COVID Vaccines, The Makers, and Vaccine Development

In December 2019, China first identified the virus causing Coronavirus Disease 2019. But it wasn’t until March 2020 that COVID-19 was first recognized as a global pandemic. Without a known cure or a vaccine to prevent contracting the virus at the time, governments around the world were forced to respond and rely heavily on non-pharmaceutical interventions (NPIs) that included social distancing, masks, travel restrictions, COVID prevention cocktails, and a series of hand-washing campaigns. These measures were meant to keep COVID-19 out of homes, workplaces, and public settings.

While toilet paper was becoming a commodity, China sequenced and shared the virus’s genome. PCR tests were then developed to detect active COVID-19, antibody tests tracked exposure to the virus, and antigen tests for symptomatic individuals were paired with molecular tests. A vaccine was reportedly in the works as early as January, but historically, vaccines have taken years to perfect to be ready for distribution. Just 12 months after Coronavirus Disease 2019 emerged, the FDA has granted approval of Emergency Authorization Use of certain vaccines. See further detail below of some of the most frequently asked questions on COVID-19 vaccinations.

What is a Vaccine?

A vaccine aims to prevent disease. It promotes the production of antibodies by stimulating the immune system without natural exposure to the disease, which for some could be fatal. Then, when the body does get in contact with the virus naturally, it defends itself immediately by remembering its combat training from the vaccine. Vaccines are commonly administered by an injection, oral or nasal route. 

Is a Vaccine a Cure for COVID-19?

No, a vaccine is not a cure. At the moment, there is not enough data from studies to suggest that a vaccine will have long-term lasting effects against contracting COVID-19. Remdesivir is an antiviral agent that is being investigated for the treatment of COVID-19 and is available under an Emergency Use Authorization. See also COVID cocktail prevention.

What is the Difference Between a COVID-19 Vaccine and a Flu Vaccine?

The flu shot uses a different type of vaccine than the leading COVID vaccines. A flu shot is an inactivated or killed version of the germ that causes influenza. The vaccines made for COVID prevention are using the spike protein from the Coronavirus that causes the disease. Each helps the body to build antibodies to protect against infection of the disease.

What is Operation Warp Speed?

Operation Warp Speed is a public-private partnership funding the development and production of three vaccines by Pfizer, Moderna, and Novovax as a response to COVID-19. Private corporations and the federal US government, (Department of Defense, and the Department of Health and Human Services) are working together to distribute millions of doses of COVID-19 vaccines as swiftly as possible while ensuring the safety of COVID-19 treatments. The project is meant to take some of the risks out of developing the vaccine that would come at a normal pace such as a shortage of funding, limited time, and lack of resources.

How Many COVID-19 Vaccines Are Under Development in the United States?

5 notable COVID-19 vaccines that are in Phase 3 of clinical trials in the USA and UK:
1. Moderna
2. Pfizer BioNtech
3. Johnson & Johnson
4. Novavax
5. Oxford AstraZeneca

What are the Types of Vaccines?

There are 4 types of vaccines. Each type is built to train the immune system how to recognize and defend against specific germs or viruses.
1. A live but weakened (or attenuated) form of the germ that causes the disease (e.g., measles, mumps, rubella (MMR), smallpox, chickenpox).
2. Inactivated vaccines use the killed version of the germ that causes the disease (e.g., hepatitis A, flu, polio).
3. Subunit vaccines made from the protein of the virus (hepatitis B, HPV, shingles).
4. Vaccines that target the toxin instead of the whole germ that causes the disease (diphtheria, tetanus).
There are various techniques for administering a vaccine, with the most common given through an oral route, nasal route, and skin, tissue, or muscle injections. Most of the leading COVID-19 vaccines in development in the US and UK are protein vaccines administered through muscle injections.

What is an mRNA vaccine?

mRNA, or Messenger RNA, can be thought of as notes or messages. They are single-stranded molecules that carry messages to cells. DNA is copied into RNA and becomes mRNA, which is then translated into protein. The mRNA vaccine tricks your cells into creating spike proteins from SARS-CoV-2. Both Pfizer and Moderna are mRNA vaccines. RNA does not enter a cell’s nucleus or DNA.

What is an Adenovirus Vaccine?

Adenovirus vaccines use the protein of the virus. The Johnson & Johnson vaccines use a modified adenovirus (common viruses that cause cold or flu) that can enter cells but cannot replicate inside of them. Adding the coronavirus spike protein DNA creates the full genetic sequence for the adenoviral vector vaccine. This vaccine is like Pfizer and Moderna’s, only it uses double-stranded molecules that carry messages to cells.

What is Herd Immunity?

Herd immunity is a form of indirect protection from infectious disease because most of the population is immune due to vaccinations or previous infections, which reduces the chance of infection for those who are vulnerable.

Who Should Take A COVID-19 Vaccine First?

When speaking of vaccine prioritization, patients with the highest risk should be the first vaccine recipients first. For example, 8% of nursing home residents have died from COVID. Elderly in nursing homes and long-term care facilities, immunocompromised, and high-risk essential workers who have a higher likelihood for exposure to the virus should also be prioritized in vaccine distribution

Does the Vaccine Work?

The data on the efficacy of the COVID-19 vaccines are still being analyzed.

How Long Will the COVID-19 Vaccine Last?

The data on the duration of the COVID-19 vaccines are still being analyzed.

What is Emergency Authorization Use?

At present, the Food and Drug Administration has only authorized 2 vaccines (Pfizer and Moderna) for emergency medical use in the United States. To reduce the rate of infectious disease during the event of a pandemic or national health emergency, the FDA makes an exception to allow the release and distribution of certain vaccines, medical products, and biological products to the American public while the complete approval and review process happen simultaneously. The FDA continues to monitor and follow up with participants in clinical trials to check for adverse events, immune response, and to check the vaccine’s overall safety while still in development.

Which Vaccines Have Been Authorized By The FDA?

On December 11, the FDA authorized Pfizer-BioNTech COVID-19 Vaccine for emergency use. On December 18, the FDA authorized Moderna COVID-19 Vaccine for emergency use.

Will The Vaccine Hurt?

It is likely that a vaccine will cause pain at the site of injection temporarily. Common side effects of vaccines include pain, swelling, or tenderness at the site of injection, fever (mild), aches, fatigue, and chills.

Why Does The Coronavirus Vaccine Have To Be So Cold?

The mRNA molecules are extremely delicate, and decompose quickly at room temperature. This is why Moderna’s vaccine needs to be stored, shipped refrigerated at -4 °F ( -20°C), used within 6 months and why Pfizer’s must be ultra cold frozen.

Do COVID-19 vaccines have nano-chips?

No, vaccines do not contain nano-chips.

Check back here often for more updates!

Moderna COVID-19 Vaccine

Type: mRNA
Maker: Moderna
Country: USA
EUA Status: Authorized
Stage: Phase 3
Doses: 2 doses, 4 weeks apart
Efficacy: 94.5%

Johnson & Johnson

Type: Adenovirus
Maker: Janssen Pharmaecutica, a Belgium-based division of Johnson & Johnson.
Country: Belgium and USA
EUA Satus: Not Authorized
Stage: Phase 3
Doses: 1
Efficacy: Unknown

https://www.youtube.com/watch?v=tVdO5mzH1qU

Novavax

Type: Protein
Maker: Novavax
EUA Status: Not Authorized
Country: USA
Stage: Phase 3
Doses: 2 doses, 3 weeks apart
Efficacy: Unknown

AstraZeneca’s Vaccine

Type: Adenovirus
Maker: Oxford AstraZeneca
EUA Status: Not Authorized.
Country: UK and Sweden
Stage: Phase 2/3
Doses: 2, 4 weeks apart
Efficacy: 62% and 90%
*Some participants in a clinical trial received half a dose of the vaccine instead of a full dose because of a manufacturing mistake while the vials were being filled. Full vaccine doses led to the efficacy of 62% for participants, but efficacy was nearly 90% for those who received a half dose and later, a full dose. Meaning, those given the weaker dosage produced a better immune response, but the clinical trials may now need to be revisited.

https://www.youtube.com/watch?v=RZDdYfCyb3Y

https://www.astrazeneca.com/what-science-can-do/topics/disease-understanding/a-vaccination-program-to-meet-the-needs-of-a-global-pandemic.html

Pfizer’s BioNtech COVID-19 Vaccine

Type: mRNA
Maker: Pfizer BioNtech 
Country: USA
Stage: Phase 2/3
Dose: 2 doses, 3 weeks apart
Efficacy: 95%

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