimmaTech, in a press release on October 9, 2023.

".....With this support and our team of proven experts in bacterial vaccine development and manufacturing, we look forward to providing life-changing vaccines to address a major global medical need."

The Company is conducting a Phase I/II clinical trial in the Republic of Kenya of a 4-valent candidate vaccine to help prevent diarrheal disease caused by the Shigella bacteria in children and infants in low and middle-income regions. The Shigella study is conducted in collaboration with GSK and the Wellcome Trust.

LimmaTech is committed to translating novel scientific concepts into highly effective vaccines that benefit humanity. For more information, please visit www.lmtbio.com.

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Oct 6, 2023 • 10:59 am CDT
Walgreens Flu Index Sept. 30, 2023

While the United States community is debating where and when the 2023-2024 flu season will arrive, the Walgreens Flu Index® ranks the top markets and states for flu activity, including Puerto Rico.

As of September 30, 2023, cities in the southern U.S. led the Top 10 Designated Market Areas with Flu Activity.

  1. Harlingen-Weslaco-Brownsville-McAllen, Texas
  2. Puerto Rico (San Juan)
  3. El Paso, Texas (Las Cruces, N.M.)
  4. Beaumont-Port Arthur, Texas
  5. New Orleans, La.
  6. Columbus-Tupelo-West Point-Houston, Miss.
  7. Honolulu, Hawaii
  8. Corpus Christi, Texas
  9. Houston, Texas
  10. Miami-Ft. Lauderdale, Fla.

From a more clinical perspective, the U.S. Centers for Disease Control and Prevention (CDC) today published its week #39 Influenza Surveillance Report.

As of October 6, 2023, seasonal flu rates last week were low nationally, with 444 (1%) positive specimens reported last week.

Additionally, 1,040 patients with laboratory-confirmed influenza were admitted to a hospital, an increased number since the previous CDC report.

And the U.S. National Center for Health Statistics mortality surveillance data distributed on October 5, 2023, confirmed that 11 additional influenza-related deaths were reported last week.

Of the flu-related deaths reported from October 2, 2022, to September 9, 2023, 9,697 (4%) listed influenza. 

This data exceeded the average number of influenza-coded deaths (8,530) from 2015-16 through 2019-20.

Among 5,390 hospitalized adults with information on underlying medical conditions, 96.8% had at least one reported underlying medical condition; the most commonly reported were hypertension, cardiovascular disease, metabolic disorder, and obesity. 

The CDC's new Director, Mandy K. Cohen, MD, MPH, recently answered questions and offered the most up-to-date information and common-sense solutions so you can protect yourself and your loved ones this respiratory season.

This week's updated flu shot availability news indicated that over 100 million influenza vaccines had been distributed to health clinics and pharmacies in the U.S.

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Oct 6, 2023 • 6:10 am CDT
by Elena We

Without preventative vaccines available for three well-known sexually transmitted diseases, the U.S. Centers for Disease Control and Prevention (CDC) recently took action by opening a docket to obtain comments on proposed guidelines for the use of doxycycline post-exposure prophylaxis (PEP) for prevention of bacterial sexually transmitted infections (STI).

Announced on October 2, 2023, the proposed guidelines for bacterial STI prevention include post-exposure prophylaxis with doxycycline (doxycycline PEP) because it has demonstrated benefit in reducing chlamydia, gonorrhea, and syphilis infections.

The incidence of STIs caused by Neisseria gonorrhoeae (causative agent of gonorrhea), Chlamydia trachomatis (causative agent of chlamydia), and Treponema pallidum (causative agent of syphilis) continues to increase in the U.S., says the CDC.

The proposed guidelines provide updated clinical guidance for healthcare providers to inform the use of doxycycline PEP for preventing bacterial STI infections.

Written comments must be received on or before November 16, 2023.

Doxycycline PEP, when offered, should be implemented in the context of a comprehensive sexual health approach, including risk reduction counseling, STI screening and treatment, recommended vaccination, and linkage to HIV pre-exposure prophylaxis (PrEP), HIV care, or other services, as appropriate.

The CDC has made available a pre-recorded informational presentation to provide information about the studies considered when developing the proposed guideline, explain the public comment process, and provide an overview of important monitoring for antibiotic use and antibiotic resistance that the agency will consider to address potential risks.

You may submit comments identified by Docket No. CDC–2023–0080 at Federal eRulemaking Portal: http://www.regulations.gov. Follow the instructions for submitting comments. Do not submit comments by email, as the CDC does not accept comments by email.

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Oct 5, 2023 • 4:50 pm CDT
US FDA Vaccines and Related Biological Products Advisory Committee October 5, 2023

An independent committee of vaccine experts unanimously endorsed removing one influenza virus strain from future influenza vaccines.

On October 5, 2023, the Vaccines and Related Biological Products Advisory Committee (VRBPAC) voted to eliminate the influenza B/Yamagata lineage viruses since it has not been detected for about three years.

The VRBPAC vote follows the World Health Organization's recent announcement that it endorsed eliminating the influenza B/Yamagata/16/88 lineage component from the 2024 Southern Hemisphere flu shot formulation.

Flu seasons in the Southern Hemisphere usually occur between April and September, while the Northern Hemisphere's is generally between October and May.

This change should not impact the effectiveness of flu shots.

A recent U.S. CDC report found the adjusted vaccine effectiveness against severe acute respiratory infection hospitalization associated with any influenza virus during the 2023 Southern Hemisphere flu season was 51.9% (95% Confidence Interval 39.2%–62.0%).

For the 2023-2024 flu season in the U.S., there should be ample supply of vaccines at health clinics and pharmacies. According to a report by the Global Healthy Living Foundation and IQVIA, about 60% of vaccinations during the 2022 flu season took place at pharmacies in the U.S.

Vaccine manufacturers have projected to supply as many as 156.2 million to 170 million doses of influenza vaccines for the 2023-2024 season.

As of September 23, 2023, the CDC says about 100 million doses had been distributed in the U.S. All influenza vaccines are quadrivalent for this flu season, such as FLUMIST® and FLUCELVAX®.

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Oct 5, 2023 • 1:56 pm CDT
PAHO malaria map 2023

The Arkansas Department of Health (ADH) today announced it identified a case of locally acquired malaria in a resident who resides in Saline County and has no international travel history. 

ADH stated in a press release on October 4, 2023, that this is the only known locally acquired case of malaria in Arkansas and the 11th in the United States in 2023

Earlier in 2023, the U.S. Centers for Disease Control and Prevention (CDC) confirmed seven locally acquired malaria infections in Florida, one in Texas, and one in Maryland.

On September 7, 2023, the Pan American Health Organization estimated that approximately 41 million people are living in areas where the risk of infection by malaria is considered moderate to high in 21 Latin American countries.

The CDC has issued various outbreak alerts for malaria-endemic countries, including Costa Rica

According to the CDC, malaria is a vaccine-preventable disease caused by four species of protozoan parasites of the genus  Plasmodium. These disease-carrying mosquitoes are found throughout the Americas.

There are two malaria vaccines in use in Africa in 2023. However, they are not available in the U.S.

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Oct 5, 2023 • 1:13 pm CDT
by Adina Voicu

While there is currently no cure for cat allergy, a prevalent, life-long condition, an innovative therapeutic vaccine for humans has begun clinical trials.

Angany Inc. today announced that it has received clearance from U.K.'s Medicines and Healthcare Products Regulatory Agency for the first clinical study to be conducted on its vaccine candidate ANG-101 to treat human allergy to cats.

ANG-101 is a therapeutic vaccine that provides a disruptive disease-modifying approach for treating cat allergy.

Derived from its proprietary eBioparticle-Potentiated Immunotherapy™ technology, ANG-101 active immunotherapeutic ingredient is a unique 140 nm enveloped bioparticle (eBioparticle™) that mimics a virus in shape and size with its surface covered with thousands of copies of cat major allergen Fel d 1.

This clinical study is a first-in-human, open-label, and single-site evaluation of the new vaccine's safety, allergenicity, and immunogenicity in adult patients allergic to cat dander.

This early-stage clinical trial will be conducted under the guidance of Professor Stephen Durham and Dr Guy Scadding, two leading clinical allergy experts from Imperial College London.

Professor Durham commented in a press release on October 5, 2023, "The potential treatment of cat allergy using an auto-adjuvanted vector builds upon its known ability to induce strong allergen-specific IgG antibody responses, as observed in animal models."

Unlike prophylactic vaccines, Angany’s therapeutic vaccines are a new generation of immunotherapy biologics used to treat established pathologies.

They are meant to restore or boost natural immune mechanisms and create sustainable immune protection and vigilance.

Human allergies to cats and dogs affect 10 to 20% of the world’s population, says the Asthma and Allergy Foundation of America.

When you have a pet allergy, you are not allergic to the pet’s hair, fur, or feathers but to the protein found in the pet’s dander, saliva, and urine.

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Oct 4, 2023 • 1:34 pm CDT
by Gerd Altmann

Two world-class pharmaceutical companies announced an agreement for a potential first-in-class vaccine against extraintestinal pathogenic E. coli.

On October 3, 2023, France-based Sanofi confirmed it has agreed with Janssen Pharmaceuticals, Inc., a Johnson & Johnson company, to develop and commercialize a 9-valent vaccine candidate for extraintestinal pathogenic E. coli currently in Phase 3 study.

The agreement combines Janssen's robust science behind this potential first-in-class product, Sanofi's worldwide manufacturing footprint, and the recognized world-class expertise of these companies in launching innovative vaccines.

This is important news since Extraintestinal pathogenic E. coli is a leading cause of sepsis, particularly in older adults, with an approved vaccine available in 2023.

Sepsis is a life-threatening bloodstream infection accompanied by severe illness and widespread organ damage generated by the body's self-destructive response to the infection.

Thomas Triomphe, Executive Vice President, Vaccines, at Sanofi, commented in a press release, "E. coli is a significant cause of sepsis, mortality, and antimicrobial resistance in older adults, and the number of cases is rising as the population ages."

"In line with our commitment to design and deliver first- or best-in-class medicines and vaccines, this agreement with Janssen aims to positively impact public health by reducing hospitalization costs and the burden on health systems associated with  ExPEC  and help older adults around the world to live longer healthier lives."

The ongoing Phase 3 E.mbrace clinical trial is designed to evaluate the efficacy of the 9-valent extraintestinal pathogenic  E. coli vaccine (ExPEC9V) compared to placebo in preventing invasive E. coli disease caused by ExPEC9V O-serotypes.

The study was started in 2021 by Janssen and continues to enroll patients. To learn more, visit  https://classic.clinicaltrials.gov/ct2/show/NCT04899336. 

Under the terms of the new agreement, both companies will co-fund current and future research and development costs.

Sanofi will pay USD 175M upfront to Janssen, followed by development and commercial milestones. A profit-share arrangement will exist in the U.S., EU4 (France, Germany, Italy, Spain), and the U.K. In the rest of the world, Janssen will receive tiered royalties and sales milestones.

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Oct 4, 2023 • 12:37 pm CDT
Florida Health Dept. RSV map September 30, 2023

Across both prepandemic and pandemic years, the respiratory syncytial virus (RSV) outbreaks in the United States began in Florida, the southeast, and later in the north and west regions. 

Florida's RSV season is longer than the rest of the U.S. and has distinct regional patterns, says the U.S. Centers for Disease Control and Prevention (CDC).

The Florida Department of Health reported as of week #39, September 30, 2023, RSV activity was increasing with higher test positivity, hospital admissions, and emergency room rates, with three previous outbreaks but no current RSV outbreak. 

Furthermore, NREVSS data show Florida's PCR positivity 3-week moving average was about 7.7% as of September 28, 2023.

Globally, the World Health Organization (WHO) Influenza Update N° 454 indicates RSV activity was found to be generally low, except in some parts of Western Australia and some Central and temperate South American countries.

Additional WHO and CDC RSV outbreak data are posted at Precision Vaccinations.

As of October 4, 2023, RSV vaccines and monoclonal antibody therapies are available in the U.S.

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Oct 3, 2023 • 4:14 pm CDT
by Gerd Altmann

For the first time, the U.S. government has authorized an updated protein-based COVID-19 vaccine.

Today, the U.S. Food and Drug Administration amended the emergency use authorization (EUA) of the Novavax COVID-19 Vaccine, Adjuvanted for use in individuals 12 years of age and older, to include the 2023-2024 formula.

Novavax Inc.'s updated vaccine addresses currently circulating variants to provide better protection against the serious consequences of COVID-19.

Consistent with the totality of the evidence and input from the FDA's expert advisors, the Novavax COVID-19 Vaccine, Adjuvanted, a monovalent vaccine, now includes the spike protein from the SARS-CoV-2 omicron coronavirus variant lineage XBB.1.5 (2023-2024 formula).

The FDA confirmed it has determined that the Novavax COVID-19 Vaccine, Adjuvanted (2023-2024 Formula), has met the statutory criteria for issuance of an EUA and that the known and potential benefits of the vaccine outweigh its known and potential risks in individuals 12 years of age and older. 

This means individuals 12 years of age and older previously vaccinated with a COVID-19 vaccine (and who have not already been vaccinated with a recently updated mRNA COVID-19 vaccine) are eligible to receive one dose, and unvaccinated individuals receive two doses.

Peter Marks, M.D., Ph.D., director of the FDA's Center for Biologics Evaluation and Research, commented in a press release on October 3, 2023, "Today's authorization provides an additional COVID-19 vaccine option that meets the FDA's standards for safety, effectiveness and manufacturing quality needed to support EUA."

From an availability perspective, Novavax previously indicated it had produced about 20 million doses of the updated vaccine and stored them in the U.S., enabling expedited delivery to health clinics and pharmacies.

As part of today's action, the Novavax COVID-19 Vaccine, Adjuvanted (Original monovalent), is no longer authorized for use in the U.S. Additionally, global information about the Novavax COVID-19 Vaccine varies by country and is searchable at NovavaxMedInfo.com.

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