cut back or ended altogether.

In New York City, for example, eight mobile vaccination units will fan out to offer the new shots, mostly for people who are homeless. In July 2021, by comparison, 70 mobile units and pop-up locations blanketed the city.

But across the country, there are still health teams flushing out the unboosted.

At the Thurmond Heights public-housing complex in Austin, organizers of an immunization clinic were handing out $20 grocery cards, raffle tickets and turkey sandwiches, incentives to get boosted just like in the early chapters of the pandemic.

Health officials said the boosters were reaching smaller rural clinics and Native American reservations, which have suffered some of the worst death rates of the pandemic. The Indian Health Service reported that 94,000 doses of the new booster had been sent out so far. The agency did not give numbers on how many of the shots had been administered.

There were some snags. Some nursing homes said they did not get the new boosters until midway through this past week, several days behind other clinics and pharmacies. Unlike the first wave of vaccinations, when teams from pharmacy chains streamed into nursing homes to vaccinate residents, long-term care facilities are administering the vaccines in-house.

Lisa McAfee said the Tennessee nursing home where her 101-year-old mother lives had been slow to organize a plan to vaccinate residents. Her mother was protected by the earlier vaccines, but Ms. McAfee said there have been recent infections in the home and she was anxious for her mother to get the new shot.

“She’s in the most vulnerable range of age and health,” Ms. McAfee said. “If it’s available, there’s no reason not to give it to her. That’s my frustration.”

Some people may end up delaying their booster in anticipation of another cold-weather surge. And the roughly 70,000 people still getting sick every day are recommended to wait for three months after their infection to get boosted.

Even the heavily vaccinated liberal city of San Francisco offered a case study in the challenges of revving people up for the new booster. In the Mission on Tuesday, Paloma Trigueros, 29, felt overwhelmed by the Groundhog Day feeling of getting shot after shot.

“I think everyone should get maybe one a year, not like five, six of them,” she said. “That’s kind of obsessive.”

Reporting was contributed by Eric Adelson, Kellen Browning, Brandon Dupré, Julianne McShane, Dave Montgomery and Amy Schoenfeld Walker.

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