{"id":1300,"date":"2022-06-24T18:15:24","date_gmt":"2022-06-24T18:15:24","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/clinicians\/?page_id=1300"},"modified":"2022-06-24T18:15:24","modified_gmt":"2022-06-24T18:15:24","slug":"covid-19-update-for-virginia-34","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/clinicians\/covid-19-update-for-virginia-34\/","title":{"rendered":"COVID-19 Update for Virginia"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1137 size-full\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/2022\/04\/Letterhead-Greene_2022-1.png\" alt=\"\" width=\"1700\" height=\"452\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center\"><strong>COVID-19 Update for Virginia<\/strong><\/p>\n<p style=\"text-align: center\">June 24, 2022<\/p>\n<p>Dear Colleague:<\/p>\n<p>Thank you for your continued partnership in responding to the COVID-19 pandemic.\u00a0 Options are now available for parents who choose to vaccinate their younger children.<\/p>\n<p><strong>CDC Recommends COVID-19 Vaccines for Children Aged 6 Months to 5 Years<\/strong><\/p>\n<ul>\n<li>On June 17, 2022, the U.S. Food and Drug Administration (FDA) granted Emergency Use Authorization for the Pfizer and Moderna COVID-19 vaccines to be used for prevention against SARS-CoV-2 infection in young children.<\/li>\n<li>After a meeting of the Advisory Committee on Immunization Practices (ACIP) to discuss the vaccines, the Centers for Disease Control and Prevention <a href=\"https:\/\/www.cdc.gov\/media\/releases\/2022\/s0618-children-vaccine.html\">recommended<\/a> on June 18, 2022 that both vaccines be placed into use.<\/li>\n<li>Immunization of young children with either the primary series of the Pfizer or Moderna vaccine produced an antibody response equivalent to that seen in young adults who received the respective manufacturer\u2019s 2 dose primary series.<\/li>\n<li>These antibody levels in young adults were found to confer higher levels of protection against severe COVID-19 illness and the same is expected for young children.<\/li>\n<li><strong>Due to differences in Pfizer\u2019s and Moderna\u2019s clinical vaccine trials, the vaccine effectiveness (VE) of one product cannot be compared to the other. <\/strong><\/li>\n<\/ul>\n<p><strong>Pfizer-BioNTech (Pfizer) COVID-19 Vaccine<\/strong><\/p>\n<ul>\n<li>This vaccine is recommended for use in children <strong>aged 6 months through 4 years<\/strong>. For <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/downloads\/COVID-19-vacc-schedule-at-a-glance-508.pdf\">immunocompetent<\/a> children, the primary series is <strong>3 doses<\/strong> with a recommended interval of 3-8 weeks between the first and second doses and at least 8 weeks between doses 2 and 3. In <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/downloads\/COVID-19-vacc-schedule-at-a-glance-508.pdf\">immunocompromised<\/a> children, the primary series is also 3 doses. The recommended interval is 3 weeks between doses 1 and 2, and 8 weeks between doses 2 and 3.<\/li>\n<li>Clinical trials showed that the vaccine met immunogenicity criteria and had an estimated VE of 80.3% after receipt of the primary series.<\/li>\n<li>The vaccine series was evaluated as having benefits outweighing potential risks. No cases of myocarditis, pericarditis, or anaphylaxis were reported from clinical trials.<\/li>\n<li>Reported side effects included mild pain and redness at the injection site. Fever was reported in about 5% of vaccine recipients and fatigue reported in about 25% \u2013 mostly reported as mild to moderate with frequencies similar to children who received a placebo (saline) injection.<\/li>\n<\/ul>\n<p><strong>Moderna COVID-19 Vaccine<\/strong><\/p>\n<ul>\n<li>This vaccine is recommended for use in children <strong>aged 6 months through 5 years<\/strong>. In <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/downloads\/COVID-19-vacc-schedule-at-a-glance-508.pdf\">immunocompetent<\/a> children, the primary series is <strong>2 doses<\/strong> with a 4-8 week interval between doses 1 and 2. In <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/downloads\/COVID-19-vacc-schedule-at-a-glance-508.pdf\">immunocompromised<\/a> children, the primary series is <strong>3 doses<\/strong>, with a recommended interval of 4 weeks between doses 1 and 2, and 4 weeks between doses 2 and 3.<\/li>\n<li>In clinical trials, the vaccine met immunogenicity benchmarks and had an estimated VE of 41.5% after receipt of the primary series.<\/li>\n<li>The vaccine was evaluated as having benefits outweighing potential risks. In clinical trials, no cases of myocarditis, pericarditis, or anaphylaxis were reported.<\/li>\n<li>The most common reported local side effect was mild pain at the injection site. The most common reported systemic adverse events were mild headache and fatigue. Low grade fever was reported in about 16% of vaccine recipients.<\/li>\n<\/ul>\n<p><strong>Additional information about the use of Pfizer and Moderna vaccines in young children<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/info-by-product\/index.html\">Detailed product information<\/a> (e.g., storage, handling) is available on both vaccines. Fact Sheets for Healthcare Providers and Recipients\/Caregivers for the <a href=\"https:\/\/www.fda.gov\/emergency-preparedness-and-response\/coronavirus-disease-2019-covid-19\/comirnaty-and-pfizer-biontech-covid-19-vaccine#additional\">Pfizer<\/a> and <a href=\"https:\/\/www.fda.gov\/emergency-preparedness-and-response\/coronavirus-disease-2019-covid-19\/spikevax-and-moderna-covid-19-vaccine#additional\">Moderna<\/a> vaccines are on FDA\u2019s website.<\/li>\n<li>CDC\u2019s <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/clinical-considerations\/interim-considerations-us.html\">Interim Clinical Consideration<\/a><a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/clinical-considerations\/interim-considerations-us.html\">s<\/a> provides information about product usage and <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/clinical-considerations\/interim-considerations-us.html#table-01\">Table 1<\/a> shows available formulations of the Pfizer and Moderna vaccines.<\/li>\n<li>Other than in exceptional circumstances, for young children, the Pfizer and Moderna vaccines are not interchangeable. CDC and FDA express no preference for one product over another.<\/li>\n<li>COVID-19 vaccines may be coadministered with other vaccines on the same day.<\/li>\n<li>Children should receive the recommended age-appropriate vaccine based on their age on the day of vaccination.<\/li>\n<\/ul>\n<p><strong>CDC Recommends Moderna COVID-19 Vaccine for Children Aged 6 Through 17 Years<\/strong><\/p>\n<ul>\n<li>On June 17, 2022, FDA amended the EUA for the Moderna COVID-19 vaccine to include children, adolescents, and teenagers aged 6 through 17 years.<\/li>\n<li>On June 24, 2022, after an ACIP meeting yesterday, CDC <a href=\"https:\/\/www.cdc.gov\/media\/releases\/2022\/s0623-moderna-children.html\">recommended<\/a> nationwide vaccine use.<\/li>\n<li>The Moderna vaccines come as two separate products\u2013one for children aged 6 through 11 years (50 micrograms of antigen per dose) and another for children aged 12 through 17 years (100 micrograms of antigen per dose).<\/li>\n<li>In children aged 6 through 11 years, the primary series is <strong>2 doses<\/strong> with a one month interval between doses. Similarly, in children aged 12 through 17 years, the primary series is <strong>2 doses<\/strong> with a one month interval between doses.<\/li>\n<li>At this time, CDC has not updated its <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/clinical-considerations\/covid-19-vaccines-us.html\">Interim Clinical Considerations<\/a> document; this is anticipated to be published online shortly.<\/li>\n<\/ul>\n<p><strong>Monkeypox Outbreak Update<\/strong><\/p>\n<ul>\n<li>The monkeypox outbreak in the United States and other countries continues to expand.<\/li>\n<li>As a reminder, clinical recognition and reporting of suspected cases is critical. VDH maintains websites for <a href=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/monkeypox-information-for-healthcare-professionals\/\">healthcare providers<\/a> and the <a href=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/monkeypox\/\">public<\/a>, and provided additional details in a <a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/monkeypox-update-for-virginia-june-14-2022\/\">June 14 Clinician Letter<\/a>.<\/li>\n<\/ul>\n<p>Thank you again for your continued partnership.\u00a0 Please visit the <a href=\"http:\/\/www.vdh.virginia.gov\/coronavirus\/\">Virginia Department of Health (VDH) website<\/a> for <a href=\"https:\/\/www.vdh.virginia.gov\/coronavirus\/get-the-latest-guidance\/health-professionals\/\">current clinical and public health guidance<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/coronavirus\/see-the-numbers\/\">epidemiologic data<\/a>, and other information. <strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Sincerely,<\/p>\n<p>Colin M. Greene, MD, MPH<br \/>\nState Health Commissioner<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; COVID-19 Update for Virginia June 24, 2022 Dear Colleague: Thank you for your continued partnership in responding to the COVID-19 pandemic.\u00a0 Options are now available for parents who choose to vaccinate their younger children. CDC Recommends COVID-19 Vaccines for Children Aged 6 Months to 5 Years On June 17, 2022, the U.S. Food [&hellip;]<\/p>\n","protected":false},"author":428,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-1300","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>COVID-19 Update for Virginia - Clinicians<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/covid-19-update-for-virginia-34\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"COVID-19 Update for Virginia - Clinicians\" \/>\n<meta property=\"og:description\" content=\"&nbsp; &nbsp; COVID-19 Update for Virginia June 24, 2022 Dear Colleague: Thank you for your continued partnership in responding to the COVID-19 pandemic.\u00a0 Options are now available for parents who choose to vaccinate their younger children. 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