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Question and Answers COVID vaccine: CDC guidelines
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King Clinic Inc.
Mar 01, 2021
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Dear patients who had or are having COVID now, regarding the question of when to get the COVID vaccine, please see the answer here with answers for other questions, in this summary from CDC website. And also this link for recommendations for special population by Health Canada. Q&A Vaccine IndicationsCan the COVID-19 vaccine be given to people infected with COVID-19? Yes. Vaccination should be offered to eligible persons regardless of whether they have a history of prior symptomatic or asymptomatic SARS-CoV-2 infection. Data from clinical trials indicate that mRNA COVID-19 vaccines can be safely administered in persons with evidence of prior SARS-CoV-2 infection. Vaccination of persons with known current SARS-CoV-2 infection should be deferred until the person has recovered from acute illness (if the person had symptoms) and until criteria (see below) have been met for them to discontinue isolation. This recommendation applies to any vaccine, including the first and second doses of COVID-19 vaccine. Additionally, if a person was infected within the last 90 days, they may defer vaccination until after a 90-day period or if they were treated with monoclonal antibodies or convalescent plasma within the last 90 days vaccination should be deferred.
Persons with COVID-19 who have symptoms and were directed to care for themselves at home may discontinue isolation under the following conditions:
At least 10 days* have passed since symptom onset and At least 24 hours have passed since the resolution of fever without the use of fever-reducing medications and Other symptoms have improved. *A limited number of persons with severe illness may produce replication-competent virus beyond 10 days, which may warrant extending the duration of isolation for up to 20 days after symptom onset. Consider consultation with infection control experts. See Discontinuation of transmission-based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance).
Persons infected with SARS-CoV-2 who never develop COVID-19 symptoms may discontinue isolation and other precautions 10 days after the date of their first positive RT-PCR test for SARS-CoV-2 RNA. For severely immunocompromised patients who were asymptomatic throughout their infection, Transmission-Based Precautions may be discontinued when at least 10 days and up to 20 days have passed since the date of their first positive viral diagnostic test. Consider consultation with infectious diseases specialists and infection control experts. Can the COVID vaccine be given to patients with Guillain-Barre Syndrome? Can the CVOID vaccine be given to people with Bell's palsy? Yes. Persons with a history of Bell’s palsy may receive COVID-19 vaccine unless they have a contraindication to vaccination. Cases of Bell’s palsy were reported following vaccination in participants in both the Pfizer-BioNTech and Moderna COVID-19 vaccines clinical trials. However, the FDA does not consider these to be above the frequency expected in the general population and has not concluded that these cases were causally related to vaccination. Post-authorization safety surveillance will be important to further assess any possible causal association. In the absence of such evidence, persons with a history of Bell’s palsy may receive an mRNA COVID-19 vaccine unless they have a contraindication to vaccination. Any occurrence of Bell’s palsy following mRNA COVID-19 vaccination should be reported to VAERS. Can COVID vaccine be given to pregnant ladies? Yes. A pregnant person who is part of a group recommended to receive COVID-19 vaccine (e.g., healthcare personnel) may choose to be vaccinated. There are currently few data on the safety of COVID-19 vaccines in pregnant or lactating people. When making a decision, you and your patient should consider the - level of COVID-19 community transmission
- patient’s personal risk of contracting COVID-19
- risks of COVID-19 to the patient and potential risks to the fetus
- efficacy of the vaccine
- side effects of the vaccine
- lack of data about the vaccine during pregnancy
Can COVID vaccine be given to breastfeeding ladies? Yes. A lactating person who is part of a group recommended to receive a COVID-19 vaccine (e.g., healthcare personnel may choose to be vaccinated. There are no data on the safety of COVID-19 vaccines in lactating people or the effects of mRNA COVID-19 vaccines on breastfed infant or milk production/excretion. mRNA vaccines are not thought to be a risk to the breastfeeding infant. Can the COVID vaccine be given to people treated with monoclonal antibodies or convalescent plasma?
Yes, but vaccination should be deferred for at least 90 days after they received treatment. Based on the estimated half-life of monoclonal antibodies or convalescent plasma as part of COVID-19 treatment, as well as evidence suggesting that reinfection is uncommon in the 90 days after initial infection, delaying vaccination for 90 days is a precautionary measure until additional information becomes available, to avoid interference of the antibody treatment with vaccine-induced immune responses. Can the COVID vaccine be given to immunocompromised patients? Immunocompromised individuals may receive COVID-19 vaccination if they have no contraindications to vaccination. However, they should be counseled about the - unknown vaccine safety profile and effectiveness in immunocompromised populations
- potential for reduced immune responses
- need to continue to follow all current guidance to protect themselves against COVID-19
For persons who were vaccinated for COVID-19 while they were undergoing chemotherapy or treatment with other immunosuppressive drugs and who have since regained their immune competence, re-vaccination is not recommended at this time. Recommendations on re-vaccination or additional doses of mRNA COVID-19 vaccines may be updated as additional information is available. Patients on chemotherapy and cancer treatment, can they be immunized? Immunocompromised individuals may receive COVID-19 vaccination if they have no contraindications to vaccination. However, they should be counseled about the - unknown vaccine safety profile and effectiveness in immunocompromised populations
- the potential for reduced immune responses
- need to continue to follow all current guidance to protect themselves against COVID-19
Either of the currently authorized mRNA COVID-19 vaccines can be used when indicated; the Advisory Committee on Immunization Practices (ACIP) does not state a product preference. For persons who were vaccinated for COVID-19 while they were undergoing chemotherapy or treatment with other immunosuppressive drugs and who have since regained their immune competence, re-vaccination is not recommended at this time. Recommendations on re-vaccination or additional doses of mRNA COVID-19 vaccines may be updated as additional information is available.
Hope that will answer some of your questions.
Doctors at King City Medical Associates - King Clinic Inc. March 1st, 2021.
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COVID-19 Vaccines Now Available for York Region Re
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King Clinic Inc.
Feb 26, 2021
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COVID-19 Vaccines Now Available for York Region Residents 80 Years of Age and Older
Update to York Region health-care providers and pharmacists as of February 26, 2021 York Region is moving forward under our COVID-19 Mass Immunization Plan to offer vaccines to residents 80 years of age and older without contraindications. Effective Monday, March 1, 2021, York Region residents age 80+ can book an appointment at york.ca/COVID19Vaccine York Region Public Health is working with our local health system partners to provide COVID- 19 vaccines for this new eligible priority group at three locations: Cortellucci Vaughan Hospital located in the City of Vaughan, operated by Mackenzie Health Cornell Community Centre located in the City of Markham, operated by Eastern York Region North Durham (EYRND) Ontario Health Team (OHT) Ray Twinney Recreation Complex located in the Town of Newmarket, operated by Southlake Regional Health Centre Additional clinics will open in March as more vaccine supplies become available. Vaccines are available by appointment only for York Region residents. Appointment availability is based on limited vaccine supply. Age 80+ is defined as anyone born in 1941 or before, regardless of date or month of birth. Appointments may be made by an individual or their caregiver on behalf of someone age 80+, using the date of birth for the person receiving the vaccine and their OHIP card number, if available. Residents age 80+ who are not comfortable or able to book an appointment online are encouraged to seek out a support person (caregiver, family member or friend) who can assist in booking this appointment on their behalf. Only the individual age 80+ who resides in York Region is eligible to be vaccinated at this time. Remind your patients to bring their health (OHIP) card to the clinic, or other form of government issued-photo ID such as a driver’s license, passport or Status Card if they do not have an OHIP card. Walk-in appointments are not available. Additional information for the public can be found at york.ca/COVID19VaccineInfo Understandably, a large volume of interest is expected for vaccines for this priority group. We urge everyone to remain patient over the next couple of days as we finalize these booking details. Currently, the three clinics above will be offering Pfizer-BioNTech COVID-19 vaccine. For more information on the vaccine, please visit York Region’s COVID-19 for Health Professionals
and york.ca/COVID19VaccineInfo. If you have any questions, contact York Region Public Health’s phone line for health-care professionals at 1-877-464-9675 ext. 77280 from 8:30 a.m. to 4:30 p.m., Monday to Friday.
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Construction in the office, adding service, update
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King Clinic Inc.
Feb 19, 2021
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Good morning to everyone. King City Medical Associates hope all of you are healthy and safe. We want to update you regarding what is happening in the office. 1- COVID Vaccine: nothing craved in stone yet but we knew from public health that tentatively they might have this available for the community by late spring (in May but may be in April they hope), will keep you posted. 2- Construction inside the office: there will be construction work around the office starting noon today till Sunday evening. There will be exciting news coming soon, stay tuned ;-) ) So today's afternoon, our landlines might be down for short period, if you phone and can not go through between 1-4 pm please TEXT our number 647-515-9222 and our receptionist will take care of your concern. We hope that on Monday morning our new waiting area will be ready for receiving you and the construction work for the added new service will continue in the after hours for another 2-3 weeks. We wish adding this service will provide more convenience for our patients and our community and we sincerely apologize for any inconvenience that might happen over this weekend or the coming few weeks till the construction work is over. Be safe be healthy. King Clinic Inc.- King City Medical.
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