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Maine Medicine Weekly Update
October 31, 2021


In This Issue
LEAD STORY
One Step Closer to COVID Vaccines for Kids; FDA Authorizes Vaccine for Children Ages 5-11
Identifying Child Maltreatment
Identify to Protect: Recognizing the Signs of Child Maltreatment
More COVID Guidance & News
US FDA & CDC Officially Expand Eligibility Recommendations For COVID-19 Booster Shots
Moderna COVID-19 Vaccine Booster Dose Webinar & Ordering Reminders
Further Clarification to The Moderna Guidance That Was Previously Sent to Providers
Upcoming Training Sessions for Pfizer COVID-19 Vaccines
New Standing Orders for Moderna, Janssen, & Pfizer with Booster Language Dose Information
Immunocompromised Americans who had a 3rd COVID-19 shot can now get a 4th
COVID-19 Monoclonal Antibody Therapies in Maine
US CDC Adds Certain Mental Health Conditions to List of High-Risk Individuals Eligible for Booster Shots
US Surgeon General Vivek Murthy on Vaccinating Kids, Mix and Match Boosters, Other Top Concerns
US Supreme Court Lets Maine Health Care Vaccine Mandate Stand
JAMA, NEJM Studies, Reports & Helpful Information
Top JAMA, JAMA Network, and New England Journal of Medicine Articles
Maine Track Teaching Opportunities
Teaching Opportunities in Tufts Medical School 'Maine Track'
FDA Rules Notices
FDA Moves to Allow Over-The-Counter Hearing Aids
Fraud Alert
Scammers Target Medical Conferences
Whaaaaatt ... ???
Surgeons in Egypt Remove Phone That Man Swallowed & Waited Six Months For It To ‘Pass Naturally’
UPCOMING EVENTS
Registration is Open! November 5th Governor's Office Opioid Response Seminar Series
Upcoming Specialty Society Meetings
Join us for an introduction to hospice services in our webinar on November 2nd: Let’s Talk Hospice!
AAP EQIPP Course: Immunizations - Strategies for Success (for RURAL Health Providers)
SUPPORT For ME Training and Technical Assistance Initiative Webinars on November 3 & December 1
Maine Independent Clinical Information Service: MICIS presentations & Academic Detailing
HEALTHCARE EMPLOYMENT OPPORTUNITIES
Physician (BC/BE in Family Medicine) - Mt. Abram Regional Health Center, (Kingfield, Maine)
Physician (BC/BE in Family Medicine) - Bingham Area Health Center

 
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Further Clarification to The Moderna Guidance That Was Previously Sent to Providers

The volume of the Moderna booster dose is 0.25 mL (half the volume of the primary dose). Both 0.5 mL primary doses and 0.25 mL booster doses can be drawn from the same vial. The Moderna COVID-19 vaccine is supplied in two multiple-dose vial presentations:

            A multiple-dose vial containing 5.5 mL (i.e., Moderna 10-dose)

            A multiple-dose vial containing 7.5 mL (i.e., Moderna 14-dose)

When extracting only booster doses or a combination of primary series and booster doses, the maximum number of doses that may be extracted from either vial presentation should not exceed 20 doses; the Moderna COVID-19 vaccine vial stopper should not be punctured more than 20 times. Once punctured, multidose vials of the Moderna vaccine must be used within 12 hours.

Despite the volume of the booster dose being 0.25 mL, providers should still report a full dose as administered in ImmPact. At this time ImmPact pulls a full dose from inventory even if your EMR sends a partial dose. We are working on a fix for this issue. Until we have installed the fix you will need to modify your inventory quantities and add doses. Use the reasonVial Did Not Contain All Doses.

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