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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

ST. PETERSBURG, Fla. (AP) — Coronavirus cases in Florida surpassed 100,000 on Monday, part of an alarming surge across the U.S. West and South as states reopen for business and many Americans resist wearing masks or keeping their distance. Some public health officials are warning that progress won after months of lockdowns could be slipping. And hospitals in areas seeing an uptick in cases are warning that intensive care beds were filling again, and urging communities to do what it takes to control any new outbreaks. An Associated Press analysis of data compiled by Johns Hopkins University finds that new daily confirmed coronavirus cases across the country are up to more than 26,000 a day, up from about 21,000 a day two weeks ago."It is possible to open up at a judicious pace and coexist with the virus, but it requires millions and millions of people to do the right thing. Right now, we don’t have that," because people have let their guard down, Dr. Marc Boom, CEO and president of Houston Methodist Hospital, told the AP. Over 120,000 deaths in the U.S. have been blamed on the virus. 1107

SHOTS FIRED: Police have just said “gunfire ahead” south of 60TH and Sheridan in #Kenosha.This was moments before the shots. Warning, language. pic.twitter.com/Xd9BwG40qI— Tony Atkins (@TonyAtkinsTV) August 26, 2020 223

SPRING VALLEY, Calif. (KGTV) -- One man was arrested in Spring Valley Tuesday afternoon following a chase that led to a four-car crash. According to the San Diego County Sheriff’s Department, the fugitive task force was following a parolee at large Tuesday afternoon. When they tried to pull the parolee over, he took off, leading a deputies on a chase. At some point during the chase, the man caused a four-vehicle crash near Gillespie Drive and Jamacha Road. The department says two people were injured in the crash and taken to the hospital. A deputy and K-9 were also involved in the crash, but managed to escape without injury. The parolee was arrested. 667

Since Sunday, federal immigration agents in Northern California have arrested over 150 people alleged to have violated immigration laws, the US Immigration and Customs Enforcement said Tuesday. Half of them had criminal convictions, according to the agency.In the same statement announcing the arrests, the ICE Deputy Director Thomas D. Homan also lashed out at Oakland Mayor Libby Schaaf, who had publicly warned of the impending ICE operations the day before it began.Schaaf had issued a warning on Saturday and held a press conference the following day, announcing that she had learned that ICE would conduct operations in the Bay Area."I am sharing this information publicly not to panic our residents but to protect them," she had said. "My priority is for the well-being and safety of all residents -- particularly our most vulnerable."But Homan criticized Schaaf for what he described as her "reckless" and "irresponsible" decision."The Oakland mayor's decision to publicize her suspicions about ICE operations further increased that risk for my officers and alerted criminal aliens -- making clear that this reckless decision was based on her political agenda," Homan said in a statement.He said 864 immigrants with criminal records "remain at large in the community and I have to believe that some of them were able to elude us thanks to the mayor's irresponsible decision."Schaaf pushed back on ICE's criticism Tuesday."I do not regret sharing this information. It is Oakland's legal right to be a sanctuary city and we have not broken any laws," she said."We know that law-abiding residents live in fear of arrest and deportation every day. My priority is for the long-term well-being of Oakland, and I know that our city is safer when we share information that leads to community awareness."California and feds at odds 1838