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White House threatening to fire FDA chief if vaccine not approved by end of day

Trump tweets ‘Get the dam vaccines out NOW, Dr. Hahn’; administration anger comes a day after FDA advisory panel cleared Pfizer vaccine for emergency use

In this Sept. 23, 2020, file photo, Dr. Stephen Hahn, commissioner of the U.S. Food and Drug Administration, testifies during a Senate Senate Health, Education, Labor, and Pensions Committee Hearing on the federal government response to COVID-19 on Capitol Hill. White House chief of staff Mark Meadows has pressed Hahn to grant an emergency use authorization for Pfizer’s coronavirus vaccine by the end of the day on Dec. 11 .(Graeme Jennings/Pool via AP)
In this Sept. 23, 2020, file photo, Dr. Stephen Hahn, commissioner of the U.S. Food and Drug Administration, testifies during a Senate Senate Health, Education, Labor, and Pensions Committee Hearing on the federal government response to COVID-19 on Capitol Hill. White House chief of staff Mark Meadows has pressed Hahn to grant an emergency use authorization for Pfizer’s coronavirus vaccine by the end of the day on Dec. 11 .(Graeme Jennings/Pool via AP)

WASHINGTON (AP) — White House chief of staff Mark Meadows on Friday pressed US Food and Drug Administration chief Stephen Hahn to grant an emergency use authorization for Pfizer’s coronavirus vaccine by the end of the day or face possible firing, two administration officials said.

The vaccine produced by Pfizer Inc. and its German partner BioNTech won a critical endorsement Thursday from an FDA panel of outside advisers, and signoff from the agency — which was expected this weekend — is the next step needed to get the shots to the public.

The FDA is not required to follow the guidance of its advisory committees, but the devastation caused by the virus makes the vaccine’s authorization almost certain.

Meadows spoke to Hahn by telephone Friday, according to a senior administration official who was familiar with the call but was not authorized to discuss private conversations.

The chief of staff also told Hahn his job was in jeopardy if the emergency use authorization was not issued before Saturday, said a second administration official familiar with the conversation.

In this April 24, 2020, file photo, US President Donald Trump gestures to Vice President Mike Pence as Dr. Stephen Hahn, commissioner of the U.S. Food and Drug Administration, steps back to the podium to answer a question during a briefing about the coronavirus in the James Brady Press Briefing Room of the White House in Washington. (AP Photo/Alex Brandon, File)

Hahn signaled that he would tell regulators to allow the vaccine to be issued on an emergency basis, the official said.

US President Donald Trump has been pressing for quick approval for the vaccine and tweeted directly at Hahn earlier Friday, complaining that FDA “is still a big, old, slow turtle.” Trump has publicly bashed the pace of the FDA’s vaccine review process.

“Get the dam vaccines out NOW, Dr. Hahn,” Trump tweeted Friday. “Stop playing games and start saving lives.”

Hahn disputed characterizations of his conversation with Meadows.

“This is an untrue representation of the phone call with the Chief of Staff,” Hahn said in a statement. “The FDA was encouraged to continue working expeditiously on Pfizer-BioNTech’s EUA request. FDA is committed to issuing this authorization quickly, as we noted in our statement this morning.”

The FDA said earlier Friday that it “will rapidly work” to grant emergency use of the vaccine.

Trump’s frustration with the FDA has been mounting, particularly as other countries have beaten the US in issuing emergency approvals for the vaccine. Meadows issued the ultimatum to Hahn at Trump’s direction, a senior administration official said.

The FDA decision — when it comes — will kickstart an unprecedented vaccination campaign needed to eventually defeat the virus, now blamed for nearly 300,000 deaths in the US. And the agency’s greenlight of the vaccine was virtually assured after the positive vote by agency advisers Thursday.

Care home worker Pillay Jagambrun (L), 61, reacts as he receives a dose of the Pfizer/BioNTech Covid-19 vaccine at Croydon University Hospital in south London on December 8, 2020. (Dan CHARITY / POOL / AFP

Typically, the FDA does not publicly comment on the progress or timing of its reviews, which are considered confidential government information.

The FDA’s review is critical to assuring the safety and effectiveness of a vaccine that will eventually be given to millions of Americans, including highly vulnerable groups like nursing home residents.

The agency’s careful approach is unique around the world in that the FDA actually reanalyzes all company data to verify its accuracy. That’s different from the abbreviated process used by the UK and other countries, which rely on summary data produced by manufacturers.

Hahn has stated for months that “science, not politics” would determine when the agency gives the vaccine the go-ahead.

And he surprised many critics in October by defying the White House and publishing strict FDA safety guidelines for upcoming COVID-19 vaccines. The standards effectively closed the door on Trump’s long-stated goal of delivering a vaccine by Election Day and undercut White House staffers who had been blocking their release for weeks.

More than 150 FDA staffers have been working in shifts over nights, weekends and the Thanksgiving holiday to review tens of thousands of pages of Pfizer’s application.

Hahn told The Associated Press earlier this week that his agency had already teed up authorization by prefilling all the necessary legal paperwork.

“We’re doing everything we can to cut down on the red tape, which I think is really important,” Hahn told the AP.

Trump has been livid with the FDA for not moving faster to approve the shots, blaming the fact that a vaccine was not available before the Nov. 3 election for his loss. Trump also has leveled unfounded claims that drug companies deliberately delayed vaccine development to hinder his reelection chances, though there is no evidence to suggest that took place.

As he has refused to accept his loss to Democratic President-elect Joe Biden, Trump also has told close confidants that he believes the vaccine is still being slow-walked in a bid to undermine his efforts to challenge the results.

If the vaccine were shipped out sooner, he has argued, it would rally public opinion to his side.

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