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@ohsu.edu

 

Mon-Fri, 7:30-4:00

 

cid:3381310330_334556

 

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From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Dr Joe Fanucchi
Sent: Sunday, February 14, 2021 9:08 AM
To: MCOH/EH <mcoh-eh@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> 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


--

Joe Fanucchi MD FACOEM
President and Medical Director
MediTrax / OHS, Inc.
o:925-820-7758
c:925-368-3367
drjoe@meditrax.com

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