C.D.C.: ‘Up to Date’ on Covid Vaccine Now Includes a Booster

The agency did not change the definition of what qualifies as full vaccination — a subject of intense interest to many.,

The agency did not change the definition of what qualifies as full vaccination — a subject of intense interest to many.

The Centers for Disease Control and Prevention on Wednesday said it was not changing its definition of “full vaccination” against the coronavirus. But the agency changed its emphasis on the appropriate regimen, tweaking how it referred to the shots.

The agency said that three doses of Pfizer-BioNTech or Moderna’s vaccines should be considered “up-to-date” inoculations, and that Johnson & Johnson recipients should receive a second dose, preferably of Moderna or Pfizer-BioNTech, to also be considered up to date.

The move amounted to a recommendation from federal health officials that Americans should change how they talk about vaccination schedules, as booster shots are now advised for all adults. People 16 years and older are eligible for boosters, a group that could expand as early as Wednesday after the C.D.C.’s vaccine advisory committee weighs whether to advise 12- to 15-year-olds to get them.

“Consistent with how public health has historically viewed or even talked about how we recommend vaccines, we are now recommending that individuals stay up to date with additional doses that they are eligible for,” Dr. Rochelle P. Walensky, the C.D.C. director, said at a White House news briefing on Wednesday.

The C.D.C. did not change the definition of what qualifies as full vaccination — a subject of intense interest to corporations, schools, state health departments and professional sports leagues, which have themselves been reconsidering what it means to be fully vaccinated.

“The technical definition of ‘fully vaccinated’ — two doses of an mRNA vaccine or one dose of the J & J vaccine — has not changed,” Kristen Nordlund, a C.D.C. spokeswoman, said in a statement. “Individuals are considered fully vaccinated once they have received their primary series.”

She added that the agency recommend that people “stay ‘up to date’ by receiving any additional doses they are eligible for, according to C.D.C.’s recommendations, to ensure they have optimal protection.”

Federal officials have typically referred to people as fully vaccinated two weeks after a first dose of Johnson & Johnson or a second dose of the Moderna and Pfizer vaccines. While studies have showed that protection against infection has waned in fully vaccinated people and can be strengthened by a booster, two doses still offer strong protection against severe Covid-19 — the true goal of vaccination, some vaccine experts have argued.

It is still unclear what practical impact or influence the change will have on institutions. Many schools, businesses and governments have relied on the C.D.C.’s definition of “fully vaccinated” to establish mandates, requiring people to complete a two- or one-dose series in order to go to school, eat at a restaurant or stay employed.

The move on Wednesday, Ms. Nordlund said, was intended to make Covid-19 vaccines “align with standard language C.D.C. uses about other vaccinations.” It also accounted for differences in eligibility for booster shots, since younger adolescents and children are not yet recommended by the C.D.C. for booster doses. Some people are also still not five months out from receiving a second dose of the Pfizer vaccine, six months from a second dose of Moderna or two months from a first dose of Johnson & Johnson, the authorized intervals for boosters.

The Coronavirus Pandemic: Key Things to Know

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The global surge. The coronavirus is spreading faster than ever at the start of 2022, but the last days of 2021 brought the encouraging news that the Omicron variant produces less severe illness than earlier waves. As such, governments are focusing more on expanding vaccination than limiting the spread.

School disruptions. The post-holiday Covid surge has caused some U.S. school districts to postpone reopening or switch to remote instruction. Chicago canceled classes entirely for a day as teachers resisted returning to school. But other large school systems, including New York City, have stayed open.

I.C.U.s and Hospitals. Covid hospitalizations in the U.S. are surging, but a smaller proportion of patients in Omicron hot spots are landing in intensive care units or requiring mechanical ventilation. Use our tracker to see how I.C.U.s in your area have been affected.

Around the world. President Emmanuel Macron of France drew criticism for saying the government should make life miserable for the unvaccinated, while the W.H.O. said a different variant found in the country is not a concern. In India, many major cities are seeing a sharp rise in cases, bringing a grim sense of d?j? vu.

Staying safe. Worried about spreading Covid? Keep yourself and others safe by following some basic guidance on when to test and how to use at-home virus tests (if you can find them). Here is what to do if you test positive for the coronavirus.

“C.D.C. recommends that individuals stay ‘up to date’ by receiving any additional doses they are eligible for, according to C.D.C.’s recommendations, to ensure they have optimal protection against Covid-19,” Ms. Nordlund said.

Top federal health officials, including Dr. Anthony S. Fauci, had pushed the administration to change in any way it could how it discussed vaccine schedules, arguing that the Pfizer and Moderna shots in particular should be considered three-dose vaccines. But some officials wanted to avoid altering what is formally considered a full vaccination schedule.

That change could have carried significant legal implications, potentially intensifying challenges to vaccination requirements, as the Biden administration’s attempt to mandate that large employers require employees to be vaccinated is already bogged down in the courts.

“If you think about the different requirements,” Jeffrey D. Zients, the White House Covid-19 response coordinator, said at the Wednesday news briefing, “that has not changed, and we do not have any plans to change that.”

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