Duke answers questions about COVID-19 vaccine
The Duke Healthcare Preparedness Coalition answers questions from the community about the COVID-19 vaccine.
because they don't feel like they've gotten all of the information that they need to make decisions. But I just wanna make sure that, you know, you know, and that if you're asked that you can with confidence, no, and say that there absolutely is no tracker within the vaccine next slide. So we often get several questions. Why two shots? Can we just do one shot? Can we just dio Ah, partial dose So two shots are absolutely necessary, and we have to have a plan to help everyone know that they need to get both doses and to actually get both doses. The fighter and the Madonna vaccines are the two shots that build up the strong immunity against Cove in 19. Um, and as you've seen and heard, probably that the second dose will come 3 to 4 weeks after. So the fighter. When you get the fighter dose three weeks later, you should get the second fighter dose. Moderna, you get the vaccine. Four weeks later, you get the Moderna vaccine, and it's really, really important that folks get number 1 to 2 doses, but that they get the two doses of the same vaccine so If you get a vaccine, a thither, your first dose, you do not want to get a second dose of Madonna. So how do folks know? Um, my parents have both had their first dose, and they got their dose at two different places, and they had very different experiences. Good experiences, but different experiences. Um, so one of the examples My my dad went to a particular health department, and you know his his assessment and comment back when they got it going on. Um, so there he, uh, went through a series of questions, filled out paperwork and and at the end, they went ahead and scheduled his appointment for his second shot. They gave him a card that showed him which vaccine he received and how long it's gonna be before his second one and made sure he knew which one he got so that he would know. Thio, um, really cross reference and check and do a check and balance when he goes back for the second vaccine. Now, we have a system in place, the CVM s system, um, to help make sure that, um, the information is entered into the system so that when folks go back for their second does this system will show who the person is when they got there. First does what vaccine? It waas whether it was fight or or Madonna and to make sure that folks were getting the second does the right second does. And at the right time. Um, so again, um, we still have folks asking. Well, what if I, you know, don't get the second dose or why can't I just get one? So one does really has not been shown during the clinical trials to be strong enough to protect Um, So that's why it's just so important that we follow, um, the requirement of two doses because the two doses were used in the clinical trials next slide. So we know that across the country people are being vaccinated. Uh, and there is a rush. There is a rush to get us many vaccines into the arms of many people as a Z, possible as we possibly can. So here in North Carolina, we are beginning to vaccinate individuals 65 older in some counties, while some counties air still tryingto get ramped up with that, um, so you can see two individuals Frank Jones Wilson, who happens to be a community leader, and former governor Jim Hunt. Both were very proud and pleased to pose for these shots. Toe show that they are leading by example and very willingly, eagerly happily, um, getting getting their their vaccine next slide. I won't read this quote to you, but I think this is a great quote. Representative shelling. Uh, Willingham received his vaccine when his local county began vaccinating people 65 older. So he's a current member of the house representing edge, Comb and Martin counties in in the northeastern part of the States. And so we just really appreciate his willingness toe toe be a public figure and and be, um, a part of our presentation toe help show the importance and to help carry the Midge next slide. And I think this is where I will pass the baton to Erica. Um, unless there are any burning questions right now that cannot wait until we get to the end of the presentation. Okay? Erica Europe. Great. So I'm just gonna keep going on some of the points that terror already raised at the beginning of the presentation that are really critical. Eso your personal, your privacy and personal information are protected at all times. Astaire already mentioned there's nothing in the vaccine that could be trapped. The the protein your body makes cannot be tracked on, but it disappears as soon as it's done. Building those antibodies and making you stronger personal information about your vaccination and health are protected at all times, and we don't send any of this information back to the C. D. C. We've gotten a lot of questions, particularly if you go back to the prior slide. Sorry, a couple more things. We've got a couple questions around, um, if you need an I D to get a vaccine and North Carolina. This is particularly important for, um, a lot of populations who might not have a ni. De. North Carolina does not require an identification card to receive the vaccine anything like a driver's license or or anything like that. In order to be vaccinated, some employers or health care providers could request an i d. When there's limited vaccine that has to be prioritized. But that is not a requirement of the stage. Andi. We've also got questions about as tear image and the C B. M s, um, system that has been stood up to collect immunization information for health and safety reasons. This information is collected. Um, it's It's the same information that would typically be collected when you go to a doctor's office or pharmacy. Things like your name, your address, your date of birth, the location of where your vaccine was, um, was given when the vaccine was given and which vaccine you received. And this is just kept so that we can monitor, um, all of the to make sure that we're having equitable distribution of the vaccine and also that you get the right dose the second time things like that. So that information is is required. But, um is not sent anywhere. It is just to make sure that we are having equitable distribution and giving people the right vaccine for their second. Yes, you go to the next slide. Onda Cero already mentioned this, but in case you forgot, vaccines will be available to all, and they will be available for free supplies. As everyone is well aware. Aziz, the chat went and before the presentation started, supplies are limited. At first, the Pfizer and Madonna vaccines have been authorized. They've been sent to states. We've already been vaccinating some folks on this call. I mentioned that they had already been vaccinated, but it will be some time before they are widely available to everyone. So state and federal public health experts have been, um, I have recommended the best way to fight CO. The 19 is to first start, um, with those who are helping to slow the spread and save lives and then prioritize from there. Um, also again, vaccines are free for everyone. Even if you don't have health insurance. Um, and everyone will have an opportunity to get a shot in time. You go to the next slide. This is the prioritization, um, information. So this is how North Carolina has decided in coordination with federal and state advisory councils and others on how they are prioritizing how we're prioritizing Kobe 19 vaccines. So vaccines, as mentioned, will be available to everyone soon. But current supplies are limited and will continue to be limited for the next few months. Therefore, North Carolina, like other states, are making vaccines available in groups based on recommendations from our state and federal advisory councils. So we started a Z. You are probably know in mid December if you look at that purple bar we vaccinated are healthcare workers that are fighting Koba 19. Those people who are caring for Koven 19 patients or cleaning the rooms Where Cove in 19, um, patients are as well as our long term care staff and residents. Um e guess a week or so ago, we started to move also into the blue bar, um, moving into the group to and in this group vaccinations will be available to those who are 65 older. That was a change from the original balance of 75 older. Then, after we work through vaccinating, all in that group that that wanna be vaccinated will be moving on to frontline essential workers. Examples of frontline workers include firefighters are grocery store workers, teachers and childcare workers. Um, the CDC defines this list of frontline essential workers, and it's also on our website. You can be sure toe to share that you have, um, because there's all sorts of great guidance there. In addition to the kind of the full list of our frontline essential workers. Yeah, um, please keep in mind that there will continue to be limited supply as we go through these groups. Um, but all of that information is on our your spot, your shot dot n c dot gov So you can find out which phase you or your family members are in, um, to be eligible to get the vaccine. Um, and I think there were some questions in the chat. I think we could get to it later. But even when, um, and Terror kind of mentioned this when she was talking about her parents receiving the vaccine some even by county, there might be some counties that are still a little bit further on to than others. Um, and the vaccine. It are distributed by county based on population and other factors. So if someone has able to receive their shot a little bit earlier, we're making sure that we are moving through. This is inequitable way as possible. You go to the next slide, so our goal is to vaccinate. Aziz mentioned as many people as quickly as possible, given the limited supplies of vaccines. North Carolina moves through the vaccination groups by aligning to federal priorities, while empowering our local health departments and our hospitals with flexibility to move to the next priority group as they complete groups and have vaccines available. We know that everyone eyes curious about what's happening right now with the 19 vaccinations. So the people who are getting vaccinations this month, our health care workers still that have not yet been vaccinated. Doctors, nurses, those caring and cleaning areas where there are covered 19 patients are long term care staff and residents, people living and working in places like skilled nursing facilities or group homes. Our health care workers, um, in hospitals or local health departments, um, and andare older adults. Um, and just a note the federal government manages the vaccinations for most of our long term care facilities. Eso There is a partnership between CVS, Walgreens and the federal government to distribute vaccines directly at our long term care facilities for staff and residents who live there. And our vaccinations have started, I guess a week or so ago. The days are a little bit running together, but we're starting thio vaccinated or older, adults 65 older because vaccines are limited. Even if you're 65 you might have to wait. Um, wait a bit to be able to schedule at your vaccine. Um, you will need an appointment to get vaccinated. You may have to wait to schedule your appointment to get a vaccine until there's more availability in your county. Um, you confined your local health department or your hospital. Visit your the N C vaccine website to find the health department in hospitals that are giving vaccinations in your area. You can search by zip code or by county or by other information. Onda. We can put that information in the chat as well, so it is easy to find. You can also call the code of the 19 line, which we can is on the is on the slide here. But we can put that information in the chat Thio Um, this will think is a free call center that helps that can help people find the right place to make an appointment to get their vaccine. And this is being managed by the Community care of North Carolina. If you go to the next slide, please um, it might be it's on the news quite a bit. Eso It might not be as mysterious, as maybe it once waas. But this is just, ah, a little bit of information about how North Carolina our state receives shipments of Cuba 19 vaccine every week and how it's determined where those vaccines go within the state. So each week, the federal government decides, based on their how much vaccine they have, they decide how much vaccine each state receives based on population. Then our state determines which providers will receive doses based on reaching prioritized populations. Eso that is on data on who we are currently vaccinating based on the prioritization. Then the manufacturer, advisor or Madonna will ship those vaccines directly to those providers. They don't first come to the state and then get shipped out. They go directly from those manufacturers directly to those providers that are involved in our system to be giving vaccines to these prioritize populations in Group one and two. At this point, providers safely store and handle the vaccines. Um, and then North Carolina and North Carolinians are then vaccinated in their in their group as vaccines are available. We are working closely with our providers to safely store and handle all of these vaccines, especially those that need the ultra cold storage or four frozen storage. Um, and vaccines will first be available in hospitals and local health departments and long term care facilities. Um, but they will soon be, um, in a variety of settings, like clinics and pharmacies and large vaccination events, which we are already seeing occurring in our communities. You go to the next slide. Um, so you, um you may be wondering, how will you know when it is your turn to get a shot? Um, if you're a health care worker, you should talk with your employer about how to get vaccinated. Your long term care staff member or resident. You should also talk to your facility about how to get vaccinated for older adults 65 older. Health departments and hospitals are beginning to offer vaccination appointments. There will likely be a wait to receive your vaccine, but older adults will have one of the first spots to get their vaccine. You should contact your well, the health department or your hospital. If you have questions or look on our website or or the the col hotline, um, that I mentioned before, according to availability and how far they've gotten with vaccinating healthcare workers and those in long term care, health departments and hospitals will and already are vaccinating are older adults. So additional information again is on our website. Your spot, your shot dot n c dot gov. Um, or you can call that number that is again on the slide. Note that many primary care providers do not currently have the vaccine, and those who dio not have an employer or residents facility that is providing their vaccine should call their local health department or hospital. Do you work in a primary care location? Go to the next slide, I think, most importantly, with all of the the trust that is needed to make sure that we get folks vaccinated and just there's a things are changing every single day with, um, with our vaccine roll out, as we have, um, more detail and more ways of getting the shots into arms as quickly as possible. A lot of innovation around communication and Andi all of that. We are working hard to make sure that all North Carolinians are informed so they could take their shot against Kevin. 19. So transparency is the number one goal of of these presentations that we're doing and hoping that you share this information further. Um, you can look for more information at news conferences where Secretary Cohen provides the most up to date information our website, our social media on additional presentations. There's from our trusted community leaders who have also been trained on how thio these presentations and this information community leaders and organizations are helping to shape this campaign. Um, so that folks, people know that are entrenched in their community are really sharing that up to date information on the vaccine. And the real goal is to provide all North Carolinians with a spot for honest communication and updates about where they can get their shot and any other questions that they have around Cuba. 19 you go to the next slide. Thes are just some of the leading medical professional organizations that are encouraging Americans to get a vaccine. Um, there are many, many more, but didn't necessarily fit on the slide. If you go to the, um, next slide, we want to emphasize that, um, sorry. My computer is now skipping. Sorry. Um, do you Can you go back? One slide. Various. Sorry. Eso we want to emphasize that The n c D h h esq of the 19 vaccine website. Your shot. I'm sorry. Your spot, your shot dot n c dot gov is where you can find the most up to date information. Andi, these fires are are updated weekly. So the frequently asked questions as we get more questions that haven't been, um, answered we up to different groups and have additional information that is updated, um, weekly on the website, too. So keep looking for updated resource is on that website a swell as tools that you can use or share with folks in your in your community. Eso I just wanted to point out some of these materials that you can start using. Now there's a one page flyer on the cove in 19 vaccine that hits the highlights of this presentation. You can start distributing this thio folks in your communities or three organizations with whom you work. We have a great list of these frequently asked questions. We have this deck available for you to use on Ben the infographic on prioritization. There's obviously probably the most questions about that right now on. We also have a lot of P s, A. Videos from trusted messengers. A swell on there, um, if you go to the next slide. So while this vaccine is incredibly exciting and will be a game changer in our recovery and response to Cove in 19, we know that many of us are still waiting Thio for our spot to take our shots. So in the meantime, we can't stop what we have been doing now to protect ourselves and the people we love in our communities. So keep practicing the three W's toe wear, wait and watch. Getting the Kobe 19 vaccine and following the three W's is everyone's best prevention from getting and spreading cove in 19. Seeing vaccinations underway give us hope, as at the end of a hard year in a start of a year in which there are still a number of cases. But this virus continues to be extremely deadly and contagious, and we need to persevere and keep using these tried and true safety precautions. Continue using the three W's limiting social gatherings until most people are vaccinated and getting back into control. Getting back to family and friends and getting kids back to school will take some time, but the Cova Night T vaccine and the www school get us there quicker and safer during the next side. So we're asking for you to help share information with those in your community. Please help direct people to their spot. Our website for more reliable information, Um, show people that you have the trust and safety and effectiveness of the vaccines. Um, you can share your positive experience when you have your shot against the 19, for example, and use and share the Kobe 19 vaccination communication material to make sure that more North Carolinians have accurate information and up to date information on the vaccines and where we are in the rollout. Eso we will. We can make sure it also put some of those links in the chat so that you have very easy access, but we share them with your with your large networks. So with that, I think we have seen ah lot of pop ups from from the chat so we can take any questions that still weren't covered by that presentation. Thanks so much. All right, so we have approximately 15 minutes and we have lots and lots of questions, so I do wanna ask, um is this I wanna make sure that this is being recorded and that all of these questions can get sent Thio, Erica and I, um if somebody could just verify that, um, I don't think we'll be able to get all of these questions. And I don't think that Erica or I will be able to answer all of these questions without circling back to our clinical team. Um, So I'm gonna go through, um, and and pull a couple and Erica, you jump in at any time. Um, so one of the questions that caught my attention and this is a question we get often is Will there be sufficient vaccine supply available to cover the second dose or shot for people scheduled to get vaccinated in the next few weeks? And we have every indication to believe. Yes, we have. Um I'm getting a message saying that I'm having getting a bad signal. Kun, folks still hear me. Okay. Okay, great. So I live in eastern North Carolina. Um, and so I laugh and say the hamster is still running on the wheel for my internet sometimes. So that's the way it it feels often. So again, we have no indication, um, that there will be any difficulty or supply shortage for individuals to be able to get their second dose. Um, Eric, do you wanna take a take one? And we'll just kind of alternate? Uh, sure. I'm going. Um, if you guys would like, I will go ahead into the questions here. We're gonna start from the top and get our way down. And, um, if you want to answer the question, that's fine. So let's build here. But sorry. I had a little bit of hard time hearing it was that question was that you'll read the questions. Us? Yes, I will. And so one of the questions from Parents Chase is what is do policy regarding reserve doses for second vaccination? What is the policy for observing back doses for the second point? I can't speak for for Duke directly necessarily. But I think Tara hit it on the last question that when we when shipments of vaccine are sent, thio hospitals or local departments or other providers, um, that the second dose for them for the person is sent three weeks later. Four weeks later, depending on which vaccine. It is so that so many of our providers are finding you up for an appointment when you get your vaccine the first dose. But they will have a supply three or four weeks later. Kind of earmarks, so to speak, for for you that will be sent in their allocation. Um, three or four weeks later, depending on as their or Madonna. Okay, from Randall Maze, question was asked, Do the vaccines proven getting the virus or deal with Simple So that that will be one I would personally like to take back to the to our epi team. Um, when we start talking about the binding to the receptor and, um, the medical language there, I do not profess to be an expert. But unless Erica, uh, is aware of a response to that or AnAnd answer, I would have to defer to our medical team. Um, we do know that the virus is to help protect you from getting the virus and help protect you from experiencing some of the severe symptoms that people have experienced without the virus. Um, so the whole point of that is toe to help protect you from getting it in the first place. And then to also help protect you to build up your immunity. So that perhaps, um, if you experience symptoms, they would not be quite a severe. Thank you for that information, Carol. We will tangle that question as well. Be right back. Thio. Thank. Probably asking he not having an allergic reaction to the first Those vaccines. Does that mean we will not have an allergic reaction to the second dose? So I think I think this is another one. Um, you know, I not having a medical background and, um, wanting to circle back with the team. I don't know that I could confidently say that if you did not have an allergic reaction to the verse first dose that you would not have an allergic reaction to the second does, um I think it would be likely that if you did not have an allergic reaction to the first dose, you likely would not. But again, I would not want to say that with confidence without verifying that with our medical team. Erica, anything you would want to add there. Just that if if you if you have severe allergic reactions to any of the ingredients or, um, in the Pfizer Madonna vaccine, you should not receive that vaccine. Um, if there's a a question about the specific allergies that you have, um, that's something you should talk to with your doctor. There's also some re sources that explain in more detail. Um, any of the any of those severe allergic reactions, um, from Pfizer, Madonna and I can put that in the chat as well. But, um, in terms of allergic reactions, that is, uh, if it's a food allergy or something like that, that shouldn't cause any sort of allergic reaction with the vaccine. But any, um, that is again, something you should talk to your health care provider about. And I'll put that information in the chat. Oh, thank you. Careful. And so, Robert Photo has a door. Who's a daycare worker wants to know. When will his daughter be eligible to take notes? Um, a daycare worker will be in our next group to receive vaccines that they would be considered an essential front line worker. At this point, we can't say exactly the time in which will enter, um, Group Three. For that prioritization, it'll be just the next group after we, um, vaccinate the majority of all folks 65 older who want to get a vaccine now. But it will be coming up in the in the coming weeks. And one thing good toe add to that is, um the the reason that it's just really hard to predict or give a date of when we're gonna move into the next phase or the next group is just because the limited supply of the vaccine um, you know, we were hoping to be able to move as quickly as possible, but all of that is just really dependent on the allocation that North Carolina gets from the federal government. So that information that all right, Robert also asked the question of Is there any difference between the state and the bad math and the imam? I think that I think the main difference is how they are regulated. One might be regulated