Moderna COVID-19 vaccine gets U.S. authorization, second in 8 days

The FDA announced the authorization the day after the agency's panel of outside experts endorsed its use and a week after the FDA authorized a vaccine from Pfizer Inc and German partner BioNTech SE.

US clears Moderna vaccine for COVID-19, 2nd shot in arsenal
Moderna Inc's coronavirus vaccine on Friday became the second to receive emergency use authorization (EUA) from the U.S. Food and Drug Administration, welcome news to a nation with a staggering COVID-19 death toll of over 307,000 lives lost.

The FDA announced the authorization the day after the agency's panel of outside experts endorsed its use and a week after the FDA authorized a vaccine from Pfizer Inc and German partner BioNTech SE.

The vaccine from Pfizer and BioNTech, based on similar technology, has been put into the arms of thousands of U.S. healthcare workers this week in a massive nationwide rollout. Moderna injections are expected to begin in coming days for adults 18 years old and up.


"With the availability of two vaccines now for the prevention of COVID-19, the FDA has taken another crucial step in the fight against this global pandemic that is causing vast numbers of hospitalizations and deaths in the United States each day,” FDA Commissioner Stephen M. Hahn, M.D, said in a statement.

The speed of vaccine development is a stunning scientific success, although there is some hesitancy among the public.

"It is my hope that all Americans will protect themselves by getting vaccinated when the vaccine becomes available to them. That is how our country will begin to heal and move forward," top U.S. infectious disease scientist Anthony Fauci said in a statement.
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Older people in long-term health facilities are expected to get vaccines next, with a U.S. Centers for Disease Control and Prevention expert panel on Sunday set to recommend what groups follow, as industries compete to have their workers given precedence.

Moderna said it intended to apply for full U.S. license in 2021.

The FDA decision marks the first regulatory authorization in the world for Moderna's vaccine and validation of its messenger RNA technology, shown to be nearly 95% effective with no serious safety concerns. It came less than a year after the first COVID-19 case was identified in the United States.

The vaccine, developed in partnership with the National Institutes of Health, had relatively minor side effects including pain around the injection site and swelling.
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The biotech company has worked with the U.S. government to prepare for the distribution of 5.9 million shots as early as this weekend.

Moderna's shot is expected to be used in harder-to-reach locations, such as rural hospitals. The vaccine needs to be stored and shipped frozen, but does not require the ultra-cold temperatures of the Pfizer/BioNTech shot.
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Once thawed, the Moderna vaccine can be kept at typical refrigerator temperatures. It is administered in two shots 28 days apart.

Between the two vaccines, the United States is expecting 40 million doses before year end, enough to eventually vaccinate 20 million people, as both require two shots.

U.S. President Donald Trump on Twitter hailed the authorization. "Congratulations, the Moderna vaccine is now available!" he wrote. The vaccine must be transported to hospitals and other centers before injections begin.

Moderna said it would deliver approximately 20 million doses to the U.S. government this year and expected to have between 100 million and 125 million globally in the first quarter of next year, with 85-100 million of those for the United States.

Moderna has deals with the U.S. government to provide a total of 200 million doses by the end of June 2021. Other vaccines still are in testing, including a one-shot injection from Johnson & Johnson, and a two-shot course from AstraZeneca and Oxford University.

U.S. hospitalizations and deaths have surged, driven by last month's Thanksgiving holiday gatherings. Authorities have renewed restrictions and shutdowns across the country.

Public health officials have warned infections from Christmas and New Year's celebrations could exacerbate a crisis that already threatens to overwhelm healthcare systems nationwide.

Even with two highly effective vaccines, practices such as social distancing and face covering will be needed for months before enough people are inoculated to curb virus transmission and eventually end the pandemic.
How the Moderna vaccine stacks up against Pfizer/BioNTech's
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US regulators authorized Moderna Inc's COVID-19 vaccine for emergency use, a week after granting the first U.S. authorization to Pfizer Inc and BioNTech SE's coronavirus shot. The following is a comparison of the two vaccines and what to expect as both become available:

US regulators authorized Moderna Inc's COVID-19 vaccine for emergency use, a week after granting the first U.S. authorization to Pfizer Inc and BioNTech SE's coronavirus shot. The following is a comp..
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Both vaccines use messenger RNA (mRNA) technology, which contains instructions for human cells to make proteins that mimic part of the coronavirus. The instructions spur the immune system into action, turning the body into a virus-zapping vaccine factory. No actual virus is contained in the vaccines.



Both the Pfizer/BioNTech and Moderna vaccines target the crown-like spikes on the surface of the coronavirus that it uses to break into healthy human cells. The spikes also give the family of viruses their distinctive name. The vaccines appear to be similarly effective. Pfizer and BioNTech's vaccine was around 95% effective at preventing disease symptoms in its late-stage trial, while Moderna's vaccine was around 94% effective.



Both are given in two doses; Pfizer's 21 days apart and Moderna's 28 days apart. Very few participants who received the vaccine in either trial got sick with COVID-19 and almost none got seriously ill.



Data the companies have submitted to the Food and Drug Administration suggest that they start offering partial protection against COVID-19 around two weeks after recipients receive their first dose.

Both vaccines use messenger RNA (mRNA) technology, which contains instructions for human cells to make proteins that mimic part of the coronavirus. The instructions spur the immune system into action..
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Cold vs ultra-cold: The main difference between the two vaccines is the temperature required to keep them stable long-term.



Pfizer's vaccine must be stored at ultra-cold temperatures of minus 70 degrees Celsius (-94 Fahrenheit). Once thawed, it can only be refrigerated for 5 days. The vaccine requires a special shipping container packed with dry ice to keep it at the proper temperature.



Moderna's vaccine can be stored at standard freezer temperatures of -20 Celsius (-4 Fahrenheit) for up to six months. After it's thawed, it can be kept in a refrigerator for up to 30 days.

Cold vs ultra-cold: The main difference between the two vaccines is the temperature required to keep them stable long-term.Pfizer's vaccine must be stored at ultra-cold temperatures of minus 70 degre..
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Neither of the two large-scale clinical trials of the vaccines turned up any serious long-term side effects. But the vaccines do have slightly different short-term side effect profiles. While the vaccines have not been compared head-to-head, Moderna's vaccine appears to be associated with slightly more severe cases of fatigue, headache and fever in the day or two following the second shot, especially in people younger than 65.



Although not seen in its clinical trial, Pfizer's vaccine has been linked with a few cases of severe allergic reactions as it has been rolled out in the UK and the United States. At least two healthcare workers in Britain and two in Alaska have reported severe allergic reactions soon after receiving the Pfizer/BioNTech vaccine.



Britain's medical regulator has said anyone with a history of anaphylaxis, or severe allergic reactions to a medicine or food should not get the Pfizer/BioNTech COVID-19 vaccine. But the US Food and Drug Administration has said it should be safe for most Americans with allergies to receive the vaccine.

Neither of the two large-scale clinical trials of the vaccines turned up any serious long-term side effects. But the vaccines do have slightly different short-term side effect profiles. While the vac..
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More data is needed to understand exactly how effective either vaccine is at preventing virus transmission. While they are both highly effective at keeping symptoms and severe illness at bay, we do not know if they prevent someone from becoming infected. Until that is known, experts say, masks will still be needed to ensure that vaccinated people do not spread the virus.

More data is needed to understand exactly how effective either vaccine is at preventing virus transmission. While they are both highly effective at keeping symptoms and severe illness at bay, we do n..
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At this point, with vaccines in short supply, few people will have the luxury of expressing a preference of which they receive. The US Centers for Disease Control and Prevention has recommended that the first doses be given to healthcare workers and residents in long-term care facilities and most states plan to do that.

At this point, with vaccines in short supply, few people will have the luxury of expressing a preference of which they receive. The US Centers for Disease Control and Prevention has recommended that ..
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