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U.S. officials say the nation’s first COVID-19 vaccine will begin arriving in states Monday morning. Army Gen. Gustave Perna said Saturday that trucks will roll out Sunday morning as shipping companies UPS and FedEx begin delivering Pfizer’s vaccine to nearly 150 distribution centers across the states. An additional 425 sites will get shipments Tuesday, and the remaining 66 on Wednesday. Perna is with Operation Warp Speed, the Trump administration’s vaccine development program. Initially, about 3 million doses are expected to be shipped nationwide, with priority going to health care workers and nursing home residents.The FDA called the vaccine from Pfizer and its German partner BioNTech safe and strongly protective.After the FDA approved the vaccine, President Donald Trump thanked the FDA and praised both Pfizer and Moderna in a video posted to his Twitter account.But initial doses are scarce and rationed, with health workers and nursing home residents first in line.According to the Associated Press, about 3 million doses of the vaccine are expected in the first shipments around the country, according to officials with Operation Warp Speed.In a letter of authorization, the FDA said that in an ongoing trial of 44,000 people, the agency found the vaccine was safe and more than 90% effective in older adults.In a press release, the FDA said participants in the trial complained of several side effects, which included pain at the injection site, tiredness, headache, muscle pain, chills, joint pain, and fever.The FDA added that these side effects typically lasted several days, and people experienced the side effects after the second dose than after the first dose.“While not an FDA approval, today’s emergency use authorization of the Pfizer-BioNTech COVID-19 Vaccine holds the promise to alter the course of this pandemic in the United States,” said Peter Marks, M.D., Ph.D., Director of the FDA’s Center for Biologics Evaluation and Research in the press release.Enough for the general population isn't expected until spring, and experts urge people to mask up and keep their distance during a long, grim winter.“Today’s action follows an open and transparent review process that included input from independent scientific and public health experts and a thorough evaluation by the agency’s career scientists to ensure this vaccine met FDA’s rigorous, scientific standards for safety, effectiveness, and manufacturing quality needed to support emergency use authorization," said FDA Commissioner Stephen M. Hahn, M.D. in the press release. 2570

UPDATE: Authorities confirmed two men were on board the plane. Their identities have not been released.DESCANSO, Calif. (KGTV) - Federal aviation authorities reported the crash of a single-engine plane with two people on board in East San Diego County Wednesday night.The Champion CH7B was reported overdue at Gillespie Field in El Cajon around 9:30 p.m.Thursday morning, search crews found the wreckage of the plane in rough terrain in Descanso, about 17 miles northeast of the airport. The Federal Aviation Administration did not release immediate information about the two occupants of the plane."The terrain is so rugged there’s not even roads to get out to that area. The only way in is through helicopter," said Sheriff's Lt. Damon Blankenbaker.Deputies established a command post at Three Sisters Falls trailhead. They photographed the crash site and ferried NTSB investigators to the wreckage Thursday. 933

Vice president-elect Kamala Harris confirmed Thursday that her husband would assume the title of "second gentleman" when she is sworn in next month.Because Harris' husband, Doug Emhoff, will be the first man to serve as the spouse of the Vice President, there was some question as to his title. The only people to serve in the role have been women, and all have been referred to as the "second lady."While most media outlets, like the writing-style standard-bearer Associated Press, had already been referring to Emhoff as the second gentlemen, Harris confirmed Emhoff's new title on the record during an interview with CNN on Thursday."I think that the term has evolved into the second gentleman," Harris said.CNN anchor Jake Tapper joked that he preferred the title "second dude," and Harris added that some of Emhoff's friends might be "inclined to call him that."When asked if Harris would call Emhoff the "second gentleman," Harris joked that she would call him "honey."Emhoff, a lawyer, has said he will leave his law practice on Inauguration Day to focus his time in his new role. So far, he's said little about what issues he plans to tackle in his role. 1170

TRINITY, Fla. — Family and friends of a man who recently suffered a fractured skull are speaking out about delays in care from a Florida hospital they believe made his condition worse.On what was supposed to be a fun night playing softball, Donnie Smith's life changed forever.Smith had just thrown a pitch, when a line drive hit him in the head.“Donnie went immediately to the ground,” said teammate Bryan Williams. “Blood was coming out of his nose. You could already see the swelling.”At that point, they knew it was bad.  Another teammate took him to the nearest emergency room, which was at Medical Center of Trinity, about two miles south of the ballpark.  Donnie got to Trinity at 7:46 p.m. local time“You figure a hospital is a hospital. It's there to take care of emergencies,” said teammate Jimmy Sigmone.But not all emergency rooms can handle all emergencies, as Smith's sister Patti Dermer was about to learn.By the time she arrived, a CT scan showed his injury was potentially life-threatening.By 8:20 p.m., they knew he had a fractured skull and a brain bleed.But doctors at Trinity couldn't perform emergency surgery to relieve the pressure.At 9:16 p.m., a doctor signed a transfer order, and a surgical team was placed on stand-by 13 miles away at the Bayonet Point Trauma Center.“There were ambulances sitting outside the door, and they wouldn't put him in it,” said Deremer.As seconds and minutes ticked by, Smith's condition worsened.“He's going gray, sweating profusely, chills everywhere,” Deremer said.She said she was alone with him in an ER Bay for most of the time they were waiting.He was given an ice pack to hold on his head.  By 10 o'clock, Donnie’s heart rate dropped to under 40 beats a minute.“He wound up throwing up blood all over the room. Blood started gushing out of his nose,” Dermer said.Records indicate the ER staff had called for a helicopter, but it couldn't fly due to weather conditions. “It was the longest night of my life,” Deremer said. “Literally, I was out there screaming at people.”By 10:20 p.m., Donnie’s blood pressure spiked and his pulse was dropping.The ER team rushed him to another room and put him to sleep.  Records show that finally at 10:21 p.m., the first call from Trinity was made to Pasco County EMS for an ambulance.It was two-and-a-half hours after Donnie first arrived at Trinity and more than an hour after a doctor signed the transfer order.Donnie finally got to Bayonet Point at 11:25 p.m., four hours after the softball fractured his skull.Friends wish they'd called 911 from the ball field, so paramedics would have taken him where he needed to go the first time.“You can point a million fingers. But the bottom line is he should have got here hours faster than he did,” said Sigmone.Hospital Corporation of America (HCA) owns both Trinity and Bayonet Point hospitals.HCA spokesperson Kurt Conover issued the following statement: 2943

US investigators wiretapped former Trump campaign chairman Paul Manafort under secret court orders before and after the election, sources tell CNN, an extraordinary step involving a high-ranking campaign official now at the center of the Russia meddling probe.The government snooping continued into early this year, including a period when Manafort was known to talk to President Donald Trump.Some of the intelligence collected includes communications that sparked concerns among investigators that Manafort had encouraged the Russians to help with the campaign, according to three sources familiar with the investigation. Two of these sources, however, cautioned that the evidence is not conclusive.Special counsel Robert Mueller's team, which is leading the investigation into Russia's involvement in the election, has been provided details of these communications.A secret order authorized by the court that handles the Foreign Intelligence Surveillance Act (FISA) began after Manafort became the subject of an FBI investigation that began in 2014. It centered on work done by a group of Washington consulting firms for Ukraine's former ruling party, the sources told CNN.The surveillance was discontinued at some point last year for lack of evidence, according to one of the sources.The FBI then restarted the surveillance after obtaining a new FISA warrant that extended at least into early this year.Sources say the second warrant was part of the FBI's efforts to investigate ties between Trump campaign associates and suspected Russian operatives. Such warrants require the approval of top Justice Department and FBI officials, and the FBI must provide the court with information showing suspicion that the subject of the warrant may be acting as an agent of a foreign power.It is unclear when the new warrant started. The FBI interest deepened last fall because of intercepted communications between Manafort and suspected Russian operatives, and among the Russians themselves, that reignited their interest in Manafort, the sources told CNN. As part of the FISA warrant, CNN has learned that earlier this year, the FBI conducted a search of a storage facility belonging to Manafort. It's not known what they found.The conversations between Manafort and Trump continued after the President took office, long after the FBI investigation into Manafort was publicly known, the sources told CNN. They went on until lawyers for the President and Manafort insisted that they stop, according to the sources.It's unclear whether Trump himself was picked up on the surveillance.The White House declined to comment for this story. A spokesperson for Manafort didn't comment for this story.Manafort previously has denied that he ever "knowingly" communicated with Russian intelligence operatives during the election and also has denied participating in any Russian efforts to "undermine the interests of the United States."The FBI wasn't listening in June 2016, the sources said, when Donald Trump Jr. led a meeting that included Manafort, then campaign chairman, and Jared Kushner, the President's son-in-law, with a Russian lawyer who had promised negative information on Hillary Clinton.That gap could prove crucial as prosecutors and investigators under Mueller work to determine whether there's evidence of a crime in myriad connections that have come to light between suspected Russian government operatives and associates of Trump. 3458

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