Table of Contents
Foreword Sen. Tom Cotton xi
Introduction 1
1 First Steps 13
2 The Team 25
President Donald Trump: Executive Sponsor
HHS Secretary Alex Azar: The Architect
Dr. Robert Kadlec: The Coordinator
Dr. Moncef Slaoui: The Vaccine Wizard
Carlo de Notaristefani: The Medical Manufacturing Marvel
General Gustave Perna: The Logistics Genius
Dr. Peter Marks: Early Screener, Later Reviewer
Matt Hepburn: The Development Coordinator
Dr. Francis Collins: The Godfather
Transforming Talent into a Team
3 The Launch 53
Rose Garden Kickoff-May 15, 2020
Jared Kushner and the Public Rollout
Picking Vaccine Candidates
4 The Money and the Science 61
Obtaining Funding for the Vaccine Candidates
The Pivotal Role of Dr. Francis Collins
A "Strategic Intervention" with Moderna
5 Making it 77
Expanding Manufacturing Capacity
Invoking the Defense Production Act
Setting Up Vaccine Manufacturing
Help from the Department of Justice
Board Meeting Drama
Oval Office Interactions
6 Shipping It 95
Planning Distribution and Getting Vaccine into Arms
Tiberius
7 Delivering It 111
Vials, Needles, Syringes, and Kits
Making Distribution Happen: The Other Generals
8 Approving It 119
Jared's Morning Operating Meetings
The Vaccine Distribution Summit
Science Influencing Politics?
Another October Surprise?
A Visit from Vice President Pence
Supporting Vaccine Diplomacy
Success: Moderna and Pfizer Granted Emergency Use Authorizations
9 Showtime 141
The ACIP and the CDC
Day 1 in the Vaccine Operating Center (VOC)
The First Week of Distribution: A Media Frenzy
The Camp David Summit and Rapid Adaptation
10 Lessons upon Leaving 155
Variants
Farewell to the Team
Politicizing an Exceptional American Achievement
Promises Made, Promises Kept
If We Could Turn Back Time
Lessons Learned for the Next Pandemic
Personal Reflections
Acknowledgements 176
Endnotes 178
Index 193