Covid: Moderna vaccine UK rollout begins in Wales
The UK has begun the rollout of its third coronavirus vaccine, the Moderna jab, in Wales.
Unpaid carer Elle Taylor was the first to receive the vaccine and described feeling "very excited and happy".
In England, small business minister Paul Scully said the vaccine would be rolled out "in the next few days".
Under-30s in the UK are to be offered an alternative to the AstraZeneca vaccine because of concerns about a link between it and rare blood clots.
It comes after a review by the drugs regulator Medicines and Healthcare products Regulatory Agency (MHRA) which found, by the end of March, 79 people in the UK suffered rare blood clots after vaccination - 19 of whom died.
The side-effects are however, extremely rare and the vaccine's effectiveness was proven, the MHRA said.
European regulators have also concluded that "unusual blood clots with low blood platelets should be listed as very rare side effects" of the Oxford-AstraZeneca vaccine.
"The reported combination of blood clots and low blood platelets is very rare, and the overall benefits of the vaccine in preventing Covid-19 outweigh the risks of side effects," the European Medicines Agency (EMA) said.
The Welsh government said it was "considering the details" of the announcement, but did not "envisage a delay to the roll-out of our vaccine programme in Wales".
Miss Taylor, from Ammanford, received the first Moderna jab at the Glangwili Hospital in Carmarthen.
Speaking afterwards the 24-year-old, who works at a further education college, said: "I'm very excited and very happy.
"I'm an unpaid carer for my grandmother so it is very important to me that I get it, so I can care for her properly and safely.
"My grandmother has had her first dose and she is going for her second dose on Saturday."
Miss Taylor said she only found out on Tuesday evening that she was to be the first in the UK to receive the jab by Moderna, an American company.
Beverley Gower, from Kidwelly, who also received the jab, said she "didn't feel it".
The 49-year-old, who is also an unpaid carer so gets priority for the vaccine like Miss Taylor, added: "This is a way forward, isn't it? A way back to normality."
John Sanders, from Carmarthenshire, was the fifth person to receive the jab.
He said: "It's massively important. I'm a carer for my disabled son who's now 22. He's had brain cancer and various chemotherapies and he's got immune problems as well, so it's obviously important for us."
The UK is committed to buying 17 million doses of Moderna, the third of seven vaccines developed in the UK or around the world that it has put in orders for.
It has not been confirmed when the rest of the UK will start using the jab, but Scotland received its first batch on Monday.
Like the Pfizer-BioNTech and Oxford-AstraZeneca jabs which are already in use, the Moderna jab is given in two doses, several weeks apart.
Health Secretary Matt Hancock said he was delighted its UK rollout was starting.
"The UK government has secured vaccines on behalf of the entire nation and the vaccination programme has shown our country working together at its best," he said.
Wales' Health Minister Vaughan Gething said a third vaccine for use in Wales "significantly adds" to the nation's defences against Covid-19.
Across the whole of the UK, more than 31.6 million people have now had a first dose of a Covid vaccine - while 5.4 million have been fully vaccinated.
In Wales, more than 1.49 million people have had a first dose, while more than 469,000 people have had both doses.
But the UK's Covid vaccine supplies are set to be delayed by "up to four weeks" in April and Wales expects to have 250,000 fewer Oxford-AstraZeneca doses.
Mr Scully told Sky News the vaccination programme remained on track to cover all adults in England by the end of July.
On Tuesday, the trial of the Oxford vaccine on children stopped giving out jabs as a precaution.
How does the Moderna jab work?
The Moderna vaccine is a two-dose jab given at an interval of between four and 12 weeks.
Like Pfizer's, it is an RNA vaccine and works by injecting part of the virus's genetic code into the body, where it enters cells and tells them to create antigens.
These antigens are recognised by the immune system and prepare it to fight coronavirus.
No actual virus is needed to create an mRNA vaccine, meaning the rate at which it can be produced is accelerated.
It also only requires temperatures of around -20C for shipping - similar to a normal freezer.
How effective is the Moderna vaccine?
Trial results suggested efficacy against the disease was 94.1%, and vaccine efficacy against severe Covid-19 was 100%.
More than 30,000 people in the US took part in the trial, from a wide range of age groups and ethnic backgrounds.
How many doses of the Moderna vaccine does the UK have?
The government has bought 17 million doses - enough to vaccinate about 8.5 million people.
Scotland is due to receive more than one million of the UK's order, and the doses will arrive over a period of months.
First Minister Nicola Sturgeon cautioned that the supply does not mean the vaccine programme will be accelerated.
Is the Moderna vaccine safe?
Moderna said the vaccine was generally well-tolerated, with no serious safety concerns identified.
Events after the first dose included injection-site pain, and after the second dose fatigue, muscle pain, joint pain, headache, other pain and redness at the injection site.
But these were generally short-lived.
What's the response in Wales?
Ros Jervis, director of public health for Hywel Dda University Health Board, said the Moderna vaccine would be used alongside the Oxford-AstraZeneca jab in the rollout to communities in Carmarthenshire, Ceredigion and Pembrokeshire.
"We are incredibly lucky to have a third vaccine in Wales, with a long shelf life and the ability to be easily transported, to help deliver the vaccination programme to small clinics across our rural communities," she said.
Darren Hughes, director of the Welsh NHS Confederation, which represents health boards, told BBC Radio Wales the Moderna rollout would help the country make up for a reduction in Oxford-AstraZeneca supplies in April.
Mr Gething said every vaccine given in Wales was "a small victory" against the virus and people should go for their jab when invited.
A Welsh Conservatives spokesman said the UK government's vaccination strategy had been "fully vindicated".
Plaid Cymru's health spokesman Rhun ap Iorwerth said: "We need to know what this milestone now means for further easing of restrictions."
The Welsh Liberal Democrats said the third vaccine came as "welcome news", adding the priority should be to vaccinate everyone "as quickly and safely as possible".
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