Massachusetts has been facing "glitches" in vaccine distribution, the state public health commissioner said Wednesday, and a long-term federal government shutdown may create "ripple effects" across Massachusetts public health.

Ahead of a Center for Disease Control 's Advisory Committee on Immunization Practices (ACIP) meeting in September, the state on Sept. 17 issued its own COVID -19 vaccine guidance recommending that children ages 6 to 23 months, and all adults receive the COVID-19 vaccine , as well as those at higher risk for disease or exposure, those who are pregnant or lactating, and those who are immunocompromised.

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The Department of Public Health previously authorized pharmacists to administer t

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