Are Fully Vaccinated People Who Get Covid At Risk For Long Term Symptoms
The COVID-19 vaccines have been rightly celebrated for driving cases and hospitalizations down across the United States, but no vaccine on the planet offers absolutely perfect protection.
As of late April, the Centers for Disease Control and Prevention said there had been around 10,000 breakthrough cases among more than 100 million Americans who had been fully vaccinated at that time.
Because those infections have been so rare, however, there is a fair amount experts are still learning about the small number of cases that do happen. And one of the biggest questions right now is if you do experience a breakthrough case, is there a chance you could have long-haul COVID-19?
Heres what we do and dont know so far.
Recovery After Severe Illness With Covid
A small percentage of people who have the new coronavirus need to stay in the hospital to get help breathing. It may depend on things like your age and your overall health. This might last 2 weeks or more.
If youre severely ill, you might need treatment in an intensive care unit . Many patients who spend time in the ICU lose weight and strength.
Your medical team will work with you to treat or manage these symptoms, including exercises to boost your strength.
A Peek Deep Into The Human Genome By A Global Initiative With More Than 3000 Researchers From 25 Countries Is Providing Some Answers
The research began in March 2020 as scientists struggled to understand how the virus operates.
Throughout the pandemic, one crucial question has perplexed scientists worldwide: Why do some people become so sick from Covid-19 while others show no symptoms at all?
Now, a peek deep into the human genome by a global initiative with more than 3,000 researchers from 25 countries is providing some answers. There are 13 locations in the genome strongly linked to either susceptibility to the virus or severe cases, the researchers reported Thursday in the journal Nature.
The research began in March 2020 as scientists struggled to understand how the virus operates. It culminated in the largest genome-wide association study ever conducted, with researchers sifting through the genetic material of almost 50,000 infected people and two million uninfected. The goal: Identify which bits of human DNA correlate with people getting very sick from the virus.
The results may help pinpoint “some clear biological markers that could be used to repurpose existing drugs or drugs in the pipeline,” said Mark Daly, a study co-author who is the director of the Institute for Molecular Medicine Finland at the University of Helsinki and a geneticist at Harvard University.
The Nature report summarizes information from 46 studies and three meta-analyses investigating the role of human genetics in Sars-CoV-2 infections and Covid-19 severity.
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Learn When It Is Safe To Be Around Others
Most people with COVID-19 can be released from isolation and can be around others after:
- At least 10 days have passed since symptoms first appeared, and
- At least 24 hours with no fever without fever-reducing medication, and
- Other symptoms are improving. ;
If you tested positive for COVID-19 but never had any symptoms, you can be around others after 10 days have passed since the first positive diagnostic test.
For most people, getting another COVID test to determine when to end isolation is not recommended. If you have severe to critical COVID-19 and/or a weakened immune system because of a health condition or medication, check with your healthcare provider about when to stop isolation.
See the VDH When to End Home Isolation and Quarantine Infographic for more information.
For Anyone Who Has Been Around A Person With Covid
Anyone who has had close contact;with someone with COVID-19 should stay home for 14 days;after their last exposure;to that person.
However, anyone who has had close contact with someone with COVID-19 and who;meets the following criteria does;NOT;need to stay home.
- Someone who has been fully vaccinated and shows no symptoms of COVID-19. However, fully vaccinated people should get tested 3-5 days after their exposure, even if they dont have symptoms and wear a mask indoors in public for 14 days following exposure or until their test result is negative.
- Someone who has COVID-19 illness within the previous 3 months;and
- Has recovered;and
- Remains without COVID-19 symptoms
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How Often Do People Die Of It
The case fatality rate refers to the number of deaths among those who have tested positive for coronavirus. Globally, the case fatality rate today stands at 4%.
But this rate varies country to country and even within countries. These variations may partially be explained by whether hospitals has been overwhelmed or not.
The case fatality rate in Wuhan was 5.8% . In the rest of China, it was at 0.7%.
Similarly in Europe, Italys case fatality rate is , greatly surpassing that of Germany .
However the case fatality rate only includes people who are tested and confirmed as having the virus.
Some modelling estimates suggest that if you calculated the number of deaths from the total number of cases the proportion of people who die from coronavirus might be more like 1%.
What If I Have More Serious Symptoms
The disease can become much more serious for some. This tends to happen about seven to 10 days into the infection.
The transformation can be sudden. Breathing becomes difficult and the lungs get inflamed. This is because although the body’s immune system is trying to fight back – it’s actually overreacting and the body experiences collateral damage.
Some people will need to be in hospital for oxygen therapy.
GP Sarah Jarvis says: “The shortness of breath may take some considerable time to improve… the body is getting over scarring and inflammation.”
She says it could take two to eight weeks to recover, with tiredness lingering.
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What Are The Symptoms
COVID-19 causes similar symptoms to the flu. Fever is the most common symptom, occurring in almost 88% of cases, while a dry cough is the next most common, affecting almost 68% of those with the virus.
Data from 55,000 cases in China also show other symptoms can include:
- fatigue, in 38% of cases
- producing sputum or phlegm, 33%
- shortness of breath, 19%
- sore throat, 14%
- headache, 14%.
Unlike other coronaviruses that cause the common cold, COVID-19 is hardly ever associated with a stuffy nose. This is seen in just 5% of cases.
Diarrhoea is also uncommon, affecting only 4% with the virus.
You Can Infect Others Even If You Dont Have Symptoms
You may be infected but not have symptoms. However, you can still spread the virus to others. You may:
- develop symptoms later
- never develop symptoms
Follow the advice of your local public health authority on quarantine or isolation if you:
- dont have symptoms but have been exposed to someone who has or who may have COVID-19
- have tested positive
Vaccination efforts continue to increase vaccine coverage and lower community transmission. Even with increased coverage, continue to follow the advice of your local public health authority on the use of individual public health measures.
Learn more about:
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Recovering From Moderate Covid
For people who experience more acute or alarming COVID-19 symptoms such as symptoms that warrant a visit to an ER or even hospitalization, in some cases the recovery process is more lengthy than for those with milder symptoms.
“While recovering from a moderate case of COVID-19, it’s likely you can expect to experience prolonged fatigue, cough and even shortness of breath,” explains Dr. Septimus. “And these prolonged symptoms can go on for several weeks.”
How Sick Do People Usually Get
Most people who get sick have a mild illness which rarely involves needing to go to hospital. They recover after about two weeks.
But just over 20% of people sick with COVID-19 will need to be hospitalised for severe difficulties with breathing.
Of the 20% who need to be hospitalised, 6% become critically ill with either respiratory failure , septic shock, and/or multiple organ failure. These people are likely to require admission to an intensive care unit.
It appears to take about one week to become severely ill after getting symptoms.
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How Long To Isolate
The length of your home isolation period depends on different factors. Contact your health care provider, local or tribal health department, or visit the CDC website for more information about ending isolation.
If you think or know you have COVID-19 and you have symptoms remain in isolation for:
- At least 24 hours after you are free of fever without the use of fever-reducing medications and other symptoms have improved and;
- At least 10 days after the date you first had symptoms.
If you do not have symptoms but tested positive for COVID-19:
Remain in isolation for at least 10 days after your test date.
Who Is More Likely To Become A Long Hauler
Currently, we cant accurately predict who will become a long hauler. As an article in Science notes, people only mildly affected by COVID-19 still can have lingering symptoms, and people who were severely ill can be back to normal two months later.
However, continued symptoms are more likely to occur in people over age 50, people with two or three chronic illnesses, and, possibly, people who became very ill with COVID-19.
Most Breakthrough Cases Are Mild
Breakthrough COVID-19 cases among people who have been fully vaccinated tend to be pretty mild.
Based on the CDCs preliminary data from April, about 30% of vaccine breakthrough infections were totally asymptomatic. An estimated 10% of people with breakthrough cases were hospitalized and 2% died, but its crucial to note that a decent portion of those hospitalizations and deaths were unrelated to COVID-19.
Experts do believe that while breakthrough infections are really rare, they also may be happening more often than the numbers suggest.
Where the data gets a bit muddy is that there may be people who dont get tested, because they think theres no need because they have been vaccinated, Cameron Wolfe, an associate professor of medicine at Duke University School of Medicine who specializes in infectious diseases, told HuffPost.
There may be some folks who develop incredibly minor or asymptomatic cases of COVID that we just dont pick up, he added.
This, experts stress, is a sign that the vaccines are working. The main goal is to prevent severe disease and death. Thats why the CDC made the decision in May that it would no longer monitor all breakthrough COVID-19 infections, and instead focus strictly on cases in which the person is hospitalized or dies. Narrowing its focus allows the agency to put its energy into better understanding the most serious outcomes and whats behind them, the CDC said.
What If I Need Intensive Care
The WHO estimates one person in 20 will need intensive care treatment, which can include being sedated and put on a ventilator.
It will take time to recover from any spell in an intensive or critical care unit , no matter what the illness. Patients are moved to a regular ward before going home.
Dr Alison Pittard, Dean of the Faculty of Intensive Care Medicine, says it can take 12 to 18 months to get back to normal after any spell in critical care.
Spending a long time in a hospital bed leads to muscle mass loss. Patients will be weak and muscle will take time to build up again. Some people will need physiotherapy to walk again.
You Will Need Time To Recover From Severe Cases
An emergency hospital visit that included some time on a ventilator means you’re suffering from a severe case of coronavirus. “If you’re recovering from a severe case of COVID-19, it can take some time for your strength and pulmonary function to return back to normal,” says Dr. Septimus.;
Even after you’re off the ventilator, your lungs need time to gather the strength to function on their own. With a severe case of COVID-19, you could feel the effects, such as shortness of breath and immune system responses, for several weeks or months after hospitalization.
Even if your COVID-19 symptoms have dissipated, make sure you’re no longer contagious before interacting with anyone. Whether you have a mild, moderate, or severe case, it’s important to take care of yourself and give your body all the time it needs to heal. And to get through this pandemic at your healthiest, don’t miss these 35 Places You’re Most Likely to Catch COVID.
Getting Care And Staying Safe At Home
You should go to an emergency room or immediately if you have:
- Trouble breathing
- Persistent pain or pressure in the chest or abdomen
- New confusion or inability to stay awake
- Blue lips or face
- Numbness in the face, arm or leg
- Any sudden and severe pain
- Uncontrolled bleeding
- Severe or persistent vomiting or diarrhea
This is not a complete list. If you are concerned you may be experiencing a medical emergency, contact your provider immediately or .
When to Contact a Health Care Provider
Call your health care provider if you have COVID-19 symptoms, especially if you are an older adult, pregnant or have health conditions that put you at increased risk for severe illness.
Call, text, use telemedicine or use your patient portal to contact your health care provider. If you need help getting medical care, . You can get care in NYC regardless of immigration status or ability to pay.
When You Are Sick and Staying Home
If you are sick, stay home as much as possible. Do not go to school or to work, even if you are an essential worker. Only leave home to get essential medical care or to get basic needs such as groceries, if you have no other way to get them.
To protect others in your household from getting sick:
The NYC Test and Trace Corps can help you safely separate at home, including assistance arranging food and medicine delivery, pet care and finding a health care provider.
When You Are Sick and Need to Leave Home
When You Need a Hotel for Isolation
For more information:
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How Do I Know If I Have Covid
COVID-19 often causes symptoms similar to those a person with a bad cold or the flu would experience. And like the flu, the symptoms can progress and become life-threatening.
So far there has been much less than the usual number of cases of influenza, likely due to the enhanced public health measures to prevent the spread of COVID.
Therefore, at the current time, people with “flulike” symptoms should assume they have COVID. That means isolating and contacting your doctor or local board of health to arrange testing.
What Should I Do If I Think I Or My Child May Have A Covid
First, call your doctor or pediatrician for advice.
If you do not have a doctor and you are concerned that you or your child may have COVID-19, contact your;local board of health. They can direct you to the best place for testing and treatment in your area.
If you have a high or very low body temperature, shortness of breath, confusion, or feeling you might pass out, you need to seek immediate medical evaluation. Call the urgent care center or emergency department ahead of time to let the staff know that you are coming, so they can be prepared for your arrival.
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Treat Symptoms With Non
- Put on a mask before going to medical appointments.
- Take care of your physical health.;
- Get rest and drink plenty of water or clear liquids. Avoid alcohol or drinks with caffeine, such as sodas, tea, and coffee.
- Ask your healthcare provider if you need monoclonal antibody treatment. This therapy can treat mild to moderate COVID-19 in adults and children 12 and older , who are at high risk for developing severe illness.
- Use over-the-counter medications based on your symptoms. Follow all usage and warning information on the label.
- Follow care instructions from your healthcare provider or local health department.
- Get medical care right away if you have any medical emergency. Call 9-1-1 and notify the dispatcher that you have or may have COVID-19. Emergency warning signs of COVID-19 can include: trouble breathing, pain or pressure in the chest that wont go away, new confusion or inability to arouse or wake, or pale, gray or blue-colored skin, lips or nail beds, depending on skin tone.
|Use a cough suppressant that contains dextromethorphan|
|Both productive and dry cough||Use a combination guaifenesin/dextromethorphan product|
|Stuffy/runny nose||Use a nasal decongestant that contains phenylephrine or pseudoephedrine , saline nasal spray, or oral antihistamines|
*Always follow the advice from your healthcare provider and the instructions from the manufacturer about the medicine you take.
How Soon After I’m Infected With The New Coronavirus Will I Start To Be Contagious
The time from exposure to symptom onset is thought to be two to 14 days, though symptoms typically appear within four or five days after exposure.
We know that a person with COVID-19 may be contagious 48 hours before starting to experience symptoms. People may actually be most likely to spread the virus to others during the 48 hours before they start to experience symptoms.
For people who are not fully vaccinated, wearing masks, particularly indoors, can help reduce the risk that someone who is infected but not yet experiencing symptoms may unknowingly infect others. As of July 2021, the CDC is also advising people who are fully vaccinated to wear masks in public indoor places in areas of the country with substantial or high transmission of the virus.
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