What to consider this fall and winter when it comes to vaccinating for COVID-19, seasonal flu, and RSV..
The first of these shots is a vaccine, made by Pfizer, approved for people 60 years and older, and for pregnant people 32 to 36 weeks into their pregnancy. The second is a monoclonal antibody, called nirsevimab and made by Sanofi and AstraZeneca, which is approved for babies under eight months old.
The situation is more complicated for pregnant people and babies, however. The vaccine has been approved for pregnant people 32-36 weeks into the pregnancy, and the CDC is weighing whether to recommend it for all women in that group, or for certain women and their babies who might be more vulnerable to RSV when they are born, such as premature infants and those born with chronic lung conditions.
The CDC’s working group is trying to figure out whether to recommend the vaccine for all expectant mothers, given this risk. “We are having more meetings about this than any other vaccine in my memory,” says Meissner. It’s unlikely, given the cost of the vaccine and the monoclonal antibody treatment, , that a pregnant woman would receive the vaccine and then have her baby get the antibody injection. “That’s duplicating responsibilities,” he says. “Like wearing suspenders and a belt.
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