{"id":8195,"date":"2023-05-16T02:34:16","date_gmt":"2023-05-15T23:34:16","guid":{"rendered":"https:\/\/urbancare.clinic\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/"},"modified":"2023-05-23T17:30:40","modified_gmt":"2023-05-23T14:30:40","slug":"aus-diesem-grund-ist-der-impfstoff-jjs-janssen-in-den-usa-nicht-mehr-erhaltlich","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/de\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/","title":{"rendered":"Aus diesem Grund ist der Janssen-Impfstoff von J&amp;J in den USA nicht mehr erh\u00e4ltlich"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/05\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us.jpg\" class=\"ff-og-image-inserted\"  style=\"display:none\"><\/div>\n<p>Der Janssen-Impfstoff von Johnson &amp; Johnson, einer der vier in den USA zugelassenen Impfstoffe, ist im Land nicht mehr erh\u00e4ltlich.<\/p>\n<p>Der <a rel=\"noopener nofollow\" href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/info-by-product\/janssen\/index.html\" target=\"_blank\">Zentren f\u00fcr Krankheitskontrolle und Pr\u00e4vention<\/a> (CDC) gab auf seiner Website bekannt, dass der Janssen-COVID-19-Impfstoff nicht mehr verf\u00fcgbar sei, nachdem alle verbleibenden Dosen der US-Regierung am 7. Mai abgelaufen seien.<\/p>\n<p>In \u00dcbereinstimmung mit den lokalen, staatlichen und bundesstaatlichen Vorschriften erinnerte die Gesundheitsbeh\u00f6rde die Impfstoffverwalter daran, alle verbleibenden Janssen-Best\u00e4nde zu entsorgen.<\/p>\n<p>Das CDC ermutigte au\u00dferdem diejenigen, die den COVID-19-Impfstoff von J&amp;J erhielten, sich mit der bivalenten mRNA-Dosis von Pfizer-BioNTech oder Moderna auffrischen zu lassen, um weiterhin vor dem zirkulierenden Coronavirus gesch\u00fctzt zu bleiben.<\/p>\n<p>\u201ePersonen ab 18 Jahren, die eine oder zwei Dosen des Janssen COVID-19-Impfstoffs erhalten haben, wird empfohlen, mindestens zwei Monate nach Abschluss der vorherigen Dosis eine bivalente mRNA-Dosis (Moderna oder Pfizer-BioNTech) zu erhalten\u201c, erkl\u00e4rte die CDC.<\/p>\n<p>Seit seiner Verf\u00fcgbarkeit haben rund 19 Millionen Menschen in den USA den Janssen-Impfstoff erhalten. CDC-Daten zeigten, dass mehr als 31,5 Millionen Dosen an Bundesstaaten und andere Gerichtsbarkeiten geliefert wurden. Weitere 12,5 Millionen blieben jedoch ungenutzt.<\/p>\n<p>Demnach erhielten landesweit nur etwa 7% der Menschen den J&amp;J-Impfstoff als erste Impfung gegen SARS-CoV-2 <a rel=\"noopener nofollow\" href=\"https:\/\/edition.cnn.com\/2023\/05\/15\/health\/johnson-johnson-covid-vaccine-end\/index.html\" target=\"_blank\">CNN<\/a>. Da nicht viele Menschen den Einzeldosis-Impfstoff als Prim\u00e4rimpfung erhielten, wurden Auffrischungsimpfungen nicht so gut angenommen wie die mRNA-Impfstoffe.<\/p>\n<p>Anfang letzten Jahres sorgte Janssen f\u00fcr Schlagzeilen <a rel=\"nofollow\" href=\"https:\/\/www.medicaldaily.com\/janssen-covid-19-vaccine-records-more-deaths-other-vaccines-464793\">mehr Todesf\u00e4lle verzeichnen<\/a> Im Vergleich zu den anderen zugelassenen Impfstoffen in den USA stiegen die Todesf\u00e4lle im Zusammenhang mit COVID w\u00e4hrend der Omicron-Welle unter denen, die den J&amp;J-Impfstoff erhielten, sprunghaft an.<\/p>\n<p>Das Pharmaunternehmen behauptete aufgrund seiner Studien, dass sein Impfstoff einen \u201edauerhafteren\u201c Schutz biete als seine Konkurrenten.<\/p>\n<p>Die CDC beschloss jedoch, ihre Notfallzulassung bei Erwachsenen einzuschr\u00e4nken, insbesondere nachdem Berichte eingegangen waren, dass die Janssen-Spritzen laut CNN das Risiko einer seltenen und gef\u00e4hrlichen Gerinnungserkrankung namens Thrombose mit Thrombozytopenie-Syndrom erh\u00f6hten.<\/p>\n<p>Neben dem viralen Vektorimpfstoff Janssen und den mRNA-Impfstoffen Pfizer-BioNTech und Moderna haben die USA auch die Verwendung der Proteinuntereinheit genehmigt <a rel=\"nofollow\" href=\"https:\/\/www.medicaldaily.com\/4-us-approved-vaccines-do-not-contain-these-substances-469390\">Novavax-Impfstoff<\/a> inmitten der Pandemie, die offiziell am 5. Mai endete, wie von der Weltgesundheitsorganisation (WHO) erkl\u00e4rt.<\/p>\n<p>Trotz der Ank\u00fcndigung, dass der Gesundheitsnotstand vor\u00fcber sei, gab die WHO zu, dass SARS-CoV-2 <a rel=\"nofollow\" href=\"https:\/\/www.medicaldaily.com\/who-admits-covid-19-still-global-threat-despite-announcing-end-pandemic-469693\">blieb eine globale Bedrohung<\/a> da das Virus weiterhin mutiert und sich verbreitet.<\/p>\n<p>Ver\u00f6ffentlicht von Medicaldaily.com<\/p>\n<p><a href=\"https:\/\/www.medicaldaily.com\/heres-why-jjs-janssen-vaccine-no-longer-available-us-469755\">Medizinische t\u00e4gliche Quelle<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/05\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us.jpg\" class=\"ff-og-image-inserted\"><\/div>\n<p>Der Janssen-Impfstoff von Johnson &amp; Johnson, einer der vier in den USA zugelassenen Impfstoffe, ist im Land nicht mehr erh\u00e4ltlich.<\/p>\n<p>Der <a rel=\"noopener nofollow\" href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/info-by-product\/janssen\/index.html\" target=\"_blank\">Zentren f\u00fcr Krankheitskontrolle und Pr\u00e4vention<\/a> (CDC) gab auf seiner Website bekannt, dass der Janssen-COVID-19-Impfstoff nicht mehr verf\u00fcgbar sei, nachdem alle verbleibenden Dosen der US-Regierung am 7. Mai abgelaufen seien.<\/p>\n<p>In \u00dcbereinstimmung mit den lokalen, staatlichen und bundesstaatlichen Vorschriften erinnerte die Gesundheitsbeh\u00f6rde die Impfstoffverwalter daran, alle verbleibenden Janssen-Best\u00e4nde zu entsorgen.<\/p>\n<p>Das CDC ermutigte au\u00dferdem diejenigen, die den COVID-19-Impfstoff von J&amp;J erhielten, sich mit der bivalenten mRNA-Dosis von Pfizer-BioNTech oder Moderna auffrischen zu lassen, um weiterhin vor dem zirkulierenden Coronavirus gesch\u00fctzt zu bleiben.<\/p>\n<p>\u201ePersonen ab 18 Jahren, die eine oder zwei Dosen des Janssen COVID-19-Impfstoffs erhalten haben, wird empfohlen, mindestens zwei Monate nach Abschluss der vorherigen Dosis eine bivalente mRNA-Dosis (Moderna oder Pfizer-BioNTech) zu erhalten\u201c, erkl\u00e4rte die CDC.<\/p>\n<p>Seit seiner Verf\u00fcgbarkeit haben rund 19 Millionen Menschen in den USA den Janssen-Impfstoff erhalten. CDC-Daten zeigten, dass mehr als 31,5 Millionen Dosen an Bundesstaaten und andere Gerichtsbarkeiten geliefert wurden. Weitere 12,5 Millionen blieben jedoch ungenutzt.<\/p>\n<p>Demnach erhielten landesweit nur etwa 7% der Menschen den J&amp;J-Impfstoff als erste Impfung gegen SARS-CoV-2 <a rel=\"noopener nofollow\" href=\"https:\/\/edition.cnn.com\/2023\/05\/15\/health\/johnson-johnson-covid-vaccine-end\/index.html\" target=\"_blank\">CNN<\/a>. Da nicht viele Menschen den Einzeldosis-Impfstoff als Prim\u00e4rimpfung erhielten, wurden Auffrischungsimpfungen nicht so gut angenommen wie die mRNA-Impfstoffe.<\/p>\n<p>Anfang letzten Jahres sorgte Janssen f\u00fcr Schlagzeilen <a rel=\"nofollow\" href=\"https:\/\/www.medicaldaily.com\/janssen-covid-19-vaccine-records-more-deaths-other-vaccines-464793\">mehr Todesf\u00e4lle verzeichnen<\/a> Im Vergleich zu den anderen zugelassenen Impfstoffen in den USA stiegen die Todesf\u00e4lle im Zusammenhang mit COVID w\u00e4hrend der Omicron-Welle unter denen, die den J&amp;J-Impfstoff erhielten, sprunghaft an.<\/p>\n<p>Das Pharmaunternehmen behauptete aufgrund seiner Studien, dass sein Impfstoff einen \u201edauerhafteren\u201c Schutz biete als seine Konkurrenten.<\/p>\n<p>Die CDC beschloss jedoch, ihre Notfallzulassung bei Erwachsenen einzuschr\u00e4nken, insbesondere nachdem Berichte eingegangen waren, dass die Janssen-Spritzen laut CNN das Risiko einer seltenen und gef\u00e4hrlichen Gerinnungserkrankung namens Thrombose mit Thrombozytopenie-Syndrom erh\u00f6hten.<\/p>\n<p>Neben dem viralen Vektorimpfstoff Janssen und den mRNA-Impfstoffen Pfizer-BioNTech und Moderna haben die USA auch die Verwendung der Proteinuntereinheit genehmigt <a rel=\"nofollow\" href=\"https:\/\/www.medicaldaily.com\/4-us-approved-vaccines-do-not-contain-these-substances-469390\">Novavax-Impfstoff<\/a> inmitten der Pandemie, die offiziell am 5. Mai endete, wie von der Weltgesundheitsorganisation (WHO) erkl\u00e4rt.<\/p>\n<p>Trotz der Ank\u00fcndigung, dass der Gesundheitsnotstand vor\u00fcber sei, gab die WHO zu, dass SARS-CoV-2 <a rel=\"nofollow\" href=\"https:\/\/www.medicaldaily.com\/who-admits-covid-19-still-global-threat-despite-announcing-end-pandemic-469693\">blieb eine globale Bedrohung<\/a> da das Virus weiterhin mutiert und sich verbreitet.<\/p>\n<p>Ver\u00f6ffentlicht von Medicaldaily.com<\/p>","protected":false},"author":2,"featured_media":8196,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/05\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us.jpg","fifu_image_alt":"","footnotes":""},"categories":[27],"tags":[193],"class_list":["post-8195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-vaccination"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Here&#039;s Why J&amp;J&#039;s Janssen Vaccine Is No Longer Available In The US - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/de\/aus-diesem-grund-ist-der-impfstoff-jjs-janssen-in-den-usa-nicht-mehr-erhaltlich\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Here&#039;s Why J&amp;J&#039;s Janssen Vaccine Is No Longer Available In The US - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"Johnson &amp; Johnson&#039;s Janssen vaccine, one of the four approved vaccines in the U.S., is no longer available in the country.The Centers for Disease Control and Prevention (CDC) announced on its website that the Janssen COVID-19 vaccine is no longer available after all the remaining U.S. government doses expired on May 7.In accordance with local, state and federal regulations, the public health agency reminded vaccine administrators to dispose of any remaining Janssen stocks.The CDC also encouraged those who received J&amp;J&#039;s COVID-19 vaccine to get boosted with the bivalent mRNA dose from Pfizer-BioNTech or Moderna to remain protected against the circulating coronavirus.&quot;People ages 18 years and older who received 1 or 2 Janssen COVID-19 Vaccine dose are recommended to receive 1 bivalent mRNA dose (Moderna or Pfizer-BioNTech) at least 2 months after completion of the previous dose,&quot; the CDC stated.Since it became available, around 19 million people have received the Janssen vaccine in the U.S. CDC data showed that more than 31.5 million doses were delivered to states and other jurisdictions. However, 12.5 million more remained unused.Across the country, only about 7% of people got the J&amp;J vaccine as their first shot against SARS-CoV-2, according to CNN. Not many people took the single-dose vaccine as their primary shot, so booster shots were not as well-received as the mRNA vaccines.Early last year, Janssen made headlines for recording more deaths than the other authorized vaccines in the U.S. COVID-related fatalities spiked among those who received the J&amp;J vaccine during the Omicron wave.The pharmaceutical company maintained that its vaccine offered more &quot;durable&quot; protection than its competitors based on its studies.However, the CDC decided to limit its emergency use authorization in adults, especially after receiving reports that the Janssen shots increased the risk of a rare and dangerous clotting condition called thrombosis with thrombocytopenia syndrome, per CNN.Aside from the Janssen viral vector vaccine and the mRNA Pfizer-BioNTech and Moderna vaccines, the U.S. also approved the use of the protein subunit Novavax vaccine amid the pandemic, which officially ended on May 5 as declared by the World Health Organization (WHO).Despite announcing that the public health emergency was over, the WHO admitted that SARS-CoV-2 remained a global threat since the virus continues to mutate and spread.Published by Medicaldaily.com\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/de\/aus-diesem-grund-ist-der-impfstoff-jjs-janssen-in-den-usa-nicht-mehr-erhaltlich\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-15T23:34:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-23T14:30:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/05\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"2\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Here&#8217;s Why J&amp;J&#8217;s Janssen Vaccine Is No Longer Available In The US\",\"datePublished\":\"2023-05-15T23:34:16+00:00\",\"dateModified\":\"2023-05-23T14:30:40+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\\\/\"},\"wordCount\":405,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/05\\\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us.jpg\",\"keywords\":[\"Vaccination\"],\"articleSection\":[\"Medical Daily\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\\\/\",\"name\":\"Here's Why J&amp;J's Janssen Vaccine Is No Longer Available In The US - 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Urban Care Clinic","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/urbancare.clinic\/de\/aus-diesem-grund-ist-der-impfstoff-jjs-janssen-in-den-usa-nicht-mehr-erhaltlich\/","og_locale":"de_DE","og_type":"article","og_title":"Here's Why J&amp;J's Janssen Vaccine Is No Longer Available In The US - Urban Care Clinic","og_description":"Johnson &amp; Johnson's Janssen vaccine, one of the four approved vaccines in the U.S., is no longer available in the country.The Centers for Disease Control and Prevention (CDC) announced on its website that the Janssen COVID-19 vaccine is no longer available after all the remaining U.S. government doses expired on May 7.In accordance with local, state and federal regulations, the public health agency reminded vaccine administrators to dispose of any remaining Janssen stocks.The CDC also encouraged those who received J&amp;J's COVID-19 vaccine to get boosted with the bivalent mRNA dose from Pfizer-BioNTech or Moderna to remain protected against the circulating coronavirus.\"People ages 18 years and older who received 1 or 2 Janssen COVID-19 Vaccine dose are recommended to receive 1 bivalent mRNA dose (Moderna or Pfizer-BioNTech) at least 2 months after completion of the previous dose,\" the CDC stated.Since it became available, around 19 million people have received the Janssen vaccine in the U.S. CDC data showed that more than 31.5 million doses were delivered to states and other jurisdictions. However, 12.5 million more remained unused.Across the country, only about 7% of people got the J&amp;J vaccine as their first shot against SARS-CoV-2, according to CNN. Not many people took the single-dose vaccine as their primary shot, so booster shots were not as well-received as the mRNA vaccines.Early last year, Janssen made headlines for recording more deaths than the other authorized vaccines in the U.S. COVID-related fatalities spiked among those who received the J&amp;J vaccine during the Omicron wave.The pharmaceutical company maintained that its vaccine offered more \"durable\" protection than its competitors based on its studies.However, the CDC decided to limit its emergency use authorization in adults, especially after receiving reports that the Janssen shots increased the risk of a rare and dangerous clotting condition called thrombosis with thrombocytopenia syndrome, per CNN.Aside from the Janssen viral vector vaccine and the mRNA Pfizer-BioNTech and Moderna vaccines, the U.S. also approved the use of the protein subunit Novavax vaccine amid the pandemic, which officially ended on May 5 as declared by the World Health Organization (WHO).Despite announcing that the public health emergency was over, the WHO admitted that SARS-CoV-2 remained a global threat since the virus continues to mutate and spread.Published by Medicaldaily.com","og_url":"https:\/\/urbancare.clinic\/de\/aus-diesem-grund-ist-der-impfstoff-jjs-janssen-in-den-usa-nicht-mehr-erhaltlich\/","og_site_name":"Urban Care Clinic","article_publisher":"https:\/\/www.facebook.com\/urbancarezanzibar","article_published_time":"2023-05-15T23:34:16+00:00","article_modified_time":"2023-05-23T14:30:40+00:00","og_image":[{"url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/05\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us.jpg","width":1024,"height":1024,"type":"image\/jpeg"}],"author":"Urban Care Clinic","twitter_card":"summary_large_image","twitter_misc":{"Verfasst von":"Urban Care Clinic","Gesch\u00e4tzte Lesezeit":"2\u00a0Minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/urbancare.clinic\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/#article","isPartOf":{"@id":"https:\/\/urbancare.clinic\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/"},"author":{"name":"Urban Care Clinic","@id":"https:\/\/urbancare.clinic\/#\/schema\/person\/a304a61bcf298680ee41e2e9ae193930"},"headline":"Here&#8217;s Why J&amp;J&#8217;s Janssen Vaccine Is No Longer Available In The US","datePublished":"2023-05-15T23:34:16+00:00","dateModified":"2023-05-23T14:30:40+00:00","mainEntityOfPage":{"@id":"https:\/\/urbancare.clinic\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/"},"wordCount":405,"publisher":{"@id":"https:\/\/urbancare.clinic\/#organization"},"image":{"@id":"https:\/\/urbancare.clinic\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/#primaryimage"},"thumbnailUrl":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/05\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us.jpg","keywords":["Vaccination"],"articleSection":["Medical Daily"],"inLanguage":"de"},{"@type":"WebPage","@id":"https:\/\/urbancare.clinic\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/","url":"https:\/\/urbancare.clinic\/heres-why-jjs-janssen-vaccine-is-no-longer-available-in-the-us\/","name":"Darum ist der Janssen-Impfstoff von J&amp;J in den USA nicht mehr erh\u00e4ltlich - 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