Maine Medicine Weekly Update
November 8, 2021

In This Issue
Kids 5 To 11 Are Now Eligible for Pfizer COVID Shot. Here’s What You Need to Know.
More Pandemic News, Updates & Guidance
TONIGHT (Nov 9) - Pediatricians Share: What Parents Need to Know about the COVID-19 Vaccine for Children
Maine CDC Bulletin, “Pfizer Pediatric Vaccine Vial Date”
Maine CDC: Correction to Moderna Booster Dose Entry in Immpact
US FDA & CDC Officially Expand Eligibility Recommendations For COVID-19 Booster Shots
Moderna COVID-19 Vaccine Booster Dose Webinar & Ordering Reminders
Federal Government Publishes Vaccine Mandate Rules but Federal Appeals Court Stops OSHA Mandate
Medicare News & Updates
CMS Releases Final 2022 Physician Fee Schedule & Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rules.
Stop Medicare Cuts – Call to Action
Diversity, Equity and Inclusion
AMA: Your Private Practice Wants to Advance Equity. Start Here.
Maine Track Teaching Opportunities
Teaching Opportunities in Tufts Medical School 'Maine Track'
Fraud Alert
Scammers Target Medical Conferences
Upcoming Specialty Society Meetings
SUPPORT For ME Training and Technical Assistance Webinar on December 1
Suicide Assessment & Management for Clinical Staff Dec 6th, 13th & 20th 3-5pm
Maine Independent Clinical Information Service: MICIS presentations & Academic Detailing
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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Kids 5 To 11 Are Now Eligible for Pfizer COVID Shot. Here’s What You Need to Know.

It is a milestone month for the health of Maine children.

CDC Director Rochelle Walensky last week authorized the recommendations for use of the Pfizer vaccine in 5 to 11-year-old children issued November 3 by the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP).

The lower dose shot is now available for Maine children ages 5 to 11.

Maine clinicians can start vaccinating children as soon as possible.

What to Know:

  • Shots for children ages 5 to 11 will be a third of the dose given to teens and adults, which has been authorized by the Food and Drug Administration. Pfizer said in a statement the lower dosage was selected for use in the clinical trial “based on safety, tolerability and immunogenicity data.”
  • The dose for kids is lower at 10 micrograms (compared to 30 micrograms for those 12 and up) and the dosing regimen remains the same at 2 doses, given at least 21 days apart. Dosage is not based on size or weight.
  • Vaccines will also be administered with a smaller needle.
  • Expected side effects from the vaccine are similar to adults, pain or redness at the injection site, fatigue, and headache.
  • Parents or legal guardians are required to submit signed consent forms before anyone 17 and younger can be vaccinated.
  • Children who have had COVID disease should still get vaccinated.
  • Reported cases of myocarditis that followed the vaccine have generally been mild and resolved quickly, officials have said. The CDC has not found any deaths caused by vaccine-related myocarditis.

Maine’s allocation of the pediatric vaccine is 33,900 doses which should be delivered to Maine in 3 waves and the State is not expecting any supply issues. Commercial pharmacies in Maine will be allocated another 16,000 doses. There is enough vaccine available to vaccinate every eligible child in this Country.

There’s no distinction in the pediatric formulation between the first & second doses, & no requirement that a practice order them separately; practices can order all they think they can use.

Maine continues to develop plan for school-based clinics.

Additional References & Information:

  • FDA brief on Kids Pfizer Vaccine for the FDA’s October 26th VRBPAC meeting
              -Epidemiology of COVID in 5-11-year-old kids at minute 50:24.

              -Vaccine-associated myocarditis at minute 1:28:20.

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