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Paul Sax, clinical director of the Division of Infectious Diseases at Brigham and Women’s Hospital, said people who’ve gotten the first bivalent booster don’t need a second one “unless they’re over 80, medically fragile, or immunocompromised.” Like Hamer, he said he would recommend a first bivalent shot for those at high risk of severe disease, such as older people or those with comorbidities