[MCOH-EH] Second dose (message forwarded from Michael Sauri)

Dr Joe Fanucchi drjoe at meditrax.com
Sun Feb 14 09:08:25 PST 2021

Dr. Siu,

In my opinion, your patient should receive her second COVID-19 vaccine 
but delay its administration by 90 days.

Current CDC recommendations are:

1.    Anyone who acquired a COVID-19 infection should get the COVID-19 
vaccine since it can not be assumed that every victim will develop a 
significant immune response from their infection. However, CDC also has 
stated that it is very likely that most COVID-19 victims will have at 
least 3-6 months of immunity following their infection.
2.    Anyone who has acquired a COVID-19 infection should wait 90 days 
before receiving a COVID-19 vaccine to avoid a robust reaction to the 
mRNA vaccine (especially the Moderna vaccine) from the presence of high 
levels of circulating antibodies following a natural infection.

That being said, there has been some discussion among public health 
experts that a single dose of a COVID-19 vaccine may be sufficient for 
those people who naturally-acquired a COVID-19 infection.

Finally,  due to the "immune escape" property in the COVID-19 variants, 
there is currently concern among public health experts that a modified 
COVID-19 vaccine "booster" will also be needed for the general 
population in the future.

I hope this is helpful.


Michael A. Sauri, MD, MPH&TM, FACP
Medical Director
Occupational Health Consultants
2301 Research Blvd., Suite 125
Rockville, MD 20850
  <http://www.ohcmd.com> www.ohcmd.com
Tel 301-738-6420
Fax 301-990-3534
msauri at ohcmd.com


From: MCOH-EH <mcoh-eh-bounces+msauri=ohcmd.com at mylist.net> On Behalf Of 
srscons at on.aibn.com
Sent: Saturday, February 13, 2021 10:34 AM
To: 'MCOH-EH' <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Second dose

I have a nurse who developed COVID 2 days after the first dose.
She has now recovered. Should she get the second dose?

Dr. Sidney Siu
827 Richmond Street,
London, Ontario N6A 3H7
Phone #: 519-858-4694
Fax #: 519-858-4692

*Joe Fanucchi MD FACOEM*
President and Medical Director
MediTrax / OHS, Inc. <http://www.meditrax.com/>
drjoe at meditrax.com <mailto: drjoe at meditrax.com>
/MediTrax: Everything you need, at a fraction of the cost!/
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