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Johnson and Johnson
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04/24/2021
Zakrzewski Nic, Oral History, 2021/04/24
Nic Zakrzewski is from Eau Claire, WI and is a UW Eau Claire student. He also works part time as student custodian at the university. In this interview, he discusses the topics of mental health and his difficulties maintaining family and friend relationships. He also discusses how the transition to online classes has affected his day to day activities. The role of local and federal government in his pandemic experience is also touched upon. -
2021-04-15
The Klamath Tribes halt use of Johnson and Johnson vaccine
The Klamath Tribes stopped administering the J&J vaccine on April 9, 2021 after concerns of major side effects, a few days before the FDA and CDC paused administering of the vaccine. -
2021-04-21
Coquille Indian Tribe pauses distribution/use of Johnson and Johnson vaccine
"The Coquille Indian Tribe has suspended use of Johnson & Johnson’s COVID-19 vaccine. This action is taken in response to a federal recommendation involving six reported U.S. cases of a “rare and severe” type of blood clot." -
2021-04-13
Tribes of north-central Montana pause use of Johnson and Johnson vaccine under recommendation by CDC and FDA
"Native American tribes in north-central Montana are responding to today's CDC and FDA recommendations that the Johnson & Johnson COVID vaccine temporarily stop being used. The reason for the "pause" is because it has been linked to blood clots in at least six people out of the more than 6.8 million who have received that version of the vaccine." Tribes including Little Shell Tribe, Rocky Boy Reservation, and The Blackfeet Tribe are coordinating with providers and pausing use of the Johnson and Johnson vaccine. -
2021-04-13
Shoshone-Bannock Tribes pause use of J&J vaccination following guidance of CDC and FDA
IHS, Shoshone-Bannock Community Health Center (HRSA), and Tribal Health and Human Services (THHS) will halt the Johnson and Johnson vaccination until we have official confirmation of the vaccine safety and guidance. -
2020-04-06
Johnson and Johnson Vaccine Diary-Day 1
DAY 1: On 4/6/21, I received a single dose of the Johnson and Johnson/Janssen vaccine courtesy of my university. Although out of my control, I was determined to not experience side effects. I woke up somewhat late, so I only had time to eat half a Cliff bar on the way there. I did not drink that much water either. I finished my shot at 11:46am. I don't really mind needles, but I will say that the vaccine shot hurts very slightly more than the flu shot. I think the needle has to stay in for longer. Nevertheless, it was just a short pinch, not bad at all. The process was very quick. After my shot, I sat in the lobby, where I was instructed to wait 15 minutes just in case I had a bad reaction. After my fifteen minutes were up, I received my vaccination card. Although many people do, I chose not to post it on social media. I carried about my day as usual. It was only around 9:30pm when I finally started to feel the side effects. It was ironic because right after I told my friend I felt fine, I felt the aches. Throughout the night, my body felt sore and achy, like I worked out the day before. Stretching made it feel better. At 11:30pm, I was getting fever symptoms. I was extremely tired and had chills, despite being told that my skin felt very hot. I kept shivering despite being wrapped up in a blanket. While I was uncomfortable, the side effects were more of a mild inconvenience. If need be, I could've continued to carry on my day. But it was getting late and I had an early exam the next day, so I decided to snuggle up in a blanket and watch videos until I fell asleep. -
2021-04-01
News Article: ASU watching new COVID-19 'Arizona variant' with a mutation known to weaken vaccines
By Amanda Morris of the Arizona Republic: Arizona State University researchers have found a home-grown variant of the coronavirus emerging in Arizona that they say should be monitored closely because it carries a mutation known for weakening vaccines. In a non-peer reviewed study that published Sunday, researchers said they have detected 17 cases of the new variant since February, 15 of which were in Arizona. The other two cases were found in Houston in late February and New Mexico in early March, suggesting that the variant has begun to spread. "My hope is that we do not see more of these cases. The whole point of surveillance is to keep this from spreading," said Dr. Efrem Lim, an ASU virologist and assistant professor. The variant is known as the B.1.243.1 variant, and descends from a common lineage of the virus called B.1.243, which nationally makes up about 2.5% of all cases, according to David Engelthaler, director of the Translational Genomics Research Institute's infectious disease division in Flagstaff. "It's not dominant. But, there's a fair amount of that lineage that has been able to hang around," Engelthaler said. "It seems to have picked up this E484K mutation, what we call the 'eek!'" This E484K mutation has also been seen in the variants first detected in South Africa and Brazil, as well as one new variant recently discovered in New York. Numerous studies have shown that this mutation — located in the spike of the virus — lowers antibody responses to the virus and could weaken vaccines. Antibodies are one of the body's tool to recognize and fight the virus. The E484K mutation has been shown to weaken antibody responses. One study from Seattle showed that it caused the neutralizing effects of antibodies to decrease by tenfold, and numerous other studies have shown similar results. American vaccine development company Novavax reported that its COVID-19 vaccine was 96.4% effective against the original coronavirus strain and 86.3% effective against the U.K. variant, but was far less effective in South Africa, where the South Africa variant carrying this mutation is dominant. In the South Africa trials, the vaccine was shown to be 48.6% effective overall, and 55.4% effective in HIV-negative individuals. Moderna announced a sixfold reduction in antibody responses from its vaccine against the South Africa variant, and Pfizer observed a drop in vaccine-induced antibody responses against the South Africa variant. The Johnson & Johnson vaccine is reported to be 64% effective against moderate to severe COVID-19 in trials in South Africa vs. 72% effective in U.S. trials. Though the E484K mutation appears to reduce antibody response and possibly reduce vaccine efficacy, Lim stressed that vaccines still work well and said people should get their vaccines as planned. Scientists are monitoring mutations in the spike of the novel coronavirus. Community spread is a concern Though the new Arizona variant carries this mutation, it's still possible for the variant to fizzle out and stop spreading. Lim said researchers have found two other cases where viruses within the B.1.243 lineage independently picked up the E484K mutation, but did not spread. "In both cases, they never led to more transmissions," Lim said. Engelthaler has also tracked other lineages where the E484K mutation showed up, but those strains fizzled out. Overall, researchers have detected over 60 samples containing the E484K mutation statewide, according to TGen's Arizona COVID-19 sequencing dashboard. In order to continue spread, Engelthaler said variants need to be very "fit." "This mutation has popped up on multiple instances and then just goes away," he said. "This one mutation by itself doesn't give the virus superpowers." "It’s definitely a mutation of concern but time will tell if it will be a variant of concern," he added. If the mutation shows up in a more fit version of the virus, then Engelthaler said it becomes more of a concern. The new variant in Arizona is different than past cases because it has already spread from one person to another and could spread further, according to Lim. He said "one-off" mutations here and there are normal, but that the bigger question is about the transmission levels of this variant. A variant's ability to spread to others is also dependent on human behavior, Lim said. If people follow public health guidelines, they are less likely to spread variants to others. In total, Lim said the new Arizona variant has 11 mutations, which is "quite a bit more" than normal virus variations. These 11 mutations could be helping the virus survive or spread and could also act as a "fingerprint" to help researchers identify the new variant, Lim said. Another one of the 11 mutations is located in the spike that the virus uses to attach to and infect cells. Engelthaler said that because of the importance of the spike, any mutations in that area could affect things like how fast the virus spreads or how severe the related illness is. Both Lim and Engelthaler said it's too soon to tell whether the other mutations in this variant have any effect. Overall, this variant still seems to account for a very low percentage of overall cases in the state, according to Dr. Joshua LaBaer, the executive director of ASU's Biodesign Institute. ASU researchers wrote that it's still possible there are more undetected cases of the variant since there are limited efforts to genetically monitor the virus nationwide. In Arizona, roughly 1.3% of cases overall have been genetically sequenced, or analyzed, according to TGen's Arizona COVID-19 sequencing dashboard. In February and March, over 3% of cases were sequenced, higher than national rates of sequencing, which were below 1% in January. ASU is working with the Arizona Department of Health Services to monitor the new variant and hopefully prevent further spread through contact tracing and other public health measures, Lim said. California and UK variant cases rise Currently the Arizona variant is only considered a "variant of interest" and not a "variant of concern." These are different categories outlined by the CDC and used to assess the risk level of each variant. The CDC defines "variants of interest" as those that are associated with potential changes, whereas "variants of concern" have evidence showing actual changes such as increased transmission, more severe disease or antibody evasion. There are five variants of concern, which include variants first identified in the United Kingdom, South Africa, Brazil and California. Two variants from California were elevated from variant of interest to variant of concern this month and have rapidly spread in Arizona. "They're closely related to each other and have definitely been documented with increased transmissibility and some impact on some antibody treatment," Engelthaler said. In November 2020, both the California variants accounted for only 0.73% of Arizona's genetically sequenced samples. By March, they accounted for 31.64% of samples and are predominant variants statewide. One non-peer reviewed study from the University of California San Francisco showed weaker antibody responses against the California variants. Because of concerns that monoclonal antibody treatments may be less effective against these two variants, the U.S. Department of Health and Human Services announced two weeks ago that it would limit the distribution of one treatment to states with high levels of the California variant, including Arizona. The California Department of Public Health also recommended that the state stop distributing the treatment, which is made by American pharmaceutical company Eli & Lily. In a health alert, the department said this treatment was unlikely to be active against the California variants. The U.K. variant, which is highly contagious, has also been spreading statewide ever since it was first detected in late January. In March the U.K. variant accounted for 4.72% of genetically analyzed samples. Currently, Engelthaler said Arizona has over 100 cases of the U.K. variant and over 1,000 cases of the California variants. Arizona also detected its first cases of the South Africa variant last week. So far, Lim said that all of the variants of concern are manageable and have not risen to the level of "variant of high consequence," which the CDC defines as variants that are shown to significantly reduce the effectiveness of prevention and medical measures. "The risk is whether one of these current variants of concern acquire additional mutations that push it up to the next level," Lim said. To prevent further mutations, LaBaer said it's important to prevent spread of the virus by continuing to follow health guidelines and getting vaccinated. The more the community can prevent the spread of the virus, the less mutations will occur, he said. "We're kind of in this race right now between the developed dominance of these much more infectious variants that are now spreading throughout the country and getting people vaccinated," LaBaer said. "At the moment, I'm a little worried that the spread of this virus is so fast that that may outpace our ability to get vaccines in arms." He said it was theoretically possible that new variants could escape the vaccines, meaning that the public would move backward away from reaching herd immunity. But Lim said the vaccines can easily be updated to protect against new variants. Pharmaceutical companies like Pfizer and Moderna are already working on developing updated booster shots. In the meantime, researchers will continue to monitor the Arizona variant to see if it spreads further. Engelthaler said he expects the most fit variants of the virus to become more dominant statewide as people continue to get vaccinated and stamp out less successful strains. "There's a bit of a race here with the virus — a survival of the fittest race," Engelthaler said. "But what we don't want is to raise too much concern that things are going in the wrong direction...what we're doing is closely watching the evolution of a virus like we never have before. It's good that we have this capability, it's more important to put it into context." Amanda Morris covers all things bioscience, which includes health care, technology, new research and the environment. Send her tips, story ideas, or dog memes at amorris@gannett.com and follow her on Twitter @amandamomorris for the latest bioscience updates. Independent coverage of bioscience in Arizona is supported by a grant from the Flinn Foundation. -
2020-10-13
Vaccine trials on hold
CNN reports that Johnson and Johnson put their vaccine trials on pause after one of their volunteers is experiencing an unexplained illness. As if many people weren’t already sketched out about this vaccine race this is yet another reason why many are saying they’ll wait a while to get vaccinated. I for one, will wait until it’s ok’d by the CDC and the first wave of people vaccinated don’t have adverse reactions.