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The hypothesis of
offering the entire adult population the third dose of the Covid vaccine is increasingly likely
.
For now in Italy the booster, with mRna vaccines, is reserved, in order of priority, for immunosuppressed people, over 80, residents of residences, health personnel, over 60 and people with previous pathologies.
Ilaria Capua, director of the UF One Health Center at the University of Florida, who has also received the booster vaccine, assures: "To the people who will now be vaccinated, know that they can do it."
Israeli data
Therefore, even after the third dose, slight discomfort is possible.
In fact, according to data released October 1 by the Israeli Health Ministry, the effects are "significantly lighter" than those of the first two injections.
The most common symptom is
general fatigue
, detected in 86.6 people per million versus 271.8 and 251.1 per million after the second and first doses, respectively.
Pain in the vaccination area
affected 42.7 people per million in the third dose, compared to 222.9 and 514.3 in the second and first.
The data refer to approximately three million who have received the booster dose.
There were only 19 serious disorders but the possible link to the vaccine is still being evaluated.
The Israeli Health Ministry states that "side effects were found after the third dose in a small percentage of adults aged 60 years and older and are consistent with those seen after the first two doses or other vaccinations; they generally include
pain at the site. injection, headache, fever, chills, muscle pain
. "
Within 48 hours of vaccination
The US Centers for Disease Control and Prevention (CDC) also examined the side effects of the third dose of the vaccine and concluded, in a report published on September 28, that they are similar to those seen after the other doses. CDC experts say
adverse symptoms are mostly moderate or mild and do not last long
.
As with the first doses, symptoms appeared within 48 hours of vaccination. The analysis was conducted on more than 2,200,000 Americans who had received the third dose as of Sept. 19. About 22,000 voluntarily responded to a questionnaire: 28% had problems the day after vaccination. The most frequent symptom was
pain in the arm
, noted in 71% of the cases. 56% reported
fatigue
, 43.4% reported
headaches
. 7% had
severe pain
. 2% needed medical assistance and 13 people were hospitalized.
The percentages are in line with those corresponding to the second dose of vaccine.
There are still no data on the risk of myocarditis and pericarditis after the third dose
, also because for the moment the booster has been offered only to the older age groups (in the US, those over 65 and people with previous pathologies) whereas post-vaccine heart problems (very rare and not serious) have mainly affected young people.
Third dose and booster
According to several studies, the effectiveness of vaccines begins to decline between 6 and 9 months after the last injection.
But for immunosuppressed people, protection fails much sooner.
That is why a distinction was made between "third dose" and "booster": the third dose can be given
28 days after the second
and is intended to complete the vaccination cycle in people who have not responded effectively to the first two injections.
The boost, on the other hand, can be carried out
from 6 months after the second dose
and aims to reactivate the production of antibodies.
95% effective
In fact, according to a study published in recent days in the
New England Journal of Medicine
, the efficacy of the third dose of Pfizer is 95.6%, with 5 cases of infection in the vaccinated group, compared to 109 infections in the placebo group.
The trial results were presented to the American Food and Drug Administration (FDA) Advisory Committee and neutralizing antibodies were found to be high against all variants, including Beta and Delta.
In addition,
the maximum efficacy of the third dose is reached after 7 days
.
A fifth of the study participants were over 65, a category with the highest risk of
severe
Covid
.
The effectiveness numbers refer
to contagion
: the ability of vaccines to combat deaths and hospitalizations is greater than 90% (and close to 100%) in each analysis even with only two doses of vaccine, but
protection against infections is weakened after 6 months
, especially in the most exposed categories, so the third dose is useful.
For Moderna, half a dose is enough
Recently, the European Medicines Agency
(EMA) gave the green light
to the administration of the third dose
of Moderna's vaccine (Spikevax)
in people over 18 years of age.
For the booster dose (which should be done 6 to 8 months after the second dose),
half a dose is sufficient
.
Available data, says the EMA, indicates that the risks of side effects after the third dose are similar to those seen after the second.
Previously, the Agency had already given the
green light
for the administration of the third dose of the
Pfizer-BioNTech (Comirnaty) vaccine for those over 18 years of age
, six months after the second dose.
In addition, the EMA noted that a third dose of both vaccines can be given to people with severe immune system deficiencies 28 days after the second.
According to the criteria of The Trust Project
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