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  4. Will you be able to get a COVID vaccine?

Will you be able to get a COVID vaccine?

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  • S Offline
    S Offline
    Steve Miller
    wrote on last edited by
    #51

    These chuckleheads could screw up a two car funeral. 😡

    1 Reply Last reply
    • Piano*DadP Offline
      Piano*DadP Offline
      Piano*Dad
      wrote on last edited by
      #52

      I'm still working, so I won't have to face politicized medicare ..... for a few more months.

      Crazy economist who likes to write about higher education.

      1 Reply Last reply
      • AdagioMA Offline
        AdagioMA Offline
        AdagioM
        wrote on last edited by
        #53

        The jabs are supposed to be most effective if you get them late September/early October, and I hope all the systems have caught up with each other by then.

        1 Reply Last reply
        👍
        • S Offline
          S Offline
          Steve Miller
          wrote on last edited by Steve Miller
          #54

          Got my Covid and Flu jabs on Tuesday. It turned out I did not need a prescription - very much off brand for Ohio. There is hope!

          Downside is that I had a reaction to the flu shot - the first time ever. Flu symptoms. No big deal - I went to bed and was fine in the morning.

          AxtremusA ShiroKuroS 2 Replies Last reply
          👍
          • J jon-nyc

            @Nina said in Will you be able to get a COVID vaccine?:

            But the idea that some worm -eaten science denier is making these decisions makes me want to scream.

            IMG_7361.jpeg

            C Offline
            C Offline
            CHAS
            wrote on last edited by
            #55

            @jon-nyc LOL

            "The man that hath no music in himself, nor is not moved with concord of sweet sounds, is fit for treasons, stratagems and spoils;” - Shakespeare

            1 Reply Last reply
            • S Steve Miller

              Got my Covid and Flu jabs on Tuesday. It turned out I did not need a prescription - very much off brand for Ohio. There is hope!

              Downside is that I had a reaction to the flu shot - the first time ever. Flu symptoms. No big deal - I went to bed and was fine in the morning.

              AxtremusA Offline
              AxtremusA Offline
              Axtremus
              wrote on last edited by
              #56

              @Steve-Miller said in Will you be able to get a COVID vaccine?:

              Got my Covid and Flu jabs on Tuesday. It turned out I did not need a prescription ...

              Not on Tuesday, but I got my COVID and flu vaccines without a prescription, too. 💪

              1 Reply Last reply
              • AdagioMA Offline
                AdagioMA Offline
                AdagioM
                wrote on last edited by
                #57

                State of Oregon now approves the Covid jab for anyone over age 7, no prescription required.

                1 Reply Last reply
                • S Steve Miller

                  Got my Covid and Flu jabs on Tuesday. It turned out I did not need a prescription - very much off brand for Ohio. There is hope!

                  Downside is that I had a reaction to the flu shot - the first time ever. Flu symptoms. No big deal - I went to bed and was fine in the morning.

                  ShiroKuroS Offline
                  ShiroKuroS Offline
                  ShiroKuro
                  wrote on last edited by
                  #58

                  @Steve-Miller I discovered that I tend to react when I get the flu and covid shots together, but if I space them out, then it's ok. That's my plan for this season too.

                  I also need a tetanus booster, another arm-killer. I have to get the tetanus in order to register for spring piano classes on campus, so that has to be done by mid-Oct I think. So now I have to think about the timing of all these shots 😕

                  wtgW 1 Reply Last reply
                  • ShiroKuroS ShiroKuro

                    @Steve-Miller I discovered that I tend to react when I get the flu and covid shots together, but if I space them out, then it's ok. That's my plan for this season too.

                    I also need a tetanus booster, another arm-killer. I have to get the tetanus in order to register for spring piano classes on campus, so that has to be done by mid-Oct I think. So now I have to think about the timing of all these shots 😕

                    wtgW Offline
                    wtgW Offline
                    wtg
                    wrote on last edited by wtg
                    #59

                    @ShiroKuro said in Will you be able to get a COVID vaccine?:

                    I also need a tetanus booster, another arm-killer. I have to get the tetanus in order to register for spring piano classes on campus, so that has to be done by mid-Oct I think. So now I have to think about the timing of all these shots 😕

                    After doing some research about tetanus and diphtheria immunity, I decided to do a little science experiment and had my titers checked. I did it on my own and had to pay for the test. Lo and behold, despite the fact that I am well past the 10 year interval for a booster, my antibodies against both diseases are well above what is considered protective.

                    https://www.questhealth.com/product/tdap-tetanus-diphtheria-pertussis-test-13815M.html

                    A discount code pops up, I think it was 10 percent off. The pertussis test is kind of useless, not sure why they include it. But Quest was the cheapest titer test I could find for tetanus and diphtheria so I went for it.

                    Other countries and WHO recommend a different schedule than the US, one with far fewer shots. From what I've read it seems to be working fine and the US sticking with its 10 year cycle is based in inertia rather than medical necessity.

                    Edit: Conclusions of one analysis:

                    Modification of decennial Td vaccination may have a substantial impact on healthcare costs. Among adults aged 19–64 years, 63%–64% self-report that they comply with the decennial Td revaccination schedule [41, 42]. Of 234 million adults (2010 census), this would indicate that approximately 150 million adults have been vaccinated within the last 10 years, or approximately 15 million doses administered per year, similar to previous estimates [32]. This is also in line with the number of adult Td vaccine doses distributed by the CDC (eg, approximately 15.2 million doses distributed in 1998) [37]. At a cost of $28 per dose (CDC adult vaccine price list [43], this equals $420 million per year spent on adult Td booster vaccination. If this were changed to a 30-year schedule, then the costs would be reduced by two-thirds, equating to a reduction of approximately $280 million per year in healthcare costs (ie, >$1 billion in cost savings within 4 years). As noted elsewhere [32], in addition to substantial cost savings, other advantages of modifying the adult Td booster vaccination interval include (1) improved compliance with age-based recommendations and a simplified age-specific vaccination schedule, (2) better acceptance of recommendations based on immunological and epidemiological data and current risk-benefit analyses rather than conformity to historical convention [32], and (3) reduction of vaccine-associated adverse events owing to overimmunization.

                    https://pmc.ncbi.nlm.nih.gov/articles/PMC4826453/

                    I don’t know if the uni will accept a titer in lieu of a vaccination. But for me, it gives me peace of mind that I have protection without having my already ailing left deltoid subjected to another arm-killer. My last two Tdap boosters did not go well.

                    When the world wearies and society ceases to satisfy, there is always the garden - Minnie Aumônier

                    ShiroKuroS 1 Reply Last reply
                    👍
                    • wtgW wtg

                      @ShiroKuro said in Will you be able to get a COVID vaccine?:

                      I also need a tetanus booster, another arm-killer. I have to get the tetanus in order to register for spring piano classes on campus, so that has to be done by mid-Oct I think. So now I have to think about the timing of all these shots 😕

                      After doing some research about tetanus and diphtheria immunity, I decided to do a little science experiment and had my titers checked. I did it on my own and had to pay for the test. Lo and behold, despite the fact that I am well past the 10 year interval for a booster, my antibodies against both diseases are well above what is considered protective.

                      https://www.questhealth.com/product/tdap-tetanus-diphtheria-pertussis-test-13815M.html

                      A discount code pops up, I think it was 10 percent off. The pertussis test is kind of useless, not sure why they include it. But Quest was the cheapest titer test I could find for tetanus and diphtheria so I went for it.

                      Other countries and WHO recommend a different schedule than the US, one with far fewer shots. From what I've read it seems to be working fine and the US sticking with its 10 year cycle is based in inertia rather than medical necessity.

                      Edit: Conclusions of one analysis:

                      Modification of decennial Td vaccination may have a substantial impact on healthcare costs. Among adults aged 19–64 years, 63%–64% self-report that they comply with the decennial Td revaccination schedule [41, 42]. Of 234 million adults (2010 census), this would indicate that approximately 150 million adults have been vaccinated within the last 10 years, or approximately 15 million doses administered per year, similar to previous estimates [32]. This is also in line with the number of adult Td vaccine doses distributed by the CDC (eg, approximately 15.2 million doses distributed in 1998) [37]. At a cost of $28 per dose (CDC adult vaccine price list [43], this equals $420 million per year spent on adult Td booster vaccination. If this were changed to a 30-year schedule, then the costs would be reduced by two-thirds, equating to a reduction of approximately $280 million per year in healthcare costs (ie, >$1 billion in cost savings within 4 years). As noted elsewhere [32], in addition to substantial cost savings, other advantages of modifying the adult Td booster vaccination interval include (1) improved compliance with age-based recommendations and a simplified age-specific vaccination schedule, (2) better acceptance of recommendations based on immunological and epidemiological data and current risk-benefit analyses rather than conformity to historical convention [32], and (3) reduction of vaccine-associated adverse events owing to overimmunization.

                      https://pmc.ncbi.nlm.nih.gov/articles/PMC4826453/

                      I don’t know if the uni will accept a titer in lieu of a vaccination. But for me, it gives me peace of mind that I have protection without having my already ailing left deltoid subjected to another arm-killer. My last two Tdap boosters did not go well.

                      ShiroKuroS Offline
                      ShiroKuroS Offline
                      ShiroKuro
                      wrote on last edited by
                      #60

                      @wtg said in Will you be able to get a COVID vaccine?:

                      I don’t know if the uni will accept a titer in lieu of a vaccination. But for me, it gives me peace of mind that I have protection without having my already ailing left deltoid subjected to another arm-killer. My last two Tdap boosters did not go well.

                      I would love to get the titer test instead! That wasn't presented as an option (doing a titer for MMR was though). Maybe I'll ask... Because as much as I am pro-vaccine, I don't want to get ones that I don't need.

                      1 Reply Last reply
                      • wtgW Offline
                        wtgW Offline
                        wtg
                        wrote on last edited by wtg
                        #61

                        I'm guessing they want the Tdap vaccine, which is for tetanus, diphtheria, and pertussis (whooping cough). Tetanus is not contagious but the other two diseases are. Quest does titers for all three, but this is the description that came with the pertussis results.

                        This assay cannot be used to assess protective immunity to
                        pertussis because the specific antibodies and antibody levels
                        that correlate with protection have not been well defined.
                        The primary intent of the assay is to aid in the diagnosis
                        of infection following natural exposure to Bordetella
                        pertussis. The indicated PT IgG reference ranges reflect the
                        90th percentile of antibody levels in sera from healthy
                        children and blood donors; thus, levels above the reference
                        range suggest recent infection or vaccination within the
                        last few months.

                        The bottom line is that you get some idea if you're protected against tetanus and diphtheria from the Quest test, but not pertussis.

                        There is also this from the American Academy of Family Physicians, which confirms what Quest says and also says that even if you get a booster every ten years, you probably lose immunity to pertussis way before then and they note that re-vaccination isn't an effective public health strategy.

                        Unlike with other vaccines, there is not a standardized antibody titer to confirm protection against pertussis.27 Although pertussis vaccines were initially whole cell, the high reactogenicity of the vaccine caused frequent adverse effects (e.g., local reaction, seizure, pain, fever sometimes leading to febrile seizure), resulting in the adoption of acellular vaccines in the 1990s.

                        Immunity typically wanes two to four years after administration of the acellular pertussis vaccine, although this can occur as early as one year postvaccination.28 Individuals with natural infection also experience waning immunity, including children with a history of pertussis.4,29 Because of this rapid decrease in immunity, it is not considered an effective public health strategy to continue recurrent tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) boosters.4

                        https://www.aafp.org/pubs/afp/issues/2021/0800/p186.html

                        Confused yet?

                        In any event, it won't hurt to ask if they'll accept the titer. Maybe they won't read the fine print about pertussis....😀

                        When the world wearies and society ceases to satisfy, there is always the garden - Minnie Aumônier

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