Medical Discussion of Coronavirus

[artemis]

If she's vaccinated isn't CDC guidance that she does not need to quarantine?

No, she was symptomatic before she got the COVID test, and had a known exposure. She should have stayed home. Here's a quote from the relevant part of the CDC's COVID information for fully vaccinated people ( https://www.cdc.gov/coronavirus/2019...accinated.html - look under the subsection "What You Should Keep Doing"):

"You should still watch out for symptoms of COVID-19, especially if you’ve been around someone who is sick. If you have symptoms of COVID-19, you should get tested and stay home and away from others. If your test is positive, isolate at home for 10 days.."

Right now a URI should be presumed to be COVID until a test comes back negative. That ought to be common sense, but it clearly isn't.

[FIREshrink]

I didn't pick up that she was symptomatic and awaiting a test result

[G]

I did the same. I'm heartbroken my elderly parents had to get a third dose of Pfizer, but they were told that was the only option, they couldn't switch to Moderna.
I got a Moderna booster and am contemplating finishing the Moderna series.

Yeah, I'm not really following the minute by minute studies, but I'm just not worried about it. I got a 3rd dose of Pfizer because of peer pressure (that is what most of my colleagues were doing because of a number of breakthrough cases, and nobody wanted the inconvenience). Honestly, a year ago at this time I was worried that I or some of my partners would be dead by the end of the year. And now, we are worried about inconvenience!

I felt worse with each successive dose of the mRNA vaccine. There is just no way that I'm going to screw around with this until there is a more convincing risk/reward profile. I'd rather quarantine for 7 days with a sniffle than feel like over-warmed dog feces for 2 days nor deal with mobility hindering adenopathy. (Or longer if the side effect trend continues.)

[Lordosis]

I didn't see any direct mention for health care workers to get booster. Just over 65 and illness related.

[Rando]

I didn't see any direct mention for health care workers to get booster. Just over 65 and illness related.

if I understand it correctly the recommendation today was Pfizer-only if 6 months or longer from last vaccine, all pts 65 or over, 18-64 if you have a risk factor (obesity, etc). My guess is that most people 18-64 can get one if they want one. Frankly I'm not clear who has the final word though, it seems like there is a new committee and recommendation every time you turn around.

[Tim]

You know, I really do wonder if the winning trifecta will turn out to be one dose of an adenovirus vector vaccine (to boost T-cell mediated immunity) + one dose of an mRNA vaccine (to boost humoral immunity) + one dose of a killed virus vaccine (to expose the immune system to other epitopes besides the spike protein). I guess we'll have to wait and see what works best.

Probably throw in a break through or previous natural infection and that is about all you can do. Oh, I forgot. Mask and keep social distancing and wash your hands!
Possibly double mask. And then maybe some treatments, just in case, on a preventative basis.

Bottom line is I don't want Covid. Feel free to add anything else. I got some steroid cream at home. Probably won't do crap, but I am desperate. Not being a cynic, but I wish I could find just how much each step is effective.

My hesitation is intentionally getting covid for the natural protection. Educate me on how effective that is please. Right or wrong, all of those seem to have narratives that they can actually produce some benefit. I just don't know.

I will probably wait until Moderna is approved for a booster and just stay home.

[StarTrekDoc]

if I understand it correctly the recommendation today was Pfizer-only if 6 months or longer from last vaccine, all pts 65 or over, 18-64 if you have a risk factor (obesity, etc). My guess is that most people 18-64 can get one if they want one. Frankly I'm not clear who has the final word though, it seems like there is a new committee and recommendation every time you turn around.

Nope same committees.

FDA move then ACIP rec then CDC final.

FDA was yesterday
ACIP rarely goes contrary to FDA but they did today on HCW or other high risk exposures.

They had little data for NNT on it so there was quite a heated debate on following the lack of science available.

CDC final is up.tomorrow. they may ignore the ACIP recs today.....who knows.

[HikingDO]

I didn't see any direct mention for health care workers to get booster. Just over 65 and illness related.

You are correct. The FDA recommended it but the CDC decided in their vote not to include healthcare workers. A lot changes in a day I guess.

[snowcanyon]

But Dr. Wallensky overruled. High risk occupations included.

[Lordosis]

Having just had covid myself I am sorta boosted already. I will get the booster if available to me this fall but I am not anxious about it.

However I think it is a mistake to not include high risk occupations. We are already looking down the barrel at a staff shortage. Why not do all we can to prevent illness and avoidable quarantines?

[StarTrekDoc]

ACIP is quite conservative in nature and simply put, the data isn't there for widespread usage of vaccine in high exposure for vaccine booster for hospitalization.
THere was heater debate on exactly Lordosis point from the staffing point to minimize breakthroughs. That was same issue at hand in the FDA and large reason for a statement vs vote on it.

CDC may end up rec it regardless but that'll be a policy call moreso than a science based call.

[FunkDoc83]

Can you just walk into a Wallgreens, CVS, etc. today and ask for a vaccine due to occupational exposure? Will they say no?

[StateOfMyHead]

Can you just walk into a Wallgreens, CVS, etc. today and ask for a vaccine due to occupational exposure? Will they say no?

I think they would decline the request. There are other qualifiers that I’m doubting they would require you to prove that would probably be a better strategy if you want to circumvent the recommendations.

[HikingDO]

Andddddddd now, the director of the CDC has overruled the CDC panel and recommend a booster for all frontline workers, including teachers and healthcare workers. The CDC is still a ridiculously unfunny joke.

[Rando]

Andddddddd now, the director of the CDC has overruled the CDC panel and recommend a booster for all frontline workers, including teachers and healthcare workers. The CDC is still a ridiculously unfunny joke.

It looks like there is agreement that people >65 who had the Pfizer vaccine should get another dose, also LTC patients..

it looks like there is disagreement whether healthy people in a high-risk occupations should get the third shot. Also Walensky has added another 50-64 tier which I don't remember seeing until now.

I think the conclusion has to be there is not a consensus on what to do with people under 65, and that the effect of the 3rd dose in healthy people under 65 is probably small.