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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

Sheriffs in at least eight counties in Texas have said that they will not fine or cite those who violate Gov. Greg Abbott's executive order that requires Texans to wear masks in public.According to The Washington Post, sheriffs in Denton, Nacogdoches, Smith, Upshur, Kerr, Gillespie, Panola and Montgomery Counties have already said they cannot — or will not — enforce the order. CBS News also included Houston County in a list of countries not requiring masks.Abbott — who previously blocked cities and countries from instituting orders requiring masks — signed the executive order last week. It says those who repeatedly violate the order could face a citation and a fine of up to 0, but adds that violators cannot be detained or jailed.The Post reports that the sheriffs object to enforcing the order for a number of reasons. Some said that they could not enforce the order because stopping a person on the street constituted "detaining" them. Other sheriffs said the citing violators was discriminatory because the order includes exemptions for those attending religious services. Still others say they lack the resources to track repeat offenders properly.In a lengthy Facebook post, Denton County Sheriff Tracy Murphee took issue with the order because it was not passed by the Texas legislature."The order is not a law, there is no requirement that any police officer enforce it, and it's unenforceable," Murphee said. "We can't spend our time running from place to place for calls about mask we can really do nothing about. Like I said I will comply because I want to comply. I won't and I don't believe I can take any enforcement action on this order."After Murphee announced his opposition to enforcing the order, a Denton County resident launched a Change.org petition calling for his removal. The petition has received nearly 5,000 signatures.Abbott's order says his order does not apply in counties with less than 20 confirmed COVID-19 cases. Some sheriffs in rural counties have said they will not enforce the order if they reach that threshold. 2070

Starbucks announced Friday that it would be providing its baristas with Black Lives Matter T-shirts."Black Lives Matter. We continue to listen to our partners and communities and their desire to stand for justice together," the coffee chain tweeted Friday. "The Starbucks Black Partner Network co-designed t-shirts with this graphic that will soon be sent to 250,000+ store partners."Starbucks' decision to provide employees with Black Lives Matter shirts comes days after BuzzFeed reported that employees were told they were prohibited from wearing apparel with the slogan at work.According to BuzzFeed, a corporate memo was sent out in response to some managers' inquiries about allowing employees to wear BLM apparel that stated that the movement "could be misunderstood and potentially incite violence."Starbucks reportedly classified Black Lives Matter apparel in the same category as "religious or political personal accessories." However, Starbucks has provided employees with branded LGBTQ-themed shirts for Pride month in the past and encouraged employees to wear them at work.The ban on Black Lives Matter apparel came as Starbucks pushed messages supportive of the movement on social media. 1209

Since the police killing of George Floyd – and the killing of Breonna Taylor – two cases in a lengthy history of police killing unarmed Black men and women – there have been protests and a movement for reform to policing practices. LEAD and partner JONES are bringing together local leaders, Councilmember Monica Montgomery [sdchamber.org], Joshua Chanin [sdchamber.org], and Jerry Sanders [sdchamber.org]. The discussion will break things down into a deeper understanding of the police reform movement and discuss ways we can be involved.CAN'T SEE THE VIDEO BELOW? CLICK HERE 584

Sen. Rand Paul shared an update on his medical status Wednesday, tweeting that he has six broken ribs following an incident last week where a neighbor allegedly assaulted the Kentucky Republican at his home in Bowling Green."I appreciate all of the support from everyone. A medical update: final report indicates six broken ribs & new X-ray shows a pleural effusion," Paul tweeted Wednesday.The attorney representing the man who was charged with assaulting Paul called it an "unfortunate occurrence" in a statement and said it had nothing to do with politics."It was a very regrettable dispute between two neighbors over a matter that most people would regard as trivial," a statement by attorney Matthew Baker said.A neighbor who did not want to be identified previously told CNN?the two men have been "quibbling" over yard waste for years.According to the neighbor, Paul and Rene Boucher, who was charged with attacking Paul, share a property line in a gated community and have a long-running dispute over grass clippings and leaves blown onto each others' lawns.The neighbor did not witness Boucher allegedly assaulting Paul on Friday, and therefore could not say definitely if this is what led to the attack.It was initially reported that Paul had only sustained minor injuries, but Sunday, a senior adviser to Paul said the senator had five rib fractures, including three displaced fractures and bruised lungs.Paul tweeted Sunday?about the event: "Kelley and I appreciate the overwhelming support after Friday's unfortunate event. Thank you for your thoughts and prayers."CNN previously reported that Boucher was charged with one count of fourth-degree assault. He is currently out of jail after posting ,500 bail.According to the Bowling Green Daily News, Boucher is an anesthesiologist and pain specialist, and Boucher's attorney's statement noted that the two men worked together when they "were both practicing physicians.""We sincerely hope that Senator Paul is doing well and that these two gentlemen can get back to being neighbors as quickly as possible," Baker's statement Monday said. 2148