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Moderna booster and omicron: 3 COVID vaccine doses protect better than 2. What to know today - CNET

The Moderna Booster is one of the two mRNA vaccine boosters now recommended by the CDC.

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For the most up-to-date news and information about the coronavirus pandemic, visit the WHO and CDC websites.

A year ago today, the Moderna COVID-19 vaccine was authorized for emergency use by the Food and Drug Administration. On Friday, the Centers for Disease Control and Prevention explained how a third shot of the Moderna vaccine protects better than two shots versus the emerging omicron variant of COVID-19.

During a White House briefing on Friday, Dr. Anthony Fauci, chief medical adviser to President Joe Biden, discussed several recent studies offering support for COVID-19 vaccine booster shots. Regarding omicron, Fauci presented data from a preliminary study by the National Institutes of Health demonstrating that boosters of the Moderna vaccine offer 19 times more neutralizing protection against the omicron variant compared to two shots.

Fauci ended his remarks Friday: "It is critical to get vaccinated. If you are vaccinated, it is critical for optimal protection to get boosted."

Omicron has pushed talk of a COVID booster to the top of the page. As of Saturday, almost 26 million people in the US have received the Moderna vaccine booster, according to the CDC. On Thursday, a CDC advisory committee also took the bold step of recommending the mRNA vaccines from Moderna and Pfizer (Comirnaty) over the Johnson & Johnson viral vector vaccine for booster shots.

The CDC's mRNA vaccine recommendation and focus on boosters follows news that two doses of the Moderna vaccine may not be enough to protect against the omicron variant. That NIH study released Wednesday found that two doses of the Moderna vaccine were 50 times less effective at protecting against the omicron variant compared to previous COVID variants.

"The omicron variant undoubtedly compromised the effects of a two-dose mRNA vaccine-induced antibodies and reduces the overall protection," said Fauci, during a White House briefing on Wednesday.

Studies of US cases of the omicron variant appear to support the concern about weakened protection for those who are fully vaccinated with two doses of the Moderna and Pfizer vaccines or one of J&J's. Dr. Rochelle P. Walensky, CDC director, said last week that 80% of confirmed US cases with the mutated virus had already been fully vaccinated against the disease. One-third of the cases had also received a booster, although some may have not been boosted in time to be fully protected before being infected with the omicron variant.

Scientists are still learning about the omicron variant, including how easily it can pass between people, how serious an infection it can cause and if it can evade immunity. As of Dec. 10, according to Jeff Zients, White House COVID-19 response coordinator, the US is administering 1.1 million booster shots a day, the most since May. The jump comes as the White House is stressing the need for COVID-19 vaccine heading into winter, including booster shots. (Biden's campaign also includes "free" at-home COVID-19 test kits and stricter rules for international travelers.)

Research is showing booster shots from Moderna and Pfizer could help slow COVID-19's spread, reducing hospitalization and deaths, as the effects of the vaccine weaken over time. The CDC urges booster shots for anyone over 18 six months after their second dose of Moderna or Pfizer, or two months after getting a single Johnson & Johnson dose.

The COVID-19 vaccines have proven so far to be highly effective in preventing hospitalization. People who are unvaccinated are 10 times more likely to be hospitalized if infected. With the federal vaccine mandate halted by a court order, Biden is turning to other measures to get booster shots administered. The government has also ordered 13 million courses of antiviral drugs in anticipation of higher caseloads this winter.

Here's what you need to know about the Moderna booster, including doses, side effects and how to get a free ride. For more details, here's the latest on COVID-19 vaccines for kids, how you can get a free COVID-19 test kit soon and what to know about breakthrough infections

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Is the Moderna booster effective against the omicron variant?

According to a study released on Wednesday, Moderna's booster was highly effective at blocking the virus, NPR reported.

Moderna CEO Noubar Afeyan told Fox News last week, "Our expectation ... is that a boosted person will be protected, certainly against serious disease and hospitalization."

CNET asked Moderna for a comment but didn't immediately get a response.

Pfizer said early lab results suggest that the first two doses of its vaccine might not fully protect against the variant and three doses may be needed to restore those protections.

Will we need an omicron booster shot from Moderna?

Fauci on Wednesday said, "there is no need for a variant-specific booster" to protect against omicron. "The current boosters work to restore protection," he said.

Moderna said it is working on an omicron-specific booster vaccine, along with testing a COVID-19 vaccine that could protect against several mutated strains of the coronavirus, in case a variant-specific vaccine is needed.

As part of its booster testing, Moderna is also investigating whether a 100-microgram dose of its booster provides better protection against the omicron variant -- in other words, a third dose rather than a half dose as the booster is currently formulated now.

If Moderna needs to make a new vaccine modified for the variant, it could be available early in 2022.

When is it time to get a COVID-19 vaccine booster shot?

If you got Moderna or Pfizer, six months after the date of your second shot listed on your vaccination card is when you're eligible to receive your booster dose. The CDC and other health authorities are now urging you to get your booster as soon as you're eligible, to keep your immune response against omicron, delta and other coronavirus variants as strong as possible. Two months after the Johnson & Johnson vaccine is the time for a booster (more below).

On Dec. 2, Biden also outlined a plan for Medicare to contact the 64 million people it serves and for AARP to reach out to its 38 million senior members. Pharmacies like Walgreens, CVS and RiteAid should also contact people who got a vaccine at their retail stores when it's time to schedule another dose.

Should people who are pregnant get a booster shot?

The COVID-19 booster recommendations apply to all people 18 years and older, including those who are pregnant. In fact, the CDC urges pregnant people to get a COVID-19 vaccine -- and a booster is half a full vaccine dose.

"People who are pregnant or recently pregnant are more likely to get severely ill with COVID-19 compared with people who are not pregnant," the CDC says on its website.

A recent study also linked COVID-19 infection in pregnant people to higher risk of stillbirth. However, there is no evidence that getting vaccinated decreases fertility in women or men.

Is the Moderna booster shot a third dose?

Booster shots of COVID-19 vaccines are currently half doses of the same vaccine used in the first two full shots. The goal is to top up the vaccine formula that reinforces the body's immune response against the virus and its variants. The Moderna booster authorized by the CDC is a 50-microgram dose, while the first two shots were each 100 micrograms.

Moderna is also working on a combination shot that contains this year's flu vaccine and its COVID-19 booster vaccine, but that's not available right now.

Moderna's booster shot is currently half the size of a full dose.

Sarah Tew/CNET

How do I know which pharmacies have Moderna appointments?

Boosters are available at roughly 80,000 places across the country, including over 40,000 local pharmacies. Some 90% of Americans have a vaccine site within 5 miles of where they live.

terrific free service in conjunction with the CDC sends you information when you text your ZIP code to this number: 438829. The response will show you COVID-19 vaccine locations in your area, along with the brand they carry for certain age groups, for instance, Moderna 18+. This can save you the trial and error of calling around, or showing up to your appointment to find that your booster of choice isn't available. The text can also give you a shortcut to make your appointment right from your phone screen. 

You can also check Vaccines.gov to see which vaccines are available where, and call 800-232-0233 for vaccine information.

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How can I get a free ride to get my booster shot?

Lyft and Uber are offering free rides for some people who need them. An easy way to access those links for more information is through the text feature above You can also go to Lyft.com/vax or call Uber at: 855-921-0033.

Who can get a Moderna booster shot right now?

On Nov. 19, all US adults -- those age 18 and older -- became eligible to receive COVID-19 booster shots. They qualify if it's been at least six months since they've received a second dose of either the Moderna or Pfizer vaccine. Those who received the Johnson & Johnson vaccine are eligible for a booster dose after two months. Adults are encouraged to get whatever booster dose is available to them, even if that means mixing and matching vaccine boosters (more below), in other words, getting a different booster shot than their original vaccination.

What are the side effects of Moderna's booster?

According to the CDC, those who got the Moderna booster dose reported fewer reactions than they did after the second dose of the vaccine. In its study, the CDC found 95% of those who got Moderna for the first round of vaccine shots chose Moderna for the booster dose.

Moderna's booster shot is free of charge for all adults.

Sarah Tew/CNET

Is it safe to mix and match vaccine and booster brands? Yes

The US Food and Drug Administration has authorized mixing COVID-19 boosters, which in the US means Moderna, Pfizer and Johnson & Johnson. Any adult eligible for a booster can get any of the available brands of coronavirus vaccines. If you initially received Johnson & Johnson and it's been two months or longer since you received the initial dose, you'll be able to get the Moderna or Pfizer booster. If you received Moderna or Pfizer for your first two shots, you could pick any authorized vaccine available to you -- including J&J -- if you qualify and it's been six months or longer since your second shot.

Is the Moderna COVID-19 booster shot still free?

All booster shots will be free, regardless of immigration or health insurance status. However, depending on where you get your booster shot -- for example, at a local pharmacy -- you may be asked to log your insurance status. You may be asked to provide your insurance card information, including your name, date of birth and membership number. You will not be charged for your COVID-19 vaccine or booster shot.

Will I need another COVID-19 booster shot?

The CDC updated its guidance to say that in 2022, some immunocompromised people will be able to get a fourth COVID-19 booster shot. It's unclear if other groups will need to get a fourth dose at this time, but guidance could change in light of the omicron variant. 

For more on coronavirus treatments and vaccines, here's what we know about monoclonal antibody treatments, the new federal vaccine mandates and why some people may not want the shot.

What does the Moderna booster shot do?

A COVID-19 booster shot -- whether from Moderna, Pfizer or Johnson & Johnson -- tops off your immune response and guards against a breakthrough COVID-19 infection as the vaccine's effectiveness decreases over time.

Recent studies of the Pfizer and AstraZeneca vaccines show that their effectiveness can begin to wane after six months. Moderna said early data suggests that those who received the Moderna vaccine in 2020 are showing a higher rate of breakthrough COVID-19 infections than those vaccinated this year, suggesting the need for a booster to maintain high levels of protection.

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.



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