Ouch! Three shots?? And clarification needed?

C.Ann

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May 13, 2001
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http://news.yahoo.com/s/ap/20090806/ap_on_he_me/us_med_swine_flu_shots


ATLANTA – Get ready to roll up your sleeve three times for flu shots this fall. That's right, three times. This year's flu season is shaping up to be a very different one. Most people will need one shot for the regular seasonal flu and probably two others to protect against the new swine flu.

Experts suggest you get that first shot as early as this month — if you can find it.

"We'd like to get to Job 1 and get most of it done," said Dr. William Schaffner, a Vanderbilt University flu expert, referring to seasonal flu vaccinations.

"Get it done before we start to tackle Job 2," the more complex task of swine flu vaccinations, he added.

The five vaccine manufacturers that supply the United States are finishing up production of seasonal flu vaccine earlier than usual. Health officials say they expect about half of the more than 120 million doses of seasonal vaccine to be available by the end of this month. Most of the rest are due out by the end of September. Some manufacturers report that distributors are quickly buying up supplies.

Those five companies — including one that makes a nasal spray version of flu vaccine — are the same ones making the new swine flu vaccine. They are on track to start delivering the first batches of that in September, but the bulk of it isn't expected until late October or November, health officials say.

That's sparked questions about how all this is going to work.

Officials want to get as many people as possible vaccinated against both forms of flu, but a lot of that depends on consumers and how many trips they'll be willing to make to get shots.

Why can't you get one shot for all — or maybe just two?

The reasons have to do with logistics and caution.

Scientists believe the swine flu vaccine will be most effective if given in two doses, about three weeks apart, although testing is still under way to check that.

Combining swine flu and seasonal flu in one shot is theoretically possible, but it was too late to try it this year. Decisions were made last winter about what flu strains to use in this year's seasonal vaccine, and production was too far along by the time swine flu hit in April to alter the formula.

So seasonal flu and swine flu will have to be given as separate doses, even if it's during the same appointment.

But it's not a matter of just giving both to whoever comes in. Supplies are expected to be limited, so the federal Centers for Disease Control and Prevention has two different lists for who should be first to get the seasonal flu shot and who should be first to get the swine flu shot.

For the regular flu vaccine, elderly people, health care workers and pregnant women are among the priority groups. For the swine flu vaccine, health care workers and pregnant women are on the list but not older people, who seem to have some immunity to swine flu.

If all the flu shots were given at about the same time, it could mean a mash of people, some of whom should be among the first to get one shot and not the other.

"I think it's safe to say we expect some confusion," said Kristine Sheedy, a CDC communications specialist.

Then, there are safety questions.

Health officials are haunted by the swine flu vaccine campaign in 1976, which was stopped after unexpectedly high numbers of patients suffered a paralyzing condition called Guillain-Barre Syndrome. While it's not clear the vaccine was to blame, health officials want to carefully monitor people who get the new swine flu vaccine for any problems.

Scientists are just beginning to test the safety and effectiveness of the new swine flu vaccine, work that is expected to take months. If the seasonal flu and swine flu vaccines were given at the same sitting and some people developed health problems, it would be hard to single out which vaccine caused the problem, or whether it was the combination of them.

"How you're going to separate that out — that's a doozer," said Dr. Samuel Katz, a Duke University vaccines expert, who was a developer of the measles vaccine.

So the government is looking at three shots, preferably over three visits.

That's daunting. Over the years, the public hasn't been great about getting even one flu shot: Just one in three U.S. adults got flu shots last year, CDC data indicate.

"To come two or three times? That's expecting a lot, of public response," said Katz.

Health officials traditionally kick off an autumn vaccine campaign against seasonal flu in late September or October with a news conference in Washington D.C. But this year, the news conference — which features the CDC director — has been moved up to Sept. 10.

Unofficially, the push for seasonal vaccinations begins even sooner, some health officials said.

"As soon as it becomes available, we'll be encouraging people to get it," said Carol Schriber, a spokeswoman for the North Carolina Department of Health and Human Services.

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Are "regular" seasonal flu shots available in pharmacies and other non-doctor office settings? And if so, does anyone know what the cost is?

Does anyone know if the Swine Flu shots will be available in those same settings and what the costs associated with it might be?

And finally - the "bolded" part of the article does not seem to be the same as the information that was provided in the "Swine Flu" thread here on the CB - (as well as what I was able to research on my own - and remember on a more personal level as I was an adult then with 2 small children) - which indicated that there were "few" cases of GBS directly connected to the Swine Flu vaccine in 1976..

Anyone care to address those inconsistencies - as well as my other 2 questions? :confused3

Thanks!
 
Yep, I heard this last week. Yuck!

As for the flu shots--Regular ones are fairly available to everyone. There have been years when there is a shortage, but our Pharmacy at work, says they don't seem to be an issue. Often you can get them for $10 at clinics in the grocery/drug stores.

The swine flu vaccine might be more difficult. Our Pharmacist stated that they are having issues with the number of vaccines that the batches are yielding, and it is much less than expected. They are starting w/ elderly, health care workers, and school aged children, but right now no one is sure how much there will be.

As for Guillian Barre, I do know that pts that have it are not eligible to receive flu vaccines. I have had one pt who had it, and it was in his chart that it was from the vaccine, but I really am not sure of the exact facts.
 
three shots is not that big a deal.
 
Regular flu shots are likely not available yet, at least not in my area as signs usually go up as soon as they are in stock and I have not seen 1 sign yet. Last year our ped's office had them by early September though, so that is soon.

I have no idea if they would also offer swine flu vaccines at pharmacies, but I would think there's a good chance since they usually also do pneumonia vaccines there too.

Can't speak about G-B as I know nothing about the previous issues with the vaccine.

Regarding the 3 shots, that makes sense to me. The first flu shot kids get (not sure how it works for adults) is administered in 2 doses 1 month apart, so since this is likely everyone's first swine flu vaccine it doesn't surprise me to hear that it would be administered in 2 doses. And the other shot being for regular flu, so I don't see how that counts. Not everyone wants swine flu vaccine so they can't combine them.
 

Thanks for the head's up! Both kids have asthma so we make sure to get our flu shots. We've never had a problem getting them because we always get them as soon as they are available.

I'll call the peds office tomorrow to find out when they anticipate doing them.
 
Thanks for the head's up! Both kids have asthma so we make sure to get our flu shots. We've never had a problem getting them because we always get them as soon as they are available.

I'll call the peds office tomorrow to find out when they anticipate doing them.

You're welcome.. :)

Since I don't plan on leaving the lake until November (and even then, they'll have to pry me out of here with a can opener - LOL), I would at least like to get the regular flu shot somewhere up here.. My doctor is moving to a new location - a long, long trip from here - and a good distance from DD's house (as opposed to right around the corner from her house where it used to be), so if the regular shot is only $10, that's less than my office co-pay and I'd save even more ( in gas money and time) by not having to make that long round-trip..:goodvibes
 
Regular flu here is usually $20 or $30. If it's a special 'flu shot clinic' then typically $20. If you just walk into the pharmacy and ask for one then it's generally $30.
 
three shots is not that big a deal.

For me - no.. For those with a severe phobia (like my Dson-in-law) it's a very big deal.. No just a "fear" - we're talking full blown phobia.. He recently had to have a medical test done which required needles.. His blood pressure shot sky high, he was shaking from head to toe, he was sweaty and clammy, he was on the verge of vomiting, he was whiter than the sheet he was lying on, they had to give him oxygen until he was knocked out, and they had to keep reminding him over and over to breathe.. Yup - a pretty "big deal"..;)
 
For me - no.. For those with a severe phobia (like my Dson-in-law) it's a very big deal.. No just a "fear" - we're talking full blown phobia.. He recently had to have a medical test done which required needles.. His blood pressure shot sky high, he was shaking from head to toe, he was sweaty and clammy, he was on the verge of vomiting, he was whiter than the sheet he was lying on, they had to give him oxygen until he was knocked out, and they had to keep reminding him over and over to breathe.. Yup - a pretty "big deal"..;)

My husband was like that. He'd literally vomit and pass out when he saw blood in any form (actually passed out from a paper cut!!), any kind of needles, blood draws, etc. I would donate blood in college and he we pass out watching me and they'd all rush to his aid while I was the one with blood coming out of my vein!!

But guess what? He's now an anesthesiologist. He got over the phobia, obviously, and not only has no issue with needles/blood anymore, but his entire day is spent starting IVs.

So if I were your SIL, I think I'd go for a cognitive behavioral therapy to overcome that fear. Really no reason to go through all of that on a fairly routine basis.
 















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