WASHINGTON, Aug 23 (Reuters) - The US drug regulator on Monday (Aug 23) granted full approval to the Pfizer-BioNTech COVID-19 vaccine - the first to secure such Food and Drug Administration validation - prompting President Joe Biden to make a fresh pitch to vaccine sceptics to get the shot to fight the relentless pandemic.

The FDA, which gave the two-dose vaccine emergency-use authorisation in December, provided its full approval for use in people age 16 and older based on updated data from the companies' clinical trial and manufacturing review. Public health officials hope the action will convince unvaccinated Americans that Pfizer's shot is safe and effective.

There is entrenched vaccine scepticism among some Americans, particularly conservatives. COVID-19 cases, driven by the highly infectious Delta variant, have surged in parts of the United States with lower vaccination levels.

Speaking at the White House, Biden called the FDA approval "an important moment in our fight against the pandemic" and urged more private businesses to require employees to be vaccinated.

"If you're one of the millions of Americans who said that they will not get the shot until it has full and final approval of the FDA, it has now happened," Biden said.

"It's time for you to go get your vaccination. Get it today," Biden added. "... There is no time to waste."

The Pentagon said it is preparing to make the vaccine mandatory for military personnel.

US health officials expect that the FDA's action also will prompt more state and local governments, as well as private employers, to impose vaccine mandates. New York City said it will require vaccines for public-school teachers, while New Jersey announced that all state workers must get vaccinated by mid-October or agree to regular COVID-19 tests.

"While millions of people have already safely received COVID-19 vaccines, we recognise that for some, the FDA approval of a vaccine may now instill additional confidence to get vaccinated," said Janet Woodcock, the FDA's acting commissioner.

More than 204 million people in the United States have received the Pfizer vaccine. The FDA's approval extends the shelf life of Pfizer shots from six months to nine months. It also confirms that the vaccine increases risk of heart inflammation, particularly among young men in the week following their second shot.

The approval makes it easier for doctors to prescribe a third dose of Pfizer's vaccine off-label for people who may benefit from additional protection against COVID-19.

The two other COVID-19 vaccines given emergency-use authorisation - made by Moderna and Johnson & Johnson - have not yet received full FDA approval.

The FDA gave emergency-use authorisation to Pfizer's vaccine for people age 16 and older in December - the first shot to gain such backing in the United States - and provided further emergency-use authorisation for people age 12 and up in May.

Pfizer and BioNTech said they plan to apply for full approval in children ages 12 to 15 as soon as required data is available.

Pfizer is expected to submit data this fall to support the shot's emergency-use authorisation for children under 12 based on smaller doses.

Pfizer's shot has received conditional regulatory approval elsewhere including Britain and the European Union.

According to the Centers for Disease Control and Prevention (CDC), 71 per cent of Americans age 12 and older - the population eligible to receive COVID-19 vaccines - have gotten at least one dose and 60.2 per cent are fully vaccinated. For the entire population, including children up to age 11 for whom no vaccines are yet approved, 60.7 per cent of Americans have received at least one dose, with 51.5 per cent fully vaccinated.

The FDA on Aug 13 authorised a third dose of the Pfizer and Moderna vaccines for people with compromised immune systems. Pfizer's shot has not et been authorized for more widespread use as a booster.