4 Comments
Nov 29, 2021Liked by John Skylar, PhD

Thank you. I was looking forward to your newsletter this morning for rational and easy to understand scientific forecast on Omicron. Chag Sameach. I'll have to look for that book for my grandkids.

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My biggest question is: what exactly is the regulatory pathway for an updated vaccine, should one be required? Will the FDA want a full phase III trial again? Or just safety and immunogenicity data, as with the 5-11 trial? How large will the sample need to be?

Relatedly, what does this mean for kids' vaccines? Adolescents had to wait half a year after the first EUA, younger kids almost an entire year. Children under 5 still have nothing. It seems like it would be ill-advised from a public health perspective, as well as more than a little cruel, to make children and parents wait that long again.

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