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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

Senate Minority Leader Chuck Schumer is demanding the Federal Aviation Administration increase inspections of aircraft maintenance after his office reviewed agency records and found that enforcement and fines specifically for maintenance issues have dropped over the last several years.Schumer's office asserts that formal enforcement actions for airline maintenance issues decreased after 2014 and dropped dramatically in 2017. The data was compiled from the agency's quarterly reports on civil enforcement penalties, according to a statement from his office.The New York Democrat said the decline in maintenance enforcement raises serious concerns about whether the FAA is meeting its oversight mandates. He demanded the agency examine the data and report back on why that enforcement has decreased. 809

Southwest Airlines says it has canceled roughly 1 per cent of its scheduled flights as it carries out inspections prompted by an engine failure that led to a passenger's death last week. About 40 flights were impacted.The affected Southwest Boeing 737 took off Tuesday morning from New York, headed for Dallas. About 20 minutes into the flight, at about 32,500 feet, a fan blade broke off the engine and shrapnel shattered a window.Jennifer Riordan, 43, and a mother of two, was almost sucked out of the broken window and pulled back inside by fellow passengers. She died from blunt force trauma at a hospital after the plane's emergency landing in Philadelphia. 670

Somebody call the manager — according to New York Times/Siena College polling, Democratic presidential nominee Joe Biden has the "Karen" vote locked down.On Monday, The New York Times released data from two months of polling that showed how respondents planned to vote, which they made sortable by common first names — and according to polling, women named Karen planned to vote for Biden by a 60% to 40% margin.The support for Biden among women named Karen represented the largest split of any of the top 10 male and female names recorded by The Times. Men named Richard represented the biggest advantage in the top 10 lists for President Donald Trump, as they supported the President 64% to 36%.Interestingly, men named "Donald" were much more likely to support Trump by a wide margin — 68% to 19% — while men named "Joseph" were evenly split between the candidates at 45%.The names also seem to represent the candidates splits among genders — on Sunday, Don Levy, the Director of the Siena College Research Institute, said that Trump leads by eight points among men, while Biden leads by 18 points among women."Karen" is the nickname most often given to white women — particularly those who are the subject of viral videos — who respond to issues of race in problematic ways.Though the "Karen" meme has murky origins, the term exploded into the mainstream lexicon in 2020 after several videos featuring white women confronting people of color went viral. Among them was a video of a white woman who called police on a Black birdwatcher who had asked the women to leash her dog in New York's Central Park, and a California CEO who accosted a man who had stenciled the words "Black Lives Matter" on a home he was renting.In San Francisco, a law proposed this year called the CAREN Act would make it illegal to make racially prejudiced 911 calls within the city limits.The Times conducted its poll with more than 17,000 likely voters, and its list only included names with more than 30 respondents.Click here to see the New York Times' entire name database. 2065

ST. PETERSBURG, Fla. (AP) — A federal appeals court decided Friday to reconsider claims that Florida federal prosecutors violated the rights of Jeffrey Epstein's sex abuse victims by not informing them about a secret plea deal. The 11th U.S. Circuit Court of Appeals, which is based in Atlanta, vacated a previous panel's 2-1 decision rejecting an effort to undo an agreement federal prosecutors made with Epstein more than a decade ago. According to a report from the Miami Herald, it was revealed that former Labor Secretary Alex Acosta, who resigned from his post last July, cut a deal with Epstein that kept him out of prison when he was a federal prosecutor for the Southern District of Florida.Instead of facing federal charges, Epstein was allowed to plead guilty to lesser state crimes and served a short jail sentence. Some victims have long claimed the Miami U.S. attorney's office violated their rights by not informing them of the plea deal.Epstein was found dead in his New York prison cell last August. 1024

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