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

[Tim Crump]

Does anyone have a reference for the CDC discouraging people from getting the vaccine if they have had Covid disease in the past 90 days due to robust reaction?  All I can find is the following:

“Due to the severe health risks associated with COVID-19 and the fact that reinfection with COVID-19 is possible, you should be vaccinated regardless of whether you already had COVID-19 infection. If you were treated for COVID-19 symptoms with monoclonal antibodies or convalescent plasma, you should wait 90 days before getting a COVID-19 vaccine. Talk to your doctor if you are unsure what treatments you received or if you have more questions about getting a COVID-19 vaccine.

Experts do not yet know how long someone is protected from getting sick again after recovering from COVID-19. The immunity someone gains from having an infection, called “natural immunity,” varies from person to person.  It is rare for someone who has had COVID-19 to get infected again. It also is uncommon for people who do get COVID-19 again to get it within 90 days of when they recovered from their first infection.  We won’t know how long immunity produced by vaccination lasts until we have more data on how well the vaccines work.

Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are working to learn more about, and CDC will keep the public informed as new evidence becomes available.”
Thanks, Tim

Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Multnomah Pavilion 1 SE, Suite 1110
Occupational Health
Healthcare Human Resources

Oregon Health & Science University
Occupational Health
3161 SW Pavilion Loop
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt at ohsu.edu<mailto:crumpt at ohsu.edu>

Mon-Fri, 7:30-4:00

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From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Dr Joe Fanucchi
Sent: Sunday, February 14, 2021 9:08 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [EXTERNAL] [MCOH-EH] Second dose (message forwarded from Michael Sauri)


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

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

________________________________

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

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

________________________________
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Joe Fanucchi MD FACOEM
President and Medical Director
MediTrax / OHS, Inc.<http://www.meditrax.com/>
o:925-820-7758
c:925-368-3367
drjoe at meditrax.com<mailto:%20drjoe at meditrax.com>
[cid:image003.jpg at 01D7043D.6C4A16F0]<http://www.meditrax.com/>
MediTrax: Everything you need, at a fraction of the cost!
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