We begin with major milestone in the battle against the coronavirus pandemic. This breaking news as pfizer will begin shipping the first Covid Vaccines across country tomorrow with the first deliveries arriving thoe ining s on monday. More will come tuesday and then again on wednesday. The fda approved the vaccine for emergency use late last night. The first major step toward bringing the pandemic thats taken more than 296,000 american lives to an end. Even with a glimmer of hope, the virus is still surging to record highs. New today in mississippi, there are reportedly no intensive care unit beds left in the entire state. The fda commissioner urging americans not let their guard down. Our federal partners are taking steps to distribute this vaccine, we remind the public to remain vigilant as inoculation will take time. Wear a mask. Wash your hands and remain socially distant when possible. Protect yourself, the vulnerable and others. In washington, the president lashing out at the Supreme Court after dealing major blow to his ongoing legal battle to overturn the election. Last night the Supreme Court rejecting the lawsuit filed by the Texas Attorney general and supported by 126 congressional republicans. All seeking to overturn joe bidens victory across four battleground states that were not texas. We have reporters across the country bringing us the laits on the t latest on the distribution plans and the possibly coronavirus aid. What is it looks like there . Reporter yes, we understand that is whats happening inside right now as they are being package d and prepared to get te vaccine out. By the end of the weekend we expect to see trucks coming here for the loading dock just over my shoulder to start moving those vaccines toward Distribution Centers in memphis. We also understand that some vaccines are on the way over from the pfizer plant in brussells belgium by United Airlines to chicago. The majority of the vaccines that will be distributed here in the United States. We expect for most of them to come from this manufacturing plant. The u. S. Government has allocated 6. 4 million doses of the Pfizer Vaccine to states based on their adult size population. Not all of that will go out immediately. This first shipment, theres going to be about 2. 9 million doses being sent out. Pfizer is holing some sbook they can guarantee a second dose of this vaccine for people who get the initial vaccine. You need the second dose three weeks after you get the first one. Every single state will have a shipment by monday and in the first batch they expect to have all of those 2. 9 million doses out by wednesday. Alex. Talk about the di tri bustributn where you are scott. Reporter its a big state so theres a big plan and a dig process. First thing that happens in california and the western states is they will do their own review of the vaccine. Thats happening now. The state gets 327,000 doses of the vacciccinvaccine. Thats a lot but its a big state. 40 million in population. Its very much a drop in the bucket. It will be distribute bid region with most of the vaccine going to the heavily populated southern part of state, los angeles, san diego and Santa Barbara and the rest spread out across the state. Who gets it first . Front line medical workers, people that work in the Health Care Industry including doctors, nurse, therapists and janitorial staff. Then follow bid essential workers. Where i am, uc San Francisco medical center, this is one of seven hospitals in the state will get their own allocation of the vaccine. Probably fewer than 1,000 doses. Even that involves some intricate planning. Theres probably 100 people involved leadership roles. How were going to make sure we get messaging and communication and appropriately and keep every one calm. Reporter there are potential side effects from the vaccine. Theyre not going to vaccinate all the staff at once. They will go by 30 at the time to make sure they dont have people who are out of commission because, remember, this state, like the rest of the country is dealing with an acute crisis as covid continues to spread. Negotiations over another round of coronavirus relief, they are at a stand still and next weeks deadline is inching a lot closer and fast. Theres a lot of finger pointing going on on capitol hill. Tell me where negotiations stand right now and how confident you are that something will be passed before you leave washington . Well, first of all, thank you for having me on. Let me just say to you as i am comfortable that we will come back to washington and there will be a package. Too many people are dying, too many people are losing their homes, too many Small Businesses are closing. Were not in a position to say that were not going to do something. I am hopeful that my colleagues on the other side will understand that we have a responsibility to take care of all of our districts and im hopeful we will put dollars inc. Our leadership have been out front for the people. All along we have been pushing that we need dollars for Small Businesses and state and local government for housing. We need dollars for unemployment and we need to send relief to people. Theres suh many things in our package that we have pushed forward. That goes all the way back to the democratically controlled house and the heroes act having been passed. Will that include stimulus checks. Will that happen for people, a sec round that so desperately needed . I can tell you my voice will be strong advocated for that. We saw what happened before. It gave momentarily relief to the people. We cant do this one shot in the arm and think it will last forever when we have seen the numbers soaring with the coronavirus. People are dying. When we look at the numbers in my state of ohio or when we look across the nation and we see 300,000 people dying and close to 16 Million People in this country affected by it. We must do that. Indeed. Lots of skepticism remain around the vaccine in communities of color who have been disproportionately affected. What are you hearing about the vaccine . What needs to be done to build trust . I think you said the word, trust. We need more education. Many of us still remember what happened with the tuskegee airmen. Were not in the dlin cal trials in significant numbers. It gives many of us pause. It gives me more hope that people will take it. Theres concern you can roll out and make the test case, the lest of us. Those who thank goodness for them. The dignity of work. We know disproportionately black and brown people are suffering. The message is more education, more awareness and lets make sure they are covered on both ends. What happens when that happens . Are they going to be first in the line. Letting the American People. It gives reason to pause when we look at what we just talked about with the covid emergency relief package and how many im arguing and fighting with my republican colleagues who dont want to put the dollars in there nor do they want to match it up with the appropriate services that we need. Here is Something Else that gives a will the of us pause. You know where im going. Its about your district in ohio which was hit with another all too familiar tragedy with the 23yearold black man shot and killed while on his grandmothers doorstep. Shot a killed by sheriffs deputy. Tlp were protests in columbus last night. Im curious your reaction to the killing and what you think needs to be done about this horrible epidemic . Its heart wrenching and devastating. I was out there last night. I was so proud of the protester who is were peaceful. Mrs. Payne, his mother asked people to be peaceful. We need to make sure and im glad were Getting National attention for this. Unfortunately, its for the wrong reason. Here is a 23yearold black man with three sandwiches in one hand and keys in a door and now, hes dead. Bull es, a number of bullets in his back, torso. It has to stop. That was the message last night. Let his face be the message of man making this stop. Were having too many of our black men shot at the hands of a Police Officers gun. What has happened, the fbi has been brought in. The department of justice and last night they even said the officials with the fbi and the department of justice actually said that the u. S. Marshals were off duty. This young man was not a subject of the investigation. He was not a suspect. The house was not a suspect. Here is an innocent man going into his home and now hes dead. That Police Officer is on his own and we are asking for justice and transparency and accountability because this has to stop. Our hearts go out to his mother, his grandmother and all of his family. We are standing with her. Ive talked to her a number of times and i will stand with them and every one in this community to come together for casey goodson. Carrying a sandwich, a few sandwiches and some keys. Its remarkable. One question here, i did mention youre the new chair for the congression Congressional Black Caucus. What are the priorities of the cdc in 2021 . What do you hope to accomplish with the new administration . We have the largest caucus in the country and we build on our foundation of what we have been doing for last 50 years and advance it. We have a jobs and justice bill. Youre going to hear a lot of about economic development. When you look at how disproportionately black americans are affected. We represent 17 black merns. 82 million americans. Were going to be out there fighting. Youre going to see us. Were going to be very visible, very focal. 59 members going into the 117th congress. Not to mention that Vice President elect Kamala Harris is a member of the Congressional Black Caucus and we know having congressman Cedric Richmond with the ears and eyes on our president , marsh fudge is the secretary of hud. Youll hear a lot from the Congressional Black Caucus standing up for racial equity. Standing up against the social injustices. Were not going to leave anything on the table. Im just going to say you have our ears and eyes as well. Well keep a close eye down. Thank you for joining me. In just a moment, key questions about the Covid Vaccine and the critically important answers that you need to know. Plap todays ways of working may work differently tomorrow. But you can work out anything with comcast business. Get fast, reliable, and secure internet on the nations largest gig speed network. Flexible tools like wifi you control. Voice solutions that connect you from anywhere. And expert advice here, here, or even here. Be fast. Be flexible. Bounce forward with comcast business. Get started with a powerful internet and voice solution for just 64. 90 a month. Plus, for a limited time, ask how to get a 500 prepaid card when you upgrade. Switch today. As hospitals across this country are bracing for the first shipments of pfizers Covid Vaccine, fedex and u. P. S. Are teaming up to make sure the vaccines arrive safely and on time. Talk about whats going on behind you there . Reporter its kind of interesting. When i asked, is everybody kind of scrambling in there now that we have fda approval. They said they have been ready for this. Everybody is on stand by waiting for these vaccines to get here. For security purpose, fedex wont tell us what time they anticipate the trucks will be rolling in tomorrow. Blink and you might miss it. It will happen quickly. They anticipate not even storing the vaccine here at their cold chain facility. They have the ability to do but they expect it will go from pfizers trucks to theirs and out on their priority overnight planes and freight trucks throughout the country at that point. We also heard earlier from operation warp speed chief operating officer about their time line from not just getting it from pfizer to these Distribution Centers but from there to hospitals. Listen to what he had to say about that. Within the next 24 hours, they will begin moving vaccine from the Pfizer Manufacturing facility to the u. P. S. And fedex hubs. Then lit go out to the 636 locations nice nationwide. We expect 145 sites across all the states to receive vaccine on monday. Another 425 sites on tuesday and the final 66 sites on wednesday. Reporter all right. Fedex shipments and u. P. S. Shipment, fedex heading toward the west and u. P. S. Heading toward the east. It will track their every move and the temperature having to be below 94 degrees. They expect toyota be more widely available in three weeks. With that First Priority group thats going to get the vaccine, they expect by the first of the year or by the start of the new year, that First Priority group will have it widely available to them but first it all starts tomorrow. We will be anticipating it. Well be watching its every move and will be reporting live. Well look forward to that tomorrow. We will take every single one we can get. Thank you. Joining me is dr. Natalie azar. Welcome to you. What does that look like to you and proceed to the coming month sns. As we heard, about 145 sites will be getting it on bhonds the full 636 predetermined locations receiving by wednesday. Health care facility, hospitals, are waiting them very anxiously in parallel, Long Term Care facilities will be receiving this week. What probably one of most apt ways to describe this once they get to their location is that it will be incredibly precision intensive meaning they have to go from the ult tra ultra kwo c freezing spe ining into the fre many hospitals had shipped to them, specifically before they get ready for distribution. Then that process begins. They have to thaw the vaccines. They also have to dilute the vaccines. I believe each vile can be up to five doses. Were on a call yesterday about how important it is to make sure that all of that is done directly. The last thing in the world is you want to do something incorrectly and lose a whole batch. Is there a difference in the vaccine between what will be administered in the front injection versus the second injection . Are you getting the same thing twice . Correct. Yes. Theres no change in the dose. Its an intramus ccular injecti three weeks apart. I guess the question comes distribution. Im curious what you think is the right way to do this for state, for example. Lets say a state has 10,000 doses available. Do they vaccinate 5,000 people and save them, the other half for a second dose or give out all 10,000 right away and just wait for the replenishment which has to come within three weeks . I dont think theres a general or uniform or plan kbla policy. Each state is able to make that decision about allocation independently. The State Government working with hhs and their Health Departments will make their decision. Not speaking to specific institutions, i know that some understanding they have been guaranteed a second dose are moving ahead and distributing or administering all of their doses thatly are recei lthey are rece week in anticipation of having that second delivery by the 21day benchmark. Other places may choose to do it differently to split it in half to ensure the participants get their second dose without any huk k hik cups in the process. Is there harm administering the second dose sooner or later than 21 days . The recommendation or what were hearing and the Advisory Committee met yesterday and meeting today. Everybody will be final and formalized once they release their stam. Anything i say now could be different when the final determinations are made. They are allowing grace period and say that is a minimum. That is you can safely administer the second dose. I believe they said up to about 40 days or 42 days after first dose without losing any of the benefit. Okay. It increases the total of deaths from 296,000 to over 297,000. Numbers are just stunning. The pace which they are accelerating is remarkable. Let me get to the side effect of the vaccine. A bit earlier i spoke with a nurse from ucla who described some pretty severe symptoms after her second dose. Take a listen. After that second injection i developed quite a lot of symptoms. I had chill, nausea, fatigue, a headache the day after the vaccine and then the evening i started to develop a fever and that kind of escalated overnight. I woke up the next morning with a high fever and at that point was pretty sure i had probably received active vaccine. That high fever registered 104. 9. That is not mild. Is this what people should expect and why is this happening mostly after the second dose and not the first . Right. Its happening after the second dose because thats essentially a booster. Youre really, really priming your immune system with the first dose and getting that full reaction, that immune reaction that we want to see. When you hear vaccine experts talk about the side effect, they dont welcome them but its a sign your immune testimosystem functioning the way it should and that is enlisting the reaction. That high fever is uncomfortable and nothing to bat a an eye at. Low grade fever is not understa unexpected. They said not treating with tylenol or any antiinflammatory prior to developing reaction but if you do develop it, its to treat the symptoms with an antiinflammatory. The injection site pain, muscle ache, fever, headache, not uncan wanted. Not an allergic reaction. That fever was quite high. As the nurse said, these side effects, if you will, or vaccine effects tend to resoever within day or two. Absolutely. Thank you so much for taking the questions and answering them as you always do so well. We invite all you have to watch weekends with alex witt tomorrow. Well have a panel of experts answering your questions about the vaccine. You can email your questions to askalex msnbc. Those answers coming your way tomorrow at 1 30 eastern. President elect biden is shooz cho choosing a new education