Vaccines Have Arrived: A Few Tips to Consider Before Vaccination

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Millions of vaccines are being distributed, Moderna is confident it can produce 500 million doses of COVID-19 vaccine in 2021, enough for two doses to 75 percent of the U.S. population. But obviously not everyone can be vaccinated at once.

 

The first doses are being allocated to healthcare workers, other essential workers, and high-risk persons such as elderly. Some people feel aggrieved that others are in line before them—unfairly.


 

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The safest place to get a vaccine or other treatment is in a place where the atmosphere is calm, your medical record is accessible, and equipment and trained personnel are immediately available. At least one clinic, with a very large patient base, bought a new freezer—but hasn’t been able to get vaccine.

An unexpected COVID-19 danger you might face currently is at a mass vaccination site. When people are frightened and angry, the last place you want to be is in a crowd or a traffic jam. In Florida, police and National Guard were at one vaccination site. Tempers were frayed. Many had been lined up in their cars for hours and were furious when turned away for lack of an appointment.

People were instructed to wait afterward in the parking lot and sound their horn if they were having a reaction. Apparently, the site was prepared to treat anaphylactic shock, but problems can recur after an initial response. Is there a safe exit path to an emergency room? Are emergency rooms ready?

Questions are swirling around on the internet. Can the time guidelines for the second dose—21 days for Pfizer, 28 days for Moderna—be relaxed so that more people can get partial protection from the first dose, as the UK government proposed? Can you get the second dose with a different vaccine based on availability?


COVID-19: Vaccination Precautions


The FDA says stick with the schedule that has been tested. If you are a little late for the second shot, officials say get it as soon as you can.

Hundreds of people are showing up at emergency rooms with vaccine reactions, including high fever and severe headache. It can look just like COVID. The vaccine contains no virus, so it can’t infect you, but it takes a week or two for the protection to start, and you might have been infected before you got vaccinated. Most reactions are expected to resolve in a day or two, but if there is a physical injury it would be covered under the Countermeasures Injury Compensation Program (CICP).


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There have been a few post-vaccine deaths, e.g. a healthy Miami physician, but Pfizer says they are unrelated. Doctors are urged to counter ”bad reaction anecdotes” with “good reaction” stories.

The virus is reportedly mutating, and the mutant might not be affected by the new monoclonal antibody treatments . Will the vaccine still be effective?

The vaccine is not a magic bullet. Look into immunity-boosting measures and early treatment options that you may need whether you eventually get a vaccine or not.

See:  A Home-Based Guide to COVID Treatment c19protocols.com

If you would like to discuss these issues, contact me at This email address is being protected from spambots. You need JavaScript enabled to view it..

Jane M. Orient, M.D., Executive Director, Association of American Physicians and Surgeons


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Jane M. Orient, M.D. obtained her undergraduate degrees in chemistry and mathematics from the University of Arizona in Tucson, and her M.D. from Columbia University College of Physicians and Surgeons in 1974.

She completed an internal medicine residency at Parkland Memorial Hospital and University of Arizona Affiliated Hospitals and then became an Instructor at the University of Arizona College of Medicine and a staff physician at the Tucson Veterans Administration Hospital. She has been in solo private practice since 1981 and has served as Executive Director of the Association of American Physicians and Surgeons (AAPS) since 1989.

She is currently president of Doctors for Disaster Preparedness. She is the author of YOUR Doctor Is Not In: Healthy Skepticism about National Healthcare, and the second through fifth editions of Sapira's Art and Science of Bedside Diagnosis published by Wolters Kluwer. She authored books for schoolchildren, Professor Klugimkopf's Old-Fashioned English Grammar and Professor Klugimkopf's Spelling Method, published by Robinson Books, and coauthored two novels published as Kindle books, Neomorts and Moonshine. 

More than 100 of her papers have been published in the scientific and popular literature on a variety of subjects including risk assessment, natural and technological hazards and nonhazards, and medical economics and ethics. She is the editor of AAPS News, the Doctors for Disaster Preparedness Newsletter, and Civil Defense Perspectives, and is the managing editor of the Journal of American Physicians and Surgeons.

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