Time for a 3rd shot?

Panacea Financial Contract Review
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
gasdoc77 said:
whdh.com

2 senior FDA vaccine leaders step down as agency faces decision on boosters - Boston News, Weather, Sports | WHDH 7News

(CNN) — Two senior leaders in the US Food and Drug Administration’s vaccine review office are stepping down, even as the agency works toward high-profile<a class="excerpt-read-more" href="https://whdh.com/news/2-senior-fda-vaccine-leaders-step-down-as-agency-faces-decision-on-boosters/">Read...
whdh.com whdh.com
Click to expand...
If these guys had any early concerns about safety, perhaps they should have consulted the SDN experts for reassurance.
 
pgg said:
My .mil hospital won't give me a 3rd shot yet.

Stopped by CVS yesterday, they wouldn't give me one either, since I'm not immunocompromised.

Might try Walgreens tomorrow and tell them I had a spleen transplant or something.
Click to expand...
They don't ask for proof. Just say immunocompromised.
 
Airway said:
Do note a research letter published in nejm today. (Resurgence of SARS-CoV-2 Infection in a Highly Vaccinated Health System Workforce(
Click to expand...

People went wild when California reopened on June 15. It’s likely that a lot of vaccinated folks were very cavalier about masking and social distancing. When I’d drive past some local microbreweries, people were packed inside like sardines. I thought to myself there’s probably a 100% chance that someone inside has delta and is spreading it.
 
nimbus said:
People went wild when California reopened on June 15. It’s likely that a lot of vaccinated folks were very cavalier about masking and social distancing. When I’d drive past some local microbreweries, people were packed inside like sardines. I thought to myself there’s probably a 100% chance that someone inside has delta and is spreading it.
Click to expand...
Not only that, but I honestly believe a lot of people feel the minute they get shot #1 of Pfizer then they are immune and good to party and we know that’s not even close to how it works, even with the 1 shot vaccines
 
Twiggidy said:
Not only that, but I honestly believe a lot of people feel the minute they get shot #1 of Pfizer then they are immune and good to party and we know that’s not even close to how it works, even with the 1 shot vaccines
Click to expand...
I think, foolishly, the CDC implied that after two shots everything was back to normal (imo a political message / carrot to encourage vaccination). I wish we had traveled in the period of alpha and low cases.

In spite of what is going on in the country (and data!) I see lots of physicians and nurses with poor mask discipline...
 
Personally a little worried about getting the booster because of how lousy I felt with the first two. First shot I felt hung over for two days and stomach was off for two days after that. Second shot I felt like absolute hot garbage with fever, myalgias, rigors, etc for two days. Finger crossed on the next one.
 
chessknt said:
Honestly you can just tel then you never got the vaccine and that is good enough.
Click to expand...
I couldn't do that honestly 🙂
dhb said:
Splenectomy or kidney transplant might be more believable even though you have a high chance they don't know the difference between the 2 organs.
Click to expand...
thatsthejoke.jpg 🙂


In all seriousness, the risk to lying about my eligibility for a 3rd shot is that it would be hard to explain why I need to miss work in the unlikely event that I got knocked on my ass by side effects for a couple days (or longer).

I'll just wait a couple weeks and get it when I'm eligible per the guideline of the moment.
 
PainDrain said:
Personally a little worried about getting the booster because of how lousy I felt with the first two. First shot I felt hung over for two days and stomach was off for two days after that. Second shot I felt like absolute hot garbage with fever, myalgias, rigors, etc for two days. Finger crossed on the next one.
Click to expand...
You should expect the same after third shot.
 
sevoflurane said:
My wife and I are heading to Burning man then Orladno and then to the Caribbean in a few weeks. 100% getting a 3rd dose.
Click to expand...
So you and the wife are trying to get the “natural immunity” that comes with infection with the alpha, delta, lambda, and mu strains?
 
pgg said:
I couldn't do that honestly 🙂

thatsthejoke.jpg 🙂


In all seriousness, the risk to lying about my eligibility for a 3rd shot is that it would be hard to explain why I need to miss work in the unlikely event that I got knocked on my ass by side effects for a couple days (or longer).

I'll just wait a couple weeks and get it when I'm eligible per the guideline of the moment.
Click to expand...
I got mine when I was off for 4 days so that is a reasonable concern
 
Are you guys still lining up for a 3rd shot now that the booster was rejected by the FDA?
 
pgg said:
I couldn't do that honestly 🙂

thatsthejoke.jpg 🙂


In all seriousness, the risk to lying about my eligibility for a 3rd shot is that it would be hard to explain why I need to miss work in the unlikely event that I got knocked on my ass by side effects for a couple days (or longer).

I'll just wait a couple weeks and get it when I'm eligible per the guideline of the moment.
Click to expand...
Well, I took the plunge and lied today in anticipation of the FDA decision clouding the picture for HCWs regarding the 3rd dose. I didn't like doing it, but I'm also surrounded not just by a horde of unvaccinated patients but also some unvaccinated docs, nurses, and other personnel in the hospital since my health system doesn't have a damn mandate yet.
 
vector2 said:
Well, I took the plunge and lied today in anticipation of the FDA decision clouding the picture for HCWs regarding the 3rd dose. I didn't like doing it, but I'm also surrounded not just by a horde of unvaccinated patients but also some unvaccinated docs, nurses, and other personnel in the hospital since my health system doesn't have a damn mandate yet.
Click to expand...
Agree 100x. Even with a mandate it's very easy to not get vaccinated and/or lie
 
So you can just walk in to Walgreens and tell them you’re immunocompromised and they’ll give you one?
 
The problem is there are two different questions regarding boosters.

If your goal is just to reduce hospitalization/mortality, then boosters offer relatively little marginal benefit since the vaccine alone already works well. And almost all of that benefit will be concentrated in the elderly, so boosting only 65+ makes sense.

if your goal is to reduce infection/transmission, then based on the israeli data, boosters for all make sense. Of course the marginal benefit of getting an unvaccinated person vaccinated is much higher then getting someone a booster, but feel it’s a false choice when presented that way.

Personally I’d like to see boosters available for everyone, while being recommended for the high risk, high exposure workers, and 65+
 
We are anesthesiologists who are constantly working in a high risk environment. There are know break through positives and we’ve even had a patient test negative preop, decompensate in the OR, and test positive in the ICU two days later.

if it’s your desire, get a 3rd shot by any means

if a 3rd shot is not your cup of tea, that’s your choice
 
Arch Guillotti said:
Can you elaborate?
Click to expand...
We still pre-op COVID test all patients. This patient was vaccinated and tested negative prior to their procedure, although had COVID maybe last fall. (Not months ago negative. Within normal preop testing timeline). In the OR during the case (it was a procedure using differential ventilation but not for lung disease so take the for what i could be worth) the patient couldn't maintain a good sat, i mean down to the 70s, and was becoming hemodynamically unstable. They cancelled the case and took the patient to the ICU were actually about to extubate. A day later the patient lost sense of taste, got COVID tested and was positive. Was still short of breath as of a few days ago and that was last I heard. Wasn't my personal case.

Probably a COVID long-hauler, but still, since the patient tested negative pre-op, I don't think people in the OR treated the patient as if COVID +. From what I heard everyone in that case got tested afterward and tested negative. I think one self-quarantined

Anyway, my point is this is the type of case where I would have no regrets having gotten a booster because I'm sure there are vaccinated patients out there, who are even testing negative pre-operative, and then have symptoms in the post operative period and test positive. I'm not scientist, but I wouldn't be surprised that if someone who's had COVID, potentially carries it, and the stress of surgery could bring it back active. Again, that's hypothesis and I also understand that could be potential misinformation, but I would be happy to be "boosted" in this scenario.

YMMV
 
@Twiggidy : and this is why I wear an n95 all the time in the hospital. Plus an unvaccinated child. I find so many of my colleagues blase about masking in the hospital - so what does this mean outside...
We also use the binax test for ambulatory surgery. Package insert says 64% sensitivity....
 
Airway said:
@Twiggidy : and this is why I wear an n95 all the time in the hospital. Plus an unvaccinated child. I find so many of my colleagues blase about masking in the hospital - so what does this mean outside...
We also use the binax test for ambulatory surgery. Package insert says 64% sensitivity....
Click to expand...

Same. At this point my face has been molded to the shape of a 3M 1860regular so it’s no big deal.
 
GassYous said:
I did that too actually lol
Click to expand...

It’s pretty funny. After finishing residency, one of my partners lived with his parents for over 3 years while he was paying off student loans and saving up to buy a house. He was the ultimate boomerang kid.
 
nimbus said:
It’s pretty funny. After finishing residency, one of my partners lived with his parents for over 3 years while he was paying off student loans and saving up to buy a house. He was the ultimate boomerang kid.
Click to expand...

I saved around 200k in 4 years by living at home. Put it all in the market during one of the biggest booms in history.
 
pgg said:
Or you can tell them you're a born-again reformed antivaxxer, and it's your first dose.

'swhat I heard anyway
Click to expand...
smart-thinking.gif
 
From WSJ



“The Food and Drug Administration on Wednesday said it permitted a third dose of the shot from Pfizer Inc. and BioNTech SE for people who got two doses of the Pfizer-BioNTech messenger RNA vaccine and are 65 years and older or are at risk of severe disease and death, including because of their jobs or where they live.”
 
nimbus said:
From WSJ



“The Food and Drug Administration on Wednesday said it permitted a third dose of the shot from Pfizer Inc. and BioNTech SE for people who got two doses of the Pfizer-BioNTech messenger RNA vaccine and are 65 years and older or are at risk of severe disease and death, including because of their jobs or where they live.”
Click to expand...

Saw the news. Of course the rub will be what "at risk of severe disease and death including because of their jobs or where they live." Does that include all HCW? (likely) Teachers? (likely) All public facing workers in retail/grocery stores? (maybe).

What about the where they live part? does that mean anyone in a hot-spot? will be interesting to see where the final recs come down.
 
DoctwoB said:
Saw the news. Of course the rub will be what "at risk of severe disease and death including because of their jobs or where they live." Does that include all HCW? (likely) Teachers? (likely) All public facing workers in retail/grocery stores? (maybe).

What about the where they live part? does that mean anyone in a hot-spot? will be interesting to see where the final recs come down.
Click to expand...

Yeah that phrase seems very loose and open to interpretation. Seems like they are making it so anybody who wants a booster could get one.
 
You must log in or register to reply here.

Similar threads

R
Trading money for free time
2
Replies
84
Views
6K
Simba1711
S
A
United health care ceo shot dead
2 3 4 5 6
Replies
274
Views
35K
aneftp
A
nimbus
Surgeon pays anesthesia for unused block time
Replies
25
Views
3K
Gern Blansten
Gern Blansten
R
Salary for a Program Director
Replies
30
Views
3K
zizzer
Z
I
Insurance won’t pay for anesthesia care if procedure goes beyond time limit
2 3 4
Replies
162
Views
13K
TeslaCoil
TeslaCoil
Top