Provider Resources WA

05/19/22 Health Advisory: Severe Hepatitis of Unknown Cause in Children

Requested actions Be aware cases of severe hepatitis are occurring in children in the United States and worldwide. Consider adenovirus testing for pediatric patients with hepatitis of unknown cause. Report suspected cases to the Health Department. Call (253) 649-1412. A suspected case is a child with elevated AST or ALT (>500 U/L) with hepatitis of 05/19/22 Health Advisory: Severe Hepatitis of Unknown Cause in Children

05/12/22 Health Advisory: FDA Limits Use of Johnson & Johnson COVID-19 Vaccine.

Syringe in vial

Requested actions Background FDA limited the authorized use of J&J to people age 18 years and older: This decision came after FDA analyzed, evaluated and investigated reported cases of TTS after getting J&J. TTS is rare and includes potentially life-threatening blood clots in combination with low levels of blood platelets. Symptoms typically start 1–2 weeks 05/12/22 Health Advisory: FDA Limits Use of Johnson & Johnson COVID-19 Vaccine.

05/05/22 Health Advisory: Colorado person first U.S. case of H5 bird flu

Black triangle with ! "Health Advisory" on yellow background

A person in Colorado tested positive for avian influenza A(H5N1) virus (H5 bird flu), Colorado Department of Public Health and Environment reported April 28, 2022. Centers for Disease Control and Prevention (CDC) confirmed it is the first U.S. case of H5 bird flu. The person was involved in the culling of poultry with presumptive H5 05/05/22 Health Advisory: Colorado person first U.S. case of H5 bird flu

04/27/22 Health Advisory: CDC Treatment Updates and ACIP discusses eligibility for second booster dose of COVID-19 vaccine

hands in blue medical gloves holding a syringe and drawing from a vile

Requested actions Be aware, on April 25, 2022, Centers for Disease Control and Prevention (CDC) issued a Health Alert Network (HAN) advisory about the availability and use of recommended COVID-19 therapies. It also advised against using unproven treatments that have known or potential harm. Follow National Institutes of Health (NIH) COVID-19 treatment guidelines and use 04/27/22 Health Advisory: CDC Treatment Updates and ACIP discusses eligibility for second booster dose of COVID-19 vaccine

04/08/22 Health Advisory: COVID-19 Information for Providers

Female doctor with file in front of them with two other doctors at a microscope in the background.

Requested actions Be aware, on March 29, 2022, Food and Drug Administration (FDA) amended its emergency use authorization (EUA) for Moderna COVID-19 booster dose vaccine. A new multi-dose vial is now available. It has a dark blue cap and a label with a purple border. Doses from this vial are 0.5 mL. Multi-dose vials are 04/08/22 Health Advisory: COVID-19 Information for Providers

03/30/22 Health Advisory: CDC endorses second booster dose of mRNA COVID-19 vaccine for certain groups

Syringe in vial

Requested actions Be aware, Centers for Disease Control and Prevention (CDC) and Western States Scientific Safety Review Workgroup endorsed Food and Drug Administration’s (FDA’s) emergency use authorization (EUA) of a second booster dose of Pfizer or Moderna COVID-19 vaccines for specific groups. The EUA allows: A second booster dose of Pfizer COVID-19 vaccine at least 03/30/22 Health Advisory: CDC endorses second booster dose of mRNA COVID-19 vaccine for certain groups

03/07/22 Health Advisory: Update on Johnson & Johnson vaccine ordering and guidance for healthcare settings

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Requested actions Be aware, on March 4, Washington State Department of Health (DOH) discontinued ordering Johnson & Johnson COVID-19 vaccine because inventory is very low at Centers for Disease Control and Prevention (CDC) in Washington Immunization Information System (IIS). We encourage providers to post and look for available doses on IIS vaccine advertisement page. Email 03/07/22 Health Advisory: Update on Johnson & Johnson vaccine ordering and guidance for healthcare settings

02/25/22 Health Advisory: COVID-19 Updates for Providers

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Requested actions Be aware, on Feb. 22, Centers for Disease Control and Prevention (CDC) revised its COVID-19 vaccine clinical considerations. An 8-week interval between first and second doses of mRNA COVID-19 vaccine (Moderna and Pfizer) may be optimal for males 12–39 years old to reduce risk of myocarditis and increase efficacy. CDC still recommends a 02/25/22 Health Advisory: COVID-19 Updates for Providers

02/14/22 Health Advisory: CDC Updated Covid-19 Vaccination Guidelines; FDA Postponed its pediatric Covid-19 Vaccination Review

person wearing white coat and stethoscope writing on a clipboard

COVID-19 Updates for Providers Requested actions Be aware, on February 11, the Centers for Disease Control and Prevention updated their guidance for COVID-19 vaccination to include: For people who are moderately or severely immunocompromised: People who have completed a primary series of an mRNA vaccine (Pfizer-BioNTech or Moderna) are recommended to receive an mRNA booster 02/14/22 Health Advisory: CDC Updated Covid-19 Vaccination Guidelines; FDA Postponed its pediatric Covid-19 Vaccination Review

02/01/22 Health Advisory: FDA Provides Full Approval For Spikevax

Female doctor with file in front of them with two other doctors at a microscope in the background.

COVID-19 Updates for Providers Requested actions Be aware, U.S. Food and Drug Administration (FDA) granted full authorization to Moderna COVID-19 vaccine for people 18 years or older. Evidence shows the vaccine is safe and effective and manufactured with high quality. The vaccine will now be called Spikevax but has the same formulation as emergency use 02/01/22 Health Advisory: FDA Provides Full Approval For Spikevax