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Gregory Zuckerman - A Shot to Save the World - The Inside Story of the Life-or-Death Race for a COVID-19 Vaccine

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Gregory Zuckerman A Shot to Save the World - The Inside Story of the Life-or-Death Race for a COVID-19 Vaccine
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The authoritative account of the race to produce the vaccines that are saving us all, from the #1 New York Times bestselling author of The Man Who Solved the MarketFew were ready when a mysterious respiratory illness emerged in Wuhan, China in January 2020. Politicians, government officials, business leaders, and public-health professionals were unprepared for the most devastating pandemic in a century. Many of the worlds biggest drug and vaccine makers were slow to react or couldnt muster an effective response. It was up to a small group of unlikely and untested scientists and executives to save civilization. A French businessman dismissed by many as a fabulist. A Turkish immigrant with little virus experience. A quirky Midwesterner obsessed with insect cells. A Boston scientist employing questionable techniques. A British scientist despised by his peers. Far from the limelight, each had spent years developing innovative vaccine approaches. Their work was met with skepticism and scorn. By 2020, these individuals had little proof of progress. Yet they and their colleagues wanted to be the ones to stop the virus holding the world hostage. They scrambled to turn their lifes work into life-saving vaccines in a matter of months, each gunning to make the big breakthroughand to beat each other for the glory that a vaccine guaranteed. A #1 New York Times bestselling author and award-winning Wall Street Journal investigative journalist lauded for his bravura storytelling (Gary Shteyngart) and first-rate reporting (The New York Times), Zuckerman takes us inside the top-secret laboratories, corporate clashes, and high-stakes government negotiations that led to effective shots. Deeply reported and endlessly gripping, this is a dazzling, blow-by-blow chronicle of the most consequential scientific breakthrough of our time. Its a story of courage, genius, and heroism. Its also a tale of heated rivalries, unbridled ambitions, crippling insecurities, and unexpected drama. A Shot to Save the World is the story of how science saved the world.

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Portfolio Penguin An imprint of Penguin Random House LLC - photo 1
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Portfolio / Penguin

An imprint of Penguin Random House LLC

penguinrandomhouse.com

Copyright 2021 by Gregory Zuckerman Penguin supports copyright Copyright fuels - photo 4

Copyright 2021 by Gregory Zuckerman

Penguin supports copyright. Copyright fuels creativity, encourages diverse voices, promotes free speech, and creates a vibrant culture. Thank you for buying an authorized edition of this book and for complying with copyright laws by not reproducing, scanning, or distributing any part of it in any form without permission. You are supporting writers and allowing Penguin to continue to publish books for every reader.

Library of Congress Cataloging-in-Publication Control Number: 2021945462

ISBN 9780593420393 (hardcover)

ISBN 9780593420409 (ebook)

Book design by Meighan Cavanaugh, adapted for ebook by Shayan Saalabi

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For those who gave of themselves to help others

CONTENTS
CAST OF CHARACTERS
Moderna

Stphane Bancel Chief executive and master fundraiser

Stephen Hoge President and ex-McKinsey & Company consultant

Eric Huang Staffer who convinced Moderna to focus on vaccines

Kerry Benenato Organic chemist who solved key mRNA challenge

Juan Andres Head of vaccine manufacturing, stocked up on household supplies in early 2020

Robert Langer Chemical engineer, helped launch Moderna

Noubar Afeyan Lebanese-born venture capitalist who hired Bancel

BioNTech

Uur ahin Cofounder; dreamed of developing cancer immunotherapies

zlem Treci Cofounder; cancer researcher

Thomas Strngmann Billionaire backer of ahin, Treci, and BioNTech

Pfizer

Albert Bourla CEO, pushed for fast Covid-19 vaccine

Mikael Dolsten Chief scientist, became worried company picked wrong vaccine design

Kathrin Jansen Vaccine-research chief

Beth Israel Deaconess Medical Center

Dan Barouch AIDS researcher, developed vaccine approach employing adenovirus serotype 26, worked with Johnson & Johnson

Oxford University

Adrian Hill Polarizing vaccine researcher who spent his career fighting malaria and being abrasive to his peers

Sarah Gilbert Chimpanzee-virus specialist who designed Covid-19 vaccine

Novavax

Gale Smith Invented vaccine approach using insect viruses, developed AIDS vaccine at MicroGeneSys

Stanley Erck CEO, Vietnam veteran

Gregory Glenn President, former physician, hobbyist chicken farmer

Academic Researchers

jon wolff mRNA pioneer at the University of Wisconsin

Eli Gilboa Achieved early mRNA advances at Duke University

Katalin Karik Hungarian-born researcher and diehard mRNA advocate

Drew Weissman Worked with Karik on mRNA breakthrough, feline fan

Luigi Warren Software engineer-turned-biologist responsible for important mRNA advance

Derrick Rossi mRNA revolutionary, helped found Moderna

Jason Mclellan Structural biologist, discovered way to keep spike protein in ideal form

Nianshuang Wang Native of China, worked on breakthrough coronavirus research

Government Scientists

Anthony Fauci Top U.S. infectious-disease expert

Barney Graham Deputy director, Vaccine Research Center; chased RSV vaccines, worked with Moderna on Covid-19 vaccine

John Mascola Director of the Vaccine Research Center, part of the National Institutes of Healths National Institute of Allergy and Infectious Diseases (NIAID)

Kizzmekia Corbett Viral immunologist in Grahams lab

MicroGeneSys

Frank Volvovitz Founder, chased AIDS vaccine

INTRODUCTION

In late January 2020, I traveled to Europe and the Middle East with my two sons. We had read reports describing a worrisome virus circulating in central China and likely beyond, but the threat didnt seem immediate or especially worrisome. Walking through Heathrow Airport, my sons insisted on wearing makeshift face masks but I yanked mine off. They were useless, health officials were advising, and might even invite danger. Every few years, it seemed, worries arose about some new virus or other, but the pathogens rarely had broad impact. Besides, I was getting nervous looks from fellow passengers.

Within weeks, the world was held hostage by a lethal virus, and the most calamitous health crisis in decades had begun. Not since the AIDS epidemic of the 1980s, or perhaps the 1918 flu pandemic, did so much of humankind simultaneously fear for its health and wellness. Just as in those earlier periods, fear was accompanied by confusion and uncertainty. No one knew the origins of the novel virus, which eventually was determined to be part of the coronavirus family and was named severe acute respiratory syndrome coronavirus 2, or SARS-CoV-2. It wasnt understood why the virus spread so rapidly and efficiently, or how it could be avoided or stopped. All that was clear was that everyone was a potential victim.

By the late summer of 2021, more than 4.5 million people around the world had died of the resulting disease, which was branded Covid-19, and more than 210 million people had been sickened.

Almost every family was affected in some way or fashion, including my own. One of my sons contracted the virus, as did close friends and relatives. An uncle died of Covid-19, as well as a neighbor. So much pain, destruction, and mayhem, and all from an oily bubble of genes with a diameter of about one hundred nanometers, small enough to fit one thousand virus particles across the width of a single strand of hair.

Politicians, government officials, business leaders, and public-health professionals were unprepared for the most devastating pandemic in a century. The errors, oversights, and obfuscations witnessed after the mysterious respiratory illness first emerged in Wuhan, China, in January 2020 could fill a book or two. It just wont be this one. This is the story of how science protected humanity from a modern-day plague.

I began tracking the vaccine chase as the world locked down in early spring of 2020 and I retreated deep into my basement office, unable to access The Wall Street Journals Midtown Manhattan building. Soon I was speaking with extraordinary and often courageous scientists, executives, and government researchers who were going all out to develop shots to stem the pandemic. Their efforts and exploits served as welcome distractions amid the pervading gloom and despair.

The obstacles they confronted were immense. At the start of the pandemic, many health-care experts deemed it unlikely that safe and effective vaccines could be produced, at least in the near term. After all, until 2020, a mumps vaccine was the fastest ever developed, and that took a long four years. The average vaccine was produced in ten years. The stubborn scientists persisted, though, convinced they had a way to save lives. At each turn, they experienced unexpected drama.

I became determined to tell their story. Developing, testing, manufacturing, and then delivering safe and effective vaccines within a single year is a feat unmatched in modern science, and arguably one of humankinds proudest moments. By one count, the Covid-19 vaccines helped prevent 279,000 deaths and averted up to 1.25 million additional hospitalizations, as of summer 2021.

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