Even more needles in arms: Yesterday, the Washington Department of Health released a statement advising some immunocompromised people to get a fourth shot, which includes two primary doses of an mRNA vaccine, an additional primary dose, and a booster dose. Some immunocompromised people already sought additional shots before this recommendation as the effects of the vaccine appear to wane over time. If it hasn't become clear already, it looks like COVID-19 vaccines will become routine.