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FOR INTERNAL USE ONLY
Notes of Caution/Use for onsite teams:
-These questions and answers can be shared by any staff member on-site with patients
-Indications to triage a question to a fully certified RN, PA, NP, MD/DO, or pharmacist on-site:
Since you received your vaccination at a City of Los Angeles site, you can expect an email and SMS from Carbon Health 3 days before your second dose appointment. This message will include appointment details and a rescheduling link. Most of these appointments will be booked at the same location 21 days after your first dose appointment. Due to supply uncertainty and site closures due to weather and holidays, appointments may be scheduled further out, but within the CDC recommended window.
Your second dose appointment may be at a different location, and we recommend you keep your auto scheduled appointment. However if you need to reschedule or change location, we recommend doing it immediately as appointment availability is limited.
Since you received your vaccination at a City of Los Angeles site, you can expect an email and SMS from Carbon Health 3 days before your second dose appointment. This message will include appointment details and a rescheduling link. Most of these appointments will be booked at the same location 28 days after your first dose appointment. Due to supply uncertainty and site closures due to weather and holidays, appointments may be scheduled further out, but within the CDC recommended window.
Your second dose appointment may be at a different location, and we recommend you keep your auto scheduled appointment. However if you need to reschedule or change location, we recommend doing it immediately as appointment availability is limited.
Hi $name, thank you for reaching out. Since you did not receive your first dose with Carbon Health, you will need to register for an appointment on our website. You may do using the following link:
A common side effect of the first shot is local injection site soreness of the muscle. With the second dose (and sometimes the first dose as well), about 20% of patients may develop side effects like body aches, chills, headaches, fatigue, and feverishness which typically last one to three days and are treated with acetaminophen or ibuprofen if they become overly bothersome. This is a sign the immune system is revving up and doing what it is supposed to be doing.
The vaccine itself will not cause you to test positive with covid PCR and rapid antigen tests. You would only test positive if you developed Covid-19 infection which is still possible after being vaccinated but less likely. We do not recommend antibody testing at this time after the vaccine since clinical guidelines for appropriate levels and interpretation have not been established for antibody response. It may also be hard to interpret whether antibodies are due to Covid-19 infection or vaccination. In addition, immunity is more than just your antibody response and includes T-cell immunity also which we do not test for.
You may not be as well protected against the virus. There is no period of time outside the window in which someone can be vaccinated with their second dose so we recommend receiving a second dose anytime 28 days after your first dose. You do not need to restart the vaccination course from the beginning even if it has been a significant amount of time between the first and second dose.
For the purposes of this guidance, people are considered fully vaccinated for COVID-19 ≥2 weeks after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna), or ≥2 weeks after they have received a single-dose vaccine (Johnson and Johnson [J&J]/Janssen ).
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html#footer
The following recommendations apply to non-healthcare settings:
Fully vaccinated people can:
- Visit with other fully vaccinated people indoors without wearing masks or physical distancing
- Visit with unvaccinated people from a single household who are at low risk for severe COVID-19 disease indoors without wearing masks or physical distancing
- Refrain from quarantine and testing following a known exposure if asymptomatic
For now, fully vaccinated people should continue to:
https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/index.html
https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
The vaccination card is only used to help health officials keep track of who has gotten the COVID-19 vaccine.
There is no need to self isolate between the two doses of vaccine though everyone should still practice preventive measures (wear a mask, maintain social distance, limit the number of people at gatherings, etc) since infection is still possible and full immunity does not occur until a week or two after the second dose.
Your vaccination card is not the only existing record of your vaccinations. State providers will report all vaccinations to the immunization registries to ensure patients are getting the correct dosages at the right times with the same vaccine manufacturer. If you would like another one, please return to the site where the vaccine was administered to retrieve it.
The vaccine does not make you fully immune to COVID-19. However, your chances of NOT getting sick should you get infected with COVID-19 goes up 95%. In other words, you are less likely to get sick or if you do the severity of symptoms may be less.
After you are fully vaccinated, you may still be able to infect others. We are awaiting more studies to better understand if the vaccine helps prevent you from being infected and doesn’t just prevent you from getting sick. Based on information currently available, we do not recommend you spend time with others with the assumption that you cannot infect others
Fully vaccinated people can:
- Visit with other fully vaccinated people indoors without wearing masks or physical distancing
- Visit with unvaccinated people from a single household who are at low risk for severe COVID-19 disease indoors without wearing masks or physical distancing
- Refrain from quarantine and testing following a known exposure if asymptomatic
A common side effect is local injection site soreness, mild swelling, or redness. Other side effects include body aches, chills, fever, fatigue, and headaches which typically last anywhere from 1 to 3 days. Side effects are more common with the second vaccination if you received Moderna or Pfizer. These are all completely normal and expected and indicate that the immune system is responding appropriately. That’s a good thing!
Authorities monitor for a severe (but rare) anaphylaxis or allergic reaction to the vaccine.
This question wasn’t specifically studied in clinical trials. The recommended timeline for the second dose of Pfizer is 21 days after the first dose. For Moderna, it is recommended to get the second dose 28 days after the first dose. However the CDC has stated that you can have up to 42 days to complete the vaccinations.
After administration of the vaccine, it's expected to have mild arm soreness, fatigue, achiness, and fevers after the vaccine. If any of the symptoms are more severe, persistent, or if you develop any other concerning findings such as some wheezing, mild shortness of breath, hives, diarrhea, abdominal pain, nausea or vomiting, please let us know and press the below link to schedule an appointment.
Usually 2-3 days
Yes. It is common to have arm soreness which should subside after a couple days. This is the body’s response to the vaccine and a sign that the immune system is revving up to build immunity which is what you want. If the symptoms are bad enough you can take over the counter Tylenol or NSAIDs (I.e. ibuprofen
The immune response and possible protection against the virus is less after just one vaccination. We would recommend making an appointment to schedule for the second vaccine. There is no period of time outside the window in which someone can be vaccinated with their second dose and you do not need to restart the vaccination course from the beginning.
Symptoms did tend to be slightly more noticeable after the second vaccine in the studies. We still strongly recommend receiving the second vaccine unless you developed a significant allergic reaction after the first (i.e. hives, rash, swelling of the face/lips/mouth, shortness of breath, wheezing, stridor (A.K.A. upper airway sounds), nausea/vomiting, diarrhea, and/or requiring the use of epinephrine or medical interventions). We will have staff on hand to monitor for symptoms and our virtual providers can also be booked for any concerns.
You should not be vaccinated due to concern that you may develop a severe allergic reaction or anaphylaxis.
Ingredients in the vaccine:
o messenger ribonucleic acid (mRNA)
o lipids (SM-102, polyethylene glycol [PEG] 2000 dimyristoyl glycerol [DMG], cholesterol, and 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC])
o tromethamine,
o tromethamine hydrochloride
o acetic acid
o sodium acetate
o sucrose
Immediate allergic reaction of any severity to polyethylene glycol [PEG]) or polysorbate due to concern for cross-reactivity reaction with similar agents in the vaccine is a contraindication to vaccination
You should not be vaccinated due to concern that you may develop a severe allergic reaction or anaphylaxis.
Ingredients in the vaccine:
o nucleoside-modified mRNA encoding the viral spike (S) glycoprotein of SARS-CoV-2
o lipids (2[(polyethylene glycol)-2000]-N, N-dietradecylacetamide and 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC]) and cholesterol, (4-hydroxybutl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate)
o potassium chloride
o monobasic potassium phosphate
o sodium chloride
o dibasic sodium phosphate dihydrate
o sucrose
Immediate allergic reaction of any severity to polyethylene glycol [PEG]) or polysorbate due to concern for cross-reactivity reaction with similar agents in the vaccine is a contraindication to vaccination
Hi $name, on your second dose visit, the Carbon employee can look up that you received your first and indicate it on your card. Please obtain a vaccination card at your 2nd dose visit. Additionally, the digital health pass is accessible on the homepage of your account which is HIPAA approved.
The Johnson and Johnson vaccine is indicated as a single dose only vaccine. You do not need to receive a second dose in order to have full immunity.
What site and day are you interested in coming to get your second dose?
Guidance from the CDC is that four days before and four days after is okay for your second dose. If you can not make it four days after, the CDC has published that the second dose of Moderna and Pfizer vaccinations can be done up to, but no more than, 42 days. You will need to schedule your second dose between the 24th and 42nd day post your initial vaccination.
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html
The electronic health pass is available when you log into your patient account online at patient.carbonhealth.com
Once you log into patient.carbonhealth.com there will be a section on the home screen that says "Your Health Pass is ready. View Card"
If you are currently in the downloaded mobile IOS or Android app, you will be able to see it there.
Hi $name, You and your spouse will not always receive emails on the same days/same times. Being that there are thousands of patients we have to book for a second dose, we are working as quickly as we can to get out updates and auto-bookings. We understand the frustration this may cause, both LA City and us are doing as much as we can to get everyone their doses as soon as we are aware of dose count.
You will be autobooked within the CDC guidelines, which states you can receive your second dose up to 42 days after your first dose. As a reminder, communications that other patients such as friends/family members receive may come at a different time than your specific case. Booking is being done in batches as there are a lot of people who need their second dose. Please keep an eye out for an email this week with an update to your next appointment. Thank you for your patience.
We do not have openings for next week just yet. It all depends on supply, we usually will open up availability between Friday-Sunday. Please check back on the below site for openings for the following week.
https://carbonhealth.com/covid-19-vaccines/los-angeles
Hi $name, there is not a confirmation number. Your appointment confirmation is listed above and will be viewable by our check in staff onsite.
Hi $name, the vaccine we are administering is Moderna. Moderna is only available for patients 18 years of age or older. Unfortunately, at this time you will need to cancel your appointment for this location. The Pfizer vaccine is available for patients 16 years or older and you can book at our Pierce College location as they are offering that brand.
Hi $name, the currently eligible groups for the vaccine are Health Care workers in the Phase 1A and Phase 1B category and Individuals with health conditions and disabilities.
***As a Healthcare, Emergency Services, and Food & Agriculture worker, Its required that you bring one of the following documentation items to be vaccinated:
- Employee badge with photo/employers name (if food & agriculture)
OR
- Professional license AND a photo ID
OR
- Payment stub from employer with your name AND a photo ID
OR
-California Food Handler card or Certified Food Protection Manager card (if food & agriculture)
***If you are over the age of 65, please bring in a government issued ID and insurance cards.
If you do not have a smartphone, please print the email confirmation and bring that to the site with you.
***If you are in the Education & Childcare eligible group, it is required that you bring one of the following documentation items to be vaccinated:
-School District Badge
OR
-Copy of State of CA License
OR
-Alternative Payment/voucher
attendance sheet or invoice
***Individuals with health conditions and disabilities are required to bring one of the following documentation items to be vaccinated:
-A letter from your medical provider, behavioral health provider, or California Department of State Hospitals Conditional Release Program (CONREP) that confirms that you are eligible for vaccination based on your underlying condition or disability (the letter does not need to state the medical condition)
OR
-For Medi-Cal program enrollees - a personalized letter from California Department of Health Care Services (DHCS)
OR
-For IHSS consumers – a personalized letter from California Department of Social Services (DSS)
OR
-For Regional Center consumers – a personalized letter from California Department of Social Services/Regional Centers (DSS)
OR
-For CSS program consumers – a personalized letter from California Children’s Services (CSS)
An attestation that you sign that states you meet the eligibility criteria for high-risk medical conditions or disabilities.
Hi $name, at this time, individuals that fall into the Phase 1A and Phase 1B and individuals with health conditions and disabilities are the only eligible individuals to receive the vaccine. If they are eligible, they will need to book an appointment for themselves as we do not accept walk-ins or patients without appointments.
http://publichealth.lacounty.gov/acd/ncorona2019/covidvaccinedistribution/
Proof of employment will be required upon check in at the administration site for all workers and a government issued ID is required for patients in the 65+ group.
Hi $name, as long as you have the health questionnaire completed, you can arrive on time.
To complete the health questionnaire, please see the link below.
There is a walk up line that does begin to form about an hour prior to start time (8am). As long as you have an appointment booked for that day at that location, you will be seen. It is okay if you do not get to the check in team at the exact time you are scheduled for if there is a long wait.
Hi $name, being that these are drive thru sites, it may be best to arrive 20-30 minutes in advance to decrease your wait time in the car line. As long as you have an appointment booked for that day, at that location, you will be seen. It is okay if you do not get to the check in team at the exact time you are scheduled for if there is a long wait.
Hi $name, the appointment is confirmed with the details above. Please be sure to arrive on time with your required documents for your tier.
Hi $name, to reschedule your appointment, click the appointment tab above and choose reschedule.
Hello, at this time we are only vaccinating individuals that work in the Phase 1A and Phase 1B field, as well as individuals with health conditions and disabilities.
http://publichealth.lacounty.gov/acd/ncorona2019/covidvaccinedistribution/
If you are not in that category, unfortunately, you will need to cancel your appointment at this time until the vaccine is available for your group. The team at the site will be doing verification checks.
Hi $name, the confirmation is automatically sent when the appointment is booked. We are unable to manually send confirmations through email. You can show this message thread to the check in staff.
Hi $name, this is not a drive up site. You will need to park and walk up to the site. If you would like to schedule for a drive through site, please go through the booking process again to choose one of these 3 locations: Hansen Dam, Dodgers Stadium, or Crenshaw.
Hi $name, the vaccine site you are scheduled for is only a drive through location. You will receive the vaccine while in your car or may need to just open your car door. You will wait in your car the waiting time period after receiving the vaccine.
You’re welcome. Reminder for patients 65 and over, please bring along your government issued photo ID, proof of LA County residency and insurance card (if insured). Thank you.
Hi $name, to book for another location, you will need to go through the booking process again via our link below.
Hi $name, if you fall into the categories in Phase 1A, 1B, or are an individual with a health condition or disability:
Please use the link below to reschedule your appointment.
We have paramedics and providers equipped to handle medical issues that arise. However, if you are concerned, it is best to consult first with your allergist or your primary provider.
Hi $name, the verification requirement is that patients must bring one of these documents in order to be vaccinated: Healthcare worker employee badge with photo OR Professional license AND a photo ID OR Payment stub from healthcare provider with your name AND a photo ID.
If not a part of an agency, the appointment will need to be canceled at this time. The supply of COVID-19 vaccines will be limited for the first few months. This means that the vaccine will be offered to different groups of people at different times (or phases). When enough vaccines are ready, it will be offered to everyone. Vaccine may not be available to the general public – people who do not have any special risk factors --until sometime in the spring or summer of 2021
Hi $name, if you are a home health agency employee that visits patients at their home, you are eligible.
In order to be vaccinated, the requirement is that patients must bring one of these documents for verification:
- Healthcare worker employee badge with photo
OR
- Professional license AND a photo ID
OR
- Payment stub from healthcare provider with your name AND a photo ID
Hi $name, the QR code is sent in your confirmation email. If you do not receive the confirmation email, not to worry. You can log in to patient.carbonhealth.com or in the patient app. From there, you can print or show your appointment confirmation to the check in person and they will be able to find you.
At this time, we are unable to resend confirmations but you have the option above. The email/barcode is not required as the only proof. Additionally, you can check your spam folder, but as mentioned above, you can just log in online or in the app and show the verification that way.
Hi $name, as long as you are a part of the current eligible group for the vaccine: Phase 1A, Phase 1B, Individuals with health conditions and disabilities, you are all set.
http://publichealth.lacounty.gov/acd/ncorona2019/covidvaccinedistribution/
Reminder that it is required that you bring one of the following documentation items listed on the above link to be vaccinated. Additionally, please bring in a photo ID and your insurance card if you have it.
Hi $name, the vaccine we are administering at this location is Pfizer. Being that you are in the appropriate age range to receive this brand, you will just need to ensure you are a part of the eligible group listed on LA County's website.
Currently Phase 1A, 1B, and Individuals with health conditions and disabilities are eligible.
http://publichealth.lacounty.gov/acd/ncorona2019/covidvaccinedistribution/
Hi $name, for real time verification of which site is offering what brand, you may view what is available at scheduling. However, at this time we cannot guarantee which brand you will receive for your first dose due to vaccine availability and supply.
Hi $name, being that this is a hybrid (drive thru/then park and walk up) site, it may be best to arrive 10-15 minutes in advance to decrease your wait time in the car line.
As long as you have an appointment booked for that day, at that location, you will be seen. It is okay if you do not get to the check in team at the exact time you are scheduled for if there is a long wait.
Hello $name, if you are 65+ you are now eligible to schedule for your vaccine. Please use the link below to schedule this. http://publichealth.lacounty.gov/acd/ncorona2019/vaccine/hcwsignup/pods/
Did you have an allergic reaction to an ingredient in the covid-19 vaccine, your first covid vaccine, or to polysorbate or polyethylene glycol (PEG)? (Ingredients in covid vaccine: messenger ribonucleic acid (mRNA), lipids (SM-102, polyethylene glycol [PEG] 2000 dimyristoyl glycerol [DMG], cholesterol, and 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC]), tromethamine, tromethamine hydrochloride, acetic acid, sodium acetate, or sucrose) DO NOT VACCINATE
Did you have an allergic reaction to another vaccine or injectable?
DO NOT VACCINATE at this timeFollow up with your allergist or primary care provider for further recommendations and possible locations where you may be able to be vaccinated under closely controlled settings
What if I have a history of anaphylaxis or a severe allergic reaction due to another cause (i.e. food, oral medications, latex, environmental, pets, insect, venom, bee stings, etc.)? (last updated 2021.01.23)
If you had a significant reaction in the past that resulted in: hives, rash, swelling of the face/lips/mouth, shortness of breath, wheezing, stridor (upper airway sounds), nausea/vomiting, diarrhea, and/or requiring the use of epinephrine or medical interventions then You can still proceed with the vaccine but we will watch you closely for an extended period of time (30 minutes)
What if I have a history of a mild allergic reaction due to another cause (i.e. food, oral medications, latex, environmental, pets, insect, venom, bee stings, etc.)? (last updated 2021.01.17)
You can still proceed with the vaccine and we will monitor you for 15 min to make sure you do not develop a reaction.
The Moderna vaccine has been authorized for use in adults 18 and older. Participants in Pfizer's vaccine studies were mostly adults over the age of 18, and the FDA's authorization is for people 16 and older. The vaccine hasn’t been approved in children but clinical trials are ongoing, so it may be several months, or possibly a year, before the vaccine is available for anyone under the age of 16.
Yes, getting the vaccine is not a problem.
There is no evidence of such an association. Those with a history of these conditions due to other causes can still proceed with vaccination.
Antibiotics shouldn't interfere. But if you are acutely ill with another condition it may be best to wait until you recover.
People who have gotten sick with COVID-19 may still benefit from getting vaccinated. However, you should wait until your body has been cleared of active COVID-19 symptoms and that it has been at least 10 days since COVID symptom onset before receiving the vaccine.
Yes, this is not a contraindication with the moderna or Pfizer vaccines. You may be watched closely at the time of vaccination for slightly longer (30 minutes) to make sure you don’t develop a reaction if you had a significant reaction in the past such as hives, rash, swelling of the face/lips/mouth, shortness of breath, wheezing, stridor (upper airway sounds), nausea/vomiting, diarrhea, and/or requiring the use of epinephrine or medical interventions. If your reaction was mild then you can wait 15 minutes post-vaccine for monitoring.
The moderna and Pfizer vaccines do not contain preservatives.They also do not contain any thimerosal, antibiotics, or adjuvants.
This pandemic can create a lot of anxiety and stress in one’s daily life. The heightened attention around the action of becoming vaccinated could generate anxiety however the vaccine itself shouldn’t. We have mental health providers at Carbon that can assist if you are experiencing an exacerbation of their symptoms.
No. It should not have any impact.
Note: on-site this counseling question should be handled only by fully licensed RN, PA, NP, or pharmacist.
Although the vaccine is believed to be safe in this population these patients were not included in the clinical trials. The U.S. position is that it is most likely theoretically safe and effective. The benefits of receiving the vaccine are protection from covid-19 disease and/or a severe form of the infection of which pregnant women are more vulnerable.According to the CDC and studies to date, based on what we know at this time, pregnant people are at an increased risk for severe illness from COVID-19 and death, compared to non-pregnant people. A severe form of covid-19 could possibly impact one’s own life or the life of the baby however we need more data on the true risk of severe infection and poor outcomes during pregnancy. The American Society of Obstetrics and Gynecology (ACOG) recommends COVID-19 vaccines should not be withheld from pregnant or lactating women who meet criteria for vaccination based on the standard recommended priority groups. Some countries such as Canada and the UK have recommended waiting to vaccinate this group until more data is available. It's important to weigh the risks and benefits given the information provided in order to make the final decision on vaccination. If you need more time to decide then we recommend having a further discussion on risks/benefits with your ob/gyn provider.
Note: on-site this counseling question should be handled only by fully licensed RN, PA, NP, or pharmacist.
In terms of breastfeeding there is a theoretical benefit that the baby may get some temporary passive immunity through the breast milk in a vaccinated mother. The risks for both pregnancy and breastfeeding is that we don’t have real world safety data in this population. The American Society of Obstetrics and Gynecology (ACOG) recommends COVID-19 vaccines should not be withheld from pregnant or lactating women who meet criteria for vaccination based on the standard recommended priority groups. Some countries such as Canada and the UK have recommended waiting to vaccinate this group until more data is available. It's important to weigh the risks and benefits given the information provided in order to make the final decision on vaccination. If you need more time to decide then we recommend having a further discussion on risks/benefits with your ob/gyn provider.
You should not be vaccinated due to concern that you may develop a severe allergic reaction or anaphylaxis.Ingredients in the vaccine:o messenger ribonucleic acid (mRNA)o lipids (SM-102, polyethylene glycol [PEG] 2000 dimyristoyl glycerol [DMG], cholesterol, and 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC])o tromethamine,o tromethamine hydrochlorideo acetic acido sodium acetateo sucroseImmediate allergic reaction of any severity to polyethylene glycol [PEG]) or polysorbate due to concern for cross-reactivity reaction with similar agents in the vaccine is a contraindication to vaccination
It may still be safe to receive the covid-19 vaccine however we recommend consultation with an allergist and/or your primary care provider prior to proceeding with vaccination. You should not be vaccinated on-site at this time.
As a general rule we recommend waiting until you recover from illness before becoming vaccinated
It is recommended that you wait more than 90 days from the time you received Convalescent plasma or immunoglobulin therapy for covid-19 infection prior to receiving a covid-19 vaccine. Immunoglobulin therapy for other medical conditions not related to covid-19 infection is not a contraindication to proceeding with vaccination.
You can still proceed with the vaccine and we will monitor you for 15 min to make sure you do not develop a reaction.
If you had a significant reaction in the past that resulted in hives, rash, swelling of the face/lips/mouth, shortness of breath, wheezing, stridor (upper airway sounds), nausea/vomiting, diarrhea, and/or requiring the use of epinephrine or medical interventions then you can still proceed with the vaccine but we will watch you closely for an extended period of time (30 minutes)
The COVID-19 vaccine may still be given to you.ACIP recommends the following technique for intramuscular vaccination in patients with bleeding disorders or taking blood thinners: a fine-gauge needle (23-gauge or smaller caliber) should be used for the vaccination, followed by firm pressure on the site, without rubbing, for at least 2 minutes.
If a patient received the first dose (either Moderna or Pfizer) at age less than 16 years, DO NOT give a second dose at this time. Do not administer the second dose until the person becomes eligible to receive vaccination (either by reaching the authorized age or if the authorization is extended to include additional age groups), even if this results in the second dose being administered after the recommended interval between doses.
If age 16 to 17 years and Moderna vaccine inadvertently administered instead of Pfizer-BioNTech as the first dose, may administer Moderna vaccine as the second dose (as off-label use, because Moderna vaccine is not authorized in this age group).
Finally as a reminder, If someone is seeking their first dose then they must be 16 years of age and older to receive a Pfizer vaccine and 18 years of age and older to receive moderna until we get more future clinical trial data. And unless they are a healthcare provider their age tier is not due to be vaccinated yet in general!
No, not right away. Studies of the new vaccines only measured whether vaccinated people developed symptoms, not whether they got infected. It's possible they got light infections — not enough to make them ill, but enough to pass the virus on to others. The CDC is calling for those who are immunized to continue to wear a mask, maintain social distance, limit the number of people at gatherings, and follow safety protocols.
Additional boosters may be necessary in upcoming years as more data becomes available— the current vaccines have been tested only over a period of six months, and it is possible immunity could wane.
The first shot of the mRNA vaccine can help reduce the chance of getting symptomatic COVID-19 by 52%. It is 95% effective one week after receiving the second injection of the vaccine.
Note: on-site this counseling question should be handled only by fully licensed RN, PA, NP, or pharmacist. If you have a weakened immune system you can still receive the vaccine. This patient population should be counseled that we believe this vaccine is safe and likely effective in this population however more data is needed to determine the true safety and effectiveness rates since this population was not fully studied in the clinical trials. We do know that those who are immunocompromised are at increased risk of COVID-19 infection and severe illness which is a reason for the recommendation to vaccinate. After being vaccinated, we recommend continuing to practice standard protocols such as wearing a mask, washing hands, and socially distancing until we have more data to support its true effectiveness rate.
Note: on-site this counseling question should be handled only by fully licensed RN, PA, NP, or pharmacist. Yes. This patient population should be counseled that we believe this vaccine is safe and likely effective in this population however more data is needed to determine the true safety and effectiveness rates since this population was not fully studied in the clinical trials. We do know that those who are immunocompromised are at increased risk of COVID-19 infection and severe illness which is a reason for the recommendation to vaccinate. After being vaccinated, we recommend continuing to practice standard protocols such as wearing a mask, washing hands, and socially distancing until we have more data to support its true effectiveness rate.
For the vaccine to work, we need 60% of the population to be vaccinated. Waiting to get the vaccine could stall the impact of vaccination on the spread in the country. If too many individuals wait to get the vaccine, it will take longer to reach herd immunity. To slow the spread, we would need a comprehensive plan from the government regarding universal masking, distancing, contract tracing, etc.
Yes, it is recommended that people who had COVID-19 infection still receive the vaccine but they must wait until their signs or symptoms of active COVID-19 have improved and that it has been at least 10 days since the symptom onset.You are welcome to seek virtual evaluation with Carbon’s COVID Positive Care Program if there is a question about the clearance and timing.http://carbonhealth.com/program/covid-positivehttps://carbonhealth.com/covid-positive-care
Although more research is currently being conducted to determine whether the vaccine will be effective against the Kent variant coronavirus, most vaccine scientists believe that the current vaccine will provide adequate protection.
The vaccines will not cause you to become infected with COVID-19 but it is still possible to contract COVID-19 in the community. Testing for SARS-CoV-2 will still be accurate even after you received both vaccines.
At this point, we don't know if patients can spread the virus even after being vaccinated. We do know some individuals who still got COVID-19 after being vaccinated had a much milder form of it. Therefore, we recommend typical virus prevention precautions (wearing a mask, washing hands regularly, maintaining social distance) continue to be followed even in those who are vaccinated.
As of now, the answer to whether you will still be able to transmit COVID-19 to others after receiving the vaccine is unclear. More studies need to be conducted to better understand if vaccinated patients can become carriers and then infect others so it is important to continue to practice necessary precautions.
There is no evidence to support this claim. We recommend people who did have covid-19 infection to receive the vaccine when they are no longer displaying symptoms of active covid infection since we do not know how sufficient the immune response is after experiencing covid and whether the native infection generates enough broad lasting immunity to protect against the different strains.
If you were diagnosed with active covid-19 in the last 10 days and you are still displaying signs/symptoms of active covid-19 (i.e. ongoing fevers, persistent or worsening (and not improving) muscle aches, headaches, cough,etc.) then we recommend delaying the vaccination until you have recovered. The good news is that we believe people have some degree of protection for up to 90 days after an active covid infection. All those who have had a history of covid-19 infection should be vaccinated when they recover unless they have a contraindication.
Patients should wait until they are recovered and cleared from active COVID-19 infection before receiving their second dose (i.e. improvement of symptoms and that it has been at least 10 days since the onset of symptoms). It is ok if this second dose is administered after the recommended time period between first and second dose (i.e. >3 weeks for Pfizer and >4 weeks for Moderna). The vaccination schedule does not need to be restarted and the patient should just receive their second dose.
This Playbook cover specific areas of COVID-19 vaccination program planning and implementation and provide key guidance documents and links to resources to assist those efforts.
Two shots are better than one. Each vaccine requires two shots, and it’s important to get both for maximum effectiveness. After receiving the first shot there is a four week wait time for the second Moderna shot while the body primes the immune system. The first shot of the mRNA vaccine can help reduce the chance of getting symptomatic COVID-19 by 52%. It is 95% effective one week after receiving the second injection of the vaccine.
The vaccine does not contain preservatives, thimerosal, antibiotics, or adjuvants.
18 years of age or older.
Developing a drug is expensive and drug companies typically wait for phase 2 studies to be complete before investing in phase 3 trials. Because of the pandemic, the United States and other countries provided funding to vaccine developers to start planning and enrolling patients in phase 3 trials at the same time that phase 2 trials were being performed. This greatly accelerated the drug development timeline without compromising the typical trial standards.Typically it takes a long time to enroll patients into a clinical study but during a pandemic enrollment was much easier due to the number of cases in the population. In order to prove efficacy you need enough positive results in the control group to compare to the vaccinated group and since the prevalence of COVID-19 was so high they were able to achieve statistical significance early on.
COVID-19 Vaccine should not be administered at the same time as other vaccines including the flu shot at this time.Generally the recommendation is to separate Moderna COVID-19 Vaccine from other vaccines by 14 days before or after the administration of Moderna COVID-19 vaccine.In certain cases/populations such as healthcare workers or those living in nursing facilities, co-administration of COVID-19 vaccine with other vaccines or in closer proximity than 14 days is advisable. In situations where the benefits of vaccination are deemed to outweigh the potential unknown risks of vaccine coadministration (e.g., tetanus toxoid-containing vaccination as part of wound management, measles or hepatitis A vaccination during an outbreak) or to avoid delays to COVID-19 vaccination in populations at higher risk such as long-term care facility residents or healthcare personnel who may have recently received influenza or other vaccinations.
No, it is recommended not to mix different types of vaccines. To receive your second Pfizer shot, you will need to go to a place where that is being administered.
The vaccine is currently not available at Carbon Health brick and mortar locations. We are awaiting updates and will let patients know as soon as we do when the vaccine will be available at our clinics.Only select major hospitals are providing the vaccine at this time.
According to the CDC, vaccine doses purchased with U.S. taxpayer dollars will be given to the American people at no cost. However, vaccination providers will be able to charge an administration fee for giving the shot to someone. Vaccine providers can get this fee reimbursed by the patient's public or private insurance company or, for uninsured patients, by the Health Resources and Services Administration's Provider Relief Fund. It is therefore still important to collect insurance information even if the patient will not be personally billed. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html
The vaccine is most effective 1 week after your second dose. You still may get some protection 2-3 weeks after your first dose but you really need that second dose to get the most protection from COVID-19.
It is recommended to get your 2nd dose of the Pfizer vaccine after 21 days and the Moderna vaccine after 28 days.
Here’s the expected order for vaccinations in the United States:
Healthcare workers and people in long-term care facilities: The vaccine will first be rolled out to healthcare workers and elderly people living in long-term care facilities.
Adults over the age of 65: The vaccine has now been made available in CA for this group.
Essential workers: The 87 million Americans who work in food and agriculture, manufacturing, law enforcement, education, transportation, corrections, emergency response and other sectors deemed essential have now been made eligible in CA.
All other adults: Adults in the general population could start receiving the vaccine as early as April 2021 although many people likely will have to wait until at least May or June 2021.
Please click this link to see the breakdown of the phases: http://publichealth.lacounty.gov/acd/ncorona2019/covidvaccinedistribution/
The vaccination may not work properly. When you are vaccinated, you will receive a vaccine card and/or be enrolled in an electronic system so you can keep track of the date, type, and specific batch of vaccine you received. Your second dose of vaccine must be manufactured by the same company that made the first dose of your vaccine. However, if a recipient got one mRNA vaccine then inadvertently received the other company vaccine, the recipient's vaccination is considered complete and no need to receive the 2nd dose of either Pfizer or Moderna.
Individuals will receive a vaccination card after they receive their first shot of the vaccine. Easy to store in a wallet or purse, the vaccination card includes the date of the individual’s next vaccination.
Go to a CORE member and ask someone that is in CORE clothing to receive your vaccination card. You do not need to wait in the line. (Except for drive up sites)
The overall number of patients in these demographic categories were low but still a significant portion of the study population. In a larger study with more patients of color, the numbers may be slightly different than these but would likely be similar in magnitude.- It was 95% effective at preventing cases of COVID-19 in both Latinos and non-Latinos.- It was 100% effective in Black people.- It was 94% effective in people who were at least 56 years old. (The older you get, the greater the risk of a serious case of COVID-19.)- It was 95% effective in those who had at least one medical condition that made them more likely to develop a serious case of COVID-19.- It was 96% effective for people who were obese, another condition that makes people more vulnerable to COVID-19.
The Vaccine was tested on tens of thousands of study participants with very good safety outcomes. An FDA analysis of the Pfizer vaccine's safety and effectiveness on people aged 16 and older found "no specific safety concerns" that would preclude the vaccine's use. The same safety and effectiveness was found in people aged 18 and older for the Moderna vaccine. They made recommendations about vaccine safety to the larger FDA panel. Some mild to moderate side effects are common of all vaccines—mostly swelling, pain, redness at the injection site, fatigue, and sometimes a fever that resolves within about 24 hours. In rare cases, some patients have experienced symptoms of anaphylaxis. All vaccinated patients are monitored for signs of this and treated should it occur.https://www.npr.org/sections/health-shots/2020/12/08/944165524/fda-analysis-of-pfizer-covid-19-vaccine-finds-it-effective-and-safeClinical trials have data safety monitoring boards that are third party groups assigned to monitor safety and any adverse events in a trial. Analysis is performed by third party scientists with no financial or political motivations or biases.
Individuals will receive a vaccination card after they receive their first shot of the vaccine. Easy to store in a wallet or purse, the vaccination card includes the date of the individual’s next vaccination.
Hello, at this time being that there are thousands of people booking at the same time we are not able to show the instant availability. Please check back for up to date appointment times.
The overall number of patients in these demographic categories were low but still a significant portion of the study population. In a larger study with more patients of color, the numbers may be slightly different than these but would likely be similar in magnitude.- It was 95% effective at preventing cases of COVID-19 in both Latinos and non-Latinos.- It was 100% effective in Black people.- It was 94% effective in people who were at least 56 years old. (The older you get, the greater the risk of a serious case of COVID-19.)- It was 95% effective in those who had at least one medical condition that made them more likely to develop a serious case of COVID-19.- It was 96% effective for people who were obese, another condition that makes people more vulnerable to COVID-19.
The Vaccine was tested on tens of thousands of study participants with very good safety outcomes. An FDA analysis of the Pfizer vaccine's safety and effectiveness on people aged 16 and older found "no specific safety concerns" that would preclude the vaccine's use. The same safety and effectiveness was found in people aged 18 and older for the Moderna vaccine. They made recommendations about vaccine safety to the larger FDA panel. Some mild to moderate side effects are common of all vaccines—mostly swelling, pain, redness at the injection site, fatigue, and sometimes a fever that resolves within about 24 hours. In rare cases, some patients have experienced symptoms of anaphylaxis. All vaccinated patients are monitored for signs of this and treated should it occur.https://www.npr.org/sections/health-shots/2020/12/08/944165524/fda-analysis-of-pfizer-covid-19-vaccine-finds-it-effective-and-safeClinical trials have data safety monitoring boards that are third party groups assigned to monitor safety and any adverse events in a trial. Analysis is performed by third party scientists with no financial or political motivations or biases.
None of our patients have received this LOT (#041L20A). We believe it is very safe to continue vaccinating and we are not seeing an increased number of reactions outside of this isolated event.If you got a vaccine outside of our sites, authorities are gathering info about what the cause of this reaction is, but right now we do not know.mRNA vaccine then inadvertently received the other company vaccine, the recipient's vaccination is considered complete and no need to receive the 2nd dose of either Pfizer or Moderna.
VACCINE SCHEDULE LINK FOR STAFF ONLY - DO NOT SHARE/GIVE TO PATIENTS:
https://docs.google.com/spreadsheets/d/1mFeO2i83wI4KgaPQQU1HjeXZFU6Ezg0Iwjgpk_NQ9Qc/edit?usp=sharing
