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How the Pfizer-BioNTech
Vaccine Works
By Jonathan Corum and Carl ZimmerUpdated
May 7, 2021
Prepared By
Yousef Elshrek
• The German company BioNTech partnered with Pfizer to develop and test
a coronavirus vaccine known as BNT162b2, the generic
name tozinameran or the brand name Comirnaty..
• A clinical trial demonstrated that the vaccine has an efficacy rate of over 90
percent in preventing Covid-19.
• Producing a batch of the Pfizer-BioNTech vaccine currently takes 60 days.
• The Pfizer–BioNTech COVID-19 vaccine (INN: tozinameran), sold under the
brand name Comirnaty, is an mRNA-based COVID-19 vaccine.
• It is authorized for use in people aged 12 years and older to provide protection
against infection by the SARS-CoV-2 virus, which causes COVID-19.
• BioNTech, a German company, developed the vaccine and collaborated with
Pfizer, an American company, for support with clinical trials, logistics, and
manufacturing.
• In China, BioNTech is partnered with China-based Fosun Pharma for
development, marketing, and distribution rights and the vaccine is colloquially
described as the Fosun–BioNTech COVID-19 vaccine.
• The vaccine is given by intramuscular injection.
• It is composed of nucleoside-modified mRNA (modRNA) encoding a mutated
form of the full-length spike protein of SARS-CoV-2, which is encapsulated in
lipid nanoparticles.
• Vaccination requires two doses given three weeks apart.
• A PIECE OF THE CORONAVIRUS
• The SARS-CoV-2 virus is studded with
proteins that it uses to enter human cells.
• These so-called spike proteins make a
tempting target potential for vaccine and
treatments.
• Like the Moderna vaccine, the Pfizer-
BioNTech vaccine is based on the
virus’s genetic instructions for building
the spike protein
• mRNA INSIDE AN OILY SHELL
• The vaccine uses messenger RNA, genetic
material that our cells read to make
proteins.
• The molecule — called mRNA for short —
is fragile and would be chopped to pieces
by our natural enzymes if it were injected
directly into the body.
• To protect their vaccine, Pfizer and
BioNTech wrap the mRNA in oily bubbles
made of lipid nanoparticles.
• Because of their fragility, the mRNA molecules will quickly fall apart at
room temperature.
• Pfizer is building special containers with dry ice, thermal sensors and GPS
trackers to ensure the vaccines can be transported at –94°F (–70°C) to stay
viable.
• ENTERING A CELL
• After injection, the vaccine particles bump into
cells and fuse to them, releasing mRNA.
• The cell’s molecules read its sequence and build
spike proteins.
• The mRNA from the vaccine is eventually
destroyed by the cell, leaving no permanent trace.
• Some of the spike proteins form spikes that migrate to
the surface of the cell and stick out their tips.
• The vaccinated cells also break up some of the
proteins into fragments, which they present on their
surface.
• These protruding spikes and spike protein fragments
can then be recognized by the immune system.
• SPOTTING THE INTRUDER
• When a vaccinated cell dies, the
debris will contain many spike
proteins and protein fragments,
which can then be taken up by a
type of immune cell called an
antigen-presenting cell.
• The cell presents fragments of the
spike protein on its surface.
• When other cells called helper T
cells detect these fragments, the
helper T cells can raise the alarm
and help marshal other immune
cells to fight the infection.
• MAKING ANTIBODIES
• Other immune cells, called B cells,
may bump into the coronavirus
spikes on the surface of vaccinated
cells, or free-floating spike protein
fragments.
• A few of the B cells may be able
to lock onto the spike proteins.
• If these B cells are then activated
by helper T cells, they will start to
proliferate and pour out antibodies
that target the spike protein.
• STOPPING THE VIRUS
• The antibodies can latch onto
coronavirus spikes, mark the
virus for destruction and
prevent infection by blocking
the spikes from attaching to
other cells.
• KILLING INFECTED CELLS
• The antigen-presenting cells can
also activate another type of
immune cell called a killer T cell
to seek out and destroy
any coronavirus-infected cells that
display the spike protein
fragments on their surfaces.
https://muschealth.org/-/sm/health/blog/i/2020/covid-vaccine-components.ashx?h=279&w=530&hash=45033470EDEF0DD504D9D959556B520925CDC612&la=en
• REMEMBERING THE VIRUS
• The Pfizer-BioNTech vaccine requires two injections, given 21 days
apart, to prime the immune system well enough to fight off the
coronavirus.
• But because the vaccine is so new, researchers don’t know how long
its protection might last.
• A preliminary study found that the vaccine seems to offer strong
protection about 10 days after the first dose, compared with people taking a
placebo:
• It’s possible that in the months after vaccination, the number of
antibodies and killer T cells will drop.
• But the immune system also contains special cells called memory B
cells and memory T cells that might retain information about the
coronavirus for years or even decades.
• PREPARATION AND INJECTION
• Each vial (bottle) of the vaccine
contains 5 doses of 0.3 milliliters.
• The vaccine must be thawed before
injection and diluted with saline.
• After dilution the vial must be used
within six hours.
A diluted vial of the vaccine at Royal Free Hospital in
London.Jack Hill/Agence France-Presse
• VACCINE TIMELINE
• January 2020 BioNTech begins work on a vaccine after Dr. Ugur Sahin, one
of the company’s founders, becomes convinced that the coronavirus will
spread from China into a pandemic.
• March BioNTech and Pfizer agree to collaborate.
• May The companies launch a Phase 1/2 trial on two versions of a mRNA
vaccine. One version, known as BNT162b2, had fewer side effects.
• July 22 The Trump administration awards a $1.9 billion contract for 100
million doses to be delivered by December, with an option to acquire 500
million more doses, if the vaccine is authorized by the Food and Drug
Administration.
• July 27 The companies launch a Phase 2/3 trial with 30,000 volunteers in the
United States and other countries, including Argentina, Brazil and Germany.
• Sept. 12 Pfizer and BioNTech announce they will seek to expand their U.S.
trial to 44,000 participants.
• Nov. 9 Preliminary data indicates the Pfizer vaccine is over 90 percent
effective, with no serious side effects. The final data from the trial
shows the efficacy rate is 95 percent.
• Nov. 20 Pfizer requests an emergency use authorization from the
F.D.A.
• Dec. 2 Britain gives emergency authorization to Pfizer and
BioNTech’s vaccine, becoming the first Western country to give such
an approval to a coronavirus vaccine.
• Dec. 8 William Shakespeare, age 81, is among the first people to
receive a shot of the vaccine in Britain, on the first day of vaccinations
for at-risk health care workers and people over 80.
• Dec. 9 Canada authorizes the Pfizer-BioNTech vaccine.
• Dec. 10 Saudi Arabia approves the vaccine.
• Dec. 11 The F.D.A. grants Pfizer-BioNTech vaccine the
first emergency use authorization for a coronavirus vaccine in the
United States. Mexico also approves the vaccine for emergency use.
• Dec. 14 Vaccination begins in the United States.
• Dec. 21The European Union authorizes the vaccine.
• Dec. 31 Pfizer expects to produce up to 50 million doses by the end of the
year, and up to 1.3 billion doses in 2021. Each vaccinated person will require
two doses.
• January 2021 Scientists grow concerned about the emergence of fast-
spreading variants that might be able to evade antibodies. Tests on a variant
called P.1, first identified in Brazil, show that Comirnaty will likely work
against it as well. However, researchers find that antibodies produced by
Comirnaty are somewhat less effective against another variant
called B.1.351, first identified in South Africa.
• Feb. 15 Pfizer and BioNTech register a trial specifically for pregnant women.
• Feb. 26 The companies announce a study to develop a B.1.351-specific
booster.
• April 16 Pfizer says their vaccine may require a third dose within a
year of the initial inoculation, followed by annual vaccinations.
• April 20 Some vaccinated people are professing loyalty to the brand
they happened to have received.
• April 25 Nearly 8 percent of Americans who got initial Pfizer or
Moderna shots have missed their second doses.
• April 28 Pfizer has delivered more than 150 million doses of the
vaccine to the United States and expects to double that number by
mid-July.
1. May 7 Pfizer and BioNTech apply for full approval from the U.S.
Food and Drug Administration.
REFERENCES
1. National Center for Biotechnology Information; Nature; Florian Krammer,
Icahn School of Medicine at Mount Sinai.
2. Pfizer/BioNTech:
https://www.nytimes.com/interactive/2020/health/pfizer-biontech-covid-
19-vaccine.html
3. Browne R 2020. "What you need to know about BioNTech – the European
company behind Pfizer's Covid-19 vaccine".
4. Thomas K, Gelles D, Zimmer C (2020). "Pfizer's early data shows vaccine
is more than 90% effective". The New York Times..
5. Burger L (2020). "BioNTech in China alliance with Fosun over coronavirus
vaccine candidate". Reuters.
6. "Fosun Pharma and BioNTech form COVID-19 vaccine strategic alliance
in China" (Press release) (2021). Fosun Pharma.
7. BioNTech and Fosun Pharma to Supply China with mRNA-based
COVID-19 Vaccine (Press release) 2020.
8. Burger, Ludwig (2020). "BioNTech in China alliance with Fosun over
potential coronavirus vaccine". Reuters.
9. BioNTech struck a collaboration deal with Shanghai Fosun
Pharmaceutical over the German biotech firm's rights in China to an
experimental coronavirus vaccine, the latest gambit in a global race to
halt the pandemic.
10. BioNTech, Fosun start Phase II trial of COVID-19 vaccine in China"..
2020. BioNTech and Shanghai Fosun Pharmaceutical said on Wednesday
they would launch a Phase II clinical trial of BioNTech's experimental
COVID-19 vaccine in China.
11. BioNTech and Fosun Pharma Jointly Announce the Arrival of the First
Batch of COVID-19 mRNA Vaccine in Hong Kong and Macau" (Press
release). Fosun Pharma. 2021.
12. BioNTech and China partner, not Pfizer, 2020 to produce HK shots". The
Standard.
13. Walsh EE, Frenck RW, Falsey AR, Kitchin N, Absalon J, Gurtman A,
(2020). "Safety and Immunogenicity of Two RNA-Based Covid-19 Vaccine
Candidates". The New England Journal of Medicine. 383 (25): 2439–50.
14. Clinical trial number NCT04368728 for "NCT04368728: Study to Describe
the Safety, Tolerability, Immunogenicity, and Efficacy of RNA Vaccine
Candidates Against COVID-19 in Healthy Individuals" at
ClinicalTrials.gov
15. Palca J. (2020). "Pfizer says experimental COVID-19 vaccine is more than
90% effective". NPR.

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How the pfizer bio n-tech vaccine works

  • 1. How the Pfizer-BioNTech Vaccine Works By Jonathan Corum and Carl ZimmerUpdated May 7, 2021 Prepared By Yousef Elshrek
  • 2. • The German company BioNTech partnered with Pfizer to develop and test a coronavirus vaccine known as BNT162b2, the generic name tozinameran or the brand name Comirnaty.. • A clinical trial demonstrated that the vaccine has an efficacy rate of over 90 percent in preventing Covid-19. • Producing a batch of the Pfizer-BioNTech vaccine currently takes 60 days.
  • 3. • The Pfizer–BioNTech COVID-19 vaccine (INN: tozinameran), sold under the brand name Comirnaty, is an mRNA-based COVID-19 vaccine. • It is authorized for use in people aged 12 years and older to provide protection against infection by the SARS-CoV-2 virus, which causes COVID-19. • BioNTech, a German company, developed the vaccine and collaborated with Pfizer, an American company, for support with clinical trials, logistics, and manufacturing. • In China, BioNTech is partnered with China-based Fosun Pharma for development, marketing, and distribution rights and the vaccine is colloquially described as the Fosun–BioNTech COVID-19 vaccine. • The vaccine is given by intramuscular injection. • It is composed of nucleoside-modified mRNA (modRNA) encoding a mutated form of the full-length spike protein of SARS-CoV-2, which is encapsulated in lipid nanoparticles. • Vaccination requires two doses given three weeks apart.
  • 4. • A PIECE OF THE CORONAVIRUS • The SARS-CoV-2 virus is studded with proteins that it uses to enter human cells. • These so-called spike proteins make a tempting target potential for vaccine and treatments. • Like the Moderna vaccine, the Pfizer- BioNTech vaccine is based on the virus’s genetic instructions for building the spike protein
  • 5. • mRNA INSIDE AN OILY SHELL • The vaccine uses messenger RNA, genetic material that our cells read to make proteins. • The molecule — called mRNA for short — is fragile and would be chopped to pieces by our natural enzymes if it were injected directly into the body. • To protect their vaccine, Pfizer and BioNTech wrap the mRNA in oily bubbles made of lipid nanoparticles. • Because of their fragility, the mRNA molecules will quickly fall apart at room temperature. • Pfizer is building special containers with dry ice, thermal sensors and GPS trackers to ensure the vaccines can be transported at –94°F (–70°C) to stay viable.
  • 6. • ENTERING A CELL • After injection, the vaccine particles bump into cells and fuse to them, releasing mRNA. • The cell’s molecules read its sequence and build spike proteins. • The mRNA from the vaccine is eventually destroyed by the cell, leaving no permanent trace. • Some of the spike proteins form spikes that migrate to the surface of the cell and stick out their tips. • The vaccinated cells also break up some of the proteins into fragments, which they present on their surface. • These protruding spikes and spike protein fragments can then be recognized by the immune system.
  • 7. • SPOTTING THE INTRUDER • When a vaccinated cell dies, the debris will contain many spike proteins and protein fragments, which can then be taken up by a type of immune cell called an antigen-presenting cell. • The cell presents fragments of the spike protein on its surface. • When other cells called helper T cells detect these fragments, the helper T cells can raise the alarm and help marshal other immune cells to fight the infection.
  • 8. • MAKING ANTIBODIES • Other immune cells, called B cells, may bump into the coronavirus spikes on the surface of vaccinated cells, or free-floating spike protein fragments. • A few of the B cells may be able to lock onto the spike proteins. • If these B cells are then activated by helper T cells, they will start to proliferate and pour out antibodies that target the spike protein.
  • 9. • STOPPING THE VIRUS • The antibodies can latch onto coronavirus spikes, mark the virus for destruction and prevent infection by blocking the spikes from attaching to other cells.
  • 10. • KILLING INFECTED CELLS • The antigen-presenting cells can also activate another type of immune cell called a killer T cell to seek out and destroy any coronavirus-infected cells that display the spike protein fragments on their surfaces.
  • 12. • REMEMBERING THE VIRUS • The Pfizer-BioNTech vaccine requires two injections, given 21 days apart, to prime the immune system well enough to fight off the coronavirus. • But because the vaccine is so new, researchers don’t know how long its protection might last.
  • 13. • A preliminary study found that the vaccine seems to offer strong protection about 10 days after the first dose, compared with people taking a placebo:
  • 14. • It’s possible that in the months after vaccination, the number of antibodies and killer T cells will drop. • But the immune system also contains special cells called memory B cells and memory T cells that might retain information about the coronavirus for years or even decades.
  • 15. • PREPARATION AND INJECTION • Each vial (bottle) of the vaccine contains 5 doses of 0.3 milliliters. • The vaccine must be thawed before injection and diluted with saline. • After dilution the vial must be used within six hours. A diluted vial of the vaccine at Royal Free Hospital in London.Jack Hill/Agence France-Presse
  • 16. • VACCINE TIMELINE • January 2020 BioNTech begins work on a vaccine after Dr. Ugur Sahin, one of the company’s founders, becomes convinced that the coronavirus will spread from China into a pandemic. • March BioNTech and Pfizer agree to collaborate. • May The companies launch a Phase 1/2 trial on two versions of a mRNA vaccine. One version, known as BNT162b2, had fewer side effects. • July 22 The Trump administration awards a $1.9 billion contract for 100 million doses to be delivered by December, with an option to acquire 500 million more doses, if the vaccine is authorized by the Food and Drug Administration. • July 27 The companies launch a Phase 2/3 trial with 30,000 volunteers in the United States and other countries, including Argentina, Brazil and Germany. • Sept. 12 Pfizer and BioNTech announce they will seek to expand their U.S. trial to 44,000 participants.
  • 17. • Nov. 9 Preliminary data indicates the Pfizer vaccine is over 90 percent effective, with no serious side effects. The final data from the trial shows the efficacy rate is 95 percent. • Nov. 20 Pfizer requests an emergency use authorization from the F.D.A. • Dec. 2 Britain gives emergency authorization to Pfizer and BioNTech’s vaccine, becoming the first Western country to give such an approval to a coronavirus vaccine. • Dec. 8 William Shakespeare, age 81, is among the first people to receive a shot of the vaccine in Britain, on the first day of vaccinations for at-risk health care workers and people over 80. • Dec. 9 Canada authorizes the Pfizer-BioNTech vaccine. • Dec. 10 Saudi Arabia approves the vaccine. • Dec. 11 The F.D.A. grants Pfizer-BioNTech vaccine the first emergency use authorization for a coronavirus vaccine in the United States. Mexico also approves the vaccine for emergency use.
  • 18. • Dec. 14 Vaccination begins in the United States. • Dec. 21The European Union authorizes the vaccine. • Dec. 31 Pfizer expects to produce up to 50 million doses by the end of the year, and up to 1.3 billion doses in 2021. Each vaccinated person will require two doses. • January 2021 Scientists grow concerned about the emergence of fast- spreading variants that might be able to evade antibodies. Tests on a variant called P.1, first identified in Brazil, show that Comirnaty will likely work against it as well. However, researchers find that antibodies produced by Comirnaty are somewhat less effective against another variant called B.1.351, first identified in South Africa. • Feb. 15 Pfizer and BioNTech register a trial specifically for pregnant women. • Feb. 26 The companies announce a study to develop a B.1.351-specific booster.
  • 19. • April 16 Pfizer says their vaccine may require a third dose within a year of the initial inoculation, followed by annual vaccinations. • April 20 Some vaccinated people are professing loyalty to the brand they happened to have received. • April 25 Nearly 8 percent of Americans who got initial Pfizer or Moderna shots have missed their second doses. • April 28 Pfizer has delivered more than 150 million doses of the vaccine to the United States and expects to double that number by mid-July. 1. May 7 Pfizer and BioNTech apply for full approval from the U.S. Food and Drug Administration.
  • 20. REFERENCES 1. National Center for Biotechnology Information; Nature; Florian Krammer, Icahn School of Medicine at Mount Sinai. 2. Pfizer/BioNTech: https://www.nytimes.com/interactive/2020/health/pfizer-biontech-covid- 19-vaccine.html 3. Browne R 2020. "What you need to know about BioNTech – the European company behind Pfizer's Covid-19 vaccine". 4. Thomas K, Gelles D, Zimmer C (2020). "Pfizer's early data shows vaccine is more than 90% effective". The New York Times.. 5. Burger L (2020). "BioNTech in China alliance with Fosun over coronavirus vaccine candidate". Reuters.
  • 21. 6. "Fosun Pharma and BioNTech form COVID-19 vaccine strategic alliance in China" (Press release) (2021). Fosun Pharma. 7. BioNTech and Fosun Pharma to Supply China with mRNA-based COVID-19 Vaccine (Press release) 2020. 8. Burger, Ludwig (2020). "BioNTech in China alliance with Fosun over potential coronavirus vaccine". Reuters. 9. BioNTech struck a collaboration deal with Shanghai Fosun Pharmaceutical over the German biotech firm's rights in China to an experimental coronavirus vaccine, the latest gambit in a global race to halt the pandemic. 10. BioNTech, Fosun start Phase II trial of COVID-19 vaccine in China".. 2020. BioNTech and Shanghai Fosun Pharmaceutical said on Wednesday they would launch a Phase II clinical trial of BioNTech's experimental COVID-19 vaccine in China.
  • 22. 11. BioNTech and Fosun Pharma Jointly Announce the Arrival of the First Batch of COVID-19 mRNA Vaccine in Hong Kong and Macau" (Press release). Fosun Pharma. 2021. 12. BioNTech and China partner, not Pfizer, 2020 to produce HK shots". The Standard. 13. Walsh EE, Frenck RW, Falsey AR, Kitchin N, Absalon J, Gurtman A, (2020). "Safety and Immunogenicity of Two RNA-Based Covid-19 Vaccine Candidates". The New England Journal of Medicine. 383 (25): 2439–50. 14. Clinical trial number NCT04368728 for "NCT04368728: Study to Describe the Safety, Tolerability, Immunogenicity, and Efficacy of RNA Vaccine Candidates Against COVID-19 in Healthy Individuals" at ClinicalTrials.gov 15. Palca J. (2020). "Pfizer says experimental COVID-19 vaccine is more than 90% effective". NPR.