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COVID-19 Vaccines: What Does the Evidence Say about Delaying the Second Dose?
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COVID-19 Vaccines: What Does the Evidence Say about Delaying the Second Dose ?

Debate continues around whether delaying second COVID-19 vaccine doses is a reasonable strategy amid global supply shortages. Several governments and advisory bodies have extended the interval between doses to increase first-dose coverage, hoping to curb transmission and ease pressure on strained health systems. Early trial data suggest one dose of Pfizer, Moderna, or AstraZeneca offers meaningful short-term protection, but evidence on durability and long-term efficacy with delayed boosting is limited. Concerns also persist about fostering partially immune populations that could encourage vaccine-resistant variants and reduce public confidence. With modelling studies hinting at potential population-level benefits, the balance between urgency, safety, and scientific certainty remains unsettled, underscoring the need for stronger empirical data.

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  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
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OrthoEvidence. COVID-19 Vaccines: What Does the Evidence Say about Delaying the Second Dose?. OE Original. 2021. Available from: https://myorthoevidence.com/Original/Show/covid-19-vaccines-what-does-the-evidence-say-about-delaying-the-second-dose

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