Johnson & Johnson 1-Shot COVID-19 Vaccine Authorized In The U.S. For People 18 & Over

A Centers for Disease Control advisory panel on Sunday recommended Johnson & Johnson's one-shot COVID-19 vaccine for people 18 and over, clearing the way for inoculations to begin as soon as this week. The recommendation comes one day after the Food and Drug Administration on Saturday authorized Johnson & Johnson's COVID-19 vaccine for emergency use.

The vaccine is the third to become available in the U.S., and the first that requires only one shot.

The FDA's Vaccines and Related Biological Products Advisory Committee (VRBPAC) voted unanimously to recommend authorizing the vaccine by Janssen, a division of Johnson & Johnson, on Friday. The committee provides expert advice to the FDA, but does not have final say on approval. The FDA followed its guidance and granted emergency use authorization the following day.

"The authorization of this vaccine expands the availability of vaccines, the best medical prevention method for COVID-19, to help us in the fight against this pandemic, which has claimed over half a million lives in the United States," Acting FDA Commissioner Dr. Janet Woodcock said Saturday.

"The FDA, through our open and transparent scientific review process, has now authorized three COVID-19 vaccines with the urgency called for during this pandemic, using the agency's rigorous standards for safety, effectiveness and manufacturing quality needed to support emergency use authorization."

Johnson & Johnson's vaccine has been shown to provide 85% protection against severe COVID-19 by 28 days after vaccination. Among people who got the vaccine in clinical trials, there were no COVID-related hospitalizations or deaths. Phase 3 clinical trials also showed protection against multiple emerging virus variants, including a more contagious strain that was first discovered in South Africa and has since been detected in the U.S.

The vaccine can be stored at standard refrigerator temperatures for up to three months.

"There's no question that this vaccine is going to be a game-changer," Dr. Mathai Mammen, global head of pharmaceutical research and development for Johnson & Johnson, told CBS News' Dr. Tara Narula in January. "The real-world effectiveness of this vaccine is apt to be very high."

The Centers for Disease Control and Prevention updated state and local partners on distribution plans for the vaccine on Friday. 

The new vaccine will not immediately add a significant boost to America's vaccine availability, however. Johnson & Johnson announced earlier this week it expected under 4 million doses would be ready to ship after the emergency use authorization — 6 million less than it originally committed to having ready by the end of February. 

"There will be limited supply of Janssen vaccine in the short term," according to a pre-decision draft and CDC talking points obtained by CBS News. "Weekly allocations may vary based on availability for the first few weeks."

The first doses began shipping out early Monday morning.

Biden administration officials on Sunday told reporters that they expect to be able to distribute 16 million more doses by the end of March, with most of them coming in the back half of the month.

Biden administration officials on Sunday told reporters that they expect to be able to distribute 16 million more doses by the end of March, with most of them coming in the back half of the month.

Nearly 70 million vaccine doses had been administered across the country as of Thursday. Doses are split almost evenly between the two already approved for use in the U.S.: Pfizer's vaccine at 36 million, and Moderna's at 34 million, according to CDC data. 

As of February 25, about 1.5 million doses were being distributed daily across the U.S., according to seven-day average data reported by the CDC. The rate marked a 7.1% decrease from the previous week, likely due to extreme winter weather, the agency said. 

The CDC said Friday that it expects Janssen's first 3.9 million doses will be divided as follows: 2.8 million doses for states, and 800,000 doses for retail pharmacies, 70,000 doses for community vaccine centers, and 90,000 doses for federally qualified health centers. Biden administration officials said the Janssen vaccine will be distributed the same way as the Moderna and Pfizer vaccines — proportionally to a state, tribe, or territory's population.

Janssen's product is a single-shot vaccine, and could address one obstacle in distribution: Getting second doses in arms on time. Both Pfizer's and Moderna's vaccines require a person to get two shots weeks apart.

Millions of Americans are not getting their second dose within the recommended time period for ensuring optimal protection from the virus, according to a CBS MoneyWatch review of CDC data.

As of Wednesday, more than 2.8 million Americans who received their first shot — nearly 12% of those vaccinated — had not gotten their second dose within the 28-day interval prescribed for Moderna's vaccine.

Sara Cook, Alexander Tin and Stephen Gandel contributed to this report. 

First published on February 27, 2021 / 6:21 PM

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