5 Burst results for "Advisory Committee On Immunization Practices"

"advisory committee immunization practices" Discussed on The Takeaway

The Takeaway

06:53 min | 3 months ago

"advisory committee immunization practices" Discussed on The Takeaway

"Trips in kirkdale. Time with friends and family has characterized kutcher for childhood. But i wasn't sure how she was feeling so we some extended family conversations about this vaccine this weekend. Would you like to have the vaccine. Okay so you. Why would you like to have the vaccine. Sure that cofer may go away. One day would be your favorite thing about corona virus. Going away being able to visit my friend house allowed again. So i gotta say i was happy to hear it to my didn't afraid of illness or sickness but like many of us she's hoping to get back to a little bit more normalcy. And it's a theme echoed by. Dr janet woodcock the acting fda commissioner last week now as a mother and as a physician. I know karen's caregivers school staff and children have been waiting for today's authorization. Vaccinating younger children against kobe. Nineteen to bring us closer to returning to a sense of normalcy. So we're now just days away from the expected recommendation to authorize covered vaccines for kids ages. Five to eleven. After studies showing ninety percent efficacy last week. The fda approved the administration of the pfizer vaccine for this age group leaving it up to the for final approval and if the cdc gives the suspected approval five to eleven year olds can be eligible for shot by the end of this week. A recent kaiser family foundation survey found that about three out of ten parents would make a mad dash to the doctor's office with their children while the rest may not be so eager. Even many parents quickly secured vaccinations for themselves and their elders may have lingering questions and there were plenty of questions at our house this weekend. Are you feeling more. Scared of the shot or more scared about corona virus. But both i do. They have to do it with shot. That's a great question and a we'll ask that question okay. I'm not sure we'll have to ask. Why does it have to be a shot. We begin today with this question with the questions. You and your family might have about the vaccine before you're ready to make an appointment with your pediatrician here with me now. Dr bach de hunts. ot who is director of the center for global emergency care and associate professor of emergency medicine at international health at johns hopkins. Dr cody thank you for being here. Thank you for having me citing conversation right. So can we start with atas question. Why is the vaccine delivered as a shot. You knew what. I don't think that's gonna be the state constantly. I think we're going to get an oral or spray version. The vaccine just like the flu mist. And but we're just not there yet right now and this is the best way we know to get you exposed to the virus and stop building an immune response all right. So the fda has approved the pfizer vaccine So given that does that mean that that parents could go and get it right now or is it necessary to wait for that. Cdc's recommendation so we'll need. The cdc approval before of health. Practices are able to distribute the vaccine. And give it to your children so november. Two second tomorrow is when the advisory committee immunization practices meats and we think the cdc will give their approval within twenty four hours of that meeting tomorrow. So it's happening. This weekend is a big one. It is a big white. I kind of just thinking about having handed out a lot of halloween candy last night and there was little part of me. That thought sorta wish we'd had that five to eleven vaccine before but so happy. It's finally here. But i'm wondering where do we stand right now in terms of vaccination rates and spread of the virus. So you ruined goods place right so i think sixty seven percent of americans have had their first shot fifty. Eight scientists been fully immunized alcove. It cases a low as our covert hospitalization and death. We're in a good spot. But winter is coming as they say and people go indoors. People like to eat indoors and there's increased opportunities for transmission. So this is a great time to get vaccinated so so tell me why why does and how does vaccinating this age group. The five to eleven year olds. How does it likely to affect the overall community spread so the certain individuals in our community there are unable to mount an immune response those that have underlying illness or on medications for treating those services such as cancer patients. Individuals who have conditions such as hiv in children are still able to transmit the virus. They may not get a severely ill. I'm although some do. Get elvin subdue die They can still transmit the virus to other vulnerable populations by vaccinating. This group will hopefully decrease the amount of vaccine viruses transmitted in the population right. So it wasn't just my household where there were some questions. We know a lot of parents have questions so we asked our takeaway community to to send us some of those questions. We know that the american academy of pediatrics has cited findings talking about benefits outweighing the risks but there are still some parents concerned about risk. Let's take a listen to kathleen. Heard that only happen. Low tampa getting cova. Compare it to risk of cooking with the statistical risk of the side effects that they talked about sex as my okay i absolutely so the risk of myocarditis is far lower than the likelihood of your child getting over being civilians in september alone in the united states we had fourteen children die of covert a millions were affected and so again the risk of death and dying and hang severe illness. Kobe's is low but the risk of myocarditis is lola. Also the numbers in the myocarditis vary depending on the type of vaccine specific age of the child however the other thing is that we know that while children marquardt his temporarily ill many of them do recover while those who are civilian with. Kobe may have significant longstanding side effects. Can you say just a few more words about about that kind of long term cova. Do we know something. We've talked a bit about here on the show with adults but long-haul covert looked like in kids who i think. There's a bit of a challenge.

kirkdale cofer Dr janet woodcock fda cdc Dr bach de hunts center for global emergency ca pfizer Dr cody kaiser family foundation karen johns hopkins flu elvin myocarditis american academy of pediatrics cova cancer
"advisory committee immunization practices" Discussed on Radio Boston

Radio Boston

03:57 min | 4 months ago

"advisory committee immunization practices" Discussed on Radio Boston

"Making sure that the timing is right that the federal government ready to Give those boosters to our pop tour of our you know Everyone in nation but also making sure that as with the appropriate science behind it. And just staying with you for a moment doctor and do her vasquez. The fda on friday is having a meeting About the pfizer vaccine which is fully. Fda approved now and its administration as a booster. What would a decision in one direction or other mean for people on friday right so go meeting to discuss only pfizer which is As you said the one that's flea approved. I think that You know they will be discussing boosters and whether there are certain populations that would benefit from this In you know there may be a recommendation coming from them about based on the data whether You know maybe. The elderly population should be population. Should we should be thinking about boosters in the next couple of weeks And but there will be only discussing vice or on the other team vaccines In but the process is typically that the fda the pack me and then You know cbc with acp. The advisory committee immunization practices. Which is the advisory committee for all of our rec scenes in the united states and makes recommendations. We'll be meeting following that. So still you know a lot of meetings to happen before we have a clear picture of what will happen with boosters one eight hundred four two three eight two five five to ask your corona virus vaccine question. We have frank on the line in air. Frank go ahead there. My doctor sosa me. I shouldn't be vaccinated because immune system deficiency and..

fda pfizer vasquez federal government cbc united states frank sosa Frank
"advisory committee immunization practices" Discussed on One Life Radio Podcast

One Life Radio Podcast

08:07 min | 4 months ago

"advisory committee immunization practices" Discussed on One Life Radio Podcast

"Rage. I mean it's giving his heart attacks and they essentially Positioned it as well as a mild. You know adverse effects as if it's not going to be life threatening. i mean. these are going to be lifelong injuries. I mean you hear these stories of healthy seventeen eighteen nineteen year old. You know athletes people in the prime of their life completely healthy now debilitated for six to nine months. I mean and their doctors are flummoxed because they're reporting what happened is clearly from the vaccine and they're they're just not stopping you know the role if they're just doubling down and failed policy. It's really failed policy when you think about it but the administration is doubling down. Well it's a lucrative business like. We've we've already discussed and it has been for many many years and the lie is so big that of course they have to keep pushing they gotta get. It passed the finish line. You know because they don't they don't want all of the truth to come out they don't they simply don't but people are starting to open their open. Their minds open their eyes and look at this. You know with critical thinking and go. Now wait a minute. You know what's really going on here. It's almost like the greed. They've pushed it so far by offering coupons and donuts you know fare tickets and all kinds of stuff. You know that that people can't help but say you know this is really crazy. What's really going on here right right right. I think it's woken up more people. And i think that's a great thing you know. We need people to understand either captured agencies. There is profit involved they do not have the public's best best health You know for best interest at hand and you know people have the right to say no to medical engineering intervention. And that's the nuremberg trials. All about so people. I i would like this message to go out to your audience. Please do not feel fully ecorse into doing something that you know is not for your best interest. I would like to ask everyone. Just hold strong. There are losses coming their losses coming from half the country every state against the federal government Uh teach each day are also suing based on the fake bait and switch. Fda approval of injection. So we want people to really hold out and please don't do something that you regret working on getting resources and stopping this medical. Thank goodness for the children's health defense that's the children's health defense dot org. Let's talk up for minute about the hundred ontario youth that were sent to the hospital for vaccine related heart problems and specifically like you said myocarditis and pericarditis. What are these conditions exactly. And and why are how. Can they be fatal. Let's talk about that for a sack. Essentially it's giving you heart attacks you know myocarditis and pericarditis inflammation of the heart and the and the fluids around the heart And it's happening in an alarming rate right now so with within youth. Believe there's been at least five hundred cases it's been reported to there's overall over four thousand forces reports of it Forty to there's and there was a cluster of it that happened in in ontario So as you mentioned all of a sudden there's been you know hundreds and hundreds of cases and you know these people you know the parents they were doing the right thing you know. Whatever one story. It was just heartbreaking. You know the mom post are fourteen year old son. Getting the cova vaccine proudly shows him holding up his card. And next thing you know. He's in the hospital with a life threatening injury. It's just awful that this is happening. I mean it's basically like having a mild heart attack essentially and doctors don't really know. Are these children to be able to play sports again or is this going to be a lifelong injury. We we just hear about. But it's happening at an alarming rate right now. So in june They had there was a meeting The the cdc advisory committee immunization practices or or asep was having to discuss all of these cases. They end up delaying it so clearly. It wasn't a priority to them. They delayed the meeting by cds and then pushed it out And then when they met again they're just sweeping it under the rug and essentially saying well we think these are miles cases of heart inflammation and we think. The benefits outweigh the risks. And they're continuing to push the vaccine as if it is needed for the youth. Now let's remember. Cova has over ninety nine point nine nine eight percent recoverability exactly and you you you healthy. People and youth in general have almost no risk of dying yet. Now you have parents convinced. They have to get their children. This injection harming them and possibly for lifelong injury while they're holding the parents hostage because everybody wants their kids to go back to school and continue. Life is normal. And i know i know. Parents didn't wanna do it the but we're forced to do it and some of it in private schools right here in dallas bishop lynch forcing their their their student body to get vaccinated before they can start the school year. I mean it's just unbelievable. it's just bullying. We talked about that at the beginning of the broadcast. But you know even the canadian government has made changes to their vaccine recommendations based on those cases right those hundred ontario youth right. I yes. I believe so you know what not as familiar with what's happening in terms of any of that have changed. But you know what i would say to that is. Heresy to understand. Schools cannot circumvent state legislation. So if a school or a sports team or anyone is telling you that something is required or mandated. It's not in their authority to do that. and we're seeing that happening all over the country. For example in in new york healthcare workers are mandated take vaccine and they were told religious. Exemptions are no longer eligible to them. That is completely illegal. It's written into the state law. But they should have the right if it imposes against their truth sincere religious beliefs to file a religious exemption against it. But you know. New york state. Department of health went behind closed doors and said oh. No we're just gonna get rid of that and say no wonder five to healthcare workers. That are the legal totally we. So there'd be you know there'll be legal action against that as well. I would just urge parents to really investigate. What your state rights are mentioned and look into that and ultimately. I think it's going to happen here whether it's with the healthcare system and people pulling out whether it's the schools it's going to implode the system and it's going to collapse systems and maybe that's what's needed for us to build new and better you know. In my opinion personally no government. Dr nation center type of education is worth possibly harming and risking your child's health for the rest of their lives at You know well you know. We're starting to home school as well. We're seeing that up on the rise so there are alternative and we've been focused on that we have a show. We run the Every tuesday now at one thirty. Pm eastern time. It's called community corner and we focused the last three week episodes on home schooling resources and experts so parents were like home school. I would never homeschool my kids start to get a taste of. What is that life is like. How do i go about it. How do i socialize my child. How do i join co op. So i urge people to take a look at that and not before into something that you could later regret. If the health of your child. I couldn't agree more amy. I'm looking at the clock. I have to go so much more. I wanna talk about. I wish we could have had the whole hour. But thank you so much for all the work that you do at the children's defense dot or can i can. We have like thirty seconds. I just want to quickly Talk real quick about your suing. The children's health defenses suing the fda over the pool approval of a visor. Is it common co camera navy. Tom noddy yes. Yeah what is that. So they essentially gave the to a new version. That's not out in distribution right now so our student. I can't play too much yet on mary. Hall and obviously talk to closer but our students going after kind of fake bait and switch approval where now we have huge different products out there with two different forms of liability really illegal and should not be happening is now under the mis. Perception propagated by mainstream media. That whatever they are taking now or about to take is actually. Fda approved and that is not true because colour nadia's is not out mass distribution yet and it's the naughty formula that received rubber-stamping from the fda's. Not the you know the original version.

ontario mild heart attack asep heart inflammation heart attacks myocarditis bishop lynch canadian government Fda federal government Cova cdc Dr nation center type of educa dallas Department of health new york Tom noddy New york amy
"advisory committee immunization practices" Discussed on KQED Radio

KQED Radio

06:48 min | 5 months ago

"advisory committee immunization practices" Discussed on KQED Radio

"Workers disagreement over booster shots at the FDA, disappointing jobs numbers and a large part of this country's still unvaccinated. As a new variant is detected on these shores. 1500 people are now dying a day from Covid. The turmoil brought on by this pandemic is far from over. In a moment, we'll hear about the fallout for the Biden administration. But first we're going to get some perspective from epidemiologist Dr Carlos del Rio of Emory University on what the fall and winter could bring. Welcome. Good morning, Lulu. How are you? I am well, um, I want to start with the disagreements over booster shots. The Biden administration has set a deadline to get boosters approved. There is Disagreement that's been reported at the FDA. Some are accusing the White House of meddling in science. What's your view? I would agree with that. I think that you know we don't need to set up a date. What we need is to let the process happen. I think you know. The FDA advisory committee has to review the data that Burbank has to review the data. The scientists have to look at the data. Have to make a recommendation. And then we need to have the, uh, the C D. C Advisory committee immunization practices made a recommendation. This has already happened that way for immunocompromised patients, and it went well, so we need to let the process happening and rather than having a date at the deadline We need to let the scientists make. The decision is based on the data and they will then tell us what needs to be done. But certainly Delta is more contagious and other countries have already started offering booster shots are putting plans in place to offer them, especially for vulnerable populations. Well, we're already doing that. We're already doing it for vulnerable populations. I think the question right now, is it you know, do we need to do it for elderly populations for healthcare workers? For residents of, uh Of a long term care facilities, some nursing homes, I think so. But again, let's let's think about let's look at the data and make a decision. You have to remember that the only vaccine currently having full FDA approval Is the Pfizer vaccine with the Pfizer vaccine. You can do it fairly quickly. You can really just the CDC just can make a recommendation looking at the data, but you also have the Madeira and Johnson and Johnson vaccine and will be very hard to say. Well, you received the fighter. You need to do this. But if you received Moderna, you need to do this sort of thing. There's some data, for example, suggesting that people have received the Moderna vaccine have much higher levels of antibodies. So those that received the fighter vaccine, so the requirement of a most certainly be very different. Hmm. I mean, speaking of contagious variance, we have a new variant that has been detected. It was originally found in Colombia. It's called the move variant, and there is some concern that it may be immune to the vaccines. What do we know? Well, you know, this is how the, uh A new variant say that was detected first in in Colombia in January, as well as of last week. It has been detected pretty much almost everywhere in the U. S. 47 states have detected It still is a minority of cases. The state with the highest number of new variances, Alaska that has you know is less than 4% of their total sequence continues to be the the Delta very and continues to be the most frequent. The most commonly seen the delta very in the movie, Erin just now considered by the W show what we call a variant of interest, the one that he needs to be monitored, needs to be looked at. We do know in the laboratory. That the the move variant is less susceptible to vaccines. Monoclonal antibodies, but we don't know that in clinical settings and again that will be the new variant will be one of the reasons why to To see doing a booster. But you know again, we do not have data. If you boost somebody, will you be protecting it against that variant? I mean, more variants will keep popping up, right? I mean, our world is interconnected. Does this mean that this pandemic and I am loathe to say this last for years? Well, you know, we don't know. I mean pandemics. I remind people epidemics end but we don't We don't decide when they end. The the virus, the immune system the population decides when when it ends. We have two things happening right now. We have a highly contagious virus easily trying to transmit We also have uncontrolled infection in most parts of the world, and we have a world that is totally interconnected, right? We're traveling everywhere. We're seeing each other. This is very different from 1918 1919 where people didn't didn't move around. This watch didn't have as much connectivity. So I think that change is also the dynamics of the pandemic. And we really don't have any idea of what what will be required. You've got to remember that. You know the delta variant emerge in India, right? And then from India and went to Europe, and then it came here and at some point in time, we'll all of us. We're looking at Indian saying When is that problem going to get to us? But maybe very few people even thought it was going to get to the U. S. In fact, you know, I think Many of our authorities, including CBC, I'm sure we started to do in monitoring. But you've got to remember that they decided to stop masking and they decided to stop even doing sequencing and look in tracking asymptomatic reinfections. Right at the moment that the new variant the cultivation was serving, so I think we need to be better prepared to be tackling this very intense and to really be addressing decision. I must say we have been talking throughout this pandemic, and I didn't think after we got the vaccines that I'd be asking you about a US daily death toll topping 1500 again as we head into the fall. You know, in a few seconds we have left. What are your concerns? Well, my concern is is that we don't have High number of the population is still fully vaccinated. We're at 53%. We need to get up there. We need to get the vaccines for Children to prove some more Children can get vaccinated and we need to To be ready to continue having periods of masking and periods of social distancing, Because if we don't do that, you know we're still going to have surgery is coming and going and you're absolutely right. The fact that we're averaging over 1000 deaths today to me is just mind boggling. It is just very, very sad to see that this number of people are continued to die. The incident for healthcare metric evaluation Estimates that by December we're going to be over 750,000 Americans who have died of this this disease that is simply, you know, just just very, very sad. Indeed. That was Dr Carlos del Rio from Emory University. Thank you very much. Needless to say, this is not the way the White House wanted to see the summer end. It was supposed to be a time for the country to get back to normal right in a time for President Joe Biden to promote the big spending plan at the heart of his domestic agenda. But instead, the crisis in Afghanistan dominated the administration's focus along with the pandemics, Fourth wave, and on Friday some disappointing economic news. Here's Biden. No question that Della Variant is why Today's job report isn't stronger. I know people were looking and I was hoping for a higher number. But next week I'll lay out the next steps. That are going to we're going to need to combat the Delta variant to address some of those fears and concerns..

Lulu India Europe Colombia Burbank Friday January Carlos del Rio December 53% Alaska 1500 people next week Delta last week White House 1500 Emory University Afghanistan CDC
"advisory committee immunization practices" Discussed on Here & Now

Here & Now

08:42 min | 7 months ago

"advisory committee immunization practices" Discussed on Here & Now

"From npr and wb. You are. i'm peter o'dowd and i'm tanya moseley it's here and now get vaccinated. That's the message today. In mississippi and tennessee from first lady jill biden she in country star. Brad paisley are touring vaccination sites in jackson and nashville to encourage people to get inoculated. The state of tennessee has one of the lowest vaccination rates in the country with about forty percent of people having received a single dose only thirty five percent or fully vaccinated and nationwide kids twelve to seventeen years old. The group that needs parental approval. To get shots is also seeing a lag in a knock. Knock yele elation fewer than a third have had a single dose. Well for more on why this matters. Let's bring in. Dr peter hotels from the texas children's hospital center for vaccine vaccine development and baylor college and dr hotels joins us via skype. Welcome back thanks for having me back. Well thank you for being here. We were reading a recent case study. That shows the search. There is fueled by children who are five times more likely to test positive here in the united states. How do you explain the low numbers among children. What stopping parents from going ahead with shots well particularly in Adolescence and it varies by country. So as you pointed out fewer than ten percent of the adolescence. Twelve to seventeen or immunized in states like louisiana mississippi. it's much better The northeast so it very much varies geographically and and this is important because what we've seen with the delta variant in the uk a lot of young people getting sick as the older individuals have become vaccinated. It leaves the younger groups much more vulnerable. So i'm worried potentially about a big surge this summer like we saw last summer but a bit different in that lots of unvaccinated young people especially in the southern united states. They're going to get sick and be hospitals. I wanna talk more about that. But i also i. I wanna talk with you about these rare vaccine side effects in the under thirty age group. And that's heart inflammation the cdc is reporting about three hundred cases of condition out of more than twenty million vaccinations. No fatalities can you explain what this is. Yeah so well increasingly. It looks like there is a relationship between what's being called myocarditis or pericarditis inflammation of the heart or the sac around the heart and and covid nineteen vaccinations in young people. Although i still point out it's far lower than the rates of those same conditions myocarditis pericarditis in young people who actually get covid nineteen. So it's only a fraction of that. But but but the cdc is going to be looking at this The a cip. The advisory committee immunization practices the scheduled to meet tomorrow. I believe to have a full discussion of it increasingly. It looks like there is an association but again quite rare as you point out three hundred cases out of out of twenty million out. What is that about one in seventy thousand so. I think that that's what we have to keep in mind and myocarditis from covid. Nineteen among young people is quite high. The university of michigan did a study a while back showing that a significant number. I think it was two to three percent of infected athletes. You had significant heart issues because of myocarditis dudakovic and so that that's the piece to keep in mind. Do you think that the cdc will change any recommendations based on their findings at during this meeting. Tomorrow i don't think so given that it's rare and it's so far more common with the actual virus so that that's so it's all about risk versus benefiting given the fact that we're about to see delta variant ripped through a the the south and other parts of the country where lots fun people are not vaccinated. I think we'll have to keep that in mind. Because what we'll see is a lot of young people with the delta variant getting myocarditis and other many many other conditions including Long-haul covid neurologic sequeira. So that's that's gonna be the consideration you know. I have only about thirty seconds with you. But what's your message for for parents who were hearing all of this and they're just worried as they they go into the summer. Yeah i'm getting a lot of questions about it. I say if it gives you some comfort just another day before. acp meats and you'll have We'll have some additional clarification. I said if the wasn't meeting for weeks. I would go ahead and recommend getting your adolescent kid vaccinated or young adult getting vaccinated. If you wanna wait one extra day. I think it's okay but remember this delta variant is coming because and it's now it's time because they'll take two doses five weeks to get fully immunized dr peter hotels from baylor university. Thank you so much. thank so much. And let's get some perspective now on yesterday's supreme court ruling that college athletes can get unlimited compensation with benefits related to their education. Things like grad school scholarships and paid internships. Our next guest says the ruling will only intensify what he calls the unsustainable spending arms race in college. Sports tom mcmillan is. Ceo of lead one association. It's a group that represents athletic departments at many of the biggest schools in the country. He's a former nba player and former us congressman from maryland. He's on skype tom. Welcome to be with you and first of all. Why do you disagree with yesterday's supreme court decision that would allow some compensation to student athletes. It's not that i disagree. With an i think educational expenses should be covered. The question will be in the details. They say a limited. What does that mean. Is that a hundred thousand post graduate internship no pay for medical school law school for your family. You just don't know the sort of the definition jet. Listen it's inevitable that student athletes are going to bargain for more rights particularly when the management side is taking extraordinary salaries coaches make lots of money and this day was inevitably going to come. I wrote about it. When i was a congress back in the nineties in my book out of bows i said if you don't slow down the arms race on the enterprise side expected arms race for student athletes. And that's will stop there. What is this arms race. Exactly that you're talking about. And how does this ruling make it worse or could make it worse in the last three years has been three hundred. Million dollars of buyouts coaches failed. Who would literally fired. It's the tremendous cost facility. Growth across our campuses coaches are generally the highest pay employ- in a state. It's the whole idea that there's no real way to control cost in college sports the nba and the nfl. They have mechanisms to to restraint spending. We do not have that in college sports so without that you're going to see an arms race on the student athletes. I wanna talk about the potential solutions here in just a moment but first. I know you're well aware of the argument that the athletes are making the schools are making billions of dollars off of them. Some come from low income families Here's remote houma former football player for ucla now with the national college players association. Speaking to npr's morning edition today he was describing. What happened to a former teammate. of his. let's listen someone that groceries anonymously on his doorstep and the ncaa punished him. They suspended him. He'd even know the groceries were left on his doorstep did know the his roommate had taken the groceries in but it didn't matter to the ncaa but he was from a low income background. They're selling his jersey in the store. And the ncaa says well we'd rather have you hungry than to have any any groceries because of our rules. So i wonder if you can sympathize with the argument that the athletes here are making that the schools are getting paid and in some cases they they can't even feed themselves. I'm totally understand. Or mogens point. And i understand where the student athletes coming from without curtailment on the business side you were going to have this demand for rights for student athletes and rightfully so even last week to actors understand that point. When i'm trying to say is look down the road. Ten years from now is doubling down and giving student athletes market based compensation which is where we're having.

Brad paisley Twelve uk tom mcmillan five weeks twelve two jackson congress tanya moseley three hundred Nineteen two doses Tomorrow yesterday today last summer louisiana dr hotels southern united states