A group of people in queue to receive a vaccination shot. | NACHO GALLEGO

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Spain's public health commission has approved a proposal by the health ministry that Spaniards under 60 who have received a first dose of AstraZeneca's vaccine get a second shot of the coronavirus vaccine produced by Pfizer Inc, El Pais newspaper reported on Tuesday, citing unnamed sources.

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The proposal will affect about 1.5 million Spaniards who received the AstraZeneca shot before the government banned it for those aged under 60 due to blood clot concerns.

A study by the government's Carlos III Health Institute found that mixing and matching the two drugs was both safe and effective.