A new round of COVID shots is shipping to doctor's offices across California. And for the second year in a row, the federal government is not picking up the tab. Physicians have to order the vaccine weeks in advance and pay up front for the shots. And because of that, many are taking a more cautious approach when it comes to ordering the shots.   Reporter: Jackie Fortier, KFF Health News Thousands of migratory birds have died so far in an avian botulism outbreak in the Klamath Basin National Wildlife Refuge.Reporter: Juliet Grable, Jefferson Public Radio Learn more about your ad choices. Visit megaphone.fm/adchoices