After federal officials called for a nationwide pause in the use of the Johnson & Johnson coronavirus vaccine on April 13, a few vaccination efforts were disrupted in Pima County, but it hasn鈥檛 caused a widespread vaccine shortage.
鈥(The pause) does more to perhaps threaten equitable distribution, more so than the bigger picture of getting the absolute numbers we need to be successful,鈥 said Dr. Joe Gerald, an associate professor with the University of 蜜柚直播鈥檚 College of Public Health.
Health experts are using the pause to investigate a severe type of blood clot in six patients, out of the approximately 7 million people who have received this vaccine.
The Johnson & Johnson vaccine has accounted for a small fraction of all the vaccines administered in Pima County. Only about 4% of vaccinated people have been given it, according to an 蜜柚直播 analysis of Pima County vaccine data through April 12.
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However, of the approximately 17,800 Johnson & Johnson doses administered countywide, a higher percentage went to people in neighborhoods with more social vulnerability, as measured by an index of U.S. Census data.
The vast majority of vaccinated people have either received the Moderna or Pfizer vaccines. About 50% of vaccinated people have had at least one shot of the Moderna vaccine and 46% have had at least one dose of the Pfizer vaccine.
For some people, however, the Johnson & Johnson vaccine had advantages over the other two because it only requires one dose.
Public health experts point out this is especially true for those experiencing homelessness, residents in remote areas or workers who can鈥檛 take time off for a second appointment.
El Rio Health, the county鈥檚 largest medical and dental provider, had to cancel vaccinations for about 200 people in places like homeless shelters this past week when officials halted use of the Johnson & Johnson vaccine.
This is in addition to canceling hundreds of vaccination appointments for patients at El Rio clinics across the county, while they ordered more Moderna vaccines for next week, said Heidi Kurgat, El Rio pharmacy manager and quality director.
While the total number of administered Johnson & Johnson vaccines pales in comparison to the number of other vaccine regimens administered in Pima County, a higher percentage of Johnson & Johnson vaccines went to census tracts with high social vulnerability, according to the Star鈥檚 analysis of countywide vaccine data. Census tracts are roughly equivalent to neighborhoods.
A neighborhood鈥檚 social vulnerability score is measured by an index of U.S. Census data on income, age, race, language, housing type, occupation, education attainment, access to transportation and more.
This index is meant to help officials find areas that may need additional support preparing, weathering and recovering from disasters or hazardous events.
People in neighborhoods with the most social vulnerability have been vaccinated so far at a much lower rate than those in neighborhoods with less vulnerability.
Each neighborhood鈥檚 social vulnerability is scored on a scale from 0 to 1, with higher numbers indicating greater vulnerability. Pima County has more neighborhoods with higher social vulnerability scores than neighborhoods with lower social vulnerability scores.
People in the most vulnerable neighborhoods, those with a score of .75 or greater, have been vaccinated at a rate of about 297 per 1,000 people.
Meanwhile, people in the least vulnerable neighborhoods, those with a score of .25 or less, have been vaccinated at a rate of 562 per 1,000 people.
鈥淲e know in areas that have higher social vulnerability there were more cases and are more cases of COVID and death,鈥 said Jess Seline, the county鈥檚 health equity program manager.
鈥淪o it鈥檚 kind of the same tune as what鈥檚 been playing out in the whole pandemic, unfortunately.鈥
Pima County health officials are addressing this by using neighborhood social vulnerability scores, along with COVID-related metrics, such as the rate of cases and deaths, to decide where to send mobile vaccine clinics. They want to send these clinics to where people need them most and might otherwise have a hard time accessing a vaccine.
The single-dose Johnson & Johnson vaccine was one way to fully vaccinated more people in these areas faster.
The mobile vaccines have stopped using the Johnson & Johnson vaccine for now, along with the rest of the nation, but Seline said they have plenty of Moderna vaccines on hand.
Just because someone comes to a mobile clinic doesn鈥檛 mean they can鈥檛 come back for a second shot, although the one-dose option did make it easier, Seline added.
In Pima County, people who live in neighborhoods with the highest social vulnerability scores have received more Johnson & Johnson vaccines than people in the least vulnerable areas, according to the Star鈥檚 analysis of data.
The most vulnerable neighborhoods in Pima County have received 36% of all Johnson & Johnson vaccines.
The least vulnerable neighborhoods, received about 19% of Johnson & Johnson vaccines.
And the opposite is true for the Moderna and Pfizer vaccines. People in the most vulnerable neighborhoods have received a lower percentage of these vaccines than people in the least vulnerable neighborhoods.
Neighborhoods with a score of .25 or less received about 29% of the Moderna and Pfizer vaccine regimens, while neighborhoods with a score of .75 or more received about 20% of these regimens.
The county鈥檚 mobile vaccine clinics are meant to lower as many barriers as possible to help more people get vaccinated in vulnerable neighborhoods.
鈥淪o the idea is you don鈥檛 have to make an appointment. It鈥檚 free. Walk up or drive through. And another barrier could potentially, for some people, be having to go back again,鈥 Seline said.
鈥淛ohnson & Johnson was a great option for the mobile sites.鈥
Photos: COVID-19 vaccinations in 蜜柚直播, Pima County
COVID-19 vaccination clinic, retirement community

Otilia Aragon, a resident of The Fountains at La Cholla retirement community, reaches out to touch the face of her daughter Melinda Aragon-Morales, a pharmacist with CVS, who administered the Moderna vaccine to her mother during a Coronavirus (COVID-19) vaccination clinic at The Inn At The Fountains, 5830 N Fountains Ave., on Feb. 9, 2021. "I was really excited," Morales said about administering the vaccine to her mother, "especially in this kind of setting where we haven鈥檛 been able to see [family] in a long time." Morales had not seen her mother in several months due to the ongoing pandemic. The clinic is the first of two days where the 585 residents and staff at the retirement community will receive vaccinations for COVID-19.
COVID-19 vaccinations, University of 蜜柚直播 Mall

People are directed into the line at the University of 蜜柚直播's COVID-19 drive-thru vaccination facilities on the UA Mall in 蜜柚直播, Ariz., February 5, 2021.
COVID-19, clinic, TCC

The line wends though the parking lots and along the southeastern doors and windows outside the 蜜柚直播 Convention Center as hundreds wait in line for hours to get the first shot of the COVID-19 vaccine, 蜜柚直播, Ariz., February 4, 2021. The age cut off for vaccination was lowered to 70 years of age.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Resident Victor Braun laughs with a CVS Pharmacy health care worker after getting his first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. The facility's residents and staff were part of a two day vaccination program in conjunction with CVS Pharmacy and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

A health care worker with CVS Pharmacy preloads a syringe with the first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. The facility's residents and staff were part of a two day vaccination program in conjunction with CVS and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Gordon Starr quickly gets his first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Starr was among the facility's residents and staff taking part in a two day vaccination program in conjunction with CVS Pharmacy and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Nurse Jose Cruz helps member Nelda Clark get her next appointment photographed and stored in her phone after she got her first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. The facility's residents and staff were part of a two day vaccination program in conjunction with CVS Pharmacy and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

James Sugg gets his first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Shannon Ruedlinger, executive director of the facility said that 250 doses were scheduled to be administered to staff and residents there during their two day vaccination program.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Member Terrence Carden get his first dose of the Moderna COVID vaccine on the second day of a two program at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Shannon Ruedlinger, executive director of the facility said that 250 doses were scheduled to be administered to staff and residents there during their two day vaccination program.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Constance Jill Hofer gets her first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Shannon Ruedlinger, executive director of the facility said that 250 doses were scheduled to be administered to staff and residents there during their two day vaccination program. Vaccinations were administered in conjunction with CVS and members monitored by the facility's in-house TMCOne nurses.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Right now, Pima County is in Phase 1B of its vaccination plan and is inoculating people 70 and older, and law enforcement, education and child care providers.
COVID-19 vaccinations, Pima County

Clifford Daigler, registered nurse, receives a Pfizer COVID-19 vaccine at 蜜柚直播 Medical Center, 5301 E. Grant Rd., in 蜜柚直播, Ariz. on Dec. 17, 2020. Banner-University Medical Center and 蜜柚直播 Medical Center began administering Pfizer鈥檚 COVID-19 vaccines to healthcare workers in Pima County. TMC administered 1,100 total vaccines between their two clinic sites in the first day of vaccinations, said Claudia Koreny, director of pharmacy for TMC.
COVID-19 vaccinations, Pima County

Needles containing the Moderna vaccine in the 蜜柚直播 Medical Center drive-thru tent at, on Jan. 5, 2021.
COVID-19 vaccinations, Pima County

Ann Boice receives the Coronavirus (COVID-19) vaccine during the administration vaccination to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Annie Waits, a volunteer nurse and vaccinator, administers the Moderna vaccine to a patient in the drive-thru program at the 蜜柚直播 Medical Center, on Jan. 5, 2021.
COVID-19 vaccinations, Pima County

Steve Patalsky, left, associate director of pediatric bone-marrow transplant, goes over information about the COVID-19 vaccine with Sayea Jenabzadeh, nurse anesthetist, inside the COVID-19 vaccine observation stage at Banner-University Medicine North, 3838 N. Campbell Ave., in 蜜柚直播, Ariz. on Dec. 17, 2020. The first round of Pfizer's COVID-19 vaccines were given to healthcare workers at Banner-University Medical Center and 蜜柚直播 Medical Center.
COVID-19 vaccinations, Pima County

Amy Lopez, left, registered nurse in peri-operative service, and her husband Dr. Mike Lopez, anesthesiologist, talk while waiting for their 15 minutes observation period after receiving their COVID-19 vaccine at 蜜柚直播 Medical Center, 5301 E. Grant Rd., in 蜜柚直播, Ariz. on Dec. 17, 2020. The first round of Pfizer's COVID-19 vaccines are given in Pima County to healthcare workers at Banner-University Medical Center and 蜜柚直播 Medical Center. "It felt like a normal shot," said Amy Lopez. When asked if they were nervous, Dr. Mike Lopez answered "I was ready to be patient one."
COVID-19 vaccinations, Pima County

Samantha Penn, pharmacist, waits in line with other healthcare workers while people get checked-in for their COVID-19 vaccination appointments at 蜜柚直播 Medical Center, 5301 E. Grant Rd., in 蜜柚直播, Ariz. on Dec. 17, 2020.
COVID-19 vaccinations, Pima County

After receiving the second Pfizer COVID-19 vaccine in Pima County, Melissa Zukowski, medical director of emergency department at Banner-University Medicine 蜜柚直播, gives a thumbs-ups to her daughter Sophia Smallwood, left, at Banner-University Medicine North, 3838 N. Campbell Ave., in 蜜柚直播, Ariz. on Dec. 17, 2020.
COVID-19 vaccinations, Pima County

Leticia Riesgo, a City of 蜜柚直播 employee, helps check people into the vaccination clinic for Phase 1B.1.b Prioritized Essential Workers at the 蜜柚直播 Convention Center, on Jan. 21, 2021. The TCC clinic administered 686 out of a projected 600 vaccines on Jan. 20. They were over 300 vaccinations at midday on Jan. 21.
COVID-19 vaccinations, Pima County

A person walks past a sign for the vaccination clinic for Phase 1B.1.b Prioritized Essential Workers at the 蜜柚直播 Convention Center, on Jan. 21, 2021.
COVID-19 vaccinations, Pima County

Iris Delfakis, oncology nurse navigator for the 蜜柚直播 Cancer Center, looks to other nurses as she waits to receive a Pfizer COVID-19 vaccine from nurse Cristina Torres.
at Banner-University Medicine North, 3838 N. Campbell Ave., in 蜜柚直播, Ariz. on Dec. 17, 2020. The first round of Pfizer鈥檚 COVID-19 vaccines are given in Pima County went to healthcare workers at Banner-University Medical Center and 蜜柚直播 Medical Center.
COVID-19 vaccinations, Pima County

蜜柚直播 Police Officer聽Roman Acosta聽is administered the Moderna vaccine at a Coronavirus (COVID-19) vaccine clinic at the 蜜柚直播 Convention Center located at 260 S. Church Ave., on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Tal Caspi, a volunteer, answers questions for members of the public before they receive their first vaccine shot for the coronavirus at the Kino Sports Complex, 2500 E. Ajo Way in 蜜柚直播, Ariz., on January 18, 2021. Members of the public who fall into the Phase 1B group are eligible for the vaccine at this time. Phase 1B includes people over 75 years old, educators and first responders.
COVID-19 vaccinations, Pima County

Tom Woythal, 85, and his wife, Elizabeth, 82, wait for their opportunity to receive a vaccination shot for the coronavirus at the Kino Sports Complex, 2500 E. Ajo Way in 蜜柚直播, Ariz., on January 18, 2021. Woythal says he had been waiting 55 minutes but was happy to wait. Members of the public who fall into the Phase 1B group are eligible for the vaccine at this time. Phase 1B includes people over 75 years old, educators and first responders.
COVID-19 vaccinations, Pima County

A patient looks over paperwork while waiting 15 minutes after receiving the Coronavirus (COVID-19) vaccine at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

蜜柚直播 Police Department Chief Chris Magnus receives the Moderna vaccine at a Coronavirus (COVID-19) vaccine clinic at the 蜜柚直播 Convention Center located at 260 S. Church Ave., on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

People wait in the to be given the Coronavirus (COVID-19) vaccine as members of the public who meet the 1B priority eligibility are now being allowed to receive the vaccination at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

People eligible for the 1B phase of Coronavirus (COVID-19) vaccination stand in line outside the 蜜柚直播 Medical Center's Marshal Center to receive the shot, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

A pharmacist prepares a Coronavirus (COVID-19) vaccine to be administered to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Sgt. Michael Moseley receives the Coronavirus (COVID-19) vaccine during the administration of the vaccination to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

People eligible for the 1B phase of Coronavirus (COVID-19) vaccination stand in line outside the 蜜柚直播 Medical Center's Marshal Center to receive the shot, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Pharmacists prepare Coronavirus (COVID-19) vaccinations to be administered to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Mike Collier, a volunteer doctor with the Medical Reserve Corps, administers a Coronavirus (COVID-19) vaccine while working his shift in the drive-thru vaccination program at the 蜜柚直播 Medical Center, on Jan. 8, 2021.
COVID-19 vaccinations, Pima County

鈥淲e thought this would be a more efficient and timely process,鈥 says 蜜柚直播 AARP director Dana Kennedy. 鈥淒id they overpromise?鈥
COVID-19 vaccinations, Pima County

Pharmacist Keith Boesen (right) drops off needles containing the Coronavirus (COVID-19) vaccine at the station of Mike Collier (left), a volunteer doctor with the Medical Reserve Corps, during the drive-thru vaccination program at the 蜜柚直播 Medical Center, on Jan. 8, 2021.