UK begins rollout of Pfizer’s coronavirus vaccine: Here is what you must know


Margaret Keenan, 90, is applauded by staff as she returns to her ward after becoming first patient in Britain to receive the Pfizer/BioNtech COVID-19 vaccine at University Hospital, at the start of the largest ever immunisation programme in the British history, in Coventry, Britain December 8, 2020.

Jacob King | Reuters

LONDON — As the U.K. rolls out its first coronavirus vaccine to the public, becoming the first country to inoculate people with a fully-tested jab, there are many practical questions about the historic program.

Ninety-year-old Margaret Keenan on Tuesday became the first person in the world to receive the Pfizer-BioNTech vaccine outside of trial conditions. The new shot was approved by the U.K. drug regulator last week.

Here, CNBC answers some of the more popular questions being asked about the vaccine and its rollout:

Why was the UK first to approve the vaccine?

Last Wednesday, the U.K. Medicines and Healthcare products Regulatory Agency (MHRA), became the first regulator in the world to grant emergency authorization to the Pfizer-BioNTech vaccine for use.

When question marks were raised about the speed of the MHRA’s authorization, it said it had been carrying out a “rolling review” of the vaccine data as it emerged over the course of clinical trials, and was thus able to make a quick, yet well-informed, decision.

“A dedicated team of MHRA scientists and clinicians carried out a rigorous, scientific and detailed review of all the available data, starting in October 2020,” the U.K. government noted in a statement.

“A ‘rolling review’ can be used to complete the assessment of a promising medicine or vaccine during a public health emergency in the shortest time possible. This is done as the packages of data become available from ongoing studies on a staggered basis,” it added.

“The MHRA expert scientists and clinicians reviewed data from the laboratory pre-clinical studies, clinical trials, manufacturing and quality controls, product sampling and testing of the final vaccine and also considered the conditions for its safe supply and distribution.”

Who made the vaccine?

The new shot in the U.K. is the result of a joint effort between U.S. pharmaceutical giant Pfizer and German biotechnology company BioNTech.

The vaccine that is being supplied to Europe, and all of the U.K.’s 40 million doses (to be delivered in stages with the whole order completed by the end of 2021) come from Pfizer’s manufacturing hub in Puurs, Belgium.

How long does the Pfizer vaccine last?

This is the million-dollar question and one that, due to the unprecedented speed of development alongside other coronavirus vaccines, we do not know yet.

Pfizer said in early November, when the companies released their first interim analysis of their Phase 3 clinical trial, that “participants will continue to be monitored for long-term protection and safety for an additional two years after their second dose.”

As clinical trials have only taken place this year, it’s too early to know the duration of the protection it offers against Covid-19 infection. The coronavirus vaccine, like the flu vaccine, could even become an annual jab, or people could require boosters in future.

Which countries have approved the Pfizer vaccine?

So far only the U.K. has approved the Pfizer-BioNTech vaccine.

The U.S. Food and Drug Administration could make a decision later this week (on Thursday) and the European Medicines Agency has said it will conclude a review into the vaccine by Dec. 29.

On Tuesday, the FDA said the data from Pfizer’s trials was consistent with recommendations put forth by the agency for an emergency use authorization.

It also said the vaccine was highly effective and did not raise any specific safety concerns.

Who is getting the vaccine first?

Fifty hospitals in the U.K. are acting as vaccine “hubs” to deliver the shots initially.

Front-line health workers, care home workers and those aged over 80 will receive the vaccine first, before it is given more widely among the U.K. population.

Inoculations will later be given in other community health care centers, like doctors’ surgeries.

Which hospitals are getting the vaccine first?

The 50 hospitals in the first wave of vaccinations are:

Mid and South Essex NHS Foundation TrustMilton Keynes University Hospital NHS Foundation TrustEast Suffolk And North Essex NHS Foundation TrustNorth West Anglia NHS Foundation TrustJames Paget University Hospitals NHS Foundation TrustNorfolk And Norwich University Hospitals NHS Foundation TrustCambridge University Hospital NHS Foundation TrustEast and North Hertfordshire NHS TrustRoyal Free London NHS Foundation TrustGuy’s and St Thomas’ NHS Foundation TrustCroydon Health Services NHS TrustSt George’s University Hospitals NHS Foundation TrustKing’s College Hospital NHS Foundation TrustKing’s College Hospital NHS Foundation TrustWalsall Healthcare NHS TrustChesterfield Royal Hospital NHS Foundation TrustSherwood Forest Hospitals NHS Foundation TrustUniversity Hospitals Coventry And Warwickshire NHS TrustRoyal Stoke HospitalNorthampton General Hospital NHS TrustUniversity Hospitals of Derby and Burton NHS Foundation TrustUnited Lincolnshire Hospitals NHS TrustNottingham University Hospitals NHS TrustShrewsbury And Telford Hospital NHS TrustSheffield Teaching Hospitals NHS Foundation TrustNorth Cumbria Integrated Care NHS Foundation TrustHull University Teaching Hospitals NHS TrustThe Newcastle Upon Tyne Hospitals NHS Foundation TrustLeeds Teaching Hospitals NHS TrustSouth Tees NHS TrustWirral University Teaching HospitalLiverpool University Hospitals NHS Foundation TrustCountess of Chester Hospital NHS Foundation TrustSalford Royal NHS Foundation TrustStockport NHS Foundation TrustBlackpool Teaching HospitalLancashire Teaching Hospital TrustFrimley Health NHS Foundation Trust – Wexham Park HospitalOxford University Hospitals NHS Foundation TrustEast Kent Hospitals NHS Foundation Trust – William Harvey HospitalBrighton And Sussex University Hospitals NHS Trust –  Royal Sussex County HospitalPortsmouth University Hospitals TrustRoyal Surrey NHS Foundation TrustYeovil District Hospital NHS Foundation TrustDorset County Hospital NHS Foundation TrustRoyal Cornwall Hospitals NHS TrustUniversity Hospitals Plymouth NHS TrustGreat Western Hospitals NHS Foundation TrustGloucestershire Hospitals NHS Foundation TrustNorth Bristol NHS Trust


Katherine Clark