A quick overview of Biological E.'s Covid vaccine:
✅ Vaccine platform: Protein Subunit.
✅ Number of doses: 2 doses
✅ Gap between doses: 28 days*
✅ Current status: Completed Phase 1 and 2 trials. Got approval for Phase 3 trials in April 2021.
*As per clinical trials.
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✅ Partnership: Antigen developed by Texas Children's Hospital for Vaccine Development and Baylor College of Medicine. Adjuvant supplied by Dynavax Technologies (US).
✅ Proven platform used for Hepatitis B vaccine. Novavax vaccine also uses subunit technology.
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✅ What is a protein subunit vaccine?
It consists of specific parts of the SARS-Cov-2 antigen that are synthesized and harvested in a medium like yeast. The proteins themselves elicit weak immune response and they need an adjuvant added to augment the immune response.
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✅ What is an adjuvant?
Adjuvants are substances that are combined with a protein (antigen) in a vaccine that increases the overall immune response of the vaccine. In the case of Biological E.'s vaccine, the adjuvants used are Alum and CpG 1018 developed by Dynavax, USA.
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✅ Advantages of Protein subunit vaccines:
📌 Proven vaccine platform with high safety profile.
📌 Expected to elicit strong immune response.
📌 Scalable production with existing production facilities.
📌 Expected to have lower cost and easier storage/transportation needs.
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📌 Phase 3 trials were approved in April, though data on whether the trials have started is not available.
📌 As per projections from Biological E., 6.5Cr to 7Cr doses are expected from August.
📌 Note that there are dependencies on process scaling and raw materials.
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On breakthrough infections, vaccines and gap between doses:
A correspondence published in NEJM on 2nd June, details a study on breakthrough infections with a large cohort of 7000+ healthcare workers in a tertiary hospital in India.
7000+ received the first dose and 3600+ of them subsequently got the 2nd dose.
Vaccine administered was Covishield.
An additional 5000+ were not vaccinated.
Study period: Jan-Apr 2021.
📌 506 HCWs tested +ve during the study, of which 64% were unvaccinated.
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📌 Of the 7000+ HCWs that got the 1st dose, only 2.6% of them tested positive.
📌 3600+ HCWs got both doses and 2% of them tested positive.
📌 Breakthrough infection, measured as those testing positive 14 days after both doses stood at 1.6%.
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If you do not have any symptoms 14 days after confirmation of Covid, a repeat test IS NOT required.
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❓When can I consider myself recovered from Covid?
➡️ 14 days after date of test.
➡️ 3 consecutive days of no symptoms.
➡️ If you had severe symptoms, consult your doctor for discharge criteria.
➡️ No need for a repeat RTPCR test.
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❓Do I need to continue wearing masks inside my home after recovery?
No. One does not generally transmit the virus after Day 10 of infection. After 14 days of room quarantine, there is no need to wear a #mask inside the house.
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❓I am feeding my 9 month old baby. Can I take the vaccine?
Yes. As per latest MoHFW guidelines, lactating mothers can take the vaccine. Go ahead!
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❓My mother turned negative for Covid 2 weeks back. When can she take the vaccine?
She can take the vaccine 3 months after recovery. Ensure she follows all Covid safety precautions now as well as after vaccination!
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❓ Is there any side effect of taking vitamin C for over a month?
No, but there is no benefit as well. Maintaining balanced diet and drinking adequate water will be more beneficial than taking supplements, as long as you do not have specific deficiencies.
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With 5.8Cr doses, May saw a 35% DROP in vaccine doses administered, compared to April.
As per official data, vaccine supply stood at 7.94Cr doses in May.
Then, why were we able to administer only 5.8Cr doses?
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📌 Data as on 29th May morning, shows that states had 2.15Cr doses available with them. Together with the 5.8Cr administered doses, this accounts for the 7.94Cr monthly supply figure.
📌 Does this mean that states have had stock, but vaccination was slow? Let's explore:
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As per official data 1.43Cr doses were available with states as of 22/05.
Between 22/05 and 28/05, 1.38Cr doses were administered by states: A high utilisation %.
If 2.15Cr doses were available as of 29/05, it points to 2Cr+ doses being supplied in the last week of May.