
Doctor Vaughan's COVID-19 Updates
By Mark Vaughan
Dr. Vaughan is the Medical Director of the Auburn Medical Group. He also serves on the Board of Directors for Sutter Independent Physicians. Learn about the Auburn Medical Group at auburnmedicalgroup.com.
Other podcasts : vaughanmd.com

Doctor Vaughan's COVID-19 UpdatesJun 22, 2020

Pan Coronavirus Vaccine
The decision was made this week to create a pan coronavirus vaccine which would greatly decrease the need for vaccine boosters.

Pediatric Vaccines

Paxlovid Available

4th Shot for Over 50
The FDA has approved a second booster for people age 50 and older.

The Vulnerable

Who Gets a 4th Shot?
A fourth shot or second booster is recommended for certain groups at higher risk for COVID-19.

BA.2

Omicron Burnout

Free Home COVID Tests
Free home COVID-19 test kits are now available through Covidtests.gov.

After Omicron
We are rapidly approaching the peak of Omicron and the resolution of the pandemic. Welcome to the endemic.

Omicron Treatment

COVID Pill

Omicron is Here

Oral Antivirals


Omicron is Here

Is Omicron Good?

Omicron Begins

Boosters for All Adults
Everyone over age 18 is now eligible for a booster 6 months after receiving their second mRNA vaccine dose.

Pfizer Vs. Moderna
A number of European countries are not giving the Moderna mRNA vaccine to people under age 30, yet they prefer it over Pfizer for people over age 30.

Pfizer Now for Kids
It's official. You can now vaccinate children, age 5-11, with the Pfizer Covid vaccine. Check vaccines.gov for a local pharmacy if your children are not already getting vaccinated through school.

Cerebral Venous Sinus Thrombosis with Johnson & Johnson Vaccine
The Johnson and Johnson COVID vaccine has an association with a blood clot in the veins around the brain. It is rare, and it is 30 times more rare in the group most likely to experience it than severe effects of COVID 19 if they don't get the vaccine. This is not a problem with the mRNA vaccines by Pfizer and Moderna.

Can't Vaccinate Children Yet
Approval of the Pfizer vaccine in children, age 5 - 11, is likely to occur after going through review at the FDA, the ACIP, and then the CDC. Send in a voice message to tell me what you think of the video format.

Final Booster Recommendations
Final COVID-19 vaccine booster recommendations have been announced by the CDC. Click to see if you count as immunosuppressed.

ACIP Vaccine Booster Recommendation

We Have Same-Day PCR Testing

Is J&J Actually a Two Shot Vaccine?
The FDA VRBPAC recommends a booster for Johnson & Johnson vaccines for everyone who received the first dose. This will be considered by the FDA.

Third Moderna Shot Recommended
The FDA’s VRBPAC has recommended certain individuals to receive a third dose if the Moderna COVID vaccine.

Placer County COVID Numbers Update

National Guard Called to Four California Hospitals

A Second Johnson & Johnson Dose

Over the Peak

Pfizer Booster Update

Pfizer Booster Approved
The FDA approved administration of a booster to certain groups for the Pfizer Covid vaccine. It is an emergency use authorization for individuals 65 years old and older, people at risk occupationally or due to institutionalization and people with certain high risk conditions. It is given at least 6 months after completing the initial two-shot series.

FDA VRBPAC Third Shot Clarification
The FDA Vaccines and Related Biologic Products Advisory Committee voted against recommending a third dose to individual 16 years of age to 64 years of age. They did approve a recommendation for giving a third shot to individuals 65 years of age and older. This has not been approved by the FDA yet. It is likely they will approve it shortly.

No Boosters for Now

Miscarriages and COVID Vaccines
There are three new publications supporting the safety of COVID-19 vaccinations during pregnancy.

Third Shot
There is some controversy regarding the CDC’s announcement of plans to make third doses of mRNA vaccines available.

Natural Immunity

LA Summer COVID Vaccine Study

Comirnaty Approved

What will Booster Shots Be?

Who Exactly Counts as Immunosuppressed?
The CDC has clarified who is considered immunocompromised enough to receive the third dose of mRNA vaccines.
The ACIP of the CDC and the FDA have agreed on appending the Emergency Use Authorization for the mRNA vaccines in individuals who are moderately to severely immunocompromised to receive a third dose booster. This includes people who have:
Been receiving active cancer treatment for tumors or cancers of the blood
Received an organ transplant and are taking medicine to suppress the immune system
Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
Advanced or untreated HIV infection
Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response

Immunosuppressed to Get Third Shot

Dr Stock

Post-Exposure Prophylaxis
REGEN-COV Has been found to be effective in treating vulnerable unvaccinated patients exposed to COVID-19 before they start to have symptoms.

What happened In Massachusetts?
A recent CDC MMWR reported on a Delta Variant Outbreak where more vaccinated people were infected than unvaccinated people. This was an exception to national statistics.

Our Delta Variant Patients

mRNA Vaccines in Children and in Anaphylactics
Studies are being done to see if the mRNA COVID-19 vaccines are safe for use in children and in people who had immediate reactions to their first dose of an mRNA vaccine.

Delta Herd Immunity
The Delta variant increases the percentage of people needing to be immune to Covid to achieve herd immunity through increasing the reproduction rate and decreasing vaccine efficacy.