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

[Hartley, Patrick]

Caveat would be to inquire if the employee received convalescent plasma, or monoclonal antibody infusion (bamlanivumab or the Regeneron casirivimab/indevimab antibody cocktail) as treatment for their COVID infection.
Given the half-life of these circulating antibodies post-infusion, and potential to interfere with the vaccine’s ability to induce an antibody response, it would be preferable to defer vaccination x 90 days in those employees whose COVID-19 infection was treated with one of these modalities.
Pat

Patrick G. Hartley, M.B., B.Ch., B.A.O., M.P.H.
Professor (Clinical) of Internal Medicine
Division of Pulmonary Diseases, Critical Care and Occupational Medicine
Medical Director: University Employee Health Clinic & UIHC Occupational Medicine Clinic
University of Iowa Carver College of Medicine
319-353-7072 (Office)
319-353-6406 (Fax)
patrick-hartley at uiowa.edu



From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Warner Hudson
Sent: Wednesday, January 13, 2021 10:04 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Jeremy Biggs <jerbiggs at yahoo.com>
Subject: [External] Re: [MCOH-EH] COVID Vaccination Dose #2 in employees who become positive after dose #1

We’re not postponing for 90 days. Warner
Sent from my iPhone


On Jan 10, 2021, at 10:02 AM, Abhijay Karandikar via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>> wrote:

Our recommendations are similar and based on current CDC guidelines. An employee can receive the COVID vaccine as long as they are not currently infected and/or symptomatic and as long as they have met our system criteria for ending isolation (10 days have passed since symptoms first appeared and at least 24 hours have passed since last fever or 10 days have passed since the date of a positive test in an asymptomatic employee).

As Melanie and others have stated, it is prudent to adhere to the 21/28 day timeline of the second dose as much as possible, depending on the vaccine, since those were the conditions under which clinical trials were conducted and efficacy studied and measured.

An employee may defer receiving vaccination for 90 days after a confirmed COVID-19 infection if they have not received any dose of the vaccine; that is their personal choice.

Abhijay

Abhijay P. Karandikar, MD, MPH, FACOEM
Chief, Section of Occupational Medicine & Employee Health
Reading Hospital




On Friday, January 8, 2021, 01:19:01 PM EST, Jeremy Biggs via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>> wrote:


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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The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
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List archives (public): http://mylist.net/archives/mcoh-eh/
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Send administrative requests to: drjoe at meditrax.com<mailto:drjoe at meditrax.com>
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When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.


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