The US authorities have given a go-ahead for one of the COVID 19 vaccines to be authorised. As a result, this now starts the process for two governing bodies the FDA and its sister BPAC. To meet again to approve an emergency use authorisation. The head scientist for the US on this subject has stated. That there will likely be some very difficult days ahead. This is because the case numbers keep climbing with the number of deaths increasing as a result. Consequently, the objective is to have 100 million + Americans vaccinated by the end of the first quarter in the new year. The logistics of distribution, inoculations and health facilities need to all fall in place smoothly. To achieve this goal. With the scepticism on the vaccines very prevalent, it is not yet known if this will be a major impediment.