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Some of the COVID-19 vaccine candidates call for more than one shot, so how do we make sure patients come back?Three experts all tell us preparing people for the side effects will be critical.A nursing researcher described those side effects in a JAMA article. She suspects she had the experimental vaccine as part of Pfizer’s Phase III clinical trials.After the second shot, she said she was light-headed, nauseous, had a headache, ran a fever, and was hardly able to lift her arm from muscle aches. She wasn't warned and it scared her into thinking she might have COVID-19.“The immune system is revving up,” said LJ Tan, Chief Strategy Officer at the Immunization Action Coalition. “It's responding to that vaccine, and I think we need to tell our patients that so that they expect that. Otherwise, they're going to say, ‘wow that thing hurt, I'm not coming back for that second dose.’”For comparison, a recent shingles vaccine also requires more than one dose and can be painful. Providers and advocates lead education efforts on what to expect. The return rate after the first shot for shingles is about 80%, which is considered high.One suggestion is to put information on side effects in COVID-19 vaccine distribution kits.The Centers for Disease Control and Prevention (CDC) has already said it plans to include index cards that tell patients what they had and when their next dose is due. That's on top of electronic reminders like email or texts.The federal government has also promised to cover most costs for the vaccine.One doctor says he'd take that a step further.“I feel extremely strongly that we should do everything we can in terms of customized, personalized patient support programs, and even recommend that the federal government go beyond free and provide small rewards or incentives for people who complete the two-dose program,” said Dr. A. Mark Fendrick, Director of the University of Michigan's Center for Value-Based Insurance Design.There's some protection for people who only get one dose of the Pfizer vaccine, but nearly full protection is better. The second dose also boosts antibodies.“That's important because of waning immunity. The higher your antibodies when you start, the longer it takes for that to decrease over time, and potentially make you more susceptible,” said Dr. Gregory Poland, Director of the Mayo Clinic's Vaccine Research Group.That means the best thing is to get both doses as was tested in the study. 2463

Special counsel Robert Mueller's team has repeatedly clashed in the Paul Manafort case with the Judge T.S. Ellis, who has refused to let prosecutors display photos of Manafort's luxury purchases, urged them to hurry up their questions and has even reprimanded one lawyer for being impolite and not looking at the judge while speaking to him.But on Thursday, Ellis admitted he was wrong on one point, when he criticized prosecutors for having one of their witnesses, an expert IRS agent, in the room to hear other witness testimony.Prosecutors had reminded Ellis following his scolding in front of the jury they had discussed allowing IRS revenue agent Michael Welch to sit in the courtroom. 698

SPRING VALLEY, Calif. (KGTV) — A construction worker was killed in an accident at Monte Vista High School hours after the topping out of the school's new multi-use facility. According to the San Diego County Sheriff's Department, the accident happened just before 2 p.m.Deputies say the 30-year-old man fell from a beam attached to a 30-foot platform. Deputies and emergency responders performed first aid on the construction worker, but he later died after being taken to the hospital. A second worker was also injured and taken to the hospital, but their condition is unknown at this time, according to the school district. CA-OSHA is investigating the incident and crisis counselors will be made available at the school Thursday. The Grossmont Union High School District released the following statement after the incident: 835

So proud of the student athletes at the University of Texas! I 100% stand behind them! #WeAreOne ???????????????????? pic.twitter.com/KAY7ErJkhd— Casey Jones (@CaseyJones318) June 13, 2020 196

So very proud of our players, all Texas student-athletes, our entire student population and university leadership. They will forever be known for being responsible for tangible, positive change on our great campus. Today is a great first step. #HookEm ???? https://t.co/ftYQpgPk3G— Coach Tom Herman (@CoachTomHerman) July 13, 2020 338