Coronavirus Information and Resources Siletz Community Health Clinic • • • COVID-19 – Vaccine Information Purchased/Referred Care – Newly Available Service 16- and 17-year-olds able to receive COVID-19 vaccine at Pfizer COVID-19 vaccine clinic PRC funding for specialty surgery In Siletz on April 16, 2021, by appointment Available to Tribal members and household members ages 16-17 To schedule an appointment: ∗ Text 541-270-5603 with your: Š First and last name and date of birth Š Texting option is only for scheduling 16- and 17-year-olds (at this time) ∗ Or call Š 541-444-9636 (specify age and Pfizer vaccine) Tribal Council has approved funding for medically necessary surgeries that are not currently approved services. To qualify, you must be an enrolled Siletz Tribal member AND PRC-eligible. Eligible surgeries: • Excess eyelid skin removal • Breast reduction • Excess abdominal skin removal PRC will process requests through Gatekeepers; funding is limited and will be first-come, first-served. The established medically necessary criteria are consistent with CMS and insurance guidelines. Requests deemed as cosmetic will not qualify. Covid-19 vaccines available for all – age 18 and older – Tribal members, Tribal households/family members/friends, patients, community members Moderna COVID-19 Vaccine Clinic(s) • In Siletz every Friday by appointment (Tribal members and family are priority) ∗ To schedule, call: 541-444-9636 Johnson & Johnson vaccine – 1 shot only The clinic is requesting a supply of the Johnson & Johnson vaccine – 1 shot only. Please watch the Tribal website and the clinic’s Facebook page for the latest updates. We hope it will be available soon but do not have a date yet. Traveling to Siletz for vaccine Resources available to enrolled Tribal members • • The following resources are available: Lodging for out-of-state OR southern/central/eastern Oregon travelers – at time of scheduling your vaccine, let the scheduler know you’re traveling a long distance. Gas cards – limited supply available at COVID clinics Be safe. Stay home. Stay well. Vaccine developer: Pfizer Moderna Johnson & Johnson AstraZeneca Novavax Prepared by the Northwest Portland Area Indian Health Board (NPAIHB) Updated 3/1/2021 Who can receive this vaccine? 16 years and older 18 years and older 18 years and older 18 years and older 18 years and older Pfizer Moderna Johnson & Johnson AstraZeneca Novavax How it works Messenger RNA Messenger RNA Inactivated Adeno- virus base (Non- replicating vector vaccine) Inactivated Adeno-virus base (Non-replicating vector vaccine) Protein-based (recombinant nanoparticle tech) December 11, 2020 December 18, 2020 February 27, 2021 Has not submitted application for EUA in U.S. yet, but possibly in April Has not submitted application for EUA in U.S. yet. Currently in phase 3 clinical trials The vaccine has not yet been studied in pregnant or lactating women. Pregnant women are allowed to get the vaccine, but should first consult with their doctor. mRNA vaccines are not thought to be a risk to the breastfeeding infant The vaccine has not yet been studied in pregnant or lactating women. Pregnant women are allowed to get the vaccine, but should first consult with their doctor. Date approved/ Expected approval The vaccine has not yet been studied in pregnant or lactating women. Pregnant women are allowed to get the vaccine, but should first consult with their doctor. mRNA vaccines are not thought to be a risk to the breastfeeding infant The vaccine has not yet been studied in pregnant or lactating women. Pregnant women are allowed to get the vaccine, but should first consult with their doctor. The vaccine is not considered to be a risk to the breastfeeding infant Not yet available Vaccine developer: What about pregnant and breastfeeding women? Who should not get this vaccine? Caution and consultation should be taken with persons who have a history of serious allergic reactions. Contraindicated in people with prior reactions to vaccine ingredients Caution and consultation should be taken with persons who have a history of serious allergic reactions. Contraindicated in people with prior reactions to vaccine ingredients Contraindicated in people with prior reactions to vaccine ingredients The vaccine should not be given to those who have had a previous severe allergic reaction to a previous dose of the same COVID-19 vaccine or an ingredient in the COVID-19 vaccine Not yet available Any significant side effects? During December 14–23, 2020, there were 21 cases of anaphylaxis after the first dose. 4 cases of Bell’s palsy in clinical trial vaccine group During December 21, 2020–January 10, 2021, there were 10 cases of anaphylaxis after the first dose. 3 cases of Bell’s palsy in clinical trial vaccine group One case of hives and swelling of the lips, one case of severe pain in the injected arm, and one case of generalized weakness, fever, and headache Four total serious adverse events, including one case of transverse myelitis Not yet available What about people with lowered immune function and autoimmune diseases? Ok for people whose immune function is lowered by HIV, immunosuppressing drugs, or autoimmune disease. People with these conditions may still get the vaccine if they have no other contraindications. There is limited safety data in this group Ok for people whose immune function is lowered by HIV, immunosuppressing drugs, or autoimmune disease. People with these conditions may still get the vaccine if they have no other contraindications. There is limited safety data in this group Ok for people whose immune function is lowered by HIV, immunosuppressing drugs, or autoimmune disease. People with these conditions may still get the vaccine if they have no other contraindications. There is limited safety data in this group Not yet available Not yet available COVID-19 Vaccine Review Efficacy in preventing COVID-19 related hospitalization and death All five vaccines (Pfizer, Moderna, Johnson & Johnson, AstraZeneca and Novavax) have demonstrated efficacy in preventing severe COVID-19 disease, hospitalizations and deaths. Out of 75,000 people who have received these vaccines as part of research studies, no one, has died from COVID-19. What percentage of people did it protect from getting infected in clinical studies? 95% efficacy to prevent symptomatic COVID-19 infection after 2 doses 94.1% efficacy to prevent symptomatic COVID-19 infection after 2 doses; 86.4% for those ≥65 66-72% efficacy to prevent symptomatic COVID-19 infection after 1 dose; 85% efficacy in preventing severe disease 70.4% efficacy to prevent symptomatic COVID-19 infection after 2 doses 89.3% efficacy to prevent symptomatic COVID-19 infection after 2 doses in UK, 85.6% for B.117 strain How many shots do you need? Two doses, 3 weeks (or 21 days) apart Two doses, 4 weeks (or 28 days) apart One dose Two doses, 4 weeks (or 28 days) apart Two doses, 3 weeks (or 21 days) apart What are the potential side effects? Fatigue, headache, chills, muscle aches, especially after the second dose Fever, muscle aches, headaches lasting a few days. Effects worse after second dose Fatigue, headache, muscle aches, nausea and injection site pain Injection site pain, fever, muscle aches, headache Fatigue, headache, muscle aches and injection site pain Storage -112°F to -76°F (before mixing, vaccine may be stored at 36°F to 46°F for up to 120 hours or 5 days) -13°F to 5°F (vaccine vials may be stored at 36°F to 40°F for 1 month or 30 days) 36° to 46°F (may be stored at 36° to 46°F for at least 3 months) 36°F to 46°F (may be stored at 36°F to 46°F for at least 6 months) 36°F to 46°F (ready to use) Summary is continued on the other side 10 • Siletz News • April 2021 For more information please visit https://www.cdc.gov/coronavirus/2019-ncov/vaccines/ Updated 3/1/2021