[MCOH-EH] [External] Re: [EXTERNAL] COVID Vaccination Dose #2 in employees who become positive after dose #1

[Winters, Tom (BIDMC - Occupational Health)]

?We would give 2nd dose 10days post onset of symptoms as CDC stated, whenever due 2nd dose. Where did 90 days come from, wrong in my opinion.

  Tom Winters



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From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Swift, Melanie D., M.D., M.P.H. via MCOH-EH <mcoh-eh at mylist.net>
Sent: Friday, January 8, 2021 6:00 PM
To: Jeremy Biggs; 'MCOH-EH'
Cc: Swift, Melanie D., M.D., M.P.H.
Subject: [External] Re: [MCOH-EH] [EXTERNAL] COVID Vaccination Dose #2 in employees who become positive after dose #1

We are administering dose 2 when they clear isolation. The rationale is bifold:

·         There is zero data on the effectiveness of a series separated by 90+ days. The phase 3 trials had no participants with doses that far apart.

·         Dose #2 has been allocated to you for the person who received dose 1. If you give that dose 2 to someone else as their dose 1, you will not get dose 2 shipped to you for the second person! Delaying dose 2 is not really opening up a dose 1 appointment so you don't get the altruistic benefit of increasing access to others. Unless you want to start giving access to a partial series.

Melanie

Melanie Swift, MD, MPH
Medical Director, Mayo Clinic Physician Health Center<https://urldefense.com/v3/__https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/referrals__;!!CvMGjuU!vbHtq9jYlG0t3nWu_XrVICjZyuC6yUOVYsDYNrD2X45HLKMa79T94g4c6X5elMEZFS0H4eg$>
Associate Medical Director, Occupational Health Service
Senior Associate Consultant
Assistant Professor of Medicine
Division of Preventive, Occupational, and Aerospace Medicine
Phone 507.284.2560
_______________________________
Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org<https://urldefense.com/v3/__http://www.mayoclinic.org/__;!!CvMGjuU!vbHtq9jYlG0t3nWu_XrVICjZyuC6yUOVYsDYNrD2X45HLKMa79T94g4c6X5elMEZFmxDbMQ$>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Jeremy Biggs via MCOH-EH
Sent: Thursday, January 7, 2021 3:55 PM
To: mcoh-eh at mylist.net
Cc: Jeremy Biggs
Subject: [EXTERNAL] [MCOH-EH] COVID Vaccination Dose #2 in employees who become positive after dose #1

What are your policies for the following:

Employee has first vaccine and then becomes positive for COVID before the second dose. We have decided, based on the CDC site, COVID before or after 1st dose and before 2nd, don't need to interrupt the schedule, reschedule as long as symptoms resolved and at least 10 days from symptom onset or positive test in an asymptomatic employee.

I have talked with other institutions and some are postponing the second dose for 90 days from symptom onset or positive test in an asymptomatic positive. This they have said is to use the vaccine for others.

Anyone else doing anything different?



Jeremy Biggs MD MSPH FACOEM
Associate Professor

PPE "Czar"
University of Utah, Department of Family and Preventive Medicine
Rocky Mountain Center for Occupational and Environmental Health

Medical Director Rocky Mountain Specialty Services Clinic

Medical Director of the University Hospital and University Campus Employee Clinics

Medical Director of Occupational Medicine and Health, EHS and University Hospital and Clinics




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