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We are only allowed to administer vax only to our employees or those "closely aligned" to our system, as defined by the state. Thus some FIre/EMT/Police are able to get vax through us, others must go elsewhere. One wonders why it would matter?

Yeah, too much "turfing" I see going around.

Walk in a door, get a shot, if I ran things.
 
...
Frequently one extra dose can be coaxed from a vial and they need to find an unvaccinated arm to stick it in.
...

That sure is true, and it would be a total waste to discard it just because there's no one 'on the list' available.

But there also seem to be enough occurrences of somebody not giving a dang about guidelines and vaccinating the paper-pusher in the back-office before front-line personnel and the elderly.

At Elite Medical Centers, Even Workers Who Don’t Qualify Are Vaccinated

"A 20-something who works on computers. A young researcher who studies cancer. Technicians in basic research labs.
These are some of the thousands of people who have been immunized against the coronavirus at hospitals affiliated with Columbia University, New York University, Harvard and Vanderbilt, even as millions of frontline workers and older Americans are waiting their turns.
...
Workers who have nothing to do with patient care, and who are not 75 or older, have been offered the shots. Some of the institutions were among the first recipients of the limited supplies in the United States.
...
In Nashville, Vanderbilt University Medical Center asked all staff members, whether they were treating patients or not, to register for vaccination. Inoculations began in December, when the Tennessee Hospital Association sanctioned vaccinations for all hospital employees regardless of their roles.
On Jan. 6, the medical center announced plans to begin vaccinating its high-risk patients, but only after it had “administered the initial vaccine dose to well over 15,000 people working at the medical center,” according to an email it sent to its patients.
...
“I wish our elderly relatives had received the vaccine before me,” said a young employee at Vanderbilt who has no contact with patients and asked not to be identified for fear of reprisals.
...
At Columbia University, word quickly spread through research labs far removed from patient care: If you showed up at Milstein Hospital, the university’s primary medical center, you could get a vaccination — never mind whether your work had anything to do with patients.
Graduate students, postdoctoral fellows and researchers were soon lining up at the hospital auditorium, according to several university employees. Nearly everyone at one cancer research center affiliated with the hospital received the vaccine.
...
Hospital officials said that they had eventually become aware of emails directing people to the auditorium but that anyone who didn’t need the vaccine had been turned away.
...
But some recipients were upset to learn they did not qualify under state guidelines.
“My understanding now is that it wasn’t our turn, and I feel terrible about going out of turn,” said one young researcher whose work has no bearing on Covid-19. “I’m also frankly a bit angry at the hospital and at the university for not controlling it properly.”

At N.Y.U.’s Langone Medical Center, the outreach to staff members who have no contact with patients was more deliberate.
“We are currently offering the Covid-19 vaccine to frontline employees only,” the center’s website says. “We will message our patients as soon as we have the vaccine available for patients.”
But in an email to staff members on Dec. 28, Andrew Rubin, a senior vice president at the medical center, said the center had finished vaccinating its 15,000 employees who interact with patients and would begin vaccinating all other staff members. There was no mention of older adults or other priority groups specified by New York State.

An email on Tuesday to N.Y.U. medical center staff members who had not yet signed up for vaccination said, “As an employee of a health care institution, you have the opportunity to receive a vaccine that millions across the country want — and you can have, right now.”
----------------------------
 
That sure is true, and it would be a total waste to discard it just because there's no one 'on the list' available.

But there also seem to be enough occurrences of somebody not giving a dang about guidelines and vaccinating the paper-pusher in the back-office before front-line personnel and the elderly.

At Elite Medical Centers, Even Workers Who Don’t Qualify Are Vaccinated

"A 20-something who works on computers. A young researcher who studies cancer. Technicians in basic research labs.
These are some of the thousands of people who have been immunized against the coronavirus at hospitals affiliated with Columbia University, New York University, Harvard and Vanderbilt, even as millions of frontline workers and older Americans are waiting their turns.
...
Workers who have nothing to do with patient care, and who are not 75 or older, have been offered the shots. Some of the institutions were among the first recipients of the limited supplies in the United States.
...
In Nashville, Vanderbilt University Medical Center asked all staff members, whether they were treating patients or not, to register for vaccination. Inoculations began in December, when the Tennessee Hospital Association sanctioned vaccinations for all hospital employees regardless of their roles.
On Jan. 6, the medical center announced plans to begin vaccinating its high-risk patients, but only after it had “administered the initial vaccine dose to well over 15,000 people working at the medical center,” according to an email it sent to its patients.
...
“I wish our elderly relatives had received the vaccine before me,” said a young employee at Vanderbilt who has no contact with patients and asked not to be identified for fear of reprisals.
...
At Columbia University, word quickly spread through research labs far removed from patient care: If you showed up at Milstein Hospital, the university’s primary medical center, you could get a vaccination — never mind whether your work had anything to do with patients.
Graduate students, postdoctoral fellows and researchers were soon lining up at the hospital auditorium, according to several university employees. Nearly everyone at one cancer research center affiliated with the hospital received the vaccine.
...
Hospital officials said that they had eventually become aware of emails directing people to the auditorium but that anyone who didn’t need the vaccine had been turned away.
...
But some recipients were upset to learn they did not qualify under state guidelines.
“My understanding now is that it wasn’t our turn, and I feel terrible about going out of turn,” said one young researcher whose work has no bearing on Covid-19. “I’m also frankly a bit angry at the hospital and at the university for not controlling it properly.”

At N.Y.U.’s Langone Medical Center, the outreach to staff members who have no contact with patients was more deliberate.
“We are currently offering the Covid-19 vaccine to frontline employees only,” the center’s website says. “We will message our patients as soon as we have the vaccine available for patients.”
But in an email to staff members on Dec. 28, Andrew Rubin, a senior vice president at the medical center, said the center had finished vaccinating its 15,000 employees who interact with patients and would begin vaccinating all other staff members. There was no mention of older adults or other priority groups specified by New York State.

An email on Tuesday to N.Y.U. medical center staff members who had not yet signed up for vaccination said, “As an employee of a health care institution, you have the opportunity to receive a vaccine that millions across the country want — and you can have, right now.”
----------------------------

When coordination from the top is not there, things become a free for all. Though in any large effort, especially done quickly, there will be screw ups to the plan no matter how much organization there is. The jurisdictions where they are taking care to make sure the vaccine is distributed correctly are seeing slower roll out. That's inevitable.

There is a saying in engineering, but it applies to many things: Good, fast, cheap, you can get two if you're lucky. Because of bad logistics from the top down, we really aren't getting any of them. We're sort of getting fast, but with a lot of hiccups.
 
There are some private groups that are going to be doing drive-up vaccination for healthcare workers (UC SD), which should accelerate the pace significantly.
Yeah, UCSD, working with San Diego County is opening a Vaccination Super Center where they will be able to vaccinate up to 5,000 people a day.

County of San Diego to Open First “Vaccination Super Station” in Partnership With UC San Diego Health, Padres and City of San Diego
http://www.vaccinationsuperstationsd.com/

That's a pretty big chunk of the type of capacity that is required to get the county vaccinated in a timely manner. If we assume that we want to vaccinate all 3.3M people in the county within 6 months, that's about 18,000 vaccines / day.
 
Yeah, UCSD, working with San Diego County is opening a Vaccination Super Center where they will be able to vaccinate up to 5,000 people a day.

County of San Diego to Open First “Vaccination Super Station” in Partnership With UC San Diego Health, Padres and City of San Diego
http://www.vaccinationsuperstationsd.com/

That's a pretty big chunk of the type of capacity that is required to get the county vaccinated in a timely manner. If we assume that we want to vaccinate all 3.3M people in the county within 6 months, that's about 18,000 vaccines / day.
Keep in mind that until there's approval for either the Pfizer or Moderna vaccine or some other ones for folks under 16 or 18 years old, it's not likely they'll be vaccinated. So, that at least takes out a significant chunk of that 3.3 million people, for now.

I found U.S. Census Bureau QuickFacts: San Diego County, California; California but, obviously that's old data. Not sure how accurate Census profile: San Diego County, CA is.
 
Novavax bosses cash out for $46 million with COVID-19 vaccine trials still under way

Chief Executive Stanley Erck and three of his top lieutenants have sold roughly $46 million of company stock since the start of last year, according to a Reuters review of securities filings, capitalizing on a near 3,000% rally in Novavax shares fueled by investors betting on the success of the shot under development.

Erck cashed out $8.7 million over the course of 2020, eclipsing the $2.2 million in shares he sold in the previous five years. The stock sale amounts to more than 20% of his vested stake in Novavax, or less than 10% if stock options that are yet to vest are counted, according to the review of the filings, an analysis by compensation consultant Farient Advisors LLC and a company spokeswoman.

Not sure why you'd allow execs at publicly traded companies to cash out after receiving gov't funding equal to 4x their previous valuation. Keeping in mind these guys were given the most money and have delivered nothing, though they do have signed supply deals. Unclear how much US taxpayers will get from this company selling vaccine to Australia.

Why Was Novavax Awarded Almost $2 Billion in Free Money? | The Motley Fool
 
What happens if you're exposed to covid while waiting inline to get the vaccine? Will the vaccine still provide protection, and if so at the same level?

No, the vaccine will not protect you if you are exposed the same day. The current vaccines don't provide any protection till about day 5-7, and even then it is pretty low. The complete ramp-up of immune response from the first dose only provides about 50% protection. You NEED that 2nd dose to get to 90+% protection.

The mass vaccination setup by UC SD is EXCELLENT. People don't stand in line, they sit in their cars with the windows up waiting in a car line. Similar to what has been done for rapid testing, which to date has not been shown to be the source of any significant outbreaks.
 
Tocilizumab and Sarilumab May Improve COVID-19 Survival

Interleukin-6 receptor antagonists tocilizumab and sarilumab, both used in the treatment of rheumatoid arthritis, may improve outcomes in critically ill patients with COVID-19, according to a study. Though previous studies were mixed on any positive effects from using these 2 drugs.
 
any more news or concern on side effects from vaccines
my 27yr old cousin doing residency took the 2nd round of pfizer vaccine and had a bad reaction. face, arms swollen, eyes swollen shut, hives, fever, etc.
dunno if isolated allergic reaction or if small subset of potential effects or what
 
Do we really care about herd immunity once everyone over 55 and those otherwise compromised are vaccinated?

The long-term complication rates in the 30 and over crowd recovering from COVID are reason enough to get vaccinated.

Just google COVID Long Hauler. These are becoming more the norm than the exception.