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Members of the FDA's Vaccines and Related Biological Products Advisory Committee agreed
that the benefits of vaccinating younger children appeared to outweigh the risks, but some
members appeared troubled about voting to vaccinate a large population of younger children
based on studies of a few thousand.
"It is reassuring to me that we are giving a lower dose," said Dr. Paul Offit, a vaccine expert at
Children's Hospital of Philadelphia. Pfizer has cut its vaccine to one-third of the adult dose for
the children under 12.
"I am just worried that if we say yes, then the states are going to mandate administration of this
vaccine for children to go to school and I do not agree with that," said Dr. Cody Meissner, a
professor of pediatrics at Tufts University School of Medicine. "I think that would be an error at
this time."
But Dr. Amanda Cohn of the US Centers for Disease Control and Prevention reminded the
committee that children have died of Covid-19. According to CDC, more than 700 children 18
and under have died of Covid-19. "We don't want children dying of Covid," she said. "And we
don't want children in the ICU."
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Health team.
The FDA had said that, under most of the scenarios it projected, the benefits of vaccinating
younger children would outweigh any risks and Pfizer said clinical trials showed the vaccine was
more than 90% effective in preventing symptomatic infection in children.
The FDA will now take the committee's vote under consideration. Then vaccine advisers to the
US Centers for Disease Control and Prevention will meet next week, November 2-3, to discuss
the decision and decide whether to recommend that US kids get the vaccine. The final word will
lie with CDC Director Dr. Rochelle Walensky, and vaccination could begin next week of she
gives the go-ahead.
The US federal government has a plan in place for delivering the smaller-sized vaccines to
pediatricians' offices, pharmacies and other venues across the country.
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