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Jamie Onofrio Franceschini, 11, watches as RN Rosemary Lantigua prepares a syringe with her first dose of the Pfizer-BioNTech COVID-19 vaccine for children five to 12 years at The Children’s Hospital at Montefiore, Wednesday, Nov. 3, 2021, in the Bronx borough of New York. The U.S. enters a new phase Wednesday in its COVID-19 vaccination campaign, with shots now available to millions of elementary-age children in what health officials hailed as a major breakthrough after more than 18 months of illness, hospitalizations, deaths and disrupted education. (AP Photo/Mary Altaffer)