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

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

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Jeremy Biggs via MCOH-EH
Sent: Thursday, January 7, 2021 3:55 PM
To: mcoh-eh@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