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  • Originally posted by StarTrekDoc

    So this is an interesting stat and point as we talk about releasing the 'reserved' supply of #2 injection. Appears there ISN'T one. So those ahead of their distribution may actually be in a pickle in 2 weeks when the ramp up of 2nd doses really start hitting stride and the whole distribution apparatus stalls out with no vaccine to administer.

    This is the trick that we've discussed throughout the ramp up and expansion of sites -- how to count on the supply while expanding sites significantly and ability to draw down and then scale up as that supply changes.
    It gets even more complicated when the "reserve" held by CDC turns out to be an illusion or not.


    Statistics can be made to tell whatever narrative desired. Large shipments last week, large shipment next week, on hand supply for second does during the next week or two as a followup to the large initial release are all variables that would need to be understood. The big release was in week 1. Conclusions are drawn that may actually be misleading. I would strongly be opposed to reducing supply based on poor statistics (which was actually considered). I could support a reduction of supply to avoid inventory that could be better used. Fill each supply chain to its actually capacity and then allocate in the shortage situation. The algorithm for allocation is basically similar to the match process for residencies. Limited spots and a finite pool of applicants. Highest priority gets matched. We certainly don't have agreement on the weighting to be applied to the second shot vs first shot. The priorities and benefits for shot 2# will be different for each class (1A, 1B, 1C, 2A etc.). The stats simply point out that a delivery issue needs to be addressed. Changing the supply distribution rules without the algorithms can be harmful. Shut off California is not a solution. Harmful to citizens and I certainly don't think West Virginia deserves the highest supply just because they used it. I do think incentivizing poor performance will yield improvements in the process. Not sure penalizing high performing states will help either.

    My small brain can't imagine the algorithm that would work. Likely the algorithm itself would change as we progress. Sounds like a math problem for FLP.
    Hey, Ticket Master might have been used as a registration system. Outside the box is needed because we have never faced a task like this. It will work out.

    Comment


    • Originally posted by Tim
      Hey, Ticket Master might have been used as a registration system. Outside the box is needed because we have never faced a task like this. It will work out.
      Ticketmaster's ridiculous fees and surcharges would require more trillions of dollars just to cover those.

      Comment


      • Originally posted by CordMcNally

        Ticketmaster's ridiculous fees and surcharges would require more trillions of dollars just to cover those.
        And that is just for half of Wyoming.

        Comment


        • Originally posted by CordMcNally

          Ticketmaster's ridiculous fees and surcharges would require more trillions of dollars just to cover those.
          Reverse engineer it and add the additional features. We currently have every provider writing code to take sign ups for a "doctor's appointment" at a specific time. That is a very repetitive waste of programming and application support. One system that will disappoint everyone will produce better results. Extremely difficult especially from a security standpoint.



          Why require a reservation/ticket?
          Reservations/”ticketing” helps us manage the large number of appointments required during the vaccine distribution process. COVID-19 vaccines are always free; however, you MUST make a reservation/secure a ticket in order to enter the vaccine distribution line.

          Allen used a ticketing system. Might work. Ticketmaster is for illustration purposes.

          Comment


          • Originally posted by tailwind225

            Interesting, what kinds of reactions are you seeing?
            Most serious are swelling. . Younger folk mostly. A couple required epi. Suspicion of being a lot issue so forwarded that to moderna to track and make sure. Interestingly did 600 elderly high risk past two days. No reactions. Tracks with national reports of younger doing more of this

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            • 36 hours post 2nd dose of Pfizer. Expecting terrible side effects after reading some of the posts here.

              No fever or chills. Some body aches when I woke up this morning. Minimal right deltoid pain. But was able to take the dog out for 4 mile walk yesterday and today. Feeling good now and ready to make pizza tonight.

              Comment


              • Originally posted by Kamban
                36 hours post 2nd dose of Pfizer. Expecting terrible side effects after reading some of the posts here.

                No fever or chills. Some body aches when I woke up this morning. Minimal right deltoid pain. But was able to take the dog out for 4 mile walk yesterday and today. Feeling good now and ready to make pizza tonight.
                You got the placebo...

                Comment


                • Its frustrating the documentation of vaccination numbers is so difficult to track. It seems there are paywall sites that track it but I can't find a good one that is outside of paywall. I would think this would be very useful information to publish and motivate people.

                  Edit it seems some of the sites like bloomberg have paywall only behind mobile so it seems to work on a computer

                  Comment


                  • i’m 36 hours out of dose 2. I had a sore shoulder last night, 600 mg of ibuprofen cleared that right up. No systemic side effects at all. Ran 3 miles and hit the gym for squats and bench this afternoon.

                    My sister and uncle also had basically no side effects to the second dose. Maybe it runs in families.

                    Comment


                    • So do we hit 500,000 dead or 100,000,000 vaccinated first?

                      Comment


                      • I’m due for dose 2 on Monday but thinking of putting it off until February. Hoping that will limit side effects and extend duration of protection. My hospital has clinics scheduled through next Monday. After that it might be harder to get. Does the anecdata suggest people are having more second dose reactions with Pfizer compared to Moderna?

                        Comment


                        • Originally posted by Lithium
                          I’m due for dose 2 on Monday but thinking of putting it off until February. Hoping that will limit side effects and extend duration of protection. My hospital has clinics scheduled through next Monday. After that it might be harder to get. Does the anecdata suggest people are having more second dose reactions with Pfizer compared to Moderna?
                          why would you alter the recommend time course. Seems unwise

                          Comment


                          • Originally posted by fatlittlepig

                            why would you alter the recommend time course. Seems unwise
                            Because I have to work the next day and don’t want to be sick.

                            The PA I work with texted me today and told me he was having N/V and chills after getting the second dose this week.

                            Comment


                            • Originally posted by Lithium
                              I’m due for dose 2 on Monday but thinking of putting it off until February. Hoping that will limit side effects and extend duration of protection. My hospital has clinics scheduled through next Monday. After that it might be harder to get. Does the anecdata suggest people are having more second dose reactions with Pfizer compared to Moderna?
                              Both have more side effects. Folk at our system have had less pfizer intense reactions reported; but also almost exclusively clinical staff on pfizer compared to double moderna and more general staff for moderna.

                              I don't know if spacing out that many more weeks is beneficial or not and certainly unknown for the duration.

                              Comment


                              • Originally posted by Lithium

                                Because I have to work the next day and don’t want to be sick.
                                So you want to delay it until next month? For me nothing was going to delay my shot, working or not working.

                                Comment

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