Why isn't there a Delta variant vaccine?

I hear this a lot. 🧵 Three reasons:
1. The regular vaccines give great booster responses against Delta and other variants.
2. “Original recipe’ vaccine is better suited for other variants
3. It is faster to proceed with original vaccines
1/ The regular vaccines give great booster responses against Delta and other variants
This was first shown by Moderna, with 'original recipe' vaccine booster, compare to Beta booster.
nature.com/articles/s4159…
And for T cells, the T cell epitopes between variants are highly conserved, so the 'original recipe' vaccine should be a good booster. Though no T cell booster data are published.
doi.org/10.1016/j.xcrm…
2/ The regular vaccine is better suited for other, non-Delta, variants
For example, the antigenic distance of original recipe is closer to both Delta and Beta than Delta is to Beta.
Summarized well by Derek Smith in his Pasteur Institute talk
covid19.conferences-pasteur.org/programme
There's a Science news article somewhere about this antigenic mapping….
3/ It is faster to proceed with 'original recipe' vaccines.
Speed matters, and regulatory approval and manufacturing is faster for the original vaccines.
(Manufacturing is faster because you don't have to split your resources.)

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More from @profshanecrotty

19 Oct
FDA panel greenlighted Moderna booster vaccines. CDC will consider it this week. My thoughts 🧵:
🔵   Moderna booster definitely enhances immunity
🔵   Moderna boosters for people > 65 at 6+ months is reasonable, and healthcare workers
🔵   Moderna booster needed less than Pfizer
🔵   The Moderna booster definitely enhances immunity
Over the Moderna booster data and FDA filing look good. The data are more limited than desired, but it all makes sense.
The FDA probably struggled with the idea of making a Moderna booster recommendation different than the Pfizer booster recommendation they recently made.
Read 18 tweets
24 Sep
CDC Director Dr. Walensky made the right decision last night on boosters. 🧵
Boosters now available (not required) for Pfizer vaxxed after 6 months:
🔵  65 and older
🔵  healthcare workers
🔵  nursing home residents
🔵  50 and older with health problems
apnews.com/article/corona…
This was in line with the FDA decision last week. It also matches my suggestions two weeks ago on TWIV and VOSD. And earlier on UCSF Grand Rounds. It makes sense to have vaccine boosters available to these people, who received the Pfizer vaccine.
Again, the Pfizer vaccine booster shot is *available*. It is not *required* to count as fully vaxxed. That is because without the booster shot, the vaccine is still doing an outstanding job at preventing serious COVID-19.
Read 21 tweets
20 Sep
Good news! Pfizer data today indicate they have a safe and effective COVID-19 vaccine for kids ages 5 to 11. Kids vaxxed by Halloween? 🧵
🔵  Antibody titers as high as adults
🔵  "Favorable safety profile" with 10 microgram dose used
🔵  Filing with FDA

pfizer.com/news/press-rel…
🔵  Antibody titers were as high as adults

The fact that the peak antibody titers are equal between the kids 5 to 11 years old and young adults indicates the COVID vaccine will be protective in the kids.
🔵  "Favorable safety profile" with the 10 microgram dose used

Pfizer used a dose of 10 in the kids instead if the 30 used in adults. That was a reasonable decision, and they see fewer side effects with the lower kid dose (fevers, chills, etc). Other doses were tested early on.
Read 10 tweets
20 Sep
Good news! Pfizer data today indicate they have a safe and effective COVID-19 vaccine for kids ages 5 to 11. Kids vexed by Halloween? 🧵
🔵  Antibody titers as high as adults
🔵  "Favorable safety profile" with 10 microgram dose used
🔵  Filing with FDA.

pfizer.com/news/press-rel…
🔵  Antibody titers were as high as adults

The fact that the peak antibody titers are equal between the kids 5 to 11 years old and young adults indicates the COVID vaccine will be protective in the kids.
🔵  "Favorable safety profile" with the 10 microgram dose used

Pfizer used a dose of 10 in the kids instead if the 30 used in adults. That was a reasonable decision, and they see fewer side effects with the lower kid dose (fevers, chills, etc). Other doses were tested early on.
Read 10 tweets
14 Sep
Our newest study is out in Science!
It cover 5 COVID-19 RNA vaccine topics. Using samples from the "low dose" 25mcg Moderna RNA COVID-19 vaccine clinical trial 🧵👇🏼
science.org/doi/10.1126/sc…
By the LJI team! @Dani6020 @SetteLab @jmateust @ljiresearch
The five finding summarized here:
🔵  T cell memory to an RNA vaccine at 7 months
🔵  Vaccine dose sparing (25mcg v 100mcg)
🔵  Vaccine v. natural immunity
🔵  T cell memory with age
🔵  Pre-existing crossreactive memory T cells: Do they do anything?
🔵  T cell memory to an RNA vaccine:

Impressive T cell memory at 7 months (6 months after 2nd dose). CD4s & CD8s. Tfh & cytokine+.

Overall, looks like two doses of an RNA vaccine generates impressive T cell memory that is likely to last for many years.
Even 25mcg Moderna dose
Read 12 tweets
31 Aug
Just a friendly reminder that this study also addressed natural immunity compared to vaccine immunity. Vaccine immunity did somewhat better than natural immunity, including against Delta. Image
In that large, carefully done, prospective, longitudinal study in the UK of over 300,000 people with regular testing, both vaccine immunity and natural immunity showed significant protection against COVID-19, with vaccine immunity doing somewhat better than natural immunity. ImageImage
As a prospective study, with a randomization component, the conclusions have higher confidence compared to some other studies. including against Delta.
Read 4 tweets

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