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
FACPM, FACOEM, FRSTM&H, CTropMed
Occupational Health Consultants
2301 Research Blvd., Suite 125
Rockville, MD 20850
From: MCOH-EH <firstname.lastname@example.org>
On Behalf Of email@example.com
Sent: Saturday, February 13, 2021 10:34 AM
To: 'MCOH-EH' <firstname.lastname@example.org>
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