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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

SPRING VALLEY, Calif. (KGTV) - Evacuees from the Valley Fire began to head home Thursday morning as Cal Fire lifted evacuation orders throughout the area."We're trying to head out early," said Deehorn Valley resident Dale Elliott. "That way we can get everything straightened up, cleaned up try to put things back."Elliott's family is one of 140 families the Red Cross helped over the last week. Evacuees were offered food, first aid, hotel rooms and more.Red Cross Regional CEO Shawn Mahoney said they served 1,200 meals on Wednesday alone.This was Elliott's first time having to evacuate, and he told ABC 10News, "With the dogs and my mother-in-law visiting and all of our stuff, we thought we should evacuate just to be on the safe side.”Elliott checked on his home Tuesday to make sure it hadn't been damaged in the fire. He said he'll have to clean out the refrigerator, but that's the only issue.Many others weren't as lucky.Cal Fire said 30 homes and 29 other buildings were destroyed in the fire. As the Valley Fire continues to burn, some areas are still under evacuation orders or warnings.The Red Cross says they will keep the shelters open as long as they're needed. 1186

Several people were hurt in an "inmate-on-inmate" disturbance at CoreCivic's Red Rock Correctional Facility in Eloy, Arizona on Sunday morning.Twelve inmates were taken to outside medical facilities for treatment of non-life-threatening injuries, and one staff member was treated and released for minor injuries sustained in the incident, according to Jonathan Burns, CoreCivic's Director of Public Affairs.Burns says the disturbance happened just after 8:30 a.m. local time.The facility has been secured and all inmates and staff are accounted for, Burns said. CoreCivic is working with the Arizona Department of Corrections and local law enforcement as they continue to investigate.   724

Snapchat apologized on Wednesday for posting an ad on its app that made light of Rihanna and Chris Brown's violent history.The ad, which you can see below, asked users if they’d rather "punch Chris Brown" or "slap Rihanna."Chris Brown was convicted of assaulting Rihanna in his car during a 2009 incident when the two pop stars were dating. Brown was sentenced to five years of probation, six years of community service and a year of domestic violence counseling. 471

She still remembers it like it was yesterday.D.H. approached the Safe Haven Baby Box and pulled it open, watching a little orange backpack filled with resources for surrendering mothers fall out as she placed her newborn inside.Safe Haven Baby Boxes are in four states currently and offer parents a way to safely surrender their newborns.With her baby girl, a handwritten letter would convey the heartbreak, agony, and love of the mother who placed her inside that box. D.H. still says it was the hardest decision she has ever made in her life.We've heard from mothers who have adopted the babies placed in Safe Haven Baby Boxes, but for the first time, we're hearing from a mother on the other side of the box.D.H. is sharing her story to help fight the stigma that seems to follow the mothers who have surrendered their children."These mothers come from all walks of life," Monica Kelsey, founder of Safe Haven Baby Boxes, said. "We have had a Registered Nurse come through our program, a mom with four kids, a single mom, and career dads. This option of surrendering is available to anyone who finds themselves in a crisis if they feel this is the best option for them.""After a mom calls us, the first thing she wants to know is 'Is my baby safe and is my baby healthy'. That speaks volumes about these moms. These moms absolutely love their children; they are just in a crisis that you or I may not understand," Kelsey said.For the safety of the mother and to protect the identity of the child, we will not be using the woman's name in this story.Her StoryD.H.'s story began several months earlier when she found herself unexpectedly pregnant and dealing with outside circumstances she had no control over.This baby wasn't her first, but it would have been the first D.H. would have had to raise as a single mother while trying to navigate a new life she had very little control over.D.H. felt ashamed and alone."Obviously, I knew I was pregnant, and I was trying to decide what I was going to do," D.H. said. "If I was going to try to do it … be a mom … and I just knew that I wasn't going to be capable of it. It wasn't possible. Financially, and all the things I was going through, I wasn't going to be able to do it."Weeks before she was due, D.H. found herself online researching what options she might have once the baby was born. She still hadn't told anyone she was pregnant."I'm still not sure how I kept it a secret," she said.D.H. was working long days —up to 14 hours at a time — throughout her pregnancy while she tried to get her life back in order. She still wasn't sure what to do about the child she would soon birth.Then one morning, just 30 minutes before she was supposed to be at work, the labor began.By the time D.H. thought about calling an ambulance, she knew she wouldn't make it to the hospital in time.After six hours of labor, she gave birth — alone — to a beautiful baby girl.She called her Mila. 2939

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