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Entertainment

Storm Reid Dances to Normani’s “Wild Aspect” | Video

We’re going to need a collaboration between Storm Reid and Normani ASAP. On July 21, the Euphoria actress posted an Instagram video of herself dancing to Normani’s new “Wild Side” track. Reid’s energy (and her animal print outfit) was flawless, despite throwing together the at-home video in a matter of minutes before she started work. Clearly, she can keep up with the best of the best, so let’s get her on a stage with Normani right away.

Even Reid’s makeup artist, Joanna Skim, was amazed to see what she pulled off in such a short time. “Ma’am. You stepped away for three minutes and shot a whole music video. How,” Skim commented on Reid’s video. Hey, when inspiration strikes, you have to go for it, especially if you’re “shooting [your] shot” like Reid was. Here’s to hoping this duo connects soon, and we finally get to see them work together as Normani rolls out new music.

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Entertainment

Normani and Cardi B Staff Up For “Wild Aspect” Music Video

Normani is finally back with new music! On Thursday night, the 25-year-old singer dropped her latest single, titled “Wild Side,” which features the one and only Cardi B. The song slowly builds, but is sexy throughout, and the chills-inducing music video features multiple avant-garde looks, cinematic sets, and elaborate choreography. In one vignette, Normani dances with a mirror image of herself. It’s truly wild.

Normani teased the track earlier this week when she wiped her entire Instagram account clean, leaving only one video from February that featured a clip of the song. She later posted a gorgeous shot of her wearing leopard-print clothes from the music video. Of course, this isn’t the first time Normani and Cardi have teamed up for an epic music video. Normani previously made a cameo in Cardi B and Megan Thee Stallion’s star-studded “WAP” music video back in August 2020. We can’t wait to hear what other music Normani has in store for us. In the meantime, watch her music video with Cardi B above.

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Health

A Vaccine Aspect Impact Leaves Ladies Questioning: Why Isn’t the Capsule Safer?

Last month, as the Food and Drug Administration paused use of Johnson & Johnson’s Covid-19 vaccine to evaluate the risk of blood clots in women under 50, many scientists noted that clots associated with birth control pills were much more common.

The comparison was intended to reassure women of the vaccine’s safety. Instead, it has stoked anger in some quarters — not about the pause, but about the fact that most contraceptives available to women are hundreds of times riskier, and yet safer alternatives are not in sight.

The clots linked to the vaccine were a dangerous type in the brain, while birth control pills increase the chances of a blood clot in the leg or lung — a point quickly noted by many experts. But the distinction made little difference to some women.

“Where was everyone’s concern for blood clots when we started putting 14-year-old girls on the pill,” one woman wrote on Twitter.

Another said, “If birth control was made for men it’d taste like bacon and be free.”

Some women heard, on social media and elsewhere, that they should not complain because they had chosen to take birth control knowing the risks involved. “That just made me double down,” said Mia Brett, an expert in legal history focused on race and sexuality. “This is such a common response to women’s health care — that we point out something and it’s dismissed.”

The torrent of fury online was familiar to experts in women’s health. “They should be angry — women’s health just does not get equal attention,” said Dr. Eve Feinberg, a reproductive endocrinologist and infertility specialist at Northwestern University. “There’s a huge sex bias in all of medicine.”

Dr. Feinberg and many of the women online acknowledge that contraceptives have given women control over their fertility, and the benefits far exceed the harms. Rebecca Fishbein, a 31-year-old culture writer, started tweeting about the inadequacy of birth control pills almost immediately after the announcement of the pause.

Still, “birth control is an incredible invention, thank God we have it,” she said last month in an interview. “I’ll fight anyone who tried to take it away.”

Contraceptives have also improved over the years, with intrauterine devices and oral options that offer an ultralow dose of estrogen. “Over all, it’s incredibly safe,” Dr. Feinberg said. “Everything that we do has risks.”

But Dr. Feinberg said it was crucial for health care providers to discuss the risks with their patients and coach them on worrisome symptoms — a conversation many women said they had never had.

Kelly Tyrrell, a communications professional in Madison, Wis., was 37 when doctors discovered potentially fatal blood clots in her lungs.

Ms. Tyrrell is an endurance athlete — wiry, strong and not prone to anxiety. In early 2019, she began waking up with a pain in her left calf. After one particularly bad morning, an urgent care visit revealed that she had high blood levels of “D dimer,” a protein fragment that indicates the presence of clots.

She had been taking birth control pills for 25 years, but none of the doctors made a connection. Instead, they said that given her age, fitness and the lack of other risk factors, her symptoms were unlikely to be from a blood clot. They sent her home with instructions to do stretches for her calf muscle.

When she felt a tightness in her chest while running in Hawaii after her grandmother’s funeral, doctors said the cause was probably stress and anxiety. In July 2019, she finished a 100K race in Colorado and assumed her aching lungs and purple lips were the result of running for 19 hours at a high altitude.

But she knew something was seriously wrong on the morning of Oct. 24, 2019, when she became short of breath after walking up a short flight of stairs.

This time, after ruling out heart problems, doctors scanned her lungs and discovered multiple clots. One had cut off blood flow to a portion of her right lung.

“I instantly burst into tears,” Ms. Tyrrell recalled. The doctors put her on a course of blood thinners — and told her never to touch estrogen again. Ms. Tyrrell switched to a copper IUD. Over time, she added, the incident had escalated into a sharp rage that was renewed by the Johnson & Johnson news.

“Part of my anger was that a medication that I took to control my fertility ended up threatening my mortality,” she said. “I’m angry that I hadn’t been counseled better about that risk, or even what to look for.”

Emily Farris, 36, was prescribed oral contraceptives at age 18 to help with migraines. In all of the conversations she has had with her many doctors over the years, “never once was blood clots brought up,” she said in an interview.

On Twitter, some critics pointed out that the inserts with birth control packs clearly describe the blood clot risk. “My response is a bit incredulous to that,” said Dr. Farris, a political scientist at Texas Christian University in Fort Worth.

The inserts for most medications have a long list of possible side effects, placing “a high burden for folks to try to sort through medical research, to sort through what probability and statistics mean,” she said.

Even with a Ph.D.-level education, “I can’t assess those risks,” Dr. Farris added. “I think most Americans need someone to translate what the legalese kind of pamphlet is into real terms.”

For Ms. Tyrrell, that elucidation came much too late. Her lungs have not felt the same since her diagnosis, but she is not sure whether that is because of lingering damage from a previous blood clot, new clots that she should be worried about or simply her age, she said, adding, “It’s never not on my mind anymore.”

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Business

As soon as Tech’s Favourite Economist, Now a Thorn in Its Aspect

Paul Romer was once the most popular economist in Silicon Valley. The theory that helped him win a Nobel Prize – that ideas are the turbo-charged fuel of the modern economy – resonated deeply in the global capital of ideas that create wealth. In the 1990s, Wired magazine called him “an economist for the technological age”. The Wall Street Journal said the tech industry treated him “like a rock star.”

No more.

The 65-year-old Romer still believes in science and technology as the engines of progress. But he’s also become a heavy critic of the biggest tech companies, saying they stifle the flow of new ideas. He campaigned for new state taxes on digital ads sold by companies like Facebook and Google, an idea Maryland adopted earlier this year.

And he’s tough on economists, including himself, for having long provided the intellectual cover for the hands-off guidelines and court decisions that have led to what he calls the “collapse of competition” in technology and other industries .

“Economists taught: ‘It’s the market. There is nothing we can do, ”said Mr Romer. “This is really just so wrong.”

Mr Romer’s current call for government activism reflected “a profound change in my thinking” in recent years. It also fits in with a broader reassessment of the technology industry and government regulation among prominent economists.

You see markets – search, social networks, online advertising, e-commerce – that don’t behave according to free market theory. Monopoly or oligopoly seems to be the order of the day.

The relentless rise of the digital giants requires new thinking and new rules. Some were members of the tech-friendly Obama administration. In statements and research reports from Congress, they bring ideas and credibility to policy makers who want to curb the big tech companies.

Your policy recommendations vary. That includes stronger enforcement that gives people more control over their data and new laws. Many economists support the bill introduced earlier this year by Senator Amy Klobuchar, a Democrat of Minnesota, to tighten up on mergers. The bill would effectively “override a number of flawed, pro-indicted Supreme Court cases,” wrote Carl Shapiro, an economist at the University of California at Berkeley and a member of the Obama administration’s council of economic advisers, recently presented to the American Bar Association.

Some economists, notably Jason Furman, a Harvard professor, chairman of the Obama administration’s council of economic advisers, and digital markets advisor to the UK government, are recommending a new regulator to enforce a code of conduct for big tech companies that would include fair access to their platforms for competitors, open technical standards and data mobility.

Thomas Philippon, an economist at New York University’s Stern School of Business, has estimated that monopolies in industries across the economy cost American households $ 300 a month.

“We’ve all changed because what really happened is an extension of the evidence,” said Fiona Scott Morton, an antitrust officer in the Obama administration’s Justice Department who is an economist at Yale University School of Management.

Of all the economists now exploring big tech, Mr Romer is perhaps the most unlikely. He earned his bachelor’s and doctoral degrees from the University of Chicago, the long-standing church of free market absolutism, whose ideology has guided antitrust court decisions for years.

Mr. Romer spent 21 years in the Bay Area, mostly as a professor first at Berkeley and then at Stanford. While in California, he founded and sold an educational software company. In his research, Mr. Romer uses software as a data exploration and discovery tool and has become a skilled Python programmer. “I enjoy the solitary practice of building things with code,” he said.

His son Geoffrey is a software developer at Google. His wife, Caroline Weber, author of Proust’s Duchess, a finalist in the Pulitzer Prize for Biography and a professor at Barnard College, is a friend of Harvard classmate Sheryl Sandberg, Facebook’s chief operating officer. Mr. Romer has never consulted for the big technology companies, but he has friends and former professional colleagues there.

“People I like are often dissatisfied with me,” he said.

Mr Romer, who joined New York University faculty a decade ago, said preparing his Nobel Lecture in 2018 made him think about the “progress gap” in America. Progress, he explained, is not just a question of economic growth, but should also be seen in measures of individual and social well-being.

In the United States, Mr. Romer saw worrying trends: a decline in life expectancy; rising “deaths of desperation” from suicides and overdoses; falling activity rates for adults in their prime working years from 25 to 54; a growing wealth gap; and increasing inequality.

While there are many causes for such problems, Mr. Romer believes that one of the causes was a business occupation which has diminished the importance of government. His new growth theory recognized that government played an important role in scientific and technological advancement, but most importantly by funding basic research.

Looking back, Mr. Romer admits that he was trapped in the “little government bubble” of the time. “I seriously underestimated the role of government in sustaining progress,” he said.

“Real progress takes both science and government – a government that can say no to bad things,” said Romer.

For Mr. Romer, the economy is a means to apply the independent rigor of scientific thinking to social challenges.

City planning, for example. For years, Mr. Romer pushed the idea that new cities in developing countries should be a mix of government design for basics like roads and sanitation, and that the markets should mainly take care of the rest. During a brief stint as chief economist at the World Bank, he had hoped to convince the bank to support a new city, to no avail.

In the big tech debate, Romer notes the influence of progressives like Lina Khan, an antitrust scientist at Columbia Law School and Democratic candidate for the Federal Trade Commission, who view market power itself as a threat and investigate its effects on workers, Suppliers and communities.

This social perspective is another lens that appeals to Mr. Romer and others.

“I’m fully on board with Paul,” said Rebecca Henderson, economist and professor at Harvard Business School. “We have a much bigger problem than one that falls within the limits of applicable antitrust law.”

Mr Romer’s specific contribution is a proposal for a progressive tax on digital ads that would apply primarily to the largest advertising-supported Internet companies. The premise is that social networks like Facebook and Google’s YouTube rely on keeping people on their sites for as long as possible by targeting them with attention-grabbing ads and content – a business model that is disinformation, hate speech, and polarizing political Messages naturally amplified.

Romer insists that digital ad revenue is a fair game for taxation. He wants the tax to drive businesses from targeted ads to a subscription model. But at least, he said, it would give governments the tax revenue they need.

In February, Maryland became the first state to pass legislation embodying the concept of Mr. Romer’s digital advertising tax. Other states, including Connecticut and Indiana, are considering similar proposals. Industry groups have filed a legal challenge to Maryland law alleging it was an illegal state violation.

Mr Romer says the tax is an economic instrument with a political aim.

“I really think the much bigger problem we are facing is maintaining democracy,” he said. “That goes way beyond efficiency.”

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Covid-19 Vaccine Facet Results: Your Questions Answered

Almost three million people in the United States receive the Covid-19 vaccine every day. And each new burst raises new questions about what to expect after vaccination.

Last week I asked readers to send me their questions about vaccinations. Here are some of the answers.

Short-lived side effects such as fatigue, headache, muscle pain, and fever are more common after the second dose of the Pfizer BioNTech and Moderna vaccines, which each require two shots. (The Johnson & Johnson vaccine only requires a single shot.) Patients who experience uncomfortable side effects after the second dose often describe feeling like they have a bad flu and use phrases like “it blew me out” or ” I was useless for two days. “During vaccine studies, patients were advised to take a few days off after the second dose, just in case they had to spend a day or two in bed.

The data collected by v-safe, the app that anyone can use to track side effects after vaccination, also shows an increase in reported side effects after the second dose. For example, about 29 percent of people reported fatigue after the first Pfizer BioNTech shot, but that increased to 50 percent after the second dose. The muscle pain increased from 17 percent after the first shot to 42 percent after the second. While only about 7 percent of people had chills and a fever after the first dose, that number rose to about 26 percent after the second dose.

The New York Times interviewed several dozen of the people who were newly vaccinated in the following days. They reported a wide range of reactions, from no reaction to symptoms such as uncontrolled tremors and “brain fog”. While these experiences are not pleasant, they are a sign that your own immune system is having a strong response to the vaccine.

An analysis of the first 13.7 million Covid-19 vaccine doses given to Americans found that side effects were more common in women. While severe reactions to the Covid vaccine are rare, almost all cases of anaphylaxis or life-threatening allergic reactions have occurred in women.

The finding that women are more likely to report and experience unpleasant side effects from the Covid vaccine is consistent with other vaccines as well. Women and girls after flu vaccinations and vaccines against measles, mumps and rubella (MMR) and hepatitis A and B can produce up to twice as many antibodies. One study found that in nearly three decades, women accounted for 80 percent of all anaphylactic diseases in adults.

Although women report side effects more often than men, the higher rate of side effects in women also has a biological explanation. Estrogen can stimulate an immune response, while testosterone can weaken it. In addition, there are many immune-related genes on the X chromosome, of which women have two copies and men only one. These differences may explain why far more women than men suffer from autoimmune diseases, which occur when a robust immune response attacks healthy tissues in the body. You can read more about women and vaccine side effects here.

Side effects get all the attention, but when you look at data from vaccine clinical trials and the real world, you will find that many people don’t experience side effects beyond an aching arm. In the Pfizer vaccine studies, about one in four patients reported no side effects. In the Moderna studies, 57 percent of patients (64 or younger) reported side effects after the first dose – these jumped to 82 percent after the second dose, meaning that almost one in five patients reported no reaction after the second shot.

A lack of side effects doesn’t mean the vaccine isn’t working, said Dr. Paul Offit, professor at the University of Pennsylvania and a member of the Food and Drug Administration’s Vaccine Advisory Board. Dr. Offit found that a significant number of people reported no side effects during the vaccine trials, and yet the studies showed that around 95 percent of people were protected. “That proves you don’t have to have side effects to be protected,” he said.

Nobody really knows why some people have a lot of side effects and others don’t. We know that younger people develop a stronger immune response to vaccines than older people, whose immune systems become weaker as they get older. Women usually have stronger immune responses than men. But even these differences don’t mean you aren’t protected if you don’t feel a lot after the shot.

Scientists still aren’t sure how effective the vaccines are in people whose immune systems may be weakened by certain conditions, such as cancer treatments, HIV infection, or because they are taking immunosuppressive drugs. However, most experts believe that the vaccines still offer these patients some protection against Covid-19.

Updated

April 1, 2021, 11:02 p.m. ET

The bottom line is that although individual immune responses can vary, the data collected so far shows that all three US-approved vaccines – Pfizer-BioNTech, Moderna, and Johnson & Johnson – are effective against serious illness and death from Covid-19 .

You shouldn’t try to prevent discomfort by taking a pain reliever before receiving the shot. The concern is that premedication with a pain reliever like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), which can prevent side effects like arm pain, as well as fever or headache, could also weaken your body’s immune response.

While it’s possible that taking a pain reliever before your shots may have dampened your body’s immune response, vaccine experts say you shouldn’t worry and shouldn’t try to get another shot. Studies of other vaccines suggest that while premedication can reduce the body’s immune response to a vaccine, your immune system can build strong enough defenses to fight infection. A review of studies involving more than 5,000 children compared antibody levels in children who took pain relievers before and after vaccinations and in children who did not. They found that pain medication had no significant effect on the immune response and that children in both groups produced adequate levels of antibodies after their shots.

The high effectiveness of all Covid vaccines suggests that even if taking Tylenol before the shot weakens your body’s immune response, there is some margin and you are likely still well protected against Covid-19. “You should feel reassured that you have enough immune response to be protected, especially with vaccines that are this good,” said Dr. Offit.

“It’s okay to treat side effects with pain relievers,” said Dr. Offit, but if you don’t really need one, “don’t take it”.

While most experts believe it is safe to take a pain reliever to relieve post-vaccination discomfort, they do not recommend taking it preventively after the shot or if your symptoms are manageable without the drug. The concern about taking an unnecessary pain reliever is that it may weaken some of the effects of the vaccine. (In terms of vaccine, there is no significant difference if you choose acetaminophen or ibuprofen.)

During the Moderna study, about 26 percent of people took acetaminophen to reduce side effects, and the vaccine’s overall effectiveness was still 94 percent.

Research and individual reports suggest that people with a previously diagnosed Covid-19 infection may react more strongly and experience more side effects after their first dose of vaccine than people who have never been infected with the virus. A strong reaction to your first dose of vaccine could also be a sign that you were previously infected, even if you weren’t aware of it.

If you’ve previously tested positive for Covid-19 or had a positive antibody blood test, be prepared for a stronger reaction to your first dose and plan a few days off just in case. Not only will it be more convenient to stay at home and rest in bed, the vaccine side effects may be similar to symptoms of Covid-19, and your staff won’t want to be around you anyway.

Studies suggest that a dose might be appropriate for people with a previously confirmed case of Covid-19, but medical guidelines have not changed so far. If you received the Pfizer-BioNTech or Moderna vaccines, you should plan to receive your second dose, even if you have had Covid-19. Skipping your second dose can cause problems if your employer or airline requests proof of vaccination in the future. If you live in an area where Johnson & Johnson’s single-dose vaccine is available, you can be fully vaccinated after just one dose. Read more about the vaccine response in people with Covid-19 here.

The vaccines appear to be effective against a new variant that originated in the UK and is rapidly dominating the US. However, some variants of the coronavirus, especially one first identified in South Africa and one in Brazil, appear to be better able to evade antibodies in vaccinated individuals.

That sounds worrying, but there is reason to be hopeful. Vaccinated individuals exposed to a more resistant variant still appear to be protected from serious diseases. And scientists have a sufficiently clear understanding of the variants that they are already working on to develop booster shots that target the variants. The variants identified in South Africa and Brazil are not yet widespread in the United States.

People who are vaccinated should continue to wear masks in public and follow public health guidelines, but they shouldn’t live in fear of variations, said Dr. Peter J. Hotez, Dean of the National School of Tropical Medicine at Baylor College of Medicine in Houston. “If you are vaccinated you should feel pretty sure how protected you are,” said Dr. Hotez. “It is unlikely that you will ever go to a hospital or intensive care unit with Covid-19. In time, you will see a recommendation for a booster. “

I hope these answers will reassure you about your own vaccine experience. For a more complete list of questions and answers, see our dedicated vaccine tool, “Answers to All Your Covid-19 Vaccination Questions”.

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Extra EU international locations halt AstraZeneca shot as EMA opinions uncomfortable side effects

An Army health worker prepares a dose of Covishield, AstraZeneca / Oxford’s Covid-19 coronavirus vaccine from the Indian Serum Institute at an Army hospital in Colombo on January 29, 2021.

Sign S. Kodikara | AFP | Getty Images

LONDON – Two other countries decided on Tuesday to suspend use of the AstraZeneca vaccine in Europe amid blood clot concerns as regulators conducted a new side effects review.

Sweden and Latvia announced Tuesday morning that they are suspending the rollout of the AstraZeneca vaccine developed with Oxford University. Portugal, Luxembourg and Slovenia decided to stop using the shot on Monday evening. Earlier in the day, Germany, France, Italy and Spain also joined the group of nations that stopped using the vaccine.

So far, 13 countries in the European Union have made this decision, while a few others have stopped using individual lots of the AstraZeneca vaccine. Austria first decided last week after the death of a 49-year-old woman who received this vaccine to stop using a certain batch of AstraZeneca shots.

“The benefits still outweigh the risks.”

The European health authority has insisted that “the benefits of the AstraZeneca vaccine in preventing Covid-19, with the associated risk of hospitalization and death, outweigh the risks of side effects”.

In a statement on Monday, the European Medicines Agency said it would “look further into the information” and called an extraordinary meeting on Thursday on the subject. The institution then reiterated its position during a press conference on Tuesday.

“There is currently no evidence that vaccination caused these conditions,” said Emer Cooke, director of the European Medicines Agency. “The benefits still outweigh the risks, but this is a serious problem and requires serious and detailed scientific assessment. We are currently involved in that.”

She added, “We are concerned that this could affect vaccine confidence … but our job is to make sure the products we approve are safe.”

Of course, we need speed, not just for the economy, but above all for the health of our citizens, but at the same time we need security.

Paolo Gentiloni

EU commissioner for the economy

The World Health Organization has urged nations to continue their vaccination campaigns with the AstraZeneca vaccine and Oxford University.

A number of EU countries have spoken out in favor of the shot. In Belgium, Health Minister Frank Vandenbroucke said on Monday that interrupting use was “irresponsible”. While the authorities in the Czech Republic have also announced that they will continue to administer the vaccine.

Outside the EU, Canada, Australia and the UK have also joined forces to support AstraZeneca.

According to the European Center for Disease Prevention and Control, more than 6 million doses of the AstraZeneca shot have been administered in the EU to date.

AstraZeneca announced on Sunday that of the 17 million people vaccinated in the EU and the UK, 15 had deep vein thrombosis events and 22 cases of pulmonary embolism. This is based on data received as of March 8th.

“This is much less than expected to occur naturally in a general population of this size and it is similar to other approved Covid-19 vaccines,” the company said in a statement.

Concerns about the vaccine could jeopardize the EU’s goal of vaccinating 70% of the adult population by the end of the summer. The AstraZeneca vaccine has proven popular in Europe so far because it is cheaper than its competitors and easier to store. This could then possibly delay the economic recovery in the region.

“Of course we need speed, not only for the economy, but above all for the health of our citizens, but at the same time we need security,” said Paolo Gentiloni of the European Commission at a press conference on Monday.

He added that the precautionary measures were “justified” and that the EMA review should “keep our EU citizens safe”.

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Health

A Covid Vaccine Facet Impact, Enlarged Lymph Nodes, Can Be Mistaken for Most cancers

Coronavirus vaccinations can cause enlarged lymph nodes in the armpit or near the collarbone, which may be mistaken for a sign of cancer.

As vaccines roll out across the country, doctors are seeing more and more of these swollen lumps in recently vaccinated people, and medical journals have started publishing reports aimed at reducing anxiety and helping patients avoid unnecessary testing for a harmless condition that will go away a couple of weeks.

The swelling is a normal immune system response to the vaccine and occurs on the same side as the arm the shot was fired on. It can also occur after other vaccinations, including those for the flu and human papillomavirus (HPV). Patients may or may not notice it. However, the enlarged lymph nodes appear as white spots on mammograms and breast scans and are similar to pictures that may indicate the spread of cancer through a tumor in the breast or elsewhere in the body.

“I make special efforts to inform all patients who are being monitored after successful previous cancer treatment,” said Dr. Constance D. Lehman, author of two magazine articles on the problem and director of breast imaging at Massachusetts General Hospital. “I can’t imagine the fear of getting the scan and hearing. ‘We found a lump that is big. We don’t believe it is cancer, but we can’t tell, or worse, we believe it could be cancer. “

The armpit swelling was a recognized side effect in the large studies of the Moderna and Pfizer-BioNTech vaccines. In Moderna’s study, 11.6 percent of patients reported swollen lymph nodes after the first dose and 16 percent after the second dose. Pfizer-BioNTech appeared to have a lower incidence, with 0.3 percent of patients reporting it. However, these numbers only reflect what patients and their doctors have noticed, and radiologists say the real rate is likely higher and that imaging such as mammograms, MRIs, or CT scans are likely to have many more cases.

The condition was not listed among the reported side effects in a Food and Drug Administration information document about the Johnson & Johnson Covid vaccine. On Saturday, the agency approved the company’s emergency vaccine.

Dr. Lehman said it was important for imaging centers to ask patients if they received Covid vaccinations and to record the date of the shot and the arm it was placed in.

Your clinic includes this notice in a letter to patients whose screening reveals swelling but no other abnormalities: “The lymph nodes in your armpit area that we see on your mammogram are on the page where you got your last Covid-19 vaccine got bigger. Enlarged lymph nodes are common after the Covid-19 vaccine and are your body’s normal response to the vaccine. However, if you feel a lump in your armpit that lasts more than six weeks after your vaccination, you should tell your doctor. “

One way to avoid the problem is to postpone routine mammograms and other imaging tests for at least six weeks after the last dose of vaccine. This comes from a panel of experts article in Radiology magazine published on Wednesday.

Updated

March 1, 2021, 3:41 p.m. ET

A professional group, the Society of Breast Imaging, offers similar advice: “If possible and if care is not unduly delayed, you should schedule screening exams before the first dose of Covid-19 vaccine or 4-6 weeks after the second dose.” a Covid-19 vaccination. “

However, the panel of experts also warned that non-routine imaging, which is needed to treat a disease or other symptoms that could suggest cancer, should not be delayed. Immunization should also not take place.

People with cancer are generally recommended to get vaccinated against the coronavirus, especially because they are at a higher risk of dying from Covid than the general population. However, some cancer treatments can affect the body’s ability to fully respond to the vaccine, and the American Cancer Society advises patients to consult with their oncologists about vaccinations.

Recently vaccinated people who have cancer and develop enlarged lymph nodes may need additional tests, including a biopsy of the nodes, said Dr. Lehman.

She described a patient with a newly diagnosed breast tumor who had swollen lymph nodes on the same side and who had recently received a Covid shot in the arm on that side.

A biopsy was performed, an important step to determine if there were any malignant cells in the nodes, which would then help determine a course of treatment. It was negative for cancer. The vaccine most likely caused the swelling.

In another case, a woman who previously had cancer of the right breast had a routine mammogram that showed an enlarged lymph node in her left armpit and no other abnormality. She recently had a Covid vaccination on her left arm. Doctors found that no further testing would be needed if the swollen lumps did not last more than six weeks.

A man with a history of bone cancer did a chest CT scan as part of a follow-up exam found swollen lymph nodes in one armpit – on the side where he had recently received a Covid shot. Nothing else was wrong and no further testing was required. The same decision was made for similar findings in a recently vaccinated man who had a chest CT scan to screen for lung cancer and in a woman with a history of melanoma.

For patients undergoing cancer treatment in one breast, the Covid shot should be given in the arm on the other side, said Dr. Lehman. The vaccine can also be injected into the thigh to avoid problems with lymph node swelling.

“This could really affect a lot of people if we don’t get vaccination status straight away in imaging centers,” said Dr. Lehman. “I also want cancer patients to know that they can get the vaccine on the opposite side or even on the leg to avoid confusion.”

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These are the commonest unwanted side effects from J&J’s

A Johnson & Johnson logo is seen in this photo image in front of a medical syringe and vial of coronavirus vaccine.

Pavlo Gonchar | SOPA pictures | LightRocket | Getty Images

Headache, fatigue, and muscle aches were some of the most common side effects in people who received Johnson & Johnson’s one-off coronavirus vaccine in clinical trials, according to a report by the U.S. Food and Drug Administration released Wednesday.

In the report, FDA staff endorsed J & J’s one-shot coronavirus vaccine for approval for emergency use. If approved, it will be the third vaccine to be approved in the US after Pfizer-BioNTech and Moderna.

Post-vaccination side effects are common, doctors say, and usually signs that they are helping to protect against the disease. The FDA determined that the clinical trial results and safety data “are in accordance with the recommendations in the FDA guidelines on emergency approval of vaccines to prevent COVID-19.”

The most common, least severe “local” side effect among vaccinated subjects was injection site pain, which was reported by nearly half of vaccine recipients compared with about 17% in the placebo group. Skin redness or erythema and swelling were reported less frequently, the FDA said.

The most common “systemic” side effects, typically less common than local reactions but more serious, were headache and fatigue, according to the report. Almost 40% of people who received the vaccine reported having a headache, and just over 38% reported feeling tired.

More than 33% of people vaccinated said they had muscle pain, around 14% reported nausea, and under 10% had a fever, according to the report. Most of the side effects were reported in younger people ages 18 to 59, according to the FDA, although most age groups reported similar nausea rates.

FDA staff found that most people who received the vaccine were able to shake off the side effects within days of their shot.

While the rate of unexpected side effects was similar between the vaccine and placebo groups, there was a slight imbalance in some responses in the vaccine group compared to those given a placebo. The vaccine group reported 15 cases of “embolic and thrombotic events” or blood clots in 14 recipients compared to 10 in the placebo group.

There were also six cases of tinnitus, a ringing or buzzing in at least one ear, among vaccine recipients compared to none in the placebo group, the FDA found.

However, the agency said current data “is insufficient to establish a causal link between these events and the vaccine”.

The report found a “balanced” number of cases of Bell Paralysis, a condition in which half of your face falls off. The FDA previously announced that the condition would be monitored in recipients of other vaccines and noted that this isn’t necessarily a side effect, but it’s worth looking out for.

The FDA said there have been no reports of anaphylaxis – a serious and life-threatening allergic reaction that rarely occurs after vaccination – immediately after vaccination.

Some cases of anaphylaxis have been reported in people who received either Pfizer’s or Moderna’s shot, although researchers say they occurred in the range of cases reported for the influenza vaccine, according to a report published Friday by the U.S. Centers for the Disease control and prevention stating.

J&J first submitted its Covid vaccine data to the FDA on February 4th. While the vaccine’s level of protection varied by region, the company said the vaccine prevented 100% of hospital admissions and deaths.

– CNBC’s Berkeley Lovelace Jr. contributed to this report.

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Business

One Vaccine Aspect Impact: World Financial Inequality

LONDON – The end of the pandemic is finally in sight. This also applies to the rescue from the most traumatic global economic catastrophe since the Great Depression. With the entry of Covid vaccines into the bloodstream, recovery has become a reality.

However, the benefits will not be evenly distributed by far. Wealthy nations in Europe and North America have secured the bulk of limited vaccine supplies and positioned themselves for greatly improved economic fortunes. Developing countries – home to most of the people – need to secure their own doses.

The unilateral distribution of vaccines seems to be worsening a defining economic reality: the world that emerges from this terrible chapter in history will be more unequal than ever. Poor countries continue to be ravaged by the pandemic, forcing them to divert meager resources already strained by growing debt to lenders in the US, Europe and China.

The global economy has long been divided by profound differences in wealth, education, and access to vital elements such as clean water, electricity, and the internet. The pandemic has trained the death and livelihood destruction of ethnic minority groups, women and lower-income households. The ending is likely to add another divide that could shape economic life for years, separating countries with access to vaccines from countries without vaccines.

“It is clear that developing countries, and poorer developing countries in particular, will be excluded for some time,” said Richard Kozul-Wright, Director of Globalization and Development Strategies at the United Nations Conference on Trade and Development in Geneva. “Despite the understanding that vaccines must be considered a global good, their supply remains largely under the control of large pharmaceutical companies in the advanced economies.”

International aid agencies, philanthropists and wealthy nations have come together on a pledge to ensure that all countries have the tools necessary to fight the pandemic, such as protective equipment for medical teams, as well as tests, therapeutics and vaccines. But they failed to back their pledges with enough money.

Leading initiative, the Act Accelerator Partnership – a World Health Organization company and the Bill and Melinda Gates Foundation – has secured less than $ 5 billion out of $ 38 billion.

A group of developing countries, led by India and South Africa, tried to increase the supply of vaccines by making their own vaccines, ideally in collaboration with the pharmaceutical companies that made the leading versions. To ensure leverage, the group has suggested that the World Trade Organization abandon traditional intellectual property protections to allow poor countries to produce affordable versions of the vaccines.

The W.TO. works by consensus. The proposal has been blocked by the United States, Britain and the European Union, where pharmaceutical companies exercise political influence. The industry argues that patent protection and the benefits it brings are a prerequisite for the innovation that creates life-saving drugs.

Proponents of patent suspension note that many blockbuster drugs are brought to market through government funded research, arguing that doing so is a need to put the social good at the center of politics.

“The question really is,” is this a time to profit? “Said Mustaqeem De Gama, Councilor for the South African Mission to the WTO in Geneva.” We have seen governments shut down economies and curtail freedoms, but intellectual property is seen as so sacrosanct that it cannot be touched. “

In the rich countries that have secured access to vaccines, the public health emergency is currently solving the economic disaster. The restrictions that closed businesses could be lifted and bring significant economic benefits as early as March or April.

At the moment the picture is bleak. The United States, the world’s largest economy, has suffered the equivalent of September 11 death daily, which makes a return to normal seem far away. Large economies like the UK, France and Germany are locked again as the virus continues to gain momentum.

After a decline of 4.2 percent this year, the world economy is expected to grow by 5.2 percent next year, according to Oxford Economics. That forecast assumes annual growth of 4.2 percent in the US and an expansion of 7.8 percent in China, the second largest economy in the world where government measures have controlled the virus.

According to IHS Markit, given the spread of the virus, Europe will lag behind as the continent’s economy does not return to its pre-crisis size for two years. An agreement signed Thursday between the UK and the European Union that will keep much of their trade ties in place after Brexit has allayed worst fears of a slowdown in regional trade.

According to Oxford Economics, the long-term economic damage from the pandemic in so-called emerging countries will be twice as high as in wealthy countries by 2025.

Such predictions are notoriously inaccurate. A year ago, no one predicted a catastrophic pandemic. The variables that the global economy is currently facing are particularly large.

The manufacture of vaccines is fraught with challenges that could limit supply while their endurance and effectiveness are not fully understood. The economic recovery will be shaped by psychological issues. After the deepest shock in memory, how will societies exercise their freedom of movement once the virus is tamed? Will lock-exempt people come together in cinemas and airplanes?

Persistent aversion to the human community is likely to limit growth in the leisure and hospitality industries, which are major employers.

The pandemic has accelerated the advancement of e-commerce, leaving traditional brick and mortar retailers in a particularly vulnerable state. If a persistent sense of fear leads shoppers to avoid shopping malls, it could limit employment growth. Online retailers like Amazon have aggressively embraced automation, which means that increasing business doesn’t necessarily translate into quality jobs.

Many economists believe that if the vaccines relieve anxiety, people will head for out-of-bounds experiences, crowded restaurants, sporting events, and vacation destinations. Households saved because they canceled their vacation and talked at home.

“If people’s moods are relaxed and some of the restrictions lifted, there could be a loss of spending,” said Ben May, a global economist with Oxford Economics in London. “Much of this will be about the speed and degree to which people return to more normal behaviors. It’s very hard to know. “

But many developing countries will effectively live on another planet.

The United States has made claims for up to 1.5 billion doses of vaccine, while the European Union has blocked nearly two billion doses – enough to vaccinate all of its citizens and a few more. Many poor countries could wait until 2024 to fully vaccinate their populations.

High debt burdens limit the ability of many poor countries to pay for vaccines. Private creditors have refused to participate in a debt suspension initiative advocated by the group of 20.

The promised aid from the World Bank and the International Monetary Fund has turned out to be disappointing. At the IMF, the Trump administration has spoken out against the expansion of so-called special drawing rights – the institution’s basic currency – and has withdrawn additional resources from poor countries.

“The international response to the pandemic has been essentially pathetic,” said Kozul-Wright of the UN Trade Organization. “We are concerned that we will see the same thing again when the vaccines are distributed.”

One element of the Act Accelerator partnership, known as Covax, is supposed to allow poor countries to buy vaccines at affordable prices, but it collides with the reality that production is both limited and controlled by for-profit companies that face shareholders are responsible.

“Most of the people in the world live in countries where they rely on Covax for access to vaccines,” said Mark Eccleston-Turner, an international law and infectious disease expert at Keele University in England. “This is an extraordinary market failure. Access to vaccines is not needs-based. It is solvency based and Covax does not address this issue. “

On December 18, Covax officials announced a deal with pharmaceutical companies aimed at providing nearly two billion doses of vaccines to low- and middle-income countries. The agreement, which focuses on vaccine candidates that have not yet been approved, would provide enough doses to vaccinate a fifth of the population in 190 participating countries by the end of next year.

India is home to pharmaceutical manufacturers who make vaccines for multinational companies like AstraZeneca. However, according to TS Lombard, an investment research firm based in London, the population is unlikely to be fully vaccinated before 2024. The economy is likely to remain fragile.

Even if masses of people in poor countries do not have access to vaccines, their economies are likely to take advantage of the normalization of richer nations. In a world of inequality, growth can coincide with inequality.

If consumer power resumes in North America, Europe, and East Asia, it will boost demand for raw materials, rejuvenate copper mines in Chile and Zambia, and boost exports of soybeans harvested in Brazil and Argentina. Tourists will eventually return to Thailand, Indonesia, and Turkey.

However, some argue that the ravages of the pandemic in poor countries, largely unchecked by vaccines, could limit economic fate worldwide. If the poorest countries don’t get vaccines, the world economy will lose $ 153 billion in annual output, according to a recent study by the RAND Corporation.

“You need to vaccinate health care workers around the world so you can reopen global markets,” said Clare Wenham, a health policy expert at the London School of Economics. “If every country in the world can say, ‘We know that all of our vulnerable people are vaccinated,’ we can get back to the global capitalist trading system much faster.”

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Health

Moderna Covid vaccine unwanted effects: Fatigue, complications, muscle ache

Tony Potts, a 69-year-old retiree who lives in Ormond Beach, will receive his first injection as a participant in a Moderna-sponsored Phase 3 COVID-19 clinical vaccine trial on August 4, 2020 at Accel Research Sites in DeLand, Florida.

Paul Hennessy | NurPhoto | Getty Images

Fatigue, headaches, and muscle aches are the most common side effects of Moderna’s Covid-19 vaccine, along with some rare symptoms such as persistent nausea or vomiting and facial swelling that are likely caused by the gunfire. That is based on new data released Tuesday by Food and Drug Administration.

On the positive side, people over 64, who are also among the most severely affected by the disease, were generally better tolerated than younger people.

Vaccine side effects are common. It’s actually an immune response that indicates the shots are working as intended, doctors say. Many doctors advise the public to prepare for some more severe side effects than usual with the Covid-19 injections than, say, a typical flu shot, and possibly to take a day or two off to recover.

Moderna’s vaccine, which was approved by FDA officials on Tuesday, is more than 94% effective and safe enough to meet agency requirements for an emergency, according to the report. However, the regulator’s analysis found that the vaccine was associated with common and unpleasant, but not necessarily dangerous, side effects.

More than 9 out of 10 participants who received the vaccine felt pain at the injection site, nearly 7 out of 10 felt tired, and about 6 out of 10 had a headache or muscle pain, the FDA said.

More than 44% of people who received the vaccine reported having joint pain and over 43% reported having chills. The FDA found that more serious “serious side effects” occurred in 0.2% to 9.7% of participants, “occurring more often after the second dose than after the first. Like Pfizer’s Covid vaccine that the FDA approved last week, Moderna’s vaccine also requires two shots, separated by a few weeks.

According to the FDA, nearly 15% of vaccine participants had a fever after the first or second dose.

Some side effects were tough to shake, although most were resolved within a week, the FDA said. Less than 6% reported symptoms that lasted for at least a week after the shot, but that were similar to the placebo group. Some of the study participants had a fever that lasted for more than a week. Seven were in the vaccine group and four were given the placebo, the FDA found.

The FDA said there were seven “serious adverse events” in the study, but none of them were fatal. Four were attributed to the vaccine by investigators and Moderna, including persistent nausea and vomiting, facial swelling, and rheumatoid arthritis.

The FDA staff also recommended that people receiving the vaccine be monitored for possible cases of Bell’s palsy. This isn’t necessarily a side effect, but it’s worth looking out for now that four of the 30,000 participants in the study contract this condition, which causes half of your face to fall off.