The Best Birthday Present in 2021? A Covid Vaccine.

Zoe Tu, a seventh grader in Brooklyn, likes to celebrate her birthday with dulce de leche Haagen-Dazs ice cream cake. This year, her 12th, was no exception, but the day was also marked by a treat of another kind: her Covid vaccine.

Zoe got the shot the first day she became eligible, on Aug. 2, and it was accompanied by a $100 gift certificate given as a vaccine incentive at the Barclays Center. (Her mother allowed her to spend it on anything she wanted.)

“The nurse was really excited about wishing me a happy birthday,” Zoe recalled.

Zoe’s mother, Nicole Tu, said she had told her daughter she could wait if she wanted. But, Zoe said: “I knew that was the quickest I could get it. I was excited because I could feel safer.”

Many birthdays are rites of passage, especially for young people. Getting to 14 or 15 opens the doors to high school; turning 17 grants permission to view R-rated movies; 18 delivers the right to vote; and 21 brings the legal age to buy alcohol in many states.

But since early May, 12th birthdays have new significance, because the Food and Drug Administration gave the Pfizer-BioNTech Covid vaccine emergency use authorization for children 12 and older.

At least 52 percent of children ages 12 through 17 in the United States have received at least one dose of a vaccine, and about 40 percent are fully vaccinated, according to early September data from the Centers for Disease Control and Prevention. Scientists say a decision on whether children younger than 12 can get the shots could still be months away.

At least one school district, in Culver City, Calif., has announced that it will require eligible students to get a Covid vaccine, and more mandates could be issued as the Delta variant fuels significant increases in cases among young people. A recent poll by The Associated Press-NORC Center for Public Affairs Research found that 55 percent of Americans supported vaccination requirements for eligible students.

Dr. Anthony Fauci, the nation’s leading infectious-disease expert, has said he supports such mandates for school children.

But parents are now navigating a tricky moment in which some children are vaccinated while many others, who are under 12, are not. Some parents, including Ms. Tu, are for the most part limiting their children to indoor play dates with vaccinated friends.

After Zoe got the shot, her mother posted on Instagram to mark the moment: “Turning 12 in 2021 means a different kind of celebration,” Ms. Tu wrote, with syringe and birthday cake emojis.

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Zoe’s vaccination was a milestone moment for her parents, too. “On her birthday we’re one step closer to being safer because our whole family can be vaccinated,” Ms. Tu added. “It’s a new chapter for us.”

For some young people, getting vaccinated adds poignancy to a birthday. Many spent the past year isolated from friends, yearning for normalcy and confining their friendships primarily to phones and computers.

Several studies have shown deteriorating mental health, including bouts of anxiety and depression, among teenagers during the pandemic. Getting a Covid vaccine offers some teenagers a glimmer of promise for more socializing.

Some students did not want needles to mar their actual birthdays. Sebastian Holst, 12, of Brooklyn, was relieved that his parents had scheduled his vaccine appointment for several days after his birthday in May. That way, he was able to hold a Zoom birthday party with friends, take a walk with his mom and enjoy his dad’s tacos, free of worry about any possible side effects.

“Getting vaccines doesn’t feel great, but I know I have to, so I suck it up,” he said.

Heading to the Javits Center in Manhattan later that week for his shot brought a burst of excitement as he envisioned a new school year that might improve over last year’s. Sebastian’s school offered a blend of in-person and remote learning last year, and on the days when he was remote, he missed bumping into friends in the hallways. And remote classes via Zoom eliminated the separation between home and school, he said.

Sebastian said he had been one of the first among his friends to get a vaccine, and relief overtook his anxiety when it was over. He texted friends to help ease their worries.

Understand Vaccine and Mask Mandates in the U.S.

    • Vaccine rules. On Aug. 23, the Food and Drug Administration granted full approval to Pfizer-BioNTech’s coronavirus vaccine for people 16 and up, paving the way for an increase in mandates in both the public and private sectors. Private companies have been increasingly mandating vaccines for employees. Such mandates are legally allowed and have been upheld in court challenges.
    • Mask rules. The Centers for Disease Control and Prevention in July recommended that all Americans, regardless of vaccination status, wear masks in indoor public places within areas experiencing outbreaks, a reversal of the guidance it offered in May. See where the C.D.C. guidance would apply, and where states have instituted their own mask policies. The battle over masks has become contentious in some states, with some local leaders defying state bans.
    • College and universities. More than 400 colleges and universities are requiring students to be vaccinated against Covid-19. Almost all are in states that voted for President Biden.
    • Schools. Both California and New York City have introduced vaccine mandates for education staff. A survey released in August found that many American parents of school-age children are opposed to mandated vaccines for students, but were more supportive of mask mandates for students, teachers and staff members who do not have their shots.  
    • Hospitals and medical centers. Many hospitals and major health systems are requiring employees to get a Covid-19 vaccine, citing rising caseloads fueled by the Delta variant and stubbornly low vaccination rates in their communities, even within their work force.
    • New York City. Proof of vaccination is required of workers and customers for indoor dining, gyms, performances and other indoor situations, although enforcement does not begin until Sept. 13. Teachers and other education workers in the city’s vast school system will need to have at least one vaccine dose by Sept. 27, without the option of weekly testing. City hospital workers must also get a vaccine or be subjected to weekly testing. Similar rules are in place for New York State employees.
    • At the federal level. The Pentagon announced that it would seek to make coronavirus vaccinations mandatory for the country’s 1.3 million active-duty troops “no later” than the middle of September. President Biden announced that all civilian federal employees would have to be vaccinated against the coronavirus or submit to regular testing, social distancing, mask requirements and restrictions on most travel.

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