A CDC scientist said Monday the data needed to properly evaluate Covid-19 vaccine booster shots for the general population is limited — even as President Joe Biden pressures health officials to clear the shots for wide distribution beginning the week of Sept. 20.
The presentation by Dr. Sara Oliver at a Centers for Disease Control and Prevention advisory group meeting suggests the panel may limit its initial endorsement of extra shots to vulnerable groups and health-care workers.
A nurse gives Sherri Trimble, 15, a shot of the vaccine at a vaccination clinic at Health First Medical Centre in Melbourne, Florida.
Paul Hennessy | SOPA Images | LightRocket | Getty Images
Several studies suggest the authorized Covid vaccines remain effective in preventing severe disease and hospitalization but may be less effective in preventing infection or mild symptomatic illness, according to Oliver. The CDC’s Advisory Committee on Immunization Practices is meeting Monday to consider booster shots for all eligible Americans. The panel is also scheduled to vote on endorsing the Food and Drug Administration’s final approval of Pfizer’s vaccine.
Since the highly contagious delta variant first appeared, vaccine efficacy has ranged between 39% and 84%, according to Oliver’s presentation, which referenced several separate studies. One study looking at health-care workers and first responders showed overall vaccine efficacy fell to around 65% in July — down from about 90% in February. Israel data shows the efficacy of Pfizer’s vaccine has fallen to as low as 39% in that country.
Scientists have said the vaccines’ effectiveness wanes over time, and the delta variant is a hardier strain that is able to break through that protection.
It is “important to monitor trends of effectiveness by severity of disease over time,” according to Oliver’s presentation slides.
The slides noted that it is not uncommon for vaccines to require several doses. Vaccinations for Hepatitis B and HPV, for example, require a third dose after six months.
“Vaccines that require more than one dose do not necessarily mean that annual boosters are needed,” Oliver said during the presentation.
Once booster shots are available, nursing home residents, health-care providers and the elderly — the first groups to get vaccinated in December and January — are likely to be prioritized for the extra shots, the CDC slides suggested.
The CDC emphasized that vaccinating the unvaccinated should be a “top priority,” adding delivery of booster doses to vaccinated individuals should not deter outreach to those who remain unprotected from the virus.
The agency also stressed the importance of the availability of vaccines globally.
“Uncontrolled spread globally that could result in new variants threatens control of the pandemic everywhere,” Oliver said. In addition to distribution globally, policies on boosters should consider “equity in the U.S. population as well,” she added.
The meeting Monday comes after President Joe Biden said Friday that U.S. regulators are looking at administering Covid booster shots five months after people finish their primary immunizations, moving up the expected timetable for a third shot by three months.
Scientists have sharply criticized the Biden administration’s push to widely distribute booster shots, saying data provided by federal health officials isn’t compelling enough to recommend third shots to most of the American population right now.
The Biden administration has publicly said that third doses will not go ahead without FDA approval and a vote by ACIP.