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德國政府專家小組進行評估後，首次強烈建議民眾進行混款接種，若首劑接種阿斯利康疫苗，第二劑可接種輝瑞及其合作夥伴BioNTech疫苗，或是選擇莫德納疫苗這兩款采用mRNA技術研發的疫苗。但台灣兒科醫生楊為傑卻提出質疑，表明除非世界多數國家承認混款接種有效的疫苗護照，否則不會選擇混款接種的模式。
面對着最初在印度發現的Delta變種毒株來襲，德國防疫主管機關Robert Koch Institute旗下的接種委員會在7月1日修正接種建議，第一劑接種阿斯利康(Astra Zeneca)疫苗的民眾，無論年齡大小，第二劑都能接種輝瑞BNT疫苗，或是選擇莫德納疫苗，但提醒第二劑接種至少需要間隔4周。
德國專家小組也解釋說，第一劑接種腺病毒載體疫苗，也就是阿斯利康疫苗，隨後接種采用信使核糖核酸(mRNA)技術的輝瑞BNT或莫德納疫苗，在人體產生的免疫反應“明顯超越”兩劑都接種阿斯利康疫苗。鑒於目前Delta病毒已經快速擴散，德國專家小組也建議民眾即時接種第二劑疫苗，因為單單接種第一劑疫苗對Delta變種毒株的保護力“明顯不足”。
但相比德國政府的建議，歐盟藥品管理局(EMA)卻給出不同的觀點，他們認為阿斯利康、輝瑞BNT、莫德納和強生等4款受到批準上市的疫苗，都對變種毒株具備保護力，不建議民眾混款接種。
德國目前有過半的成年人口已經完成第一劑接種程序，政府規劃明年將采購2億劑疫苗，相當於每人都至少接種兩劑疫苗，但將排除阿斯利康疫苗，以輝瑞BNT和莫德納為主。
楊為傑現職為台灣大安婦幼兒科醫師，他提到混款接種這件事情時，表示最近有許多患者都詢問他，但他強調說：“我自己不會混款接種，我家人們也不會這麼做，除非世界上的多數國家都承認混款接種為有效的疫苗護照，否則要出門時會被阻擋，那就太糟糕。至少我會等到美國等承認再看，目前美國是不承認混款接種的。”
美國《自然》(Nature)期刊，近期刊登西班牙所展開的研究報告，指663人第一劑接種阿斯利康疫苗，有1/3者不接種第二劑疫苗，2/3者接種第二劑疫苗。不接種第二劑者的抗體沒有變化，若是第二劑接種輝瑞BNT疫苗，抗體幾何平均值幾乎增加100倍，綜合抗體陽性率從34%進步至100%。
台大兒童醫院院長則表示：“這顯示出混款接種的效果不錯，比接種兩劑阿斯利康疫苗更有利。”
而觀察德國總理默克爾(Angela Merkel)，她本身也是第一劑接種阿斯利康疫苗後，第二劑轉而接種莫德納疫苗。包括加拿大國家免疫咨詢委員會，也同樣在6月17日時提出相同的建議，相對接受第一劑阿斯利康疫苗者，第二劑應該以mRNA疫苗作為首選。
另外，近期英國牛津所做的研究顯示，在間隔4周接種的時程里，無論是先接種輝瑞BNT疫苗後再接種阿斯利康疫苗，或是倒反進行，在接種後都能激發出比兩劑阿斯利康疫苗更高濃度的IgG抗體。但先接種阿斯利康疫苗所產生的免疫反應更好。研究團隊提出觀點稱，這反映出混款接種是可行的。
但台灣疫苗推動協會秘書長、台大兒童感染科醫師呂俊毅在7月1日的記者會上發出警告，目前全球僅有少數小規模試驗，研究結果顯示，接種兩劑不同的疫苗，抗體濃度確實比接種同款疫苗來得高，但至今沒有人以混款接種進行過3期臨床試驗，確實缺乏明確證據。”
