Medical Discussion of Coronavirus

[CordMcNally]

with all the concierge medicine and rich people in the area, some regulations were needed- there was some clinic in queens giving it to the gen public and not 1a people, but the regulations were poorly executed and lacked some common sense.

Just another example of how a perfect plan is the enemy of a good one. Follow the regulations as best as you can and if you get to where vaccines may go to waste you just start jabbing arms. Consensually, of course.

[billy]

what is the reasoning behind getting the vaccine that soon after covid?
I was trying to get the vaccine as soon as I could, but now that I've tested positive, I wouldnt be in a rush to get one any time soon. Partly because someone who needs it more should get it ahead of me now, partly because the risk/benefit ratio has changed.

hopefully an ID person here can jump in to explain. But its with high exposure people- anesthesia er icu. Then again anyone who works in the hospital is high risk. Sorry I dont have a better explanation for you. But I also dont think they skipped anyone in line for it- most in my hospital are on round 2 now. And if you refused your chance the first time, I'd feel better giving it to someone who wants it instead of saving it for those waiting to see if we grow a third arm.

[molar roller]

hopefully an ID person here can jump in to explain. But its with high exposure people- anesthesia er icu. Then again anyone who works in the hospital is high risk. Sorry I dont have a better explanation for you. But I also dont think they skipped anyone in line for it- most in my hospital are on round 2 now. And if you refused your chance the first time, I'd feel better giving it to someone who wants it instead of saving it for those waiting to see if we grow a third arm.

I hope they do. I understand doing it in a few months as the antibody levels wane, and 90+ days guidance makes sense to me. On the other hand, I had to reschedule next week's patients for the week after. That third arm would come in very handy, maybe I should have kept my vaccine appointment!

[StarTrekDoc]

I'm hoping for 2nd head. My daughter keeps asking me if my neck feels itching and any bumps starting

[AR]

Here's my understanding of the "waste" issue. If these vaccines are in the freezer at the correct temp, they keep for about 6 months.

Once out of the freezer Moderna keeps for about a month and Pfizer keeps for a bit less than a week (I'm going from memory here, and I might be off).

Once you pierce a vial, it needs to be used in about 6 hrs. Moderna comes in 10 dose vials. Pfizer comes in 5 dose vials.

I looked this up about 3 wks ago, and if I remembered something incorrectly, I apologize. I'm not motivated enough to double check.

If a site is doing everything perfectly, in theory, the most waste one could have in a day is 9 Moderna doses or 4 Pfizer doses. Of course, things aren't being done perfectly, I'm sure. Neverthless, waste of a single, partially-used multidose vial is understandable and is the nature of multidose vials of anything. Any waste beyond that is due to poor management.

[Tim]

Shot #2 less than 20 hrs in. Response to a text I had sent, “Sleeping?”

“Yes do not feel well. I will try to do it tomorrow. Only getting up for Gatorade and bathroom. Trying not to move.”

Sleeping is the escape!

[Mags]

Well, I had my second Pfizer vaccine yesterday and had a rough night. Fever, shaking chills, headache, nausea. It started 12 hours after the injection. It's finally starting to subside this AM. Of course, my husband had no symptoms after his injection.

[StarTrekDoc]

Here's my understanding of the "waste" issue. If these vaccines are in the freezer at the correct temp, they keep for about 6 months.

Once out of the freezer Moderna keeps for about a month and Pfizer keeps for a bit less than a week (I'm going from memory here, and I might be off).

Once you pierce a vial, it needs to be used in about 6 hrs. Moderna comes in 10 dose vials. Pfizer comes in 5 dose vials.

I looked this up about 3 wks ago, and if I remembered something incorrectly, I apologize. I'm not motivated enough to double check.

If a site is doing everything perfectly, in theory, the most waste one could have in a day is 9 Moderna doses or 4 Pfizer doses. Of course, things aren't being done perfectly, I'm sure. Neverthless, waste of a single, partially-used multidose vial is understandable and is the nature of multidose vials of anything. Any waste beyond that is due to poor management.

We're assuming a single vial draw from a multitude of people. Scale compounds poor management.

eg: our employee site has 10 stations; each with own vial to draw for efficiency. So at end of day if completely poorly managed, literally 9x9 = 81 potential vaccinations can be wasted if just opened a new vial at the last vaccination appointment. This of course should not happen with any competent nurse and floor manager actively rounding on the floor.

[Lordosis]

Actually I feel better now after the second one then I did after the first one. I am post 24 hours now so I hope I am past the worst of it. I could easily have worked if I got it mid week.

Seems this reaction is highly variable on the person.

[CordMcNally]

I had a sore arm after the first and a much more sore arm after the second along with some nausea and chills (which lasted about 12-18 hours). I could have worked but I wouldn't have enjoyed myself during a busy shift.

[billy]

now that Im 40 hours out Im fine, but this one was rough- like I said earlier ~18 hours in the chills and fatigue kicked in. Fevers followed. Probably took about 15 hours to subside once symptoms had started. If I had to time it with work, I think at start of shift would be best with the next day off- everyone I know who had symptoms had them start at least 12 hours post shot, and most lasting 12-18 hours after it started.

[nephron]

FYI I saw a batch of unused vaccine labelled trash behind one of those voting tabulation machines.

[AR]

We're assuming a single vial draw from a multitude of people. Scale compounds poor management.

eg: our employee site has 10 stations; each with own vial to draw for efficiency. So at end of day if completely poorly managed, literally 9x9 = 81 potential vaccinations can be wasted if just opened a new vial at the last vaccination appointment. This of course should not happen with any competent nurse and floor manager actively rounding on the floor.

Yeah. It's not rocket science to start monitoring things towards the end of the day to make sure that you don't open too many vials if you can get a partial vial from nearby.

[fatlittlepig]

Actually I feel better now after the second one then I did after the first one. I am post 24 hours now so I hope I am past the worst of it. I could easily have worked if I got it mid week.

Seems this reaction is highly variable on the person.

imaginary to minimal symptoms for a fatlittlepig. Went to work directly afterwards.

[FIREshrink]

Actually I feel better now after the second one then I did after the first one. I am post 24 hours now so I hope I am past the worst of it. I could easily have worked if I got it mid week.

Seems this reaction is highly variable on the person.

Pfizer study suggests 1/4-1/3 of 2nd dose recipients will be sick enough to not want to or be able to work the next day. Health care systems, employers, etc should plan accordingly. Neither my sister nor uncle had notable second dose side effects - I'm hoping that runs in families.

I’m scheduled next Friday morning before work and have Saturday and Sunday off.