Medical Discussion of Coronavirus

[nephron]

I still don't understand why there is not more controversy regarding vaccinating people who have already had covid. With the shortage of vaccines and preliminary data indicating patients who had covid may be protected for a few months, it would seem like an obvious move to defer vaccinating people who had covid. I don't know of any other infectious disease where the recommendation is to vaccinate people who already had the disease. The flu virus changes annually so there is a new vaccine annually. I don't know much about the shingles vaccine. I think that if people were advocating vaccinating people who were recovering from the measles or chickenpox with a vaccine to protect against the measles or chicken pox, there would be some push back or desire to obtain more data. I had a patient who had severe covid in April, hospitalized for several weeks, got the vaccine, had fever, altered mental status, hospitalized again after vaccine administration. I suggested that he not take the second vaccine shot, family member upset that I didn't go with cdc recommendations. I hate the cdc and Fauci, I really do think their only role in this whole pandemic has been to make things worse. Again, not medical advice, not an an expert in ID or vaccines, people should continue to do whatever they think is best per cdc recommendations. If I had covid, I personally would want to see more data before signing up for the vaccine.

[fatlittlepig]

I still don't understand why there is not more controversy regarding vaccinating people who have already had covid. With the shortage of vaccines and preliminary data indicating patients who had covid may be protected for a few months, it would seem like an obvious move to defer vaccinating people who had covid. I don't know of any other infectious disease where the recommendation is to vaccinate people who already had the disease. The flu virus changes annually so there is a new vaccine annually. I don't know much about the shingles vaccine. I think that if people were advocating vaccinating people who were recovering from the measles or chickenpox with a vaccine to protect against the measles or chicken pox, there would be some push back or desire to obtain more data. I had a patient who had severe covid in April, hospitalized for several weeks, got the vaccine, had fever, altered mental status, hospitalized again after vaccine administration. I suggested that he not take the second vaccine shot, family member upset that I didn't go with cdc recommendations. I hate the cdc and Fauci, I really do think their only role in this whole pandemic has been to make things worse. Again, not medical advice, not an an expert in ID or vaccines, people should continue to do whatever they think is best per cdc recommendations. If I had covid, I personally would want to see more data before signing up for the vaccine.

I think we need to be much more indiscriminate with vaccinations. Stop spending time on figuring out who’s in what tier, who is cutting off who in line, who has had Covid already and when, and just start jabbing as many arms as possible.

[InfoRPh]

24h post-second dose Pfizer. Sore deltoid (mild, similar to first dose). No systemic symptoms.

I do not usually get "the flu" after flu vaccine - wonder if systemic immune response is similar between the two and is predictable?

I had my second Pfizer dose yesterday afternoon. I stared getting a really sore arm last evening, to where I couldn’t really use it. Today I feel hungover and achy (no fever). A 2 hour nap was in order this afternoon, which helped, but I still don’t have my appetite fully back.

I didn’t have any reactions after the first dose, and don’t normally have reactions after flu vaccines. Hoping I’ll be back to normal tomorrow!

My husband didn’t have any reactions after either Pfizer dose, outside of a mildly sore deltoid.

[Bmac]

I think we need to be much more indiscriminate with vaccinations. Stop spending time on figuring out who’s in what tier, who is cutting off who in line, who has had Covid already and when, and just start jabbing as many arms as possible.

Not to get (potentially) political, but once the National Guard is no longer occupied protecting every capitol, they should be deployed to administer vaccinations nationwide.

[fatlittlepig]

Unsurprisingly we suffer from a lack of imagination and urgency. Drug companies other than Pfizer should have been compelled or incentivized to manufacture the vaccine, every drugstore, grocery store, library, Starbucks and apple store should have vaccine delivery capability like yesterday. You walk into a grocery store and there is someone waiting with a vaccine in their hand.

[Tim]

Ten days in on the 1st Moderna shot. Wife has developed a new redness, tenderness and swelling on the site of the vaccine. Crossing fingers that the flare up is the vaccine taking effect and it subsides. Found zero guidance available. Is this potentially normal or a sign of an adverse reaction starting? Through the official channels the best qualified advice was from a standard County nurse that handles the public hospital calls (all calls not specialized in Covid or vaccines). Life with public healthcare options I suppose.

[nephron]

I think we need to be much more indiscriminate with vaccinations. Stop spending time on figuring out who’s in what tier, who is cutting off who in line, who has had Covid already and when, and just start jabbing as many arms as possible.

I have no problems vaccinating everyone who bumps into a needle, but the problem right now is that we do not have enough vaccines to go around. People like hospital administrators who have been working from home during this whole pandemic and Fauci and AOC who claim that they are getting vaccinated in order to get the general public to accept the vaccine are lying to the public. There is not going to be enough vaccine to go around for the next few months, the demand is a going to outpace the supply for a while. If people really were getting vaccinated to assure the general public, they would wait until there were adequate supplies before vaccinating themselves. There is no need to assure the general public about a safety of a vaccine when many more people want it who can get it right now.

https://www.nbcnews.com/news/us-news/no-stockpile-governors-hit-washington-vaccine-chokepoints-pile-n1254442

[CordMcNally]

Unsurprisingly we suffer from a lack of imagination and urgency. Drug companies other than Pfizer should have been compelled or incentivized to manufacture the vaccine, every drugstore, grocery store, library, Starbucks and apple store should have vaccine delivery capability like yesterday. You walk into a grocery store and there is someone waiting with a vaccine in their hand.

Too complicated. You just need large vaccinations sites.

[fatlittlepig]

I have no problems vaccinating everyone who bumps into a needle, but the problem right now is that we do not have enough vaccines to go around. People like hospital administrators who have been working from home during this whole pandemic and Fauci and AOC who claim that they are getting vaccinated in order to get the general public to accept the vaccine are lying to the public. There is not going to be enough vaccine to go around for the next few months, the demand is a going to outpace the supply for a while. If people really were getting vaccinated to assure the general public, they would wait until there were adequate supplies before vaccinating themselves. There is no need to assure the general public about a safety of a vaccine when many more people want it who can get it right now.
https://www.nbcnews.com/news/us-news...-pile-n1254442

If demand is outstripping supply then why haven’t states used up their supply of vaccine? I say forget the tiers and regulations and vaccinate any older person you can find period.

[fatlittlepig]

Too complicated. You just need large vaccinations sites.

I think you need to make it so seamless that you can’t do activities of daily living without running into a vaccine opportunity

[fatlittlepig]

If I’m in charge you better believe that drug companies are forced to manufacture a mRNA vaccine. We know the recipe, we just have to cook it. Not rocket science.

[CordMcNally]

I think you need to make it so seamless that you can’t do activities of daily living without running into a vaccine opportunity

There’s nothing that screams seamless about having to distribute vaccines to hundreds of thousands of different locations with how many vaccines needed per location being relatively unknown. Not to mention you need to get these people setup for a second dose.

[fatlittlepig]

There’s nothing that screams seamless about having to distribute vaccines to hundreds of thousands of different locations with how many vaccines needed per location being relatively unknown. Not to mention you need to get these people setup for a second dose.

U gotta do what you gotta do. Vaccine rollout has been extremely lackadaisical. I wouldn’t mess around any longer, B1117 is probably already widespread and will get everyone who hasn’t already been infected.

[nephron]

If demand is outstripping supply then why haven’t states used up their supply of vaccine? I say forget the tiers and regulations and vaccinate any older person you can find period.

The logistical "challenges" of vaccine administration are stupid. I was reading an article about how a large pharmacy chain that was charged with vaccinating patients complaining about inadequate staffing for administering the vaccine. If staffing were truly the rate limiting factor, I would suggest closing all the high schools for a week, teaching all high school students how to administer a shot IM with a 5 minute course, then administering the vaccine to everyone who showed up to the high school at once. The rate limiting step is going to be the supply of the vaccine. States are limiting who gets the shot because they know that they do not have enough to go around. I am just frustrated talking to patients and family members how want the vaccine while watching news articles showing hospital administrators claim that they they are getting the vaccine to "reassure" the public about the safety of the vaccine. Most states and public health departments are not capable of ramping up a mass vaccination site, but I honestly do think that if they asked for volunteers to administer the vaccine in exchange for receiving a dosage, you would not have a problem with staffing. You don't need a nursing degree of MD to administer an IM shot. I don't think you need anything other then an alcohol wipe to administer an IM shot.

[Panscan]

There’s nothing that screams seamless about having to distribute vaccines to hundreds of thousands of different locations with how many vaccines needed per location being relatively unknown. Not to mention you need to get these people setup for a second dose.

ya sounds like a lot of waste to me. more concentrated but larger vaccination sites are inherently more efficient when you have x doses per vial that only lasts so long once thawed.