Two patients who had previously had dermal fillers experienced some swelling after receiving the first dose of the Moderna vaccine.
The U.S. Food and Drug Administration reported the reactions at a meeting on Dec. 17.
A dermal filler – not to be confused with Botox, which essentially freezes muscles – is an injectable implant such as collagen or hyaluronic acid used in cosmetic procedures.
Both patients – one 46-year-old and one 51-year-old – had dermal fillers, which the FDA said was a “potential contribution” and presented this as a “possible SAE,” or a serious adverse effect, to the vaccine.
But Dr. Julia Carroll, a dermatologist at Compass Dermatology and a lecturer at the University of Toronto’s Division of Dermatology, told CTVNews.ca that these kinds of reactions are “so rare.”
“Even though they’re serious to the individual patient, they’re relatively minor,” Carroll said. “It’s scary when you’re in the middle of it as a patient, but it’s something that we’re well aware of, we have protocols on how to treat them, and everyone gets through it. And many go on to get fillers again.”
Carroll adds that this swelling, called delayed filler reaction, is known to dermatologists and can occur after other routine medical events such as a dental procedure, or even by contracting a virus.
While the exact cause of this kind of reaction isn’t known, Carroll said dermatologists “try to apply what we know about fillers, what we know about vaccines and viruses and try to make a logical conclusion. So I think it would be an immune trigger. The vaccine is trying to target the immune system, trying to encourage the immune system toward that particular virus, but it’s possible that it triggers other immune reactions within your body.”
The Government of Canada’s website page for the Moderna vaccine does not currently include any mention of dermal fillers or possible related reactions.
In the absence of official guidance from the government, Carroll recommends people hold off on getting fillers prior to getting the vaccine, in between the first and second dose, and for at least two weeks following the second dose.
Some dermatology clinics have reported upticks in cosmetic procedures amid lockdown measures, including Carroll’s clinic in Toronto.
“June, July, August was an extremely busy time for us compared to the year before,” Carroll said, something she attributes in part to the amount of time people spend video conferencing from home.
“Most people get up in the morning, do their hair, put some makeup on, walk out the door – they probably aren’t looking at themselves throughout the rest of the day,” Carroll said. “But now you’re faced with looking at yourself – and not just a quick, instant shot, but watching yourself emoting and animating throughout the day. And it reveals different things than those quick looks you see in the bathroom.”
Despite the fact that some people may have gotten dermal fillers in lockdown, “I wouldn’t want anyone to choose to not get the vaccine because they’ve had a filler in the past,” Carroll said.
“They can always reach out to their dermatologist for advice on how to time things between vaccines and fillers, and we can always figure out a solution for the patient that keeps them safe.”
Pfizer cutting back vaccine deliveries to Canada due to production issues – CP24 Toronto's Breaking News
Cassandra Szklarski , The Canadian Press
Published Friday, January 15, 2021 10:13AM EST
Last Updated Friday, January 15, 2021 2:47PM EST
OTTAWA – Only half of Canada’s promised COVID-19 vaccine doses by Pfizer-BioNTech will arrive in the next month, federal officials revealed Friday, blaming production issues in Belgium that will affect immediate vaccination plans.
Procurement minister Anita Anand said Canada faces an “unfortunate” delay that is nonetheless expected to be made up by the end of March, while Prime Minister Justin Trudeau insisted most Canadians will still be vaccinated by the fall.
News of the Pfizer delay drew immediate concern from Saskatchewan Premier Scott Moe who said the province’s strategy for the two-dose regime depends on steady shipments.
“We have been planning our vaccine rollout based on this schedule, including second dosages,” said Moe, noting he expected 11,700 doses a week in February.
“If this has changed, they need to advise us immediately.”
In British Columbia, where all available doses are being deployed as they arrive, Health Minister Adrian Dix said the delay will have “some significant effect” on when priority groups get their shot.
“Obviously, when you receive fewer doses you immunize fewer people,” said Dix.
The delay could also affect the wait time between each shot of the two-dose regime, he said.
Although Pfizer-BioNTech suggests a second dose 21 days after the first, provincial health officer Dr. Bonnie Henry has said that could be extended to 35 days.
A spokeswoman for Quebec Health Minister Christian Dube said the temporary slowdown reinforced the province’s decision to wait up to 90 days to administer the vaccine’s second dose.
“The strategy remains the same: we must give a boost now and vaccinate as many vulnerable people and health workers as possible, as quickly as possible,” said Marjaurie Cote-Boileau.
Ontario Premier Doug Ford said the province was evaluating the impact of the delay and “will adjust as necessary.”
Maj-Gen. Dany Fortin, who is leading the national vaccine distribution, said Pfizer’s production delays would reduce deliveries by an average of 50 per cent over the coming weeks.
He said that won’t be felt until after next week because Canada’s upcoming shipment has already been prepared. But the final week of January will bring “about a quarter of what we expected.”
“The numbers will pick right back up after that to about half of what we had expected (and) progressively grow into the rest of February,” said Fortin.
“Pfizer is telling us it will impact us for four weeks.”
According to the government’s website, more than 200,000 doses of the Pfizer-BioNTech COVID-19 vaccine were expected in each of the next two weeks and 1.4 million doses were expected in February.
Trudeau said Ottawa was “working day in and day out to get vaccines delivered as quickly as possible” but acknowledged that Pfizer-BioNTech doses have been derailed in the short-term.
Trudeau said this is why Canada has one of the most diverse vaccine portfolios in the world, pointing to seven bilateral agreements he says ensure “flexibility when it comes to supply chains.”
“I want to be very clear: this does not impact our goal to have enough vaccines available by September for every Canadian who wants one,” Trudeau said from outside Rideau Cottage.
Anand said all countries that receive vaccines from Pfizer’s European facility have been affected but that Canada has been assured it will receive four million doses by the end of March.
“This is unfortunate. However such delays and issues are to be expected when global supply chains are stretched well beyond their limits,” Anand said at a news conference.
“It’s not a stoppage.”
Pfizer Canada spokeswoman Christina Antoniou said the production facility in Puurs, Belgium is undergoing modifications in the coming weeks to increase the number of doses it can pump out.
Pfizer hopes to double its 2021 production to two billion doses.
“Pfizer Canada will continue to pursue its efforts in anticipation that by the end of March, we will be able to catch up to be on track for the total committed doses for Q1,” Antoniou said.
The news came as Ottawa released federal projections that suggested the pandemic may soon exceed levels seen in the first wave, rising to 19,630 cumulative deaths and 10,000 daily infections in a little over a week.
The modelling shows total cases could grow to nearly 796,630 from about 694,000, and that another 2,000 people could die by Jan. 24.
Chief Public Health Officer Dr. Theresa Tam urged sustained vigilance as a long-range forecast suggested rapid growth would continue without “quick, strong and sustained” measures.
Tam said that’s especially so in national hot spots of Quebec and Ontario, where a steady increase in hospitalizations has strained the health system’s ability to keep up with critical care demands. The post-holiday projections do not take into account Quebec’s recently implemented four-week curfew or Ontario’s new stay-at-home orders.
Tam emphasized the need to reduce community spread to help relieve some of the pressure on hospitals and long-term care homes.
“The vaccine alone is not going to make a dent in some of that,” she said.
Ontario reported 100 deaths linked to COVID-19, although that took into account a difference in database reporting between one of its health units and the province.
The province’s newly resolved tally added 46 deaths from Middlesex-London that occurred earlier in the pandemic.
Ontario also reported 2,998 new cases of COVID-19 with 800 of those new cases in Toronto, 618 in Peel Region and 250 in York Region.
Quebec reported 1,918 new COVID-19 cases and 62 more deaths, including nine that occurred in the past 24 hours.
Concern also remained in Atlantic Canada’s hot spot of New Brunswick, which reported 25 new cases and remains at the province’s second-highest pandemic alert level.
with files from Catherine Levesque and Mia Rabson in Ottawa, Shawn Jeffords in Toronto, Stephanie Taylor in Regina, and Hina Alam in Vancouver.
This report by The Canadian Press was first published Jan. 15, 2021.
Coronavirus: Toronto ICU patients being flown to other hospitals as facilities overloaded – Global News
[unable to retrieve full-text content]
- Coronavirus: Toronto ICU patients being flown to other hospitals as facilities overloaded Global News
- Active COVID-19 cases and hospitalizations climb as Ottawa reports 136 new cases Saturday CTV Edmonton
- A run with friends? A distanced drink? Let’s dig into Ontario’s opaque gathering rules CBC.ca
- Ontario reports 3056 new COVID-19 infections, 51 more deaths CP24 Toronto’s Breaking News
- Today’s letters: On travelling – and staying home – during COVID lockdown Ottawa Citizen
- View Full coverage on Google News
Key COVID-19 numbers in the Ottawa area today – CBC.ca
- Ottawa is reporting 136 new cases of COVID-19 on Saturday.
- Western Quebec has confirmed 43 new infections today.
Today’s Ottawa update
Ottawa Public Health (OPH) recorded 136 new cases of COVID-19 on Saturday. OPH also declared 111 more cases resolved and reported no new deaths.
The current lockdown in eastern Ontario went into effect Dec. 26, and is now scheduled to last until Feb. 11.
A provincial stay-at-home order is also in effect.
Numbers to watch
88.9: The number of new COVID-19 cases per 100,000 Ottawa residents, down from Friday.
1.01: The average number of people infected by a single COVID-19 case, or R(t), has been in gradual decline this month but remains unchanged since Friday. OPH aims to keep the number below one.
4.1%: Ottawa’s average test positivity percentage, down from 4.5 per cent.
Across the region
Health authorities in western Quebec are reporting 43 new cases of COVID-19 but no more deaths.
Pfizer cutting back vaccine deliveries to Canada due to production issues – CP24 Toronto's Breaking News
The end of the Merkel era: Is 'Mutti' really ready to swap politics for plum cake and potato soup? – CNN
Toronto Maple Leafs game recap: Leafs remember who they are, defeat Ottawa Senators 3-2 – Pension Plan Puppets
Silver investment demand jumped 12% in 2019
Iran anticipates renewed protests amid social media shutdown
Galaxy M31 July 2020 security update brings Glance, a content-driven lockscreen wallpaper service
Business19 hours ago
Vaccine manufacturers concerned about provinces delaying second doses: Anand – CTV News
Business17 hours ago
Ontario to delay second dose of Pfizer COVID-19 vaccine by up to 42 days – 680 News
Politics21 hours ago
Opinion | Doug Ford's COVID-19 dissenters don't get how politics — or science — works – Toronto Star
Tech22 hours ago
Samsung Galaxy S21 Ultra 5G First Look: No SD, Insane Zoom – Forbes
Sports21 hours ago
KOSHAN: Maple Leafs fall with ugly effort against Senators – Toronto Sun
Sports23 hours ago
Karl-Anthony Towns tests positive for COVID-19 after losing mom, 6 other family members to the virus – Yahoo
News12 hours ago
More than 7 in 10 Canadians support barring unvaccinated people from businesses: Nanos survey – CTV News
Health22 hours ago
Daily COVID-19 vaccinations jump as more doses arrive in B.C. – North Shore News