"What we're saying — and what we've been saying all along — is that mRNA vaccines are the preferred vaccines," says Dr. Shelley Deeks, the vice-chair of NACI.
Deeks says there's a shift in recommendations. NACI now estimates the frequency of the vaccine-induced rare blood clots (VITT) is closer to 1 in 100,000. People who can work from home - or those in areas with lower rates of transmission - may just want to wait for an mRNA shot.
NACI says AstraZeneca and J&J shots should be used by people who don't want to wait for Pfizer and Moderna or those who can't really afford to wait (essential workers).
"The viral vector vaccines are very effective vaccines but there is a safety signal - a safety risk ... and the issue with the safety signal is that although it's very rare, it is very serious," Deeks said of AZ shots. "So, individuals need to have an informed choice."
"When we first provided recommendations for COVID vaccines in Canada, we did not know about the vaccine safety signal. Now, there's been a vaccine safety signal and we modified the recommendations," Deeks said.
"All COVID vaccines are safe and effective. Individuals that receive an AZ vaccine and are worried should be vigilant for the symptoms, particularly if it's within one to three weeks after receiving a vaccine," Deeks said.

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More from @JPTasker

22 Apr
I've done a bit of number crunching.

Based on current delivery estimates — and those could change! — there should be enough Pfizer and Moderna shots coming in May to vaccinate every Ontarian over the age of 30 with at least one shot by the first week of June.
As of today, 5,248,345 shots have been distributed to Ontario minus 351,354 second shots = 4,896,991 people who have already received, or soon will receive, at least one shot.
4,485,780 Pfizer shots will arrive in Ontario between April 26 and June 6. At least 235,700 Moderna shots will come over the next month (there will likely be more).

That equals 4,721,480 more mRNA shots by June 6.
Read 6 tweets
22 Apr
Maj.-Gen. Fortin confirms *no new doses* of the Serum Institute-produced AstraZeneca shots will arrive this month. One million doses had been expected by month's end — that's not happening now.
300,000 Johnson & Johnson doses will arrive next week, they will be distributed to the provinces and territories during the first week of May.
As India grapples with a deadly surge in cases, the government there has restricted virtually all exports of Serum Institute-made shots, diverting most of the 2.4 million doses it churns out each day to the domestic vaccination campaign.
Read 6 tweets
21 Apr
U.S. President Joe Biden has just suggested he may send more shots to Canada.

"We have talked to our neighbours. As a matter of fact, a fellow who is working really hard to take care of his country and deal with this, I was on the phone with him for half an hour today," he says.
"The prime minister of Canada — we helped a little bit there. We're going to try to help some more, but there's other countries as well that I'm confident we can help, including in Central America," Biden says.
(Biden is almost certainly talking about more U.S.-made AstraZeneca shots. Biden sent (or "loaned") us 1.5 million doses earlier this month. That product isn't yet authorized for use in the American marketplace.)
Read 4 tweets
20 Apr
Some incredibly encouraging vaccine news from @CDCDirector today: "So far, out of more than 84 million people who are fully vaccinated, we have only received reports of less than 6,000 breakthrough cases." While likely an underestimation, the number (very, very) low.
@CDCDirector "Of the nearly 6,000 cases, approximately 30 percent had no symptoms at all. It demonstrates that... they also help you prevent getting seriously ill," @CDCDirector said.
"Based on these data, here’s the bottom line: Getting a vaccine will help protect you, it will help protect others, and it will help us end this pandemic," she said. whitehouse.gov/briefing-room/…
Read 6 tweets
1 Apr
Some important vaccine updates — Maj. Gen. Dany Fortin says the 590,000 Moderna doses that were delayed last week (slow quality assurance process) are leaving Europe today, and will land in Canada tomorrow morning. Provinces will have them by Saturday, the general says.
The AstraZeneca shots from the U.S. (the 1.5 million that arrived Tues.) have now received the necessary Health Canada authorizations. Deliveries to the provinces have started and will finish Sat. (This is likely why Ont. has announced an expansion of AZ in pharmacies that day.)
By the end of this week, the feds will have distributed about 9.5 million COVID-19 shots in total, Fortin says. "We have come a long way since our first deliveries to provinces and territories on December 14."
Read 13 tweets
1 Apr
New — Ontario is expanding vaccine eligibility starting Saturday — people 55+ can start booking appointments for the AstraZeneca shot at participating pharmacies. 350 more pharmacies will be administering that shot as of April 3 (for a total of 700 locations across the province.)
The province expects the number of pharmacies administering the shot will grow to 1,500 by month's end. (There are 4,500 community pharmacies in the province, according to the Canadian Pharmacy Regulatory Authorities.)
Pharmacists told me in January they could do as many as 3 million shots a week at their 11,500 locations nationwide, if they had supply: cbc.ca/news/politics/…
Read 4 tweets

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