We observe everyone for 15 minutes, 30 minutes for anyone who has h/o allergic reaction to an unrelated injectable medication, etc.


From: MCOH-EH [mailto:mcoh-eh-bounces+dorothyann.vanrhijn=yale.edu@mylist.net] On Behalf Of Bulas, Kristina SAMVAMC via MCOH-EH
Sent: Tuesday, January 05, 2021 6:38 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Bulas, Kristina SAMVAMC <Kristina.Bulas@va.gov>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: Survey: COVID Vaccine administration/15 minute observation period


Pfizer or Moderna?


Kristina Bulas MD FACOEM MRO

Section Chief Occupational Health

VAMC Salem

1970 Roanoke Blvd

Salem, Va 24153

540-982-2463 ext 2908


Links to key Employee Occupational Health resources:
EOH SharePoint, EOH Policy Consult Request, OEMedicine Consult Request, EOH Guidebook


From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Charles Hackett
Sent: Monday, January 4, 2021 2:11 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period


Our "High Risk " clinics have paid off. The employee must wait 30 minutes and we have an additional level of medical professional support available.

To date we have given approximately 9000 shots and we have had 4 anaphylacic reations including one employee who was hospitalized in the MICU for a short duration.


Charlie Hackett MD, MPH, Lifespan.



On Mon, Jan 4, 2021 at 2:00 PM Dr. Dana Rawl <darawl@lexhealth.org> wrote:

We mandate the 15 minute wait time in a small auditorium setting with observers/RNs monitoring for any reactions.


Dana Rawl, MD, MPH

Lexington Medical Center Occupational Health

3799 12th Street Extension, Suite 110

Cayce, SC 29033



From: MCOH-EH <mcoh-eh-bounces+darawl=lexhealth.org@mylist.net> On Behalf Of Galaid Edward I
Sent: Saturday, January 2, 2021 3:18 PM
To: Occ-Env-Med-L@listserv.unc.edu; mcoh-eh@mylist.net
Subject: [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period


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Cross posting in OEM list and MCOH:




I’ve heard from our operations people that our immunization administration through-put  has been throttled by the 15 minute observation time.

Specifically,  the rate limiting step is clearing space for those who are being observed post-administration for that 15 minute period.

Please respond to the following,  and I will report back aggregate results:


1.       We follow the 15 minute wait time for all who are vaccinated

2.       We stratify need to be observed by risk of having a reaction, or someone with underlying medical conditions that might result in a more serious acute reaction

3.       We have eliminated the waiting period.

4.       Other solutions or comments:


Thanks for taking the time.


Ed Galaid


Edward I. Galaid, MD, MPH, FACOEM


Medical Director, Occupational Medicine

Roper Saint Francis Healthcare

Charleston, SC 29401

Member, ACOEM Task Group on Law Enforcement Officer Health

Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee




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