Should Your Two-Shot Vaccine Be from the Same Manufacturer?

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Vaccination is a hot topic right now. Everyone seems to be discussing their vaccination status, scheduling appointments, or sharing stories about friends and family who have received their shots. With 19% of the U.S. population fully vaccinated against COVID-19 and 33% having received at least one dose, families are reuniting after more than a year apart. Vaccines are offering a sense of relief following a prolonged period of uncertainty and loss.

As more people get vaccinated, questions arise: Which vaccine is the best? Which one has the highest efficacy? And which one causes the fewest side effects? Recently, another question has emerged: What if you mix vaccines? For example, could you receive a Pfizer shot first and then choose Moderna for your second dose? Is this safe or effective?

In January, the UK stirred the pot by suggesting that if your first vaccine dose isn’t followed by the same brand, mixing could be an option. The caveat is clear: if the original vaccine is available, stick with it. However, to expedite vaccinations, health officials believe mixing vaccines might be acceptable. The New York Times reported that the UK advised that “every effort should be made” to use the same vaccine for both doses, but if it’s unavailable, using a different one is reasonable.

At that time, no clinical trials were available to back this approach. However, trials at the University of Oxford began in February, where participants received one dose of Pfizer-BioNTech followed by AstraZeneca, or vice versa. Blood samples will soon be analyzed to determine the effectiveness of mixing vaccines. Until then, it feels somewhat uncertain, like throwing darts and hoping for accuracy.

As new vaccines are developed in the UK, some in trials and others still in the animal testing phase, researchers are hopeful that mixing doses could enhance efficacy. Adam Greene, an immunologist at the University of Melbourne, mentioned that we are on the verge of obtaining some intriguing data.

According to The Times, the concept of a “heterologous prime-boost”—the technical term for mixing vaccines—has been utilized for years in other vaccine trials for flu, Ebola, and HIV. However, due to funding and logistical challenges, large-scale clinical trials have not been feasible. With COVID-19, the situation is more manageable as manufacturers create parallel products that can be tested together. As these trials progress, we should gain clearer insights on safety and efficacy.

In the U.S., the CDC has stated that the authorized COVID-19 vaccines “are not interchangeable” and that the safety and efficacy of mixed-product series remain unverified. They recommend completing both doses with the same product. So, what’s the bottom line? In theory, mixing vaccines could work, but whether it’s advisable is still up in the air. More time and research are necessary to determine the effectiveness of this approach.

In the meantime, the CDC offers some tips to ensure you receive your second dose as scheduled:

  1. Keep your vaccination card. This card details your name, the date, and the vaccine type you received.
  2. Register for the v-safe program, a smartphone tool for tracking your health post-vaccination and setting reminders for your second dose.
  3. Ensure your immunization record is documented in the Immunization Information System (IIS) and included in your medical records.
  4. Schedule your second dose appointment before leaving the vaccination site to help guarantee you get the same vaccine type.

As we look ahead, President Biden has announced that all adults will be eligible for vaccinations by April 19th. If you have the opportunity, getting vaccinated can provide much-needed peace of mind. However, it’s essential to follow the protocols set by the vaccination providers. The sooner adults are vaccinated, the closer we’ll be to returning to a new normal.

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In summary, while there’s increasing curiosity about mixing vaccines, the current guidance emphasizes using the same product for both doses. Until further research is conducted, it’s best to stick with the vaccine you initially received to ensure maximum efficacy and safety.


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