Johnson & Johnson COVID vaccine boosters: What to know if you got J&J - CNET

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For the astir up-to-date quality and accusation astir the coronavirus pandemic, sojourn the WHO and CDC websites.

The US Centers for Disease Control and Prevention recommended booster shots for each recipients of Johnson & Johnson's coronavirus vaccine past week, saying everyone who got the one-dose changeable tin get different dose of Johnson & Johnson astatine slightest 2 months aft they were vaccinated-- oregon a booster changeable of Pfizer oregon Moderna. 

The authoritative proposal followed a lengthy treatment by the CDC's autarkic advisory committee, with members discussing guidance connected who should person boosters of Moderna's and Johnson & Johnson's COVID-19 vaccines, which received the US Food and Drug Administration's authorization this week. The FDA besides authorized a heterologous booster dose for each adults who suffice for one, meaning radical tin present "mix and match" vaccines for a booster. 

Read more: CDC says radical tin 'mix and match' boosters: What to know

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Fewer radical person gotten Johnson & Johnson's one-dose vaccine than Pfizer oregon Moderna. About 15 cardinal radical person been vaccinated with J&J, according to the CDC, a comparatively tiny fig compared with those vaccinated with Pfizer oregon Moderna. This is partially due to the fact that it was disposable successful the US aboriginal than some mRNA vaccines, accumulation issues resulted successful millions of wasted doses, and usage was paused concisely successful April aft concerns implicit a nexus to a rare but serious humor clotting upset (mostly successful women nether property 50) that isn't seen with the mRNA vaccines. 

People who received Moderna oregon Pfizer's COVID-19 vaccines are eligible for a booster if they're an big astatine hazard of terrible COVID-19, either due to the fact that of their age, underlying aesculapian condition oregon wherever they unrecorded oregon work. The information that boosters are recommended for each radical who got Johnson & Johnson is based connected probe showing it's little effectual than Pfizer and Moderna, with immoderate experts arguing Johnson & Johnson should've been a two-dose bid from the beginning. 

Those who got the one-dose J&J vaccine, including immunocompromised people, were initially near retired of the country's booster changeable plans due to the fact that of a deficiency of information connected the one-dose vaccine. The booster rollout successful wide is simply a arguable 1 -- members of the World Health Organization person called connected countries specified arsenic the US to dilatory the process of giving booster doses to radical who are already vaccinated due to the fact that overmuch of the satellite remains unvaccinated against COVID-19. As fewer arsenic 3.1% of radical successful low-income countries person had a coronavirus vaccine, according to Our World successful Data.

Even arsenic the CDC recommends boosters for a ample swath of vaccinated adults successful the US, each 3 COVID-19 vaccines stay protective against terrible illness and death. Before the CDC's authoritative recommendation, immoderate committee members argued we're losing show of what a vaccine is designed to do, which is not to forestall each infections, but to support against terrible disease. 

As the booster run rolls on, here's what to cognize if you suffice for a booster due to the fact that you got the J&J. 


The explanation of "fully vaccinated" hasn't changed. You're considered afloat vaccinated aft 2 doses of Moderna's oregon Pfizer's vaccine, oregon 1 dose of Johnson & Johnson's.

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Does it person to beryllium different changeable of J&J?

No. You tin get immoderate of the 3 COVID-19 vaccines available, meaning your prime tin beryllium connected your idiosyncratic circumstances oregon preference. Both Johnson & Johnson's and Pfizer's boosters are the aforesaid dosage arsenic the archetypal series, portion Moderna's booster is simply a smaller dose than its archetypal series. 

However, immoderate committee members expressed concerns implicit recommending a 2nd dose of Johnson & Johnson to women nether property 50, who are astatine a higher hazard for the precise uncommon but besides precise superior humor clotting upset associated with the vaccine (these clots require antithetic treatment than the clots that hap from things specified arsenic taking commencement power pills oregon riding connected an airplane). 

Importantly, this hazard isn't associated with the Pfizer oregon Moderna vaccines. There is besides the uncommon hazard of a neurological disorder linked to Johnson & Johnson, occurring mostly successful older men. In clinical guidance issued this week, meant to assistance locomotion eligible adults done choosing a booster dose, the CDC said that patients with a past of Guillain-Barré syndrome should "discuss the availability of mRNA COVID-19 vaccines" for extortion against the coronavirus. The CDC besides issued guidance that women nether property 50 "should beryllium made alert of the uncommon hazard of TTS aft receipt of the Janssen COVID-19 vaccine and the availability of different presently FDA-approved oregon FDA-authorized COVID-19 vaccines."

CDC committee subordinate Dr. Pablo Sanchez, said that portion helium agrees radical who received Johnson & Johnson should get a 2nd dose, "I would similar that those individuals get an mRNA vaccine," helium said. 

Although information connected "mixing vaccines" successful the US is limited, it's been done for months successful different countries, wherever immoderate individuals person received a dose of AstraZeneca (a viral vector vaccine similar Johnson & Johnson) combined with a dose of mRNA vaccine. Preliminary data connected mixing COVID-19 vaccines for boosters successful the US recovered that portion each 3 COVID-19 vaccines utilized arsenic boosters for J&J recipients elicited beardown responses, Moderna's and Pfizer's boosters elicited overmuch stronger antibody responses -- 76-fold and 35-fold, respectively -- than a 2nd dose of Johnson & Johnson (four-fold). While impressive, antibody effect is not the afloat picture of immunity. 

What if I'm immunocompromised and got J&J? 

Immunocompromised radical who received Johnson & Johnson and are "moderately oregon severely immunocompromised" should get a booster of immoderate COVID-19 vaccine astatine slightest 2 months aft the azygous dose. This is the aforesaid proposal for everyone other who got Johnson & Johnson, but fixed that radical with a suppressed immune strategy usually aren't capable to equine arsenic beardown an immune response, it whitethorn beryllium particularly important they question retired a 2nd dose of COVID-19 vaccine. 

Although precise fewer immunocompromised radical apt received Johnson & Johnson compared to Moderna oregon Pfizer, a CDC committee subordinate said, those who did were neglected successful the CDC's archetypal proposal for an other dose for moderately oregon severely immunocompromised folks for deficiency of data. (Immunocompromised radical were eligible for their archetypal dose of COVID-19 vaccine earlier the wide public, which means they apt got Moderna oregon Pfizer, which were disposable sooner successful the pandemic.) This week, the CDC issued guidance that Moderna oregon Pfizer recipients who are moderately oregon severely immunocompromised may person a 4th changeable oregon booster astatine slightest six months aft their 3rd shot. 

When tin I get a booster? 

At slightest 2 months aft your archetypal vaccination, per the recommendation. With the FDA authorization and authoritative CDC recommendation, astir pharmacies, clinics and doctor's offices should beryllium capable to springiness retired boosters, depending connected what they person successful stock, of course. 

Getting an archetypal bid of immoderate COVID-19 vaccine remains the champion happening radical tin bash to support against terrible COVID-19 disease. Unvaccinated radical are more than 10 times much apt to beryllium hospitalized with oregon dice from COVID-19 than afloat vaccinated people, according to the CDC. About 20% of US adults haven't yet received a COVID-19 shot

The accusation contained successful this nonfiction is for acquisition and informational purposes lone and is not intended arsenic wellness oregon aesculapian advice. Always consult a doc oregon different qualified wellness supplier regarding immoderate questions you whitethorn person astir a aesculapian information oregon wellness objectives.

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