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Shots are slow to reach arms as Trump administration leaves final steps of mass vaccination to beleaguered states

The largest immunization campaign in U.S. history is off to a slow start, dimming hopes, at the end of a dismal year, of an imminent return to normal.

Dr. Jamie Garfield (right) receives her first dose of the Pfizer-BioNTech COVID-19 vaccine from nurse Sherre Branch at Temple University Hospital.
Dr. Jamie Garfield (right) receives her first dose of the Pfizer-BioNTech COVID-19 vaccine from nurse Sherre Branch at Temple University Hospital.Read moreTIM TAI / Staff Photographer