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Q: How do COVID-19 vaccines work? 

A: The first COVID-19 vaccines to reach the market are messenger RNA, or mRNA, vaccines. Messenger RNA vaccines work by instructing cells in the body how to make a protein that triggers an immune response.  The mRNA is NOT a live or attenuated live virus so it cannot make you sick with COVID-19.  Injecting messenger RNA into your body will not interact or do anything to the DNA of your cells. Human cells break down and get rid of the messenger RNA soon after they have finished using the instructions.

Q:  Are COVID-19 vaccines safe? 

A:  Red tape may have been cut, but no corners were cut.  Safety protocols were still followed and adequate testing was still completed.  The emergency situation of the worldwide pandemic warranted an emergency response. 

The vaccines developed by Pfizer/BioNTecH and Moderna have been studied in approximately 70,000 people.  To receive emergency use authorization, biopharmaceutical manufacturers must have followed at least half of the participants in their vaccine trials for at least two months after completing the vaccination series, and the vaccine must be proven safe and effective in that population.  The safety of COVID-19 vaccine will continue to be closely monitored by the CDC and the FDA as we start vaccinating and continue with more trials.

Q: If I already had COVID-19 and I have recovered, do I still need to get vaccinated for COVID-19?

A: Natural immunity develops after an actual infection and can protect someone from getting that infection again.  Early evidence suggests natural immunity from COVID-19 may not last long, but more studies are needed to better understand this.  It is recommended to get the COVID-19 vaccine even if you've had COVID-19 previously. However, those who have had COVID-19 should delay vaccination until about 90 days from diagnosis. 

Q: Do the mRNA COVID-19 vaccines have severe side effects?

A: COVID-19 vaccines have been shown to have short-term mild or moderate vaccine reactions that resolve without complication or injury.

Early-phase studies of the Pfizer/BioNTech and Moderna vaccines show that they are safe. The most common symptoms included pain at the injection site, headache, chills, fatigue, muscle pain or fever lasting for a day or two.

Keep in mind that these side effects indicate that your immune system is responding to the vaccine. These side effects are common with all vaccinations.

Q: Are there any concerns with those with a history of severe allergic reactions?

A:  If you have ever had a severe allergic reaction to any ingredient in a COVID-19 vaccine, the CDC recommends that you should not get that specific vaccine. If you have had a severe allergic reaction to other vaccines or injectable therapies, you should ask your doctor if you should get a COVID-19 vaccine. Your doctor will help you decide if it is safe for you to get vaccinated.  Specifically, those with KNOWN allergic reaction to PEG (polyethylene glycol) or polysorbate should not get an mRNA COVID-19 vaccine.  (Polysorbate is not in the vaccine, but is closely related to PEG).

The CDC recommends that people with a history of severe allergic reactions not related to vaccines or injectable medications—such as allergies to food, pet, venom, environmental, or latex—may still get vaccinated. People with a history of allergies to oral medications or a family history of severe allergic reactions, or who might have an milder allergy to vaccines (no anaphylaxis)—may also still get vaccinated.  If you have a history of anaphylaxis, it is recommended you wait 30 minutes after the vaccination.

If you have a severe allergic reaction after getting the first shot, you should not get the second shot. Your doctor may refer you to a specialist in allergies and immunology to provide more care or advice.

Q: Should the COVID-19 vaccine be given with other vaccines?

A:  As of May 14, 2021, there are no restrictions on when to give COVID vaccine with other vaccines.  If your child is due for regular vaccinations or catching up on vaccinations, there are no longer restrictions with COVID vaccine administration.  COVID vaccine can be co-administered with other vaccines and can be given at any time interval related to other vaccines.  If you have further concerns, please discuss with your provider.

Q: If I am breastfeeding, can I get an mRNA COVID-19 vaccine?

A:  There is no data on the safety of COVID-19 vaccines in lactating women or on the effects of mRNA vaccines on the breastfed infant or on milk production/excretion. mRNA vaccines are NOT thought to be a risk to the breastfeeding infant. The American College of Obstetricians and Gynecologists, Society of Fetal Maternal Medicine, and the Academy of Breastfeeding Medicine all state that the benefits of vaccination outweigh the theoretical small safety concerns.  There is no need to avoid initiation or discontinue breastfeeding in patients who receive the COVID-19 vaccine.

Q: Once I have been vaccinated, am I exempt from mask wearing, social distancing, etc?

A: The CDC released updated guidelines if you have been fully vaccinated.  Fully vaccinated means at least 2 week have passed since you completed all doses of your COVID vaccine.  Current guidance allows fully vaccinated people to begin to resume indoor and outdoor activities without masks and without social distancing.  

Of note, this does not apply to so many of our children, even the 12-15 year olds that were recently approved. We encourage you to still wear your mask indoors, practice social distancing, and avoid crowds if members of your household are not fully vaccinated or anyone is high risk for complications from COVID.  

Even when fully vaccinated, masks are still required for public transportation, healthcare settings, and some business or workplaces.

Q: When might the COVID vaccine be available to children under 16?  Do you believe it is safe?

A: Based upon data released so far, we believe the COVID vaccine safe, effective, and well tolerated.  We also believe that it is one of the best ways that our patients can protect themselves and their families from getting sick with COVID.  It will allow us to look forward to the future with the hope that we can safely return to the things we love to do.   We are excited that the FDA and CDC have approved the vaccine for ages 12 years and up. Trials are ongoing and we hope the children ages 2-11years will be approved by the fall!  Please read our CAP COVID vaccination statement here.

Q: Will CAP offer the COVID vaccine to patients? If so, what ages?

A: CAP has recently been approved as a COVID vaccine distribution site and is in the process of obtaining the vaccine and setting up the clinics. Once ready, there will be an outreach to patients based on availability.

Now that Pfizer has been approved for ages 12 years and up, we hope to receive regular allotments of COVID vaccine from the health department to begin vaccinating our patients.  Due to the complexity of ordering vials, storage and administration requirements, we know that we will not be able to offer mass vaccination clinics.  While we look forward to launching COVID vaccination clinics at CAP, we encourage you to get your child's vaccine when they are eligible at any location in your community.  At this time, we cannot guarantee COVID vaccine administration at a well visit due to limitations in vaccine preparation.

Q: COVID vaccine has full FDA approval, can we get it for our child under age 12 years?

A: At this time, the American Academy of Pediatrics does NOT recommend giving the COVID vaccine off label.  We cannot insure accurate and appropriate dosing; or counsel on safety and efficacy.  We are anxiously awaiting the studies for the 2-11 year old age group as you are!  When is is approved and ready, we will be ready to administer vaccine to those that are eligible. (AAP Statement )

Q: What is going on in our area for COVID vaccine administration to the public?

A:  Currently all people ages 12 years old and up are eligible to receive the COVID vaccine.  As stated above, CAP will be launching vaccine clinics, but we encourage you to get your child's vaccine at any location in your community.  

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