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> www.ohcmd.com
Tel 301-738-6420
Fax 301-990-3534
msauri@ohcmd.com
From: MCOH-EH <mcoh-eh-bounces+msauri=ohcmd.com@mylist.net>
On Behalf Of srscons@on.aibn.com
Sent: Saturday, February 13, 2021 10:34 AM
To: 'MCOH-EH' <mcoh-eh@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