As the City’s doctor, I like to tell New Yorkers what I would say to my own patients – when it comes to vaccines, there are no bad questions. My starting point in answering them is empathy, followed by the facts. 🧵
Over the last 24 hours, we have fielded a lot of questions due to the news about the Johnson & Johnson vaccine. You could say yesterday was a "curveball." But it was a pitch we look for.
Adverse events are reported to a national database precisely so that we can monitor for patterns that call for greater study, which is what we’re doing now.

This monitoring acts as a highly sensitive warning system.
The decision to “pause” means our government is following the science and making safety the utmost priority – a position we strongly agree with.
Vaccines usually carry a very small risk of side effects. But it’s also important to keep in mind the other side of the equation – to remember that authorized vaccines protect us from diseases that threaten us so much more.
While our federal partners are doing their due diligence, the pause in administering the Johnson & Johnson vaccine will have an impact on our operations:
First, the vast majority of New Yorkers who booked appointments for the Johnson & Johnson vaccine will keep the same appointment and receive the Pfizer or Moderna vaccine instead.
Second, we did have to reschedule around 4,000 people yesterday. Those New Yorkers received messages to help them find new appointments.
Third, the homebound program is suspended through this Sunday. We are currently working on rescheduling appointments and helping to arrange transport to a vaccine site by taxi or ambulette if possible.
For New Yorkers, like me, who received the Johnson & Johnson vaccine, I do want to assure you that it is extremely unlikely that you will experience anything like the adverse events that have been reported.
If you experience symptoms like severe headache, abdominal pain, leg pain, or shortness of breath within 3 weeks after vaccination – call your doctor.

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More from @NYCHealthCommr

14 Apr
Vaccines are lifesaving: The 7-day average rate of admission into hospitals for COVID-like illness among New Yorkers 65 and older has fallen by 51% since mid-January, compared to 29% for those under 65. Chart of Daily Admissions for COVID-like illness per 100k by
Consider the example of older adults who were prioritized earlier and received vaccinations at nursing homes and in the community. As more of these New Yorkers were vaccinated – now over 61% of our seniors have received at least one dose – we are seeing hospitalizations drop.
But we should not mistake progress with victory. This virus has shown us time and again how deadly it can be. We have to keep that in the front of our minds even as we follow the science on the safety of vaccines.
Read 6 tweets
13 Apr
Federal partners have recently alerted us about a small number of serious adverse events involving the Johnson & Johnson (Janssen) vaccine.
fda.gov/news-events/pr…
While these events appear to be extremely rare, out of an abundance of caution we have paused the administration of the Johnson & Johnson vaccine in New York City, effective today, Tuesday, April 13.
Adverse events are reported nationally and the actions being taken reflect how seriously we take signals from our warning system.
Read 4 tweets
9 Apr
Update for Friday, April 9 on #COVID19 metrics in NYC:

🔹As of today, we have administered over 4,842,849 vaccine doses in the city!

See the latest vaccine data: on.nyc.gov/vaccinedata Chart showing vaccine doses...
🔹170 people were admitted to NYC hospitals with COVID-like symptoms on April 7, and 67% were positive for COVID-19. Bar graph showing daily num...
🔹The rate of admissions was 3.42 per 100,000 people on April 7. We want to be below 2 per 100,000 people. Bar graph showing new NYC C...
Read 6 tweets

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