Shot seekers also say they have been surprised by requests for upfront payments of $150 to $200 now that the U.S. government has handed off to private companies including vaccine makers, pharmacies, and insurance plans to handle distribution, administration and payment coverage. Around 4 million people received the updated Pfizer /BioNTech or Moderna shots in September, and 12 million doses were shipped, according to data from the U.S. Department of Health and Human Services (HHS). The U.S. government has recommended all Americans ages 6 months and older receive one.