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Kids and the Covid-19 vaccine: A pediatrician answers safety questions | Vaccine Tracker – Kansas City, Missouri

Kansas City, Missouri 2021-05-13 09:48:00 –

According to the US Centers for Disease Control and Prevention, teens between the ages of 12 and 15 can now be vaccinated with the Pfizer / BioNTech coronavirus vaccine.

“The CDC is currently recommending the use of this vaccine in this population, and providers may start vaccination soon,” CDC director Dr. Rochelle Warrensky said in a statement. ..

With this approval, an additional 5% of the population (about 17 million teens) can be vaccinated immediately. A Poll conducted in the first week of April We found that just over half (52%) of parents said they were ready to vaccinate their children against Covid-19.

False information campaigns on vaccine safety have spread on social media, leaving many parents still unaware of what to do.

What are the facts? We asked Dr. Yvonne Maldonado, chair of the American Academy of Pediatrics Infectious Diseases Committee, to answer questions from his parents.

Maldonado is also responsible for the Department of Pediatric Infectious Diseases at Stanford University School of Medicine and is currently leading a vaccine trial in children under the age of 12.

The conversation has been slightly edited for clarity.

CNN: Some parents had no problems getting vaccinated as adults, but now they are suffering from vaccination of their children. What message do you and the American Academy of Pediatrics have to these parents?

Yvonne Maldonado: The Centers for Disease Control and Prevention, the US Food and Drug Administration, and vaccine companies know that they are advocating for children, parents, and families, so all vaccine data is very open and transparent to the American Academy of Pediatrics. there is. ..

We are not only pediatricians, but vaccine experts, and we have confirmed the data ourselves in all previous trials. Check for additional data.

Personally, I am the Liaison Officer of the CDC Immunization Implementation Advisory Board, which represents the American Academy of Pediatrics, and is briefed on all data. I was relieved by both safety and efficacy data for Pfizer vaccines of all ages, especially 12-15 years.

As a pediatrician, even if you come from the federal government, you have to feel safe and effective given the wealth of experience in vaccination of children in this country to keep them healthy. , We do not agree with the recommendations.

CNN: How does Covid-19 vaccine fit into the new semester vaccinations needed for junior high school students?

Maldonado: The American Academy of Pediatrics supports the need for vaccination of children and adolescents at the same time as the COVID-19 vaccine, especially for children and teens who are late in vaccination.

Many children have not caught up with common vaccinations last year due to a pandemic shutdown. There are national data suggesting that the group between the ages of 11 and 12 is at the highest risk of delaying other vaccinations.

AAP believes that the benefits of timely catch-up of co-administration and vaccination outweigh the theoretical risks. This belief is based on the substantial data collected on the safety of the COVID-19 vaccine and the extensive experience with the non-COVID-19 vaccine, and the immune response and side effects of the non-COVID-19 vaccine are common. Shows that it is similar to. They are given together as when they are administered alone.

If your parents are vaccinated for teens outside of a pharmacy or clinic, you should immediately notify your pediatrician so that you can update your medical records.

CNN: Some parents have heard on social media that vaccines can have long-term effects on childbirth. Since many children reach puberty between the ages of 12 and 15, how can parents be confident that the Covid-19 vaccine does not affect their child’s development?

Maldonado: Oh my goodness, I remember, people are saying this for all vaccines! There is an entire group of people talking about what they call “primary ovarian insufficiency,” and they attributed it to other vaccines in the past. I wouldn’t be surprised if they did the same with the Covid-19 vaccine.

  • CNN Note: Primary ovarian insufficiency It occurs when a woman’s ovaries stop releasing eggs. It is very rare-there is 1 in 1,000 women under the age of 30. A 2018 study Recommended for teens, including primary ovarian dysfunction, HPV, tetanus, diphtheria, whooping cough (whooping cough), meningococcal disease, inactivated influenza vaccine, among nearly 200,000 adolescent girls and women No association was found with the vaccine.

Maldonado: At this point, there is no evidence that this vaccine affects growth or childbirth. It is an mRNA vaccine platform that can enter cells and act as a template for the development of spike proteins in human cells, stimulating antibody development.

mRNA is basically made from nucleic acids, which are the building blocks of all cells, and they are not integrated into anything. They just fall apart and are eliminated. Conclusion: I think it’s ridiculous.

CNN: What are the expected side effects of vaccines for children? Are they serious enough for a child to be absent from class and perhaps endanger his or her grades?

Maldonado: Like other vaccines, children may feel a little tired, but I don’t think it will be a big reaction. There are more of the types we usually see-arm pain, redness at the injection site, and even a reaction, which may be a mild flu-like illness.

All of these symptoms should go away within 48 hours, but at least it might be a good idea to be ready. If the family is worried about children who can’t go to school, they can be vaccinated on Fridays or weekends.

There is no reason to believe that your child’s schooling will be affected. In fact, I think this is a great opportunity for anyone planning an event at the end of the school year. Immunizing children as soon as possible means that they will be protected much sooner.

CNN: What do we know about children’s dosages? As one parent said-some of these 12-year-olds weigh 60 to 70 pounds-so will they give the same dose as given to much larger adults?

Maldonado: The FDA has approved the Pfizer vaccine for 12 to 15 years of age at the same dose as adults. These doses have been well studied in thousands of children of all ages and weights between the ages of 12 and 15. Therefore, they would have examined the dosage very carefully to ensure that it was safe and effective.

But obviously, what we need to think about is whether children under the age of 12 have different doses, which is what we are currently studying. Small children may respond differently, mainly because younger children are generally more likely to have a high fever than adults and older children.

Obviously their immune system response is much stronger, so we may need lower doses for younger children. However, these studies are still being conducted in children under the age of 12, so it is still unknown.

Pfizer’s top-line data from 12 to 15 years old show that the immune response is stronger than in adults. And that’s actually a good thing.

CNN: This stronger immune response that children have-can it affect children in serious ways, such as preparing them for a long-term response to an indelible virus?

Maldonado: Again, the vaccine is not a live virus vaccine. It is not derived from animals, humans, or even other viruses. It is made from synthetic nucleic acids.

The immune response to the vaccine has been followed very carefully so that it does not cause the same inflammatory pathways seen in long-term effects. Millions of doses given to adults and teens.

Not only has it never been seen to occur, but the laboratory evidence for its inflammatory response is not documented to occur with vaccines.

CNN’s Nadia Kohnan and Maggie Fox contributed to this report.



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