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Front-line workers are feeling a surprising COVID-19 vaccine side effect – hope – The Globe and Mail

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A nurse prepares a dose of a COVID-19 vaccine in Edmonton, on Dec. 15, 2020.

JASON FRANSON/The Canadian Press

For Sheron Grayer, the physical side effects of the COVID-19 vaccine were minimal. A few hours after she got home, the injection site on her arm grew sore, persisting for about a day and a half before resolving on its own. It was a similar feeling to when she got her flu shot last fall, she said.

But the emotional effect was profound. Ms. Grayer, a registered practical nurse in Windsor, works in a facility that has become “overrun” with COVID-19 patients during the second wave, and the fear of getting sick and infecting her family weighed heavy on her.

“It lightens my heart to know that when patients are coughing on me, despite having the [personal protective equipment] on, I’m not going to bring it home to my son,” she said.

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“Pre-shot, you’re extremely worried about it: Am I going to bring this home to my family? My elderly parents? Even though I’m not 100 per cent clear yet, because I still have to get my second shot, it’s a relief to know I’m on my way there.”

The sore arm Ms. Grayer experienced is the most common side effect of the Pfizer-BioNTech and Moderna vaccines now being distributed across Canada. A Pfizer study found that, seven days after vaccination, 84.1 per cent of vaccine recipients reported at least one reaction at the injection site (most commonly pain or soreness). Redness and swelling were reported less frequently.

By age, 88.7 per cent of people in a younger group (aged 18 to 55) experienced at least one reaction, compared to 79.9 per cent of those over 55. The younger group reported pain more frequently than the older group: 83.1 per cent versus 71.1 per cent respectively after the first dose, and 77.8 per cent versus 66.1 per cent after the second.

The median onset of reactions was between the day of vaccination and two days after, and the reactions typically lasted between one and two days.

Matthew Miller, an associate professor at the Michael G. DeGroote Institute for Infectious Disease Research at McMaster University, said most people who receive the vaccine can expect to feel local soreness or swelling, while a smaller proportion may experience fever, chills, tiredness and headaches.

“Anything more severe than that is very rare,” he said.

Compared to other known vaccines, Dr. Miller said these common side effects fall in between what is typically seen with the flu vaccine on the lower end and the shingles vaccine on the higher end.

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Side effects tend to be more pronounced after the second dose, he added.

“The first dose is essentially an initiator dose that primes your system,” Dr. Miller said. “The second dose stimulates a much stronger immune response. A lot of the side effects that we feel after we get a vaccine, including the COVID vaccine, are a function of our immune system becoming activated. So in some ways, it’s a good sign that the immune system is recognizing the vaccine and doing what it’s supposed to be doing.”

The Pfizer study found that 26.1 per cent of recipients aged 18 to 55 reported moderate to severe headaches after the second dose, while Moderna reported that 16.5 per cent of recipients experienced adverse reactions serious enough to disrupt their daily activities.

A few cases of Bell’s palsy, a type of facial paralysis, were reported in trials for both vaccines, but they did not represent a frequency above that expected in the general population and there was insufficient evidence to determine a causal relationship with the vaccines.

Dr. Miller said while it will take time to accumulate data on the potential long-term effects of COVID-19 vaccines, it’s expected that they will be very rare.

“When one thinks about the risk of long-term side effects of a vaccine – in the context of a pandemic, like we’re currently in – the comparison that matters is: What are the rates of any long-term side effects associated with the vaccine relative to the infection? Not relative to unvaccinated people,” he said.

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Sherri Pel, a registered nurse in Langley, B.C., said she experienced a “very tender arm” for about one day after receiving her vaccination. For her, the vaccine means less fear of risking her own health – or of those in her household – and that there is a light at the end of the tunnel.

“Every vaccine should be celebrated, because I think we are so privileged to even get this opportunity so quickly,” she said. “Science is just amazing.”

Jacqueline Solomon, a neurologist at St. Michael’s Hospital in Toronto, said she felt “mild arm tenderness” after receiving her first dose of the vaccine. More pronounced, she said, were the feelings of relief and hope after a trying year.

“In some ways, not to sound cheesy or anything, but it felt like I was given a gift,” Dr. Solomon said.

“The concern about side effects is a real concern from the public, and it’s understandable,” she added. “From my standpoint, I would much rather take those very small risks of the side effects with the vaccine than the risk of getting COVID, but at the same time also protecting those around me.”

Dr. Kanna Vela has been treating COVID-19 patients in emergency departments in Ajax and Scarborough, Ontario for nearly 10 months. She lived apart from her family at the onset of the coronavirus pandemic. Receiving her first dose of the Pfizer-BioNTech vaccine in late December has given Dr. Vela some hope for the months ahead as hospitals struggle to care for the rise in COVID-19 cases.

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Telus prioritizing ‘most important customers,’ avoiding ‘unprofitable’ offers: CFO

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Telus Corp. says it is avoiding offering “unprofitable” discounts as fierce competition in the Canadian telecommunications sector shows no sign of slowing down.

The company said Friday it had fewer net new customers during its third quarter compared with the same time last year, as it copes with increasingly “aggressive marketing and promotional pricing” that is prompting more customers to switch providers.

Telus said it added 347,000 net new customers, down around 14.5 per cent compared with last year. The figure includes 130,000 mobile phone subscribers and 34,000 internet customers, down 30,000 and 3,000, respectively, year-over-year.

The company reported its mobile phone churn rate — a metric measuring subscribers who cancelled their services — was 1.09 per cent in the third quarter, up from 1.03 per cent in the third quarter of 2023. That included a postpaid mobile phone churn rate of 0.90 per cent in its latest quarter.

Telus said its focus is on customer retention through its “industry-leading service and network quality, along with successful promotions and bundled offerings.”

“The customers we have are the most important customers we can get,” said chief financial officer Doug French in an interview.

“We’ve, again, just continued to focus on what matters most to our customers, from a product and customer service perspective, while not loading unprofitable customers.”

Meanwhile, Telus reported its net income attributable to common shares more than doubled during its third quarter.

The telecommunications company said it earned $280 million, up 105.9 per cent from the same three-month period in 2023. Earnings per diluted share for the quarter ended Sept. 30 was 19 cents compared with nine cents a year earlier.

It reported adjusted net income was $413 million, up 10.7 per cent year-over-year from $373 million in the same quarter last year. Operating revenue and other income for the quarter was $5.1 billion, up 1.8 per cent from the previous year.

Mobile phone average revenue per user was $58.85 in the third quarter, a decrease of $2.09 or 3.4 per cent from a year ago. Telus said the drop was attributable to customers signing up for base rate plans with lower prices, along with a decline in overage and roaming revenues.

It said customers are increasingly adopting unlimited data and Canada-U.S. plans which provide higher and more stable ARPU on a monthly basis.

“In a tough operating environment and relative to peers, we view Q3 results that were in line to slightly better than forecast as the best of the bunch,” said RBC analyst Drew McReynolds in a note.

Scotiabank analyst Maher Yaghi added that “the telecom industry in Canada remains very challenging for all players, however, Telus has been able to face these pressures” and still deliver growth.

The Big 3 telecom providers — which also include Rogers Communications Inc. and BCE Inc. — have frequently stressed that the market has grown more competitive in recent years, especially after the closing of Quebecor Inc.’s purchase of Freedom Mobile in April 2023.

Hailed as a fourth national carrier, Quebecor has invested in enhancements to Freedom’s network while offering more affordable plans as part of a set of commitments it was mandated by Ottawa to agree to.

The cost of telephone services in September was down eight per cent compared with a year earlier, according to Statistics Canada’s most recent inflation report last month.

“I think competition has been and continues to be, I’d say, quite intense in Canada, and we’ve obviously had to just manage our business the way we see fit,” said French.

Asked how long that environment could last, he said that’s out of Telus’ hands.

“What I can control, though, is how we go to market and how we lead with our products,” he said.

“I think the conditions within the market will have to adjust accordingly over time. We’ve continued to focus on digitization, continued to bring our cost structure down to compete, irrespective of the price and the current market conditions.”

Still, Canada’s telecom regulator continues to warn providers about customers facing more charges on their cellphone and internet bills.

On Tuesday, CRTC vice-president of consumer, analytics and strategy Scott Hutton called on providers to ensure they clearly inform their customers of charges such as early cancellation fees.

That followed statements from the regulator in recent weeks cautioning against rising international roaming fees and “surprise” price increases being found on their bills.

Hutton said the CRTC plans to launch public consultations in the coming weeks that will focus “on ensuring that information is clear and consistent, making it easier to compare offers and switch services or providers.”

“The CRTC is concerned with recent trends, which suggest that Canadians may not be benefiting from the full protections of our codes,” he said.

“We will continue to monitor developments and will take further action if our codes are not being followed.”

French said any initiative to boost transparency is a step in the right direction.

“I can’t say we are perfect across the board, but what I can say is we are absolutely taking it under consideration and trying to be the best at communicating with our customers,” he said.

“I think everyone looking in the mirror would say there’s room for improvement.”

This report by The Canadian Press was first published Nov. 8, 2024.

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TC Energy cuts cost estimate for Southeast Gateway pipeline project in Mexico

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CALGARY – TC Energy Corp. has lowered the estimated cost of its Southeast Gateway pipeline project in Mexico.

It says it now expects the project to cost between US$3.9 billion and US$4.1 billion compared with its original estimate of US$4.5 billion.

The change came as the company reported a third-quarter profit attributable to common shareholders of C$1.46 billion or $1.40 per share compared with a loss of C$197 million or 19 cents per share in the same quarter last year.

Revenue for the quarter ended Sept. 30 totalled C$4.08 billion, up from C$3.94 billion in the third quarter of 2023.

TC Energy says its comparable earnings for its latest quarter amounted to C$1.03 per share compared with C$1.00 per share a year earlier.

The average analyst estimate had been for a profit of 95 cents per share, according to LSEG Data & Analytics.

This report by The Canadian Press was first published Nov. 7, 2024.

Companies in this story: (TSX:TRP)

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BCE reports Q3 loss on asset impairment charge, cuts revenue guidance

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BCE Inc. reported a loss in its latest quarter as it recorded $2.11 billion in asset impairment charges, mainly related to Bell Media’s TV and radio properties.

The company says its net loss attributable to common shareholders amounted to $1.24 billion or $1.36 per share for the quarter ended Sept. 30 compared with a profit of $640 million or 70 cents per share a year earlier.

On an adjusted basis, BCE says it earned 75 cents per share in its latest quarter compared with an adjusted profit of 81 cents per share in the same quarter last year.

“Bell’s results for the third quarter demonstrate that we are disciplined in our pursuit of profitable growth in an intensely competitive environment,” BCE chief executive Mirko Bibic said in a statement.

“Our focus this quarter, and throughout 2024, has been to attract higher-margin subscribers and reduce costs to help offset short-term revenue impacts from sustained competitive pricing pressures, slow economic growth and a media advertising market that is in transition.”

Operating revenue for the quarter totalled $5.97 billion, down from $6.08 billion in its third quarter of 2023.

BCE also said it now expects its revenue for 2024 to fall about 1.5 per cent compared with earlier guidance for an increase of zero to four per cent.

The company says the change comes as it faces lower-than-anticipated wireless product revenue and sustained pressure on wireless prices.

BCE added 33,111 net postpaid mobile phone subscribers, down 76.8 per cent from the same period last year, which was the company’s second-best performance on the metric since 2010.

It says the drop was driven by higher customer churn — a measure of subscribers who cancelled their service — amid greater competitive activity and promotional offer intensity. BCE’s monthly churn rate for the category was 1.28 per cent, up from 1.1 per cent during its previous third quarter.

The company also saw 11.6 per cent fewer gross subscriber activations “due to more targeted promotional offers and mobile device discounting compared to last year.”

Bell’s wireless mobile phone average revenue per user was $58.26, down 3.4 per cent from $60.28 in the third quarter of the prior year.

This report by The Canadian Press was first published Nov. 7, 2024.

Companies in this story: (TSX:BCE)

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