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experts reply your COVID-19 questions: 'by chance, I acquired three doses of Moderna, every a month apart. Am I in predicament? | E22-106 real questions and Real test Questions

A reader of The Tribune-Democrat asked:

“I even have reminiscence loss and accidentally bought three doses of Moderna, each and every a month apart. Am I in main issue?”

The reply:

an interesting query.

Moderna is evaluating three techniques to increasing immunity. the first strategy would use variant-selected booster photographs, but at a lower dose than the fashioned vaccine. The 2d one would mix the customary vaccine with a variant-specific vaccine right into a single shot. The third would verify a 3rd shot of the customary vaccine.

in my view, you’re not in hindrance, and maybe your immunity is increased.

– Dr. David Csikos, chief medical officer, Chan soon-Shiong scientific core at Windber.

• • • • •

“I bought my first dose of Pfizer-BioNTech vaccine on March 10. My second dose is scheduled for June 30. I recently demonstrated fantastic for COVID-19 with mild indicators. How quickly am i able to or may still I get my second dose of Pfizer-BioNTech vaccine after testing fantastic?”

The answer:

if you are not immunocompromised, 10 days of self-isolation is suggested considering your symptoms first appeared. when you are immunocompromised, then at the least 20 days of self-isolation is advised.

Defer the 2nd dose of the vaccine except you have recovered from the intense sickness and now not require isolation. if you have been treated with COVID-19 convalescent plasma or monoclonal antibody remedy, it's suggested to defer the second dose of the Pfizer COVID-19 vaccine for at least 90 days as a precaution.

– Dr. David Csikos, chief scientific officer, Chan soon-Shiong clinical core at Windber.

• • • • •

“My 2d Moderna became injected too high. My arm still aches five weeks after the shot. I had an ultrasound and there is fluid in my bursa. I currently had an antibodies check – IgG qualitative, and it changed into no longer conclusive. My question: Is it secure and will I get one other Moderna shot, or delivery a second shot sequence, or no longer do anything else?”

The reply:

i am sorry to listen to about your event with the vaccine.

Our immune programs are miraculous. They most effective need a small quantity to supply us with lasting protection. in case you were vaccinated, you are covered. even though the IgG antibody titer is low, it will ramp up when mandatory (when/if you're exposed to COVID-19).

– Jill D. Henning, associate professor of biology, tuition of Pittsburgh at Johnstown.

• • • • •

“I’ve had both COVID-19 vaccine photographs a couple of months ago. My stepson has been round his sister, who just got here down with coronavirus and hasn’t had a vaccine. Their mom just died from COVID. When my stepson visited Sunday, they stayed backyard. what is the opportunity of my husband and that i getting COVID? I work in an assisted dwelling facility.

“I’m very involved about it.”

The answer:

i am so sorry to hear what your family has been via.

a completely vaccinated adult may additionally still get COVID-19. The likelihood is between 5% and 20% depending on the vaccine and the stress of virus your stepson had. good information is that if you get COVID-19, it can be light and like the typical bloodless.

You received’t be hospitalized.

– Jill D. Henning, associate professor of biology, school of Pittsburgh at Johnstown.

• • • • •

“I even have tried to get my 2nd shot, however become ailing when i was as a result of get it. Now that i am feeling improved, can i nevertheless get it if it is Day 54 or later?”

The answer:

yes, you could!

it's adequate to prolong the second shot with the aid of 12 weeks. you will nonetheless see the equal insurance plan levels.

Roll up that sleeve!

– Jill D. Henning, affiliate professor of biology, school of Pittsburgh at Johnstown.

• • • • •

“I acquired my 2d Moderna vaccine on April 15. i was extraordinarily sick from Thursday night except Sunday morning (operating a fever between one hundred and one.4 and 103.5 throughout this time and handiest obtained up from bed to make use of the bathing room. I felt bad). youngsters, considering that April 15, I even have had a headache, dizziness, nausea and jitters each day. As I write this nowadays, exactly two weeks seeing that my vaccine, i'm still experiencing these symptoms. I weighed myself this morning (for the first time in view that getting the shot) and that i have lost 13 kilos in 14 days. i am taking Meclizine to support with being dizzy and nauseous. What would you recommend? is this ordinary to live unwell for so lengthy?”

The answer:

individually, what you are describing is not standard. i recommend you are trying to find clinical consideration as soon as possible for an assessment of your persistent indicators.

– Dr. David Csikos, chief medical officer, Chan soon-Shiong scientific middle at Windber.

• • • • •

“The CDC counsel says it’s adequate for small organizations of vaccinated people to accumulate without masks, but nevertheless masks in enormous, public corporations. but what's a ‘small neighborhood’ and if everyone is vaccinated, does that imply they will mingle and devour together safely? a gaggle of 12 senior citizen pals have all been completely vaccinated. we're, despite the fact, from 12 distinctive households, some with members of the family not vaccinated. Would you trust it safe for us all to be together and socialize indoors without their masks on?”

The reply:

it's protected so you might acquire together interior or out without masks if you're all vaccinated.

There are households who have individuals who don't seem to be vaccinated. Take mine for instance. I actually have a son who is 9, unvaccinated, and a stepbrother who's 14, unvaccinated. They gathered this weekend with my two sisters, father and stepmother who had been all vaccinated. I, too, am vaccinated. 

We selected to not put on their masks as a result of they know that we're being safe: donning their masks in public, washing their arms and retaining their distance. 

This made the risk to my son and stepbrother low.

The CDC cannot say that every one families are doing what mine is; so, they advocate that handiest vaccinated people collect.

I do hope this helps to clear it up a little for you.

– Jill D. Henning, associate professor of biology, university of Pittsburgh at Johnstown.

• • • • • 

“I obtained tested for COVID on March 23 and my influence changed into fine. After 14 days of treatment with vitamin C (1000iu) and vitamin D (5000iu), I obtained one more look at various (PCR), and the result changed into negative. On April 19, I got an antibody examine and the effect become SARS-COV-2 lgG (14.14)

“My query is that if I should get the COVID vaccine? If yes, is it protected to my physique? In my nation, they now have handiest China’s Sinopharm Verocell vaccine.”

The answer:

i'm sorry to listen to that you had COVID-19, however i am comfortable to know you recovered.

it is safe and valuable to get hold of the vaccine after recovery from COVID-19. Their immune techniques are spectacular. besides the fact that you had a natural response to the virus and made your personal antibodies, getting the vaccine will raise that response. it could simplest help you.

– Jill D. Henning, affiliate professor of biology, university of Pittsburgh at Johnstown.

• • • • •

“If I even have been absolutely vaccinated and my pal will now not get the vaccine, may still I continue to be with her? She says she exams often.”

The answer:

Vaccinated individuals can still get COVID-19. 

there are many versions around and the vaccines supply anyplace from 67-95% coverage depending on the strain you are uncovered to.

first rate information is that vaccinated people do have less extreme sickness. they are vastly less likely to be hospitalized and to endure from lengthy-haul concerns.

i know speaking to chums and household about vaccinations may also be tough. are trying asking her why she is unwilling to get the vaccine. Ask her questions about her advantage, perspective, and beliefs. Meet her where she is. You may see for you to help her to trade her mind.

– Jill D. Henning, affiliate professor of biology, tuition of Pittsburgh at Johnstown. 

• • • • •

“when you have combined cryoglobulinemia, for those who get the COVID-19 shot? I’ve been coping with EMC for greater than 20 years. Some years ago, I needed to have the Hep-B Vaccine and it brought on the EMC. It felt like it began in all places – as if i used to be ailing again. My legs were very pink, damage greater than ordinary, and my ft damage so unhealthy that it took over a month for it to relax. 

“I’m not certain if I may still get the shot. My medical professional really does not have a solution for me.”

The answer:

Immunocompromised persons may additionally have a diminished immune response to the COVID-19 vaccine. The centers for disorder handle and Prevention (CDC) recommends vaccination of immunocompromised sufferers if there aren't any contraindications. combined cryoglobulinemia is believed to be an immune-mediated sickness or an autoimmune sickness.

Given your previous scientific heritage, i like to recommend you believe consulting a hematologist (expert in treating blood issues) for guidelines and suggestions.

– Dr. David Csikos, chief clinical officer, Chan quickly-Shiong medical core at Windber.

• • • • •

“I bought my second COVID shot on March eleven. 

“I haven't felt myself seeing that. is this general? I even have aches and stomach considerations.”

The answer:

there was no reporting of long-term abdominal concerns surrounding the COVID-19 vaccines if you appear on the Vaccine adversarial Reporting system.

if you are experiencing belly considerations, I indicate that you just see your basic care medical professional.

– Jill D. Henning, affiliate professor of biology, tuition of Pittsburgh at Johnstown.

• • • • •

“I’m a male, forty four years historic, wholly vaccinated (Pfizer – bought my second dose on Jan. 20). I’m an RN and were working with COVID seeing that the starting of the pandemic. Now my family, wife (who's forty four, acquired her first dose on April 18), 18-12 months-ancient son and 6-12 months-historical daughter proven superb for COVID-19. thus far, they are best presenting light signs, apart from my daughter; she is fully asymptomatic. My spouse and son are presenting malaise, headache and sore throat, however nothing respiratory that I should be agonize of thus far. My query is how may I be secure at domestic? Am I in danger to be infected, too? The virus is everywhere at domestic. to date the vaccine is working, I guess, however how helpful may it's? I don’t have another place to head. Do I should predict the symptoms are worse on them?”

“I’m feeling misplaced as a result of i can’t determine the place and once they were exposed.”

The answer:

As for you, you are a totally vaccinated health-care employee.

The Pfizer vaccine is ninety five% advantageous. utterly vaccinated americans can chorus from quarantine if you are absolutely asymptomatic.

additionally, fully vaccinated healthcare personnel with higher-chance exposures who're asymptomatic don't need to be restricted from work. Asymptomatic healthcare personnel with a far better-risk publicity, regardless of vaccination reputation, may still have a collection of two viral checks for SARS-CoV-2 (COVID-19) infection. In these cases, testing is advised instantly and 5 to seven days after publicity.

As to your wife, son and daughter, I’m figuring out that your wife, son and daughter all tested fine. If that’s suitable, they all should self-isolate.

There’s no difficulty in having diverse americans isolate together, so long as we’re sure they’re all positive. If none of them are immunocompromised, then as a minimum 10 days of isolation is advised for your wife and son given that their indicators first seemed, and at the least 10 days of isolation is suggested in your daughter in view that the date of her high quality verify. If any of them are immunocompromised, then at the least 20 days of isolation is suggested.

Defer your wife’s 2d dose of the COVID-19 vaccine unless she has recovered from the intense affliction and no longer requires isolation. If she is treated with COVID-19 convalescent plasma or monoclonal antibody therapy, it is suggested to defer the 2nd dose of the vaccine for at the least 90 days as a precaution.

– Dr. David Csikos, chief clinical officer, Chan quickly-Shiong medical core at Windber.

• • • • •

“i used to be informed by using a chum within the clinical container no longer to get my 2d vaccine shot as a result of I did have COVID-19 three weeks in the past. is this anything I should still be anxious with? I rescheduled simply to do some research on this concern. Hope that you may aid.”

The answer:

in case you aren't feverish, that you can get your vaccine. When the pandemic begun, if someone had had COVID-19, they have been asked to wait 90 days to get the vaccine. This became to enable people who had not developed a natural immune response (from being in poor health) to get included.

Vaccines can be found now.

You do not need to wait.

– Jill D. Henning, affiliate professor of biology, institution of Pittsburgh at Johnstown.

• • • • •

“I had my 2d Moderna shot on March 29. On April 21, I began taking Nitrofurantoin Monomcr a hundred-milligram drugs twice daily. Will this antibiotic have an impact on the effectiveness of my Moderna vaccine?”

The answer:

No.

– Dr. David Csikos, chief clinical officer, Chan soon-Shiong scientific core at Windber.

• • • • •

"I had COVID-19 and have been match for seven days now. I got my first dose of vaccine on April 29. My mother is ninety and received her 2d dose March 25. Would it be protected to talk over with her on mother’s Day if I’ve currently recovered from COVID and have best had one dose?”

The reply:

Your mom is completely vaccinated, however you don't seem to be. according to present facts, reinfection is uncommon within 90 days following initial infection.

in my view, it’s doubtless secure to talk over with your mom on mom’s Day. although, i recommend both you and your mom put on a mask.

– Dr. David Csikos, chief clinical officer, Chan soon-Shiong medical middle at Windber.

• • • • •

“My husband insists on doing and going any place he wishes. I had COVID and have heart sickness, COPD and pulmonary hypertension. I well-nigh died. They argue all the time. What am i able to do to shop my marriage?”

The answer:

i'm so very sorry to listen to that you and your significant other are combating the various issues surrounding COVID-19.

This pandemic has become so polarized that it can be complex to see each and every other as they once did. regularly when people are argumentative it will also be as a result of worry. i'm not a therapist, but I do have strife with household. The most reliable suggestions I can provide you is to actively listen to your significant other and ask questions on why he's proof against wearing a mask.

start with the place he is and work from there. Let him know that you just are attempting to look it from his point of view.

As for you, which you could do many issues to maintain yourself safe. 1. get vaccinated. 2. wear your masks when indoors three. examine a fine e-book.

better of good fortune together with your coming dialog. they are all during this together.

– Jill D. Henning, affiliate professor of biology, university of Pittsburgh at Johnstown.

• • • • •

“I had a severe rash after getting the first shot of Moderna. This rash/hives started constructing after 9 days of getting vaccinated (first shot). On Day 11, rashes became to blisters under my arm on the vaccinated area. Day 12, I consulted my PCP, and he established it as shingles. (i'm a 36-yr-old male.) I actually have the under questions/concerns:

“1. is this a customary aspect impact of the vaccine?

“2. may still I be getting my second shot in any respect? in fact involved if i would have more episodes like this once more. i am nevertheless recovering from shingles, but have the date for my 2nd shot in next four days.”

The reply:

When your shingles rash has no blisters, wait two weeks before you get the second COVID-19 vaccine dose.

I’m not privy to any prevalent facts of a hyperlink between getting shingles and the COVID-19 vaccine. virtually one out of three individuals in the united states will develop shingles of their lifetimes.

– Dr. David Csikos, chief medical officer, Chan quickly-Shiong scientific middle at Windber.

• • • • •

“I got the primary Pfizer vaccine in February and become scheduled to return in 18 days for the second. i was somewhat skeptical, as I had study and viewed answers on your column, that the time body between doses is minimally at 21 days. Would this make it less valuable or maybe trigger extra side outcomes? I did name the CDC as smartly because the FDA with my concerns. both americans I talked with had been very inclined to explain to me. I found that there's a ‘grace period’ of 4 days earlier than the 21 days for the Pfizer vaccine, which might take it returned to 17 days between, and the vaccine would nevertheless be considered ‘legitimate.’

“No problem with efficacy of it. youngsters, it additionally says that people may still now not be scheduled to acquire the vaccine earlier than the advised three-week time for Pfizer and the one month for Moderna. The lady on the FDA informed me there have been lengthy discussions of the time frame when making the resolution to provide the vaccine the ‘green light.’ i used to be simply questioning in case you had heard or examine of this challenge. I did appear at the CDC web site and it took ages to locate this item.

“thank you for taking the time to examine my feedback/questions and thank you for featuring the informative column on COVID-19.”

The reply:

thanks in your inquiry and for selecting vaccination.

as with all clinical remedy, there is suggestions and there's what is done in observe. The vaccines aren't any distinctive.

The scientific trials confirmed that the most reliable wait time become between 17-21 days for the boost in immunity to be considered. Science additionally showed for you to wait up to 12 weeks to supply the second dose and nonetheless see a boost in immunity that is not any distinct than waiting 21 days.

we are within the middle of a worldwide pandemic.

If they were not, most of this science would have been labored out and the messaging would had been constant. despite the fact, they (the public) are getting to know correct along with the scientists and medical professionals. That could make things seem like we're on an entertainment park ride.

preserve asking questions and maintain an open intellect concerning the solutions.

– Jill D. Henning, associate professor of biology, institution of Pittsburgh at Johnstown.

• • • • •

“My spouse and i had taken the first dose of COVISHIELD on March 17.

“We each were advantageous for RT-PCR on April 9. we're neatly now after receiving medicine. My question is: will they have to take the second dose of vaccine and when?”

The answer:

thank you for opting for vaccination.

it is important to complete the direction of any vaccination. Their immune methods are remarkable. The 2nd dose will best assist your immune response to make extra cells to fight off the infection. Like adding extra gas to the fireplace, the 2nd dose will make the response greater effective.

– Jill D. Henning, affiliate professor of biology, college of Pittsburgh at Johnstown.

• • • • •

“Three weeks after my second Pfizer dose, I took an antibody test. certainly, it became the Roche’s Elecsys Anti‑SARS‑CoV‑2 S assay, which is apparently a “semi-quantitative” examine that can measure antibody stages because of COVID vaccination.

“based on Roche, the analytical measuring interval is 0.forty-250 U/mL. Numeric values are interpreted as “terrible”(< 0.eight U/mL) and as “advantageous” (≥ 0.eighty U/mL).

“My results had been just over 1,seven-hundred. at first, this sounded first rate! although, after I appeared at the Pfizer information, it appears that, of their medical trials, commonplace antibody levels following the 2nd dose had been typically a great deal, an awful lot higher. typically 10,000 or larger.

“seeing that my antibody levels are tons decrease than became present in the medical trials and the incontrovertible fact that I had fully zero side consequences (no longer even a a little sore arm) after my 2d dose, i am very concerned.

“should still I be involved?”

The answer:

for my part, your vaccine antibody outcomes are high quality, and that i would not worry. From a medical prospective, I’m now not bound that higher vaccine antibody ranges (titers) correlate with improved insurance policy and/or much less possibility of infection.

additionally, I don’t be aware of if the vaccine antibody degrees measured in the Pfizer scientific trials was the methodology as your trying out.

– Dr. David Csikos, chief scientific officer, Chan soon-Shiong clinical middle at Windber.

• • • • •

“I got shingles five days after getting the primary COVID shot. I requested my medical professional no matter if I should still delay getting the 2nd shot, however he has no longer lower back my name. I don’t know what to do now.

“I actually have read in lots of sites that the first shot didn't cause my shingles, however i'm scared now and afraid to get the 2nd shot, which is due in two extra weeks. I’ve had the shingles now for 10 days and it continues to be excruciatingly painful. ”

The answer:

an excellent question regarding shingles, COVID vaccination and the shingles vaccine.

When your shingles rash has no blisters, wait two weeks earlier than you get the second COVID-19 vaccine dose.

There is no evidence of a hyperlink between getting shingles and the COVID-19 vaccine. You likely obtained the historic single dose shingles vaccine, Zostavax. Two doses of the newer shingles vaccine, Shingrix will stay away from shingles in 91-97% of adults.

There is not any selected length of time that you simply need to wait after having shingles before you get hold of Shingrix, however generally make sure to make sure the shingles rash has long gone away earlier than getting vaccinated with the shingles vaccine, Shingrix.

make sure to wait at the least 14 days after administration of the mRNA COVID-19 vaccine collection to supply a patient Shingrix.

– Dr. David Csikos, chief scientific officer, Chan quickly-Shiong clinical middle at Windber.

• • • • •

Have a query about COVID-19? they will ask the experts.

ship inquiries to tribdem@tribdem.com.

be aware: as a result of the quantity of questions submitted, they are not able to reply all of them. Any questions of an pressing nature may still be directed instantly to your primary care health care provider.

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https://spaces.hightail.com/space/v47qz1ixkg/files/fi-d167f34f-c8c5-488e-944c-9d4222158b4c/fv-011adb65-3963-4777-9099-407c0157fcf6/EMC-Legato-Certified-Availability-Administrator-LCAA-(E22-106).pdf#pageThumbnail-1
https://justpaste.it/E22-106
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