Pfizer’s COVID-19 
vaccine is entering the final phase of review before the U.S. government
 decides whether to allow millions to get the shots.
The
 Food and Drug Administration posted a positive review of the Pfizer 
vaccine on Tuesday and will hold a public hearing on Thursday. Next 
week, it will do the same thing for Moderna’s coronavirus vaccine 
candidate.
A look at the process:
FDA REVIEW
The
 agency’s scientific review is a key step — not just for the U.S. — but 
for countries around the world weighing whether to begin using a 
vaccine. Teams of FDA scientists scrutinize tens of thousands of pages 
of technical data provided by the companies, focusing on vaccine 
effectiveness, safety, side effects and the manufacturing process needed
 to ensure the quality and consistency of the doses. 
Up
 until now, Pfizer and its partner BioNTech had only released minimal 
results about their vaccine’s safety and performance in company press 
releases. The details have yet to be reviewed and published in a medical
 journal. 
 
Unlike most other regulatory agencies worldwide, the FDA reanalyzes raw 
company data to verify results. FDA Commissioner Stephen Hahn says that 
careful approach carries weight far beyond the U.S.
“The
 FDA is known around the world for its rigorous standards for safety and
 efficacy,” Hahn told The Associated Press. “I think you’ll see with the
 data we’re going to provide at the meeting that we have done our job.”
VACCINE EXPERT MEETING
Next,
 a group of about two dozen outside experts weighs in on the FDA’s 
findings and gives their own assessment. The panelists have expertise in
 vaccines, infectious diseases and medical statistics. The FDA is not 
required to follow their advice, though it usually does.
The
 daylong event also gives the agency a chance to pull back the curtain 
on its review process and try to assure the public that the vaccine was 
independently vetted. That confidence will be critical for the country’s
 largest-ever vaccination effort. The meeting concludes with the panel’s
 non-binding vote on whether the vaccine should be authorized for use in
 the U.S.
“It’s 
both the transparency and the actual data that I think will be very 
important,” Hahn said. “What are experts outside the agency asking? I 
think that will be very informative for the American people.”
FDA DECISION
How
 soon does the FDA make a decision? There is no deadline for a ruling, 
but FDA’s Marks said he hoped a decision on the Pfizer vaccine could 
come by the following week. 
Importantly,
 if the FDA gives the thumbs-up, it would still only allow limited use 
in certain high-risk groups because final-stage studies are not yet 
complete. That comes under FDA’s “emergency use authorization,” which is
 used to speed up the availability of medical products during a health 
crisis. The decision amounts to a careful calculation between potential 
benefits and risks.