The Coronavirus Vaccine Is Like the Wild West: How to Get in Line and Get Your Shot

I agree this is going to get crazy. Although I don't know of anyone outside of medical personnel and EMTs in other states, i know of two couples in Florida who have received their first vaccine shots already. Their only qualification was that they were over 65. One set got them from their county health department, the other vaccinations came from their medical group.
I have also heard of people not showing up for their appointments, which is tragic and a waste. You would think there would be people on standby to get the shots.

One of my kids has gotten the 1st shot. Her spouse & another kid's fiance are also medical professionals in the same hospital, but haven't been offered the shot yet. Their hospital is rotating through the departments based on some unknown criteria. My kid's arm got so sore she couldn't lift it, but that only lasted about a day. She was told to expect more symptoms after the 2nd shot. I still feel a tremendous sense of relief on her behalf...and can't wait until we learn in our state how to get vaccinated (65+).

Meanwhile, I'm still very concerned about learning that these vaccines don't actually "immunize" and protect people from getting Covid. The Pfizer and Moderna vaccines are designed protect against people getting dangerously ill with the effects of Covid, but are NOT designed to stop people to become infected --- or from infecting others. This may mean that someone who has been vaccinated may be overconfident even though they can be carriers. We also still don't know if Covid will stay in the body with the potential for long-term damage to vascular and other systems, like the Polio virus did for people who developed post-polio syndrome years later.

Most of you may have already known that these immunizations are not giving "immunity", but somehow I had missed it until the article in my Sunday paper. There are a ton of articles about the fact these vaccines offer protection against the severity of the illness but don't actually give immunity, which Dr. Fauci had disclosed. Here's one link to an article that tried to explain the difference. https://www.self.com/story/early-covid-19-vaccines-prevent-symptoms. I

So I guess we will still have to continue with masks, etc. after being immunized. Well, one step at a time.

Editor's comment. Thanks for your input Kate, always interesting. For more on the corona vaccine and its benefits and effects we recommend going straight to the CDC site, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/vaccine-benefits.html . There is one statement from the CDC site that is slightly but importantly in contradiction with one of your points, "(the vaccines are) NOT designed to stop people to become infected". The CDC says: "All COVID-19 vaccines that are in development are being carefully evaluated in clinical trials and will be authorized or approved only if they make it substantially less likely you’ll get COVID-19". Also, "COVID-19 vaccination will help protect you by creating an antibody (immune system) response without having to experience sickness".
You are correct that no one knows how long the immunity from either natural or vaccine will last. But they do go on to say that even if you do get Covid after taking the vaccine you are less likely to pass it on because the symptoms (coughing and sneezing) will be lessened. And you are also correct that we will have to wear masks and practice social distancing until we have reached herd immunity.

In Florida the governor has placed those 65 and over in the same group as essential workers. Many believe the essential workers should be ahead of the 65+ group. Nevertheless, people 65 and over are beginning to get the vaccine. At our large 55+ community, vaccines are being given in the large clubhouse from January 2 through 12. You go on a particular day based on your location in the community. You must be 65+ and a resident of the community and there is no charge. Those who have been vaccinated say the process has gone well with very little time waiting in line.

Thanks, Administrator. The CDC claim about the vaccines making it "less likely" that people can be infected just seems like a euphemism to encourage people to get the vaccine. It extrapolates the concept that if people aren't being hospitalized or coughing, they could be less likely to spread the virus -- especially if they're also social distancing & wearing masks. The articles and Dr. Fauci's recent interviews go into a lot more detail about what the vaccines actually do, and don't do. Either way, the vaccines will reduce the numbers of patients with severe symptoms and will save lives. I'm hoping my state makes the vaccines available to 65+ people soon!

Has anyone heard about the effectiveness of taking only the first vaccine dose and skipping the second dose, which seems to cause most of the side effects? Is it all or nothing?

Daryl, every medical professional I've seen has discouraged this. It appears to be the "brainchild" of administrators and politicians.

I had written a post a couple of days ago about our condo setting up vaccinations for its residents. The Topretirements Administrator emailed and suggested I might share some information about our 55+ community, since it seemed to have a good and unique program set up for vaccinations of its residents, which might tend to indicate a well-run community. I’m glad to give the following information, which is a slightly edited version of what I emailed back to the Administrator:

I’m not sure how it came about. A few days ago an eblast went out to residents about a multi-day vaccination program in one of our clubhouses. With 7200 units it’s a major undertaking, but vaccinations were set up based on where you lived, per an 11-day schedule. .

The complex is Kings Point in Delray Beach, FL. The overall management is by Vesta out of Jacksonville, which manages a lot of condo complexes in Florida and elsewhere. Maybe they set it up. It’s possible it was due to work of the master HOA, but more likely Vesta. I’m not wild about the fact that Florida is not completing vaccinations of essential workers before going to age 65 and up, but the opportunity is there, so I’ll take it.

Kings Point (official name Kings Point Golf and Country Club) has undergone major community upgrades in terms of facilities in the last five years or so. We have had corresponding increases in HOA fees to pay for some of this, but it was all in a master plan. Our monthly HOA fee (very inclusive - it’s lock and leave) was $402 when we bought the place in 2014. In 2021 it’s $477 for our 2-bedroom apartment of 910 square feet. A 19% increase (average 2.3% a year) over that time seems reasonable for what it covers. Reserves are all up to date and have been for years.

It’s very much a middle class place with most of the residents for years (it was built in stages from 1975 to 1983) having come from NYC, mainly Brooklyn, Queens and the Bronx, with some from NJ. We are outliers from CT. I love that we are welcome misfits at KP!

I doubt if smaller complexes might be able to swing the same kind of vaccination program and opportunity, but readers may know of some.

Thank you for this topic. I lost a 66 year old friend this week. She went to a community hospital and there were no hospital beds to transfer her to. They tried 3 adjoining states. So sad. I want to get the vaccine asap. I am 69 and a long term cancer fighter. I have not seen my only child in almost a year now and it is breaking my heart. I am so concerned about what is happening in my state, RI. They have decided not to follow CDC recommendations and have put seniors over 64 at the very end of stage 2, which is months away. There has been no communication about signing up yet. Instead, RI has decided to “follow principles of equity”. They have been vaccinating by zip code and have been vaccinating any resident over the age of 18 in underserved communities where incidence was high, even though death rate was very low. They also vaccinated all incarcerated people, which I don’t have an issue with. I do have an issue with their complete disregard for senior citizens and the data. More than 90% of the deaths from Covid have been in senior citizens, yet there is no acknowledgement of that fact in their distribution plan. The Vaccine Committee in my state had 20 people, most of whom were advocates for diverse underserved communities, but there was nobody representing senior citizens. Seniors were not given a seat at the table at all, and as a result came in dead last. The situation in RI is deeply upsetting to seniors. This has become political and race charged and seniors in RI have been left to die in a plan that makes no sense. Time to move as soon as this pandemic is over. Enough is enough.

Please excuse the typos above. I used voice. BTW, is there a way to edit once a comment is posted?

Editor comment. Sadly, we dont think there is a way to edit once you have posted. but i did correct a few things and am always happy to correct if you let us know.

The logistical nightmare is not a surprise (unless you actually believed the unrealistic projections coming out of the government). My wife and I are fine being farther back on any vaccination list because there are many millions in more need of it than we are. Good luck all and stay safe.

(responding to Daryl and RichPB)

The problem with not adhering to the vaccine schedule is that any alternative ideas (such as only one dose or stretching out the second dose to beyond 3 weeks) have not been tested. The testing phase for the Pfizer and Moderna vaccines had only regimen and the effectiveness results were based on that. It may be that altering the tested regimen could result in 70% or 80% or higher immunity but NOBODY KNOWS. It could be 10%. No alternate trials have been done with these vaccines so there is no way to know. That is why health professionals are pushing back on those who want to divert from the known effective regimen. Not because they know they are right but because they know that nobody knows what would happen. To me, proper risk management requires doing exactly what was done in clinical trials.

Obviously, I agree, JD. What may be forgotten is that these vaccines were approved for emergency use BEFORE all testing was completed. That testing could have included single doses or lower doses. What was determined as the right dose (2 shots) was based on best judgement and experience with prior vaccines. In the throes of a worsening epidemic in not the time for experimenting with the population. Testing will continue and may eventually show alternatives.

I received my jab yesterday and my wife received hers the day before. My wife, a medical worker, received the Pfizer and I received the Moderna vaccine at our County Health Department. In Texas, the 1b group includes those over 65 and those with qualifying medical conditions. Here are my thoughts on my experience: I signed up through my county health department on a website created for this purpose. I provided my contact information and completed a short questionnaire about my eligibility. About a week later, I received a phone call, a text and an email informing me of my appointment time for the following day. Our county has, at this time, two vaccination sites. I was assigned to one on the other side of the county from where I live but that was OK. I was given an appointment "range" of between 11 am and noon, along with several hundred others. However, the text said if that time didn't work for me, I could come anytime between 9 am and 5 pm on my appointment date. This was the only part of the process that I thought the county could have done better. When I arrived at the center, the line was about 1/8th of a mile long, socially distanced of course. We waited outside on a wide open campus that was exposed to a strong and constant wind for an hour and a half before getting inside the building. Once inside, it took 15 minutes to get registered and get the jab. After that, we sat for 15 minutes for observation in case there was any adverse reaction. An official related that this center was processing about 1200 vaccinations a day. I was given a CDC card showing that I will need to return in 28 days to receive the second dose. I live in a county with around a million residents. It is going to take many more centers and quite a while before they can get 2 doses into that number of people. Right now, it appears the limiting factor is the availability of the vaccine which is arriving regularly but in small batches. However, it is mostly going to the large population centers and hardly any to rural communities.

Update as of Jan 9. Nationally in the US 6.7 million people have been vaccinated with at least one dose, out of 22 million doses distributed to the states and territories. West Virginia continues to have the best record with 5.8% of the population inoculated, followed by the two Dakotas. Georgia has the most abysmal record of any state at 1.1%, about the same as its neighbors Alabama and Mississippi. A debate is raging about Pres. Elect Biden's plan to immediately use all doses available and not hold any back for the second dose.

In FL, if you can find someplace that is giving shots they will give it if resident or snowbird. One problem is seniors have waited in line for 8 t0 10 hrs, often going in the middle of the night and sleeping in their cars or standing in line. They tried on-line sign ups in my area but the site crashed or you can't get through phone lines. Since FL has so many Senior Communities, why can't they come to us. A mobile type van for vaccination where they go from one community to the next. They say they'll be in a certain area that day and people sign up in their community and then the mobile van moves to the next community.

Adnin noted the "raging debate" about releasing all vaccines for first dose administration. As of yesterday, Dr. Gaucci still says that is a dangerous path to take -- I agree. I fully support Biden, but it would be wrong to take such a precipitous step before the resources are secured to ensure that a second dose would be available on schedule for all those who received the first. Currently, premature release of all vaccine for first dose has a strong risk that a second dose would not be available when needed and thus many or most of those first doses could be wasted with no long term assurance that they would continue to provide protection or that any protection would be at a level to enable true protection from covid-19. Wait, employ the National Resources Act, ensure manufacture, delivery and administration of the second dose to all first dose recipients and THEN release all vaccines available for first dose. We still have no research or assurance that only one dose is really efficacious AND that supplies of the second dose will be available.

LS, Question:
Thanks for sharing your process. , Does your CDC card to return give you a specific date /time? If it doesn't I would think the lines and confusion would be compounded.

CNN has an excellent article on a really timely question to this topic: Is it safe for vaccinated grandparents to visit their families? The short answer is that it is not completely safe; and it is complicated. Dr. Leanna Wen makes many great points. For one, no one definitively knows if vaccinated people can still be carriers. Another important point: being vaccinated is a lot like having been in a quarantine - if you and others who have been vaccinated are together, you are likely pretty safe. But there is still risk with others who haven't been vaccinated - both to you (even after both shots there is still a 5% chance you could get it), and others.

This is a good article about the decision making process at the CDC. RI has not prioritized seniors and has put most seniors at the back of the line in Phase 2. The AARP has called on the RI Governor to prioritize seniors, but our Governor has been more concerned about having our economy look good because she has just been nominated as the next Secretary of Commerce. RI has chosen to vaccinate “underserved” communities first, citing “principles of equity”. IMO, what states like RI are doing is immoral, and unethical. All states should be prioritizing seniors because we are the population that is dying. I never felt age discrimination so strongly until now, but clearly states like RI put no value on the lives of seniors. https://www.vox.com/future-perfect/22193679/who-should-get-covid-19-vaccine-first-debate-explained?fbclid=IwAR0FdHeCh-IPV6O9rZwWVdF9EFWlywfwIoqkUj1M0Hipb3ievTsKXY7nl3s

Very disappointed in Ohio's rollout of the vaccine. The State Dept of Health has a plan and says the actual mechanics of the roll-out will be announced shortly. Part of the plan includes priority for seniors, starting with 70+ and then 65+ the following week. However, there is NO information yet about how the vaccinations will be given, where, or who will give them. My health care system's web site just says to keep an eye out for emails. The pharmacies have no information yet. And the plan is supposed to start next week? I foresee chaos. Some states are doing great, and others clearly are dropping the ball.

Colorado -Boulder County has said 70 plus is phase 1. I think they are honoring this.

Ann: My card lists a specific date for the second shot. I will receive a phone call, text and email the date before to inform me of the time and place where I will assigned to go for it.

Some additional thoughts on this. Our County Commissioners met recently and are not pleased with seniors and the medically qualified having to wait in long lines outside in the elements. They have instructed the County Health Department to find facilities where the people can wait indoors and where seating for those that need it are available. They also want more locations in more accessible areas. I agree totally.

One other observation of my experience: The facility that I went to was remote and not easy to find. As far as I can tell, there was no public transportation available in that area. This goes to Maimi's situation in Rhode Island. Her Governor had different priorities that the Texas governor. She may have a valid point. When I looked at the people in line, it was at least 90 percent white and everyone arrived by car. Our county is probably 50 percent minority and there were very few to be seen at this facility. We have to do a better job of getting the vaccine out to communities of color if we are to stem this pandemic.

LS, there is no evidence or claim by anyone that the vaccines prevent transmission and there is no correlation between race and covid death rate, so prioritizing vaccinations by race or zip code makes no sense if saving lives and cubing the crisis in our hospitals is the goal. The zip code that RI is vaccinating right now has one of the lowest death rates in the state. Here is the fact that should guide prioritization. 8/10 of all deaths have occurred in people over 64! 97% of people who have died are over 50! AGE is the overriding predictor of death and hospitalization. Most, people of all communities, under 50 who contract he virus are either asymptomatic or have mild symptoms. Not everything is about race or nation of origin and it has gotten to the point where not following the science and the data to appease certain voting blocks is deadly. It is seniors who are dying!

Editor's Comment: Maimi I often agree with you but this time I have to disagree, and want to make sure we keep our facts straight on this site. Here is a link to the CDC comparing the death rate for various ethnic groups compared to white people. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html White folks are expressed as 1, while for African Americans the death rate is 1.4x (1.4 times the white person rate), American Indians 1.8x, Hispanic 1.7x. So minority groups ARE dying at higher rates. On the age death rate you are correct, the chances of death for people over 55 are way higher than any other factor such as race. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-age.html

Editor, I don’t disagree, but the stats on race do not reflect causation, they most probably reflect higher exposure. In other words, there is no anatomical reason that a person from a specific race is more likely to die from Covid. So, going into a community which consists of a high percent of people of color and vaccinating people of all ages makes no sense, because it is AGE, that is the most significant variable. Of all the deaths so far in the US, 97% have been in people over 50.

Update on vaccinations Jan 15: WV continues to lead all states in terms of % of the population vaccinated at 6.3% using 65% of available doses. It is followed by Alaska, which has vaccinated 49,000 people. Alabama brings up the rear with 1.8% of the population vaccinated. https://www.nytimes.com/interactive/2020/us/covid-19-vaccine-doses.html

Like many states, Florida, which has only given 41% of the doses it was given, has many counties which still do not have any system for people to register for a vaccine. Kind of makes you wonder what these officials have been doing instead of planning for the arrival of the vaccines. On January 18 the http://www.floridahealth.gov/ site has a link to places where you can get a vaccine - except that the link goes to "Page Not Found". Meanwhile the Governor sends out self-congratulatory texts telling all what a fantastic job the State is doing with vaccines.

Admin, I am so disheartened at how my state is treating seniors. RI announced to the public that the reason they can’t vaccinate seniors is that they don’t have enough supply to do all seniors and they don’t want to open a group until they hav enough for all people in the group. Since December, they have been vaccinating anyone that is at all associated with health care and people of all ages over 18 In communities of color. At a state oversight hearing the DOH put on a slideshow about the effects of racism on health care, housing, poverty. Any questions about why they were vaccinating young people and not seniors, were squelched and not answered. This is ageism. Now, they are debating who will get the vaccine in Phase 2 and they are not sure if they will include seniors 65 and over. This means seniors are at the back of the line. More than 95% of all deaths have been in senior citizens here and over 80% of all hospitalizations. Yet, they are not using age(or health status) as a criteria in vaccinations. It is outrageous and clear ageism. If it were children who were dying would they get away with vaccinating everybody except children? Doubt it. I doubt that RI’s approach is legal. A class action suit claiming age discrimination was filed in federal court in Nevada yesterday, but I doubt that will happen in other states. Seniors feel so disregarded and devalued that we are in despair here. Up until a few weeks ago, RI had the highest rate of Covid in the country. Here is an article that relates to the subject. Is this happening all over the country. https://www.latimes.com/science/story/2020-12-30/how-race-factors-into-decisions-about-who-should-get-priority-for-covid-19-vaccines

NY state was set to allow vaccination appointments for over 75 years on a website starting at 8am on Jan. 11th. That very afternoon I saw that all appointments were taken until late March. I refused to wait that long. The next day all people 65 and over registered for the remaining appointments in March and April. TV indicated other NY locations. The website showed available appointments in a city over 300 miles away for April. I took it and registered. I wanted to have both my husband and I to get the shot at the same time but when I immediately registered for his appointment the available time was 3 hours later. A few hours later there were NO available appointments in NY. Meanwhile, I keep checking the website to see if any new appointments are available locally. If you want an appointment you have to take what you can get.

Remember this when you vote. Florida has been serving seniors early on and Georgia we have been put right behind healthcare workers. In each case, the time slots are going fast, but we are not put behind other, younger groups.

In PA, we can register if 1A over 70 or 1B over 65, with our county health department. You then receive a link to get an appointment if age eligible. They did note that most likely 1B would not be contacted until February. We know of 1B ers who were forwarded the link to get an appointment from 1A ers. There were plenty of openings and they easily scheduled an appointment, but we’re refused the vaccination at the site. No line jumping in PA!!
This system has only recently been announced. It will be interesting to see if it continues to operate so smoothly. I for one, am prepared to wait.

I live in PA and that is the first that I have heard about calling the health department. Presently, the governors website still has 1b as people 75 and over. Where did you hear about this? And what link are you speaking about?

The Miami Herald has reported that the mayor of Miami has proposed restricting doses of the COVID-19 vaccine only for Miami residents. Mayor Francis Suarez calls the plan “Miami First." People are starting to receive vaccinations at Marlins Park.

The policy seems to conflict with Gov DeSantis who has promised that snowbirds would be eligible for the vaccine.

Does anyone know which states are prioritizing seniors 65 and over?(Phase 1). I can’t find that information for my letter writing campaign.

Maimi,

South Carolina is allowing those 70 yrs. and older to get the vaccine (Group 1A). I went on the SC DHEC website at 3 am one day last week and was able to get appts. for myself and my husband for the next day. Prior to this change it was seniors 75 yrs. and older. I was also able to make appts. for our second dose (I have my fingers crossed that there will be enough by that time).

The resident/non-resident issue does appear to be somewhat of a problem n Florida. We are snowbirds, but also legal residents of Florida. It seems to me that all should be vaccinated, but those who are residents (evidenced by Florida drivers license and/or FL voter registration) should have priority. Non-residents would be eligible as well, but in due course.

Maimi,

In SC, those between the ages of 65 -69 can get the vaccine only if hospitalized. Unsure about those not hospitalized - they may be put in Group 1B, but things are constantly changing. We'll just have to wait and see.

Sandy
My mistake. 1B is 75 and over. On my county health department website, there is a link where you can register to be notified when it is your turn to receive the vaccine based on age eligibility. Since writing previously, I have heard of line jumping in PA. Very disheartening. Hopefully the president elect will do a better job with the vaccine rollout.

Follow up to my earlier post. Kings Point has scheduled the 2nd dose of the vaccine for Jan 26 through Feb 3 in the Flanders Clubhouse.

Editors comment: Don't know how Kings Point did it but I have to admire their efficiency! All over Florida and America other communities have to be envious. Thanks for keeping us up to date Clyde.

As an update to the national vaccination progress, as of Jan 20 some 14.2 million people have had at least one shot of the coronavirus vaccine and 2.2 million are fully vaccinated. Some 4.3% of the U.S. has been inoculated at least once with 46% of available doses administered. Alaska and West Virginia are in the lead for highest percentage of the population inoculated at 7.8% and 7.4% respectively. Florida has 5.2% of its population with at least 1 shot. Alabama has shown the least progress at 2.5%. Source: New York Times

Thanks, Clyde -- good info. I just received an email from MyChart and my former health care system in NC, advising appointments for vaccinations were now open for 65+ patients. (I had lived right over the border in SC, but my doctors were in NC). They're apparently a few weeks ahead of Ohio, since Ohio won't start to offer my age group (65+) vaccinations until mid-Feb.

Meanwhile, our local news is reporting on the shortages and an Ohio company's careless handling of the vaccine that resulted in the loss of hundreds of doses. I'm resigned to a long, long, long wait here.

Do you think politics has something to do with all the maskless denyers in Florida having access to so much vaccines?

Amidst reports of foreigners flying to the Sunshine State to be vaccinated, Florida is now restricting the Coronavirus vaccine to state residents. Snowbirds still appear to be eligible provided they have two documents such as a lease of at least 31 days or utility records to prove they have a residence in the state. The change in policy has advocates for migrant workers and homeless people worrying that they might be denied a vaccine. Gov. DeSantis says he is against visitors to the State coming for this form of medical tourism.

Wondering if there’s anyone on this site not getting the vaccine? Using any therapeutics to prevent?

Jemmie was right. This can be a full time job. It was for me, for a few days, until I retired from it— just way too stressful!! PA changed 1A to include 65+, but of course, like everywhere else there’s no vaccine so it became a wild goose chase. I’ve decided to scale back my search and resign myself to wait. Hopefully the new administration can get things rolling.

I’m with you Staci. I’m happy to wait a bit.
I’m sure we will all get vaccinated.

The vaccine distribution is being handled by each state. Counties here in Texas were required to submit their distribution plans to the state health department for review prior to receiving their allotment of vaccines.
Our county set up a “hub” for vaccinations in our 55 and older community as well as an online registration process. In the first two days over 1200 doses were disrupted along with a second scheduled appointment for the second dose. The process was safe and well organized. In fact, the process was so seamless by day two, additional people were texted or called and asked to come in if available within the hour. Twelve hour days for those working the clinic were tiring I’m sure but the community outdoor not be more grateful and impressed with the organization!

Patrick, did Texas prioritize by race and zip code? In RI age has not been prioritized yet. Just curious if there is a difference in how red states handled equity considerations.

Miami,
Here in Texas priority in 1A was for first responds. 1B included 65 and older as well as those under 65 with certain health issues. No zip code or race considerations. Just human as it should be.

Patrick, RI has been vaccinating by zip code using the “Social Vulnerability Index”, which considers race as a factor. They have not prioritized seniors at all yet, and as of today seniors are at the very back of the line. RI has been vaccinating healthy young people who reside in targeted cities. I suspect that there are other blue states doing the same thing. Ignoring the fact that it is seniors who are the population that is dying to fulfill a political agenda is immoral. Seniors are treated very poorly in RI. Maybe that is why we always end up on the worst places to retire list! Not much seniors can do about it.

Here in Michigan seniors have no way to get shots - IMO its a who you are and who you know - rich high profile people get vaccines - the rest of us well all the state says wait your turn - so disgusting - the state says 65 and over can get shots but then doctors post don't call us - we will call you when -

Maimi-

Rhode Island has dropped the ball on vaccinating seniors thus far for sure. However, the Rhode Island Chapter of AARP recently circulated a petition advocating on behalf of seniors to move them ahead in the vaccine line and there has been some discussion, at the state level, with regard to doing just that. I am hopeful it will happen as there are 187,000 people in this state aged 65 and over. Rhode Island has been receiving approximately 14,000 vaccine doses daily which really limits inoculations occurring in a timely or efficient fashion regardless of who is receiving the vaccine. I am hopeful that the Johnson and Johnson vaccine will soon be approved for emergency use as it requires only one injection, has very high efficacy and would add another product to the production picture. Indeed I share your concerns with regard to seniors being discounted and overlooked, but I remain hopeful things will improve shortly.