The FDA Vaccines and Related Biological Products Advisory Committee briefing document on Johnson & Johnson’s COVID vaccine has been posted and their efficacy data looks extremely promising. It appears to elicit robust efficacy against all variants including B.1.351!
It also demonstrates its ability to elicit strong cell-mediated immunity via T-cell responses with protection rising over time. This is the first one-dose vaccine that could do a lot of wonders right now. EUA is expected this week.
Document is here:
fda.gov/advisory-commi…
The efficacy of the Johnson & Johnson vaccine against moderate to severe/critical COVID-19 across all geographic areas was 66.9% at least 14 days after the single dose vaccination and 66.1% at least 28 days after vaccination. In addition, there were no specific safety concerns
identified in subgroup analyses by age, race, ethnicity, medical comorbidities, or prior SARS-CoV-2 infection.
If you are interested in more on this vaccine please see:
For those of you in the UK, 30 million doses have been ordered but I don’t believe there is an expected delivery just yet as the approval is pending.
Highlights: One-dose. Easy storage requirements. 28 days post-vaccination the vaccinated group had ZERO cases requiring medical intervention, ZERO hospitalizations and ZERO deaths. These were real-world results outside of the lab by the way. Effective across all demographics.
For those asking, there was a 74% reduction in asymptomatic infection in a small number of cases. I think we need to ramp up production and distribution of this vaccine across the globe, especially to lower income countries. This vaccine is nothing short of a game changer!
Lastly to clarify, Johnson & Johnson specified one dose showed 86% efficacy against severe forms of COVID-19 in the United States, and 82% against severe disease in South Africa. Vaccine efficacy was also not affected by P.1 in Brazil.
nytimes.com/2021/02/24/sci…
This is even better news than I had initially thought. Looks like we could have 700M doses by July.
medpagetoday.com/infectiousdise…
So the above article is applying to supply of all vaccines as a whole (not just J&J hence that high number). The U.S. is prepared to send out 3-to-4 million doses of J&J’s COVID vaccine as early as next week should the FDA grant emergency use authorization this Friday I read.

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More from @sailorrooscout

24 Feb
Some good news for your evening! Now that it’s finally out I can share! Our updated mRNA-1273.351 Moderna vaccine is on its way to NIH to be tested in early stage clinical trials to determine if it can be used as a booster shot against variant B.1.351 (South Africa strain)!
Yes. We had this ready to go in 30 days. Working hard!
You can find more here: businesswire.com/news/home/2021…
Just so you guys have an idea on the approaches to boosting we are evaluating (also note that while YES, our vaccines do provide neutralizing activity against VOCs we are choosing to do these studies out of an abundance of caution and stay ahead): Image
Read 6 tweets
22 Feb
Wonderful news this morning! A study out of Scotland has found by the fourth week after receiving an initial dose, Pfizer’s and Oxford-AstraZeneca’s vaccines were shown to reduce the risk of hospitalization from COVID in Scotland by up to 85% and 94%, respectively!
Also keep in mind this is just after the initial dose! This means we have more encouraging numbers to look forward to after individuals receive their booster. This is why every vaccine is vital. One study alone does not determine its value.
While we are waiting for the preprint Daily Mail UK provided some graphics from the study. Researchers specified the risks only appear to wear off after four weeks because of a lack of data- not because immunity wears off.
Read 8 tweets
20 Feb
This is SO encouraging! More data out of the study conducted by Pfizer and Israel’s Health Ministry I spoke about on a recent thread shows increased effectiveness of Pfizer’s across the board 14 days from the second dose. Remember that second dose is vital!
95.8% at preventing SARS-CoV-2 infection
98% at preventing disease with fever or respiratory symptoms
98.9% at preventing COVID-19 hospitalizations
99.2% at preventing severe disease
98.9% at preventing death from COVID-19
That’s real-world data for you!
Also yes, let me clarify, they specified this was regardless of whether asymptomatic infection or not. I think we need to really start acknowledging these vaccines do indeed reduce transmission of SARS-CoV-2.
Read 4 tweets
20 Feb
Vaccines are preventives, not cures.
The purpose of vaccination is to bring the severity level down to that of a benign virus. That’s how this works. Our best protection is to keep cases low and get people vaccinated. To expect eradication of this virus right now is unrealistic.
With this said, the more people vaccinated, the more restrictions should start to be lifted. Why? We are already starting to see evidence these vaccines do prevent transmission the more data comes out; it would be extremely ignorant to suggest otherwise or disregard it.
Eradicating this virus right now from the world is a lot like trying to dig a tunnel to the center of the Earth using only a plastic spoon. It’s unrealistic. Some forget or simply don’t care (totally different virus) but Polio was endemic before it was 100% declared eradicated.
Read 13 tweets
18 Feb
For those of you in the UK, this is wonderful news! Real-world data from the UK’s vaccine rollout program revealed just one dose of Oxford/AstraZeneca’s or Pfizer’s vaccines appear to block transmission and infection by two-thirds regardless of age group!
telegraph.co.uk/news/2021/02/1…
And if you’d like some more good news: AstraZeneca has confirmed 100% protection against severe disease, hospitalization and death in their primary analysis of Phase III trials more than 22 days after the first dose. The trials were done in the UK, Brazil AND South Africa.
Increased efficacy with longer inter-dose interval, protection of over 70% starting after a first dose and first indication of reduction in disease transmission of up to 67%.
papers.ssrn.com/sol3/papers.cf… and

astrazeneca.com/media-centre/p…
Read 4 tweets
18 Feb
This is extremely promising. A new study conducted by Pfizer and Israel’s Health Ministry shows Pfizer’s vaccine was estimated to be 89.5% effective at preventing SARS-CoV-2 infections regardless of whether symptomatic or not. This infers a possible reduction in transmission! 🧵
Study is based on real-world data and analysis of individuals vaccinated with their 2nd dose.
90% Drop in infection
Effectiveness:
94% against symptomatic infection
94% against severe/crit. hospitalization
93% against death
This study can be found here (just see the screens).
The next two studies I want to highlight take into account viral load. When an infected individual has a high viral load, they are more likely to shed more viral particles, hence transmit the virus. Higher viral load is usually associated with severe disease as well. Carrying on.
Read 14 tweets

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