COVID-19 & Vaccine FAQ's

COVID-19 Ques­tions

I’ve been pre­scribed Paxlovid and am hav­ing a hard time find­ing a phar­ma­cy to dis­pense it. Can you give me some guidance? 

Much of what the gov­ern­ment allo­cates has been dis­trib­uted to com­mer­cial phar­ma­cies like CVS, Walgreen’s and in some cas­es Wal­mart. Inquire about avail­abil­i­ty at your local store. Then let your Duly provider know which phar­ma­cy and they will call it in for you. 

This track­er may also be helpful. 

I have ques­tions about Paxlovid. Where can I find more information?

The FDA has pub­lished some help­ful FAQs

And here’s a link to Pfizer’s Fact Sheet

Can I be test­ed to see what vari­ant I have?

Duly does not offer that test­ing- it is done ran­dom­ly at a state lev­el for trend­ing pur­pos­es. Duly does par­tic­i­pate in this state testing.

CDC COVID Data Track­er: https://​covid​.cdc​.gov/​c​o​v​i​d​-​d​a​t​a​-​t​r​a​cker/

Are home tests accu­rate? Do I need a PCR test to con­firm the result of my home test?

The home test can be con­sid­ered reli­able, and a PCR test is not need­ed to con­firm a positive.

CDC COVID Self-Test­ing Infor­ma­tion: https://​www​.cdc​.gov/​c​o​r​o​n​a​v​i​r​u​s​/​2​0​1​9​-​n​c​o​v​/​t​e​s​t​i​n​g​/​s​e​l​f​-​t​e​s​t​i​n​g​.html

At-home COVID advice lists OTC rec­om­men­da­tions to pre­vent severe COVID for adults. Are there any rec­om­men­da­tions for chil­dren (pedi­atric patients)?

Yes. Per our physi­cians, vit­a­mins C & D and zinc are rec­om­mend­ed. Par­ents can dis­cuss prop­er dos­ing with their phar­ma­cist for children.

What are the new quar­an­tine guidelines?

The guide­lines for quar­an­tine are chang­ing quick­ly. Please find the lat­est CDC guid­ance for quar­an­tine here: https://​www​.cdc​.gov/​c​o​r​o​n​a​v​i​r​u​s​/​2​0​1​9​-​n​c​o​v​/​y​o​u​r​-​h​e​a​l​t​h​/​q​u​a​r​a​n​t​i​n​e​-​i​s​o​l​a​t​i​o​n​.html

COVID-19 Vac­cine Questions

Do Duly providers rec­om­mend mix­ing vac­cines to improve immu­ni­ty against COVID? 

The most impor­tant thing you can do to pro­tect your­self is to get the vac­cine and boost­ers, includ­ing a sec­ond boost­er if recommended. 

You can learn more about mix­ing and match­ing COVID here.

Should I get a boost­er now or wait until fall? 

Sec­ond boost­er dos­es are an impor­tant con­sid­er­a­tion for those over 50 who have health con­cerns that could make them more prone to severe COVID ill­ness. Sec­ond boost­er dos­es are espe­cial­ly advised for those over 65 regard­less of their health status. 

Folks who are oth­er­wise healthy or who are between the ages of 50 – 64 and who have had three dos­es of COVID vac­cine and who are also recent­ly COVID recov­ered can like­ly wait until the fall when we will know if vari­ant-spe­cif­ic boost­ers are avail­able. Those in this same cat­e­go­ry who elect to receive fourth dos­es now, will like­ly still need boost­ers this fall.

Who should get the COVID-19 vaccine?

  • The COVID-19 vac­cine is rec­om­mend­ed for all indi­vid­u­als 12 and up. The COVID-19 Pfiz­er Pedi­atric Vac­cine is rec­om­mend­ed for all indi­vid­u­als 5 – 11. Appoint­ments are avail­able in Glen Ellyn, Lisle and Tin­ley Park. 
  • A COVID-19 vac­cine boost­er is rec­om­mend­ed for:
    • All adults, 18 and old­er should receive an mRNA COVID-19 boost­er at least 5 months fol­low­ing their ini­tial vac­cine series.
    • Every­one 5 – 17 years old should receive a Pfiz­er BioN­Tech COVID-19 boost­er at least 5 months after their ini­tial Pfiz­er vac­cines series.
    • Those ages 5 – 11 that are mod­er­ate­ly or severe­ly immuno­com­pro­mised should receive an addi­tion­al dose of the Pfiz­er vac­cine 28 days after their ini­tial dose.
  • A sec­ond COVID-19 vac­cine boost­er is rec­om­mend­ed for: 
    • Adults over 50 who have health con­cerns that could make them more prone to severe COVID illness.
    • Adults over 65 regard­less of their health status.

What are the side effects of the COVID-19 vaccine?

Mild side effects, such as those list­ed below, occur com­mon­ly and typ­i­cal­ly resolve with­in 24 – 48 hours of the vac­ci­na­tion admin­is­tra­tion. Com­mon side effects of the COVID-19 vac­cine include:

  • Pain or swelling in the arm that received vaccine
  • Fever
  • Chills
  • Tired­ness
  • Headache

These typ­i­cal side effects can be treat­ed with rest, hydra­tion and Tylenol or ibupro­fen. Patients should call their doc­tor if they feel that their side effects are becom­ing severe.

Aller­gic Reac­tions: Those with a known his­to­ry of aller­gic reac­tions to injectable med­ica­tions or vac­ci­na­tions should con­sult with their pri­ma­ry care provider or an aller­gist before receiv­ing the vac­cine. The CDC rec­om­mends that patients who have an aller­gic reac­tion to the first dose of the COVID-19 vac­cine should not receive the sec­ond dose. If you have ques­tions regard­ing your vac­cine options, please con­tact your pri­ma­ry care provider or the Duly Health and Care Aller­gy, Asth­ma and Immunol­o­gy department.

Onsite Safe­ty Mon­i­tor­ing: All patients will be mon­i­tored for reac­tions to the vac­cine for 15 min­utes. Those with a his­to­ry of severe aller­gic reac­tions will be mon­i­tored for up to 30 min­utes. If you expe­ri­ence a reac­tion after leav­ing your appoint­ment, seek med­ical atten­tion immediately.

Fol­low-up Check-ins: Patients who receive the vac­cine will be pro­vid­ed instruc­tions on how to report side effects. A MyD­MGHealth account will allow you to fill out check-in ques­tion­naires to report any health con­cerns fol­low­ing your vaccination.

Is the vac­cine safe for preg­nant women, nurs­ing moth­ers, those with a his­to­ry of aller­gic reac­tions or those who are immunocompromised?

Women who are preg­nant, try­ing to con­ceive or breastfeeding

Clin­i­cal tri­als did not study this demo­graph­ic. Recent data has sug­gest­ed that those who are preg­nant could expe­ri­ence more severe reac­tions to side effects of either vac­cine1. Reach out to your med­ical provider to help you make an informed decision.

Those with a his­to­ry of severe aller­gic reactions

Those with a known his­to­ry of severe or mild imme­di­ate aller­gic reac­tions, espe­cial­ly to injectable med­ica­tions or vac­ci­na­tions, should con­sult with their aller­gy and immu­nol­o­gist or pri­ma­ry care provider before receiv­ing the vaccine.

Those with a his­to­ry of severe aller­gies unre­lat­ed to vac­cine ingre­di­ents and med­ical provider approval will be mon­i­tored for 30 min­utes after receiv­ing the vac­cine instead of the stan­dard 15 minutes.

Those who are immunocompromised

Due to lim­it­ed data, it is rec­om­mend­ed for those who are immuno­com­pro­mised to con­sult with their doc­tor before receiv­ing the vaccine.

Your med­ical provider will help inform you about the lim­it­ed data sur­round­ing vac­cine research and those who are immuno­com­pro­mised. Your provider may have spe­cial instruc­tions for you fol­low­ing the vac­cine to help ensure your safety.

Who is con­sid­ered immunocompromised?

  • Can­cer patients
  • Those who have had a bone mar­row transplant
  • Those who have had a sol­id organ transplant
  • Received stem cells for can­cer treatment
  • Those with genet­ic immune deficiencies
  • Those with HIV
  • Those who chron­i­cal­ly use oral or intra­venous cor­ti­cos­teroids or immunosuppressants

If I have had COVID-19 or have test­ed pos­i­tive for COVID-19 anti­bod­ies, should I get the vaccine?

  • It is high­ly encour­aged that those who have had COVID-19 receive the vac­ci­na­tion series to help avoid rein­fec­tion. The length of nat­ur­al immu­ni­ty ranges depend­ing on the per­son. The vac­ci­na­tion series will help extend your immu­ni­ty and lessen your risk of COVID-19 diag­no­sis and severity.
  • For the safe­ty of oth­ers, those who cur­rent­ly have COVID-19 should wait the rec­om­mend­ed 14 days of iso­la­tion before con­sid­er­ing a vaccine.
  • Recent evi­dence has sug­gest­ed a low­er prob­a­bil­i­ty of rein­fec­tion with­in 90 days of COVID-19 infec­tion. As a result, those with a recent COVID-19 diag­no­sis may choose to delay their vac­ci­na­tion series.

How long does the vac­cine pro­vide pro­tec­tion? What we know so far…

The COVID-19 vaccine’s length of immu­ni­ty is still being deter­mined due to lim­it­ed data. It is rec­om­mend­ed that those with COVID-19 anti­bod­ies from pre­vi­ous ill­ness still receive the vac­ci­na­tion series since it is still unknown how long nat­ur­al immu­ni­ty lasts.

Does the vac­cine pro­tect me from alter­nate strains?

While data is lim­it­ed, researchers believe that the COVID-19 vac­cines will cov­er the alter­nate strains of the virus that have appeared around the world. Ear­ly find­ings sug­gest that COVID-19 muta­tions are show­ing con­sis­tent results as those already cov­ered by the exist­ing vac­cine1. Addi­tion­al research will help sci­en­tists adjust the vac­cine as nec­es­sary in the future.

What is the cost of the COVID-19 vaccine?

The COVID-19 Vac­cine is pro­vid­ed at no cost by the fed­er­al gov­ern­ment. Duly Health and Care will bill your cur­rent insur­ance for the admin­is­tra­tion of the vac­cine. Please check with your health plan by call­ing the num­ber on the back of your insur­ance card for any ques­tions pri­or to your appoint­ment. If you are unin­sured, the admin­is­tra­tion of your vac­cine may be cov­ered by the Health Resources and Ser­vices Admin­is­tra­tion’s Provider Relief Fund.