Wednesday, February 24, 2021

You’ve gotten the COVID-19 vaccine. Now what?

February 04, 2021 BY CYNTHIA DEMARCO

You’ve gotten a COVID-19 vaccine. That’s a big, welcome milestone. After months of maskingsocial distancing and seemingly endless hand-washing, you now have extra protection.

But what does being vaccinated really mean, in terms of how to live your daily life? Is it safe to socialize with your friends and extended family now? Do you still need to wear a mask and stay socially distanced from them, if you do? What if they’ve been vaccinated, too?

Before you start making plans, here’s what you should know.

You need both COVID-19 vaccine doses and time to ensure maximum protection

Both the Pfizer and Moderna vaccines confer some level of protection after the first dose. But it’s important to get the second dose for maximum protection.

“If you’re only halfway through your two-dose vaccine regimen, you could be only about 50% protected until you receive the second required dose,” says Roy Chemaly, M.D., chief infection control officer.

The Pfizer vaccine is delivered in two separate doses that are given 3 weeks apart. The Moderna vaccine is delivered in two separate doses given 4 weeks apart.

Data from the clinical trials for these vaccines shows you need to get the second dose to achieve a higher level of protection. Vaccine recipients are up to 50% protected against the possibility of a severe infection about 10 days after the first dose, and up to 95% protected about seven days after the second one.

So, you shouldn’t leave either of your vaccination appointments assuming you’re fully protected.

Vaccination doesn’t guarantee you won’t get a COVID-19 infection

Both the Pfizer and Moderna vaccines prevent up to 95% of recipients from developing a severe case of COVID-19 — not from developing any case at all. And preliminary data show they are also effective against the current mutations from South Africa and the United Kingdom, though that may not be true for future strains.

“The mRNA COVID-19 vaccines are very effective, but they are not 100% effective,” says Chemaly. “Around 5% to 13% of those who receive the vaccine will not be protected from a COVID-19 infection.”

You may be still be able to spread the coronavirus after you’re vaccinated

We don’t yet know whether the vaccines protect against asymptomatic transmission of the coronavirus, Chemaly says.

“This would enable you to pass the virus to someone else even after you’ve been vaccinated, which is why it’s so important to continue wearing a mask, practicing social distancing and washing your hands regularly,” he notes.

Continue to avoid large gatherings and indoor get-togethers

Being vaccinated significantly reduces the odds you’ll develop a severe case of COVID-19. “But our national COVID-19 vaccine supply is still limited right now, so not everyone around you will be able to get vaccinated right away,” says Welela Tereffe, M.D., chief medical executive.

This means it’s still unsafe — even after vaccination — to gather in large groups or to have indoor gatherings that mix members from different households. Because of the potential for asymptomatic transmission, this is still true even if those you’re gathering with have also been vaccinated.

“Those kinds of behaviors are what’s driving the pandemic and increasing the risk of illness and death for so many people,” says Tereffe. “That’s why it’s so important, even after you’ve been vaccinated, to avoid large gatherings and indoor get-togethers, and keep wearing a mask, social distancing and washing your hands until public health experts tell us otherwise.”

Don’t let down your guard yet

So, how much longer will the pandemic last, and when can we finally take off our masks and hug all the people we love?

Chemaly says the answer to those questions is both easy to say and hard to predict: when we reach herd immunity. At least 70% of the population will need to be vaccinated or have natural immunity in order to achieve that milestone. And since the coronavirus is still so new, there’s simply not enough data available yet to say when that might occur.

“We really don’t know and I don’t want to guess exactly when that will be,” says Chemaly. “It depends on how quickly the vaccine is widely distributed, and how many people will take it. We just have to wait and see what the data show.”

Until then, the same rules apply after vaccination as did before vaccination: keep wearing a mask, social distancing and washing your hands. “We’re confident that vaccination will help us get through this,” Chemaly says, “but we can’t let down our guard yet.”

Request an appointment at MD Anderson online or by calling 1-855-728-7094.

https://www.mdanderson.org/cancerwise/you-ve-gotten-the-covid-19-vaccine--now-what-can-you-do-safely.h00-159458478.html?cmpid=linkedin


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