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Friesein Profile picture
@Friesein
Sep 27 • 7 tweets • 3 min read • Read on X
"The Novavax vaccine has this unique adjuvant, a chemical that actually enhances the immune response to the vaccine...

It may be the ideal vaccine to get to boost your previous immunity from prior infection or previous mRNA vaccine.

Personally, that's the vaccine for me."
What are some potential advantages to using a vaccine with an adjuvant?

Durability, for one.

I've also talked about increased breadth of antibody response against forward drift variants.

Even though the antigen in the vaccine remains the same, a process called epitope spreading helps bridge the gap over several doses.

"Seven months after immunization, vaccinated animals controlled infection by either [wild type] or [Gamma] strain, mediated by rapid anamnestic antibody and T cell responses in the lungs."

nature.com/articles/s4154…
These differences in immune response may determine whether an infection is stopped early in the upper respiratory tract versus letting it spread throughout your body for a longer period of time.

Of course, there are caveats to the evidence I've shared. Some are animal studies, and generally higher levels of protection are seen after several doses instead of just one.

But given the very limited number of vaccine choices available, I choose Novavax over mRNA.
Thank you @ibrake4ants for the clip in the first post.

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More from @Friesein

Friesein Profile picture
Sep 15
In 2020, the original Novavax formulation was able to protect against upper and lower respiratory tract infection in animals.

Since then, more evidence has emerged supporting this finding.

In human trials, Moderna reduced nasal viral load by 100x. Novavax decreased it by 600x.



Panel comparing viral load reduction between vaccination products in human clinical trials. Novavax viral reduction is the most significant vs Moderna, AstraZeneca, Janssen. See study 3 in last post in thread.
Panel showing viral load reduction in a non-human primate study. See study 1 in final post below.
Following intranasal and intratracheal challenge with SARS-CoV-2, immunized macaques were protected against upper and lower infection and pulmonary disease. See study 1 in final post below.
A panel comparing viral load reduction in non-human primates infected with Omicron. Novavax shows a lower amount of nasal viral load than mRNA (Moderna). See study 2 in final post below.
Of course, there are caveats to the above evidence.

Some studies were done early in the pandemic. Strains have changed. More doses were given. Animals can have a different response than humans, etc.

Also, vaccination is the last line of defense (vs respirators), not the first.
As a consumer, I choose the vaccination technology that is potentially able to reduce viral load to the highest degree.

It is my right as a human to protect myself using the best available options. Nobody should be forced to suffer the long term consequences of COVID infections. Image
Read 5 tweets
Friesein Profile picture
Sep 13
Novavax Availability Update 📢

CVS Stock - September 13, 2024

First of all, if you're in AL, FL, GA, NC, SC, TN, or VA, use Publix instead of CVS. CVS does not deserve your business. CVS has made the Novavax rollout incredibly difficult with their untrained staff, poor inventory management, and lackluster customer support. This may seem odd to say on a post listing out CVS stock, but I'm here to support breathing people, not corporations. Publix now has their vaccine finder online on Novavax's site (see reply to this post).

If you must use CVS, first try to get a real person on the phone. Use my cheat code posts below. If that doesn't work, then leave a voicemail. Failing that, go in person, and if they don't have stock, ask them to check their inventory at other local stores (which they can do within a limited radius).

CVS corporate is monitoring stores closely to see which ones need more stock ordered. By sending me your CVS addresses where you got Novavax, we can feed into that demand signal and make it available to more people. This may seem like a contradictory message on a post denouncing CVS as a chain, but I'd rather get more vaccines in arms.

If you don't see your state or city listed here, that doesn't mean there's no Novavax at your local CVS, it just means that nobody reported it to me.

NOTE: From early reports, the CVS phone tree does not necessarily give out accurate Novavax stock information. However, I do know that in some cases stores had Novavax sitting in a refrigerator and didn't even make it into inventory, so ask staff to check their refrigerator even if their computer says no.

Someone reported that there's a GoodRx coupon to save money on CVS vaccines, so I'll include it below.

If you know of any locations (regardless of pharmacy chain) offering Novavax JN.1 in these states, please let me know! If you're feeling bored, antsy, and want to help other people find Novavax, cold call pharmacies and let me know what you find! And please, send me the full address of the locations you're finding. If you send me incomplete info that's a google search per location. And I get hundreds of locations.

Here are states I'm especially looking for availability data from: AK, AL, AR, CT, DE, GA, HI, ID, IN, KS, LA, ME, MO, MS, MT, ND, NE, NM, NV, OH, OK, RI, SC, SD, TN, VT, WV, WY, MI, HI

Tweets preferred but DMs are also fine. I want to make sure I'm respecting everyone's privacy. I get so many DMs that I can't respond to everyone; so thank you for all the reports you've been sending!

And if CVS bothers you with their approach this season, please use the feedback form I'll include in a reply to this thread. Tell them what they're doing wrong. Channel your rage!

---

These are the CVS pharmacies people sent me in the last 24 hours that had Novavax JN.1 stock. Call to confirm:

Arizona (AZ):
522 Finney Flat Suite a Camp Verde, AZ
2601 S. Houghton Rd. Tucson, AZ (Houghton and Golf Links)

California (CA):
17170 Camino Del Sur San Diego, CA (Target)
5501 Ball Rd 90630, Cypress, CA
8008 Firestone Blvd, Downey, CA
670 El Cerrito Plz El Cerrito, CA (on San Pablo)
1675 Hollenbeck Ave Sunnyvale, CA
511 N. Hollywood Way Burbank, CA (LA)
2462 Foothill Blvd, La Verne, CA (Target)
Los Angeles, CA (Unspecified location)
1570 Rosecrans Ave, Manhattan Beach, CA
580 Moraga Rd in Moraga, CA
50 Moraga Way Orinda, CA
13021 Victory Blvd, North Hollywood, CA
Pasadena, CA (Unspecified location)
1324 San Carlos Ave San Carlos, CA
2314 Santa Clara Ave Alameda, CA (3 doses left)
2505 Santa Monica Boulevard Santa Monica, CA
12940 Saratoga Sunnyvale Rd Saratoga, CA
1451 Shattuck Ave Berkeley, CA (or maybe 2187 Shattuck location?)
929 Sierra St Kingsburg, CA
Studio City, CA (Unspecified location)
1730 Sweetwater Rd National City, CA
12143 Ventura Blvd Studio City, CA

Colorado (CO):
2800 Pearl Street, Boulder, CO
Unspecified location, CO
14451 Orchard Pkwy, Westminster, CO
Westminster, Colorado (Unspecified location)

Connecticut (CT):
Waterford, CT (out of doses, see if they'll reorder)

District of Columbia (DC):
4555 Wisconsin Avenue, Nw Washington, DC (not minute clinic)

Florida (FL):
294 37th Ave N, Saint Petersburg, FL

Georgia (GA):
Unspecified location, GA

Hawaii (HI):
377 Keahole St, Honolulu, HI (Long's Drugs, owned by CVS)
5156 Kalaniana'ole Hwy, Honolulu, HI (Long's Drugs, owned by CVS)
1130 Kuala St. Pearl City, HI (O'ahu)

Illinois (IL):
1725 W Boughton Rd, Bolingbrook, IL (Helpful staff)
3951 W. 103rd St. Chicago, IL
500 Dundee Ave. Elgin, IL

Kentucky (KY):
2000 Harrodsburg Rd Lexington, KY

Maine (ME):
51 Market St. South Portland, ME
Unspecified location, Portland Area, Maine

Maryland (MD):
5700 Bou Ave Rockville, MD
5700 Bou Ave in Rockville, MD (inside Target)
1301 Lamberton Drive Silver Spring, MD
10233 Old Georgetown Road Bethesda, MD (Wildwood Shopping Center)
8501 Fort Smallwood Rd, Pasadena, MD

Massachusetts (MA):
264 Trapelo Rd. Belmont, MA (4 doses left)
Somerville, MA (Assembly Row)
399 Main St, Southbridge, MA
10 Main St, Tewksbury, MA
1735 Massachusetts Ave., Lexington MA
36 White Street Cambridge, MA

Michigan (MI):
2506 Niles Ave, St Joseph, MI (if not this location, somewhere else near Benton Harbor)
57090 Ten Mile Road South Lyon, MI

Minnesota (MN):
1515 County Road B W, Roseville, MN
Twin Cities, MN (Unspecified location)

Mississippi (MS):
305 Meadowbrook Rd. Jackson, MS

New Hampshire (NH):
4 Plaistow Rd, Plaistow, NH
250 Plainfield Rd. West Lebanon, NH (No stock yet but expecting soon)

New Jersey (NJ):
200 Promenade Blvd, Bridgewater, NJ (Target)
18-35 River Road, Fair Lawn, NJ (Very helpful staff, apparently)
400 Kings Hwy, Haddon Heights, NJ
4 White Horse Pike, Oaklyn, NJ

New York (NY):
255 Greenwich St New York, NY (Target)
685 Park Avenue Rochester, NY 14607
61-15 Metropolitan Ave. Ridgewood, NY (Queens)
807 White Plains Rd, Scarsdale, NY (Skeptical pharmacist. Does not anticipate restock or demand. Can we prove them wrong?)

North Carolina (NC):
1718 N Fordham Blvd., Chapel Hill, NC
Durham area, NC (Unspecified location)

Oklahoma (OK):
10101 S. Memorial Dr. Tulsa, OK

Oregon (OR):
345 SW Harrison St, Portland, OR
640 SW Broadway, Portland, OR

Pennsylvania (PA):
101 Reeceville Rd., Coatesville, PA
1206 N. Gravel Pike Zieglersville, PA
1218 E. Lancaster Ave Bryn Mawr, PA
1201 5th Street, Perkasie, PA
6701 Ridge Ave, Philadelphia, PA

Rhode Island (RI):
481 Angell Street in Providence, RI
799 Hope Street Providence, RI

Tennessee (TN):
9137 Middlebrook Pike, Knoxville, TN
2398 New Salem Hwy. Murfreesboro, TN
Unspecified location, Nashville, TN (multiple locations)

Texas (TX):
7203 Skillman St, Dallas, TX 75231 (Very helpful staff)
4885 Eldorado, Frisco, TX

Utah (UT):
11525 S Parkway Plaza Dr South Jordan, UT
11506 S 4000 W South Jordan, UT
7777 S. Redwood Rd. West Jordan, UT

Virginia (VA):
7859 Heritage Dr, Annandale, VA
Poquoson, Virginia (Unspecified location)
811 Town Center Dr, Waynesboro, VA

Washington (WA):
Kennewick, WA (Unspecified location)
19507 Highway 99 Lynnwood, WA
1106 N Columbia Center Blvd Kennewick, WA

Wisconsin (WI):
2 South Bedford St., Madison, WI
6701 Mineral Point Rd, Madison, WI
N83 W15550 Appleton Ave, Menomonee Falls, WI 53051
1650 N Farwell Ave, Milwaukee, WI 53202
2135 Silvernail, Pewaukee, WI 53072
1130 W Sunset Dr, Waukesha, WI 53186

Wyoming (WY):
1708 Dell Range Blvd. Cheyenne, WY (Target)
Publix vaccine finder update:

A method to get someone on the phone at CVS:

Read 8 tweets
Friesein Profile picture
Sep 12
Novavax Availability Update 📢

CVS Stock - September 12, 2024 (scroll to end of post for list of stores). 108 stores today. 85 the day before.

It seems that people liked the format of the last post so I'll continue using it. It seems that this first batch of stock is limited to 10 doses per store in many cases. Hopefully the demand signals are permeating through the system and making their way up the chain to corporate office.

In light of the small quantities shipped, for each roll-up post like this one, I'll only include reports from the last 24 hours to keep the data fresh. You can always browse my previous posts by using Twitter advanced search (something like from:friesein NY for example, and then sorting by latest).

I found out that took a step backward in usability and removed the ability to search for a specific vaccine type. This is pretty disappointing, because I was naively thinking that everything would work itself out this year and I wouldn't need to take as active a role in connecting the dots for Novavax stock. But all the same, I'm happy to do what I can to help people in my limited time, at least until it's available in most places. This is too important to ignore.

By this time next week, I'm expecting most Costco stores to be stocked which should relieve a lot of pressure on the system. Rite Aid should be not too long after that. Publix is coming online now, and I'm seeing Meijer and Kroger stores pop up. Indie pharmacies are popping up occasionally (keep sending me them). Hang in there, you will find what you're looking for.

To contact a CVS store and speak to a person, try the instructions I'll be including in a reply to this post.

I'm adding some fresh insurance billing tips to the end of the thread, both for private insurance and Medicare.

One last note: If you send me pharmacy availability updates, it helps a lot if you send a full address including state abbreviation, and include the pharmacy brand. I have to search up each location to ensure its valid otherwise. This will become important as other stores beyond CVS come online. When people give me a wider area, I include that instead of the address.

---

Arizona (AZ):
Tucson AZ

California (CA):
990 Avenida Vista Hermosa San Clemente, CA
380 E H St, Chula Vista, CA
650 San Ramon Valley Blvd, Danville, CA
1871 El Camino Real Burlingame, CA
8585 Elk Grove Blvd, Elk Grove CA
7030 Hollister Avenue Goleta, CA
336 N. Milpas St Santa Barbara, CA
855 El Camino Real, Palo Alto, CA
Paso Robles, CA
12358 Poway Rd, Poway, CA
1059 Hyde St. San Francisco, CA
499 Haight St. San Francisco, CA
2314 Santa Clara Ave Alameda, CA
14735 Ventura Blvd, Sherman Oaks, CA
3939 State St Santa Barbara, CA
8915 Towne Centre Dr San Diego, CA
12100 Ventura Blvd Studio City, CA
2630 W El Camino Real Mountain View, CA
4110 N. 1st Street San Jose, CA

Colorado (CO):
7930 Northfield Blvd, Denver, CO
460 S Vance St, Lakewood, CO
10445 Reed St Westminster, CO
7899 Wadsworth Blvd Arvada, CO

Florida (FL):
Estero, FL
Fort Myers, FL
4292 N Atlantic Ave Cocoa Beach, FL
3102 W. Gandy Blvd. Tampa, FL

Illinois (IL):
1701 E. Empire St. Bloomington, IL (inside Schnucks)
800 Broadview Village Sq Broadview, IL (I'm told the staff are "incredibly friendly")
1700 E Rand Rd Arlington Heights, IL
Indianapolis, IL
200 N. Vine St. Urbana, IL

Indiana (IN):
Bloomington IN

Iowa (IA):
104 E. First St. Ankeny, IA

Kentucky (KY):
Florence, KY
Owensboro, KY
1157 Ridgeway Avenue Falmouth, KY

Maryland (MD):
15600 Columbia Pike Burtonsville, MD
1503 Potomac Ave. Hagerstown, MD
9920 Key West Ave Rockville, MD
7955 Tuckerman Lane, Rockville, MD

Massachusetts (MA):
16 Boston Road Chelmsford, MA
1341 Boylston St Boston, MA
21 Austin St., Bunker Hill Mall Charlestown, MA
481 Pittsfield Rd. Lenox, MA
999 Watertown Street West Newton, MA
36 White Street Cambridge, MA
539 Main St #545, Winchester, MA

Michigan (MI):
5529 Sashabaw Rd. Clarkston, MI
5529 Sashabaw Rd., Clarkston, MI
525 East 4th Street Royal Oak, MI

Minnesota (MN):
8225 Flying Cloud Dr Eden Prairie, MN
900 Nicollet Mall Minneapolis, MN
6540 Penn Avenue South Richfield, MN
4152 Lakeland Av N, Robbinsdale, MN
Twin Cities MN

Nevada (NV):
100 S. Nevada Hwy 160, Pahrump, NV

New Hampshire (NH):
One West Road Stratham, NH
125 Dublin Rd. Peterborough, NH

New Jersey (NJ):
600 Kings Hwy N, Cherry Hill, NJ
1 Route 70 East Cherry Hill, NJ
Egg Harbor Twp, NJ
360 RTE 73 South, Marlton, NJ
387 Pompton Ave, Cedar Grove NJ
175 Rock Road Glen Rock, NJ
CVS in Union NJ
Lawrenceville NJ

New York (NY):
1276 Upper Front St, Binghamton, NY
1 Columbus Place New York, NY
259 Saratoga Rd. Glenville, NY
Ithaca, 625 W Clinton St, Ithaca, NY 14850 (Had it, ran out of stock, will get more soon)
241 West 57th St., New York, NY
39 Park St, Owego, NY
38 Warren Street New York, NY 10007

North Carolina (NC):
4810 Hope Valley Rd, Durham, NC
Durham, NC
8101 Kensington Dr. Waxhaw, NC

Ohio (OH):
8000 Oak Point Rd Amherst, OH

Oklahoma (OK):
15103 N MacArthur Blvd, Edmond, OK

Oregon (OR):
Portland, OR
14th Ave Se Albany, OR

Pennsylvania (PA):
1826-30 Chestnut Street Philadelphia, PA
2320-26 Fairmount Avenue Philadelphia, PA
159 N MacDade Blvd, Glenolden, PA
835 Old York Rd. Jenkintown, PA
1101 Moosic St. Scranton, PA
316 E Lancaster Ave, Wayne, PA

Texas (TX):
5195 Lake Ridge Pkwy. Grand Prairie, TX
4755 Westheimer Rd. Houston, TX (next to the Grotto)

Utah (UT):
5305 South 1900 West Roy, UT

Virginia (VA):
Ashburn, VA
415 E Monroe Avenue Alexandria, VA
208 East Main Street Charlottesville, VA
15250 Washington St. Haymarket, VA
3053 Nutley Street Fairfax, VA
Central VA

Washington (WA):
30 Bellis Fair Pkwy Bellingham, WA
Everett, WA
Renton, WA
Seattle, WA
9400 192nd Ave E Bonney Lake, WA
1401 2nd Ave Seattle, WA
26301 104th Ave Se Kent, WA

Wisconsin (WI):
2200 Brackett Ave, Eau Claire, WI
7520 W Blue Mound Rd Wauwatosa, WIvaccines.gov
Medicare billing guidance from a former pharmacy tech:

Private insurance billing guidance:

Read 4 tweets
Friesein Profile picture
Sep 9
I'm hearing numerous reports of insurance declining Novavax coverage at pharmacies like CVS.

I would recommend that you call your insurance provider first and have them confirm insurance coverage for Novavax (80631-107-01) under your policy number and group number.

If insurance confirms coverage, ask for something in writing, and confirm if it can be directly billed at the pharmacy. If so, ask them exactly how. Some carriers require pay-and-submit on vaccines.

Once the insurance carrier confirms coverage, call the pharmacy and ask them to submit the insurance over the phone with you, before you go in for your appointment. This will avoid waiting for billing etc-in office, and allow them to work out any issues beforehand.

If I'm missing anything in these instructions let me know and I will re-post.Image
By the way, if you're having trouble getting through to a live person at CVS, try this trick to leave a voicemail.

Some have succeeded at getting callbacks this way.

Read 4 tweets
Friesein Profile picture
Sep 3
If you're trying to get vaccine availability info from CVS, call your local pharmacy line:

1. Once you get the automated menu, say "COVID vaccine availability".
2. Then say "details" or press 2.
3. Listen for the phrase "Novavax vaccines are available at this store".
Read 4 tweets
Friesein Profile picture
Aug 26
"There is outrage. My phone was blowing up."
—FDA Call Center Agent

For the next few days, until FDA approves Novavax, I'm going to share some personal accounts explaining why people are so angry about the approval delay.

Journalists: please take note.

Thread 1: Tolerability🧵
One of the most common reasons people ask for Novavax is that they can't tolerate mRNA.

mRNA is safe for many, but there will always be some people who have adverse reactions. This can also include long COVID patients.

These people deserve a COVID vaccine too if they want one.
If Novavax is your only option, you can call the FDA and let them know. Instructions on the quoted thread below.

Feel free to share your experiences on the current thread too (please comment on the first post for visibility).

Read 17 tweets

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