Mental Health Issues After Covid
After surviving COVID-19, some people are left with lingering anxiety, depression and other mental health issues. Physical changes such as pain and weakness can be complicated by long periods of isolation, stress from job loss and financial difficulties, and grief from the deaths of loved ones and the loss of good health.
Patients who were hospitalized have a particularly challenging recovery. Brigham says Post-intensive care syndrome, or PICS, puts COVID-19 survivors and other people who have spent time in the ICU at a higher risk for problems with mental health, cognition and physical recovery.
Megan Hosey, Ph.D., a rehabilitation psychologist, says that prolonged time in the ICU can cause delirium. The strange surroundings, multiple mind-altering medications, isolation and loss of control can leave patients with lasting and recurrent sensations of terror or dread, including post-traumatic stress disorder .
Many patients have hallucinations where they believe that medical providers are trying to harm them, Hosey says. We’ve had patients tell us things like I thought I was being buried alive when they were being put into an MRI.
Heart Problems After Covid
SARS-CoV-2 infection can leave some people with heart problems, including inflammation of the heart muscle. In fact, one study showed that 60% of people who recovered from COVID-19 had signs of ongoing heart inflammation, which could lead to the common symptoms of shortness of breath, palpitations and rapid heartbeat. This inflammation appeared even in those who had had a mild case of COVID-19 and who had no medical issues before they got sick.
How To Receive The Covid
- Over the next several days, Henry Fords COVID vaccination centers are not able to take additional appointments. We support and encourage COVID vaccination at one of the many other trusted vaccine sources in our area. Please review these options and get vaccinated at a location convenient for you. These locations also offer third doses for immunocompromised people.
- We are now providing COVID-19 vaccines in our Primary Care Clinics only to established Henry Ford patients in our Primary Care Clinics. We support and encourage COVID/Flu vaccination at one of the many other trusted vaccine sources in our area. Please review these options and get vaccinated at a location convenient for you. These locations also offer third doses for immunocompromised people.
- Retail pharmacies such CVS, Walgreens, Kroger, Rite Aid, Costco, Walmart, Sams Club and Meijer.
- County health departments:
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Reported Side Effects In New Zealand
Adverse events following immunisation for the COVID-19 vaccine are reported to the Centre for Adverse Reactions Monitoring . We commonly know these as side effects.
Any side effects reported are suspected by the reporter to be caused by the vaccine. It doesnt always mean the vaccine did cause the side effect.
Medsafe closely monitors and releases a safety report showing this data each week. This shows the most common side effects that people in New Zealand experience after getting the COVID-19 vaccine.
Are There Special Side Effects To Be Aware Of From The Johnson & Johnson Viral Vector Vaccine
As part of the normal safety surveillance of all new medications, the Food and Drug Administration and Centers for Disease Control and Prevention tracks recipients for any unusual medical conditions. In April, the FDA placed a pause on the Johnson & Johnson / Janssen vaccine, after serious blood clots were identified in six people .
All of the people who experienced this side effect were women between the ages of 18 and 48, who noticed symptoms between six and 13 days after they were vaccinated. After a thorough review of the cases, the FDA decided to resume use of the Johnson & Johnson / Janssen vaccine shortly after the pause.
The FDA did add the recommendation that if you notice any of the following symptoms in the first two weeks after you receive the Johnson & Johnson / Janssen vaccine, you should seek medical care right away:
- severe headaches
- swelling or pain in the legs
- trouble breathing, or shortness of breath
- bruising easily
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The More Common Less Worrisome Issue: Feeling Sick After A Shot
With the two-dose mRNA vaccines from Pfizer and Moderna, the second shot proved to be a real doozy for some who rolled up their sleeves. It wasnt universal, but lots of people felt fluish, feverish, and achy for a day or two, typically after their second shot.
The culprit was the immune system really ramping up. If the first shot provided the bodys defenses with the scent of a key protein from the SARS-CoV-2 virus, then the immune system was ready to pounce when it saw that spike protein again with shot #2. It was all in the name of building up a lasting and robust blockade in the body, but it did mean some people had quite a hangover after the second dose.
The immune system goes, I know what this is, and attacks it more vigorously, said Kawsar Talaat, a Johns Hopkins infectious disease physician and vaccine researcher.
Talaat said that its possible that, because the immune system is already primed to recognize and target the spike protein, some people could experience something similar after a third dose.
If You Develop A Rash Or Covid Toes You Can Help Others
If you test positive for the coronavirus and develop a rash or COVID toes, you can help doctors learn more about COVID-19. To help, ask your doctor to submit information to the American Academy of Dermatologys COVID-19 registry.
Doctors from around the world are encouraged to participate.
Related AAD resources
Images2-4, 5-8: Images used with permission of Journal of the American Academy of Dermatology and JAAD Case Reports.
JAAD Case Rep. 2020 6:489-92.
J Am Acad Dermatol. 2020 May 4 S0190-962230789-1.
J Am Acad Dermatol. 2020 Apr 10 S0190-962230556-9.
J Am Acad Dermatol. 2020 Jul 83:e61-e63.
ReferencesBarry J. Pediatric dermatologist explains ‘COVID toes. Dermatology Times, May 20, 2020.
Bosworth T. Heterogeneity seen in COVID-19 skin manifestations. Medscape Dermatology. May 5, 2020. Last accessed May 8, 2020.
Bayers S, Shulman ST, et al. Kawasaki disease: Part I. Diagnosis, clinical features, and pathogenesis. J Am Acad Dermatol 2013 69:501.e1e11.
Daneshjou R, Rana J, et al. Pernio-like eruption associated with COVID-19 in skin of color. JAAD Case Reports 2020 6:892-7.
de Masson A, Bouaziz JD, et al. Chilblains are a common cutaneous finding during the COVID-19 pandemic: a retrospective nationwide study from France. J Am Acad Dermatol. 2020 May 4. doi: 10.1016/j.jaad.2020.04.161. .
Henry D, Ackerman M, et al. Urticarial eruption in COVID-19 infection. J Eur Acad Dermatol Venereol 2020 Apr 15. doi:10.1111/jdv.16472. .
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Side Effects For Each Dose
Not all coronavirus vaccines are the same. Some tend to cause more side effects after the first dose, others cause more side effects after the second dose. The very common side effects are the same and should still only last a day or two.
Even if you do have side effects after the first dose, you still need to have the second dose. The full recommended course will give you the best protection against the virus.
What Can I Do To Relieve The Discomfort Of Covid
Depending on your symptoms, you may try:
- putting a cold compress on the injection site
- using your arm, rather than keeping it inactive, to reduce injection site discomfort
- checking with your doctor to see if you can take over-the-counter painkillers
- drinking lots of fluids
- wearing lighter clothing, if youre feeling feverish
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Symptoms Could Be Less Severe After Booster
If your last shot was a doozy, that doesnt necessarily mean the booster dose will be equally as unpleasant. Real-world data from Israels booster program and from vaccine safety monitoring in the U.S. shows that reports of side effects have been substantially lower after the third dose of Pfizers COVID-19 vaccine than after dose one and two, according to a presentation given at the Sept. 22 Advisory Committee on Immunization Practices meeting although this could be due to underreporting, researchers note.
And data from J& Js booster trial shows that side effects were reported less frequently after the second shot, compared to the first.
Robert Weber, administrator for pharmacy services at the Ohio State University Wexner Medical Center and assistant dean for medical center affairs at the Ohio State University College of Pharmacy, has been administering third doses of the Pfizer and Moderna vaccines to adults with certain immune-compromising conditions and says many, if not all of them, are experiencing zero to very minor mild-to-moderate side effects, mostly pain at the injection site and some fatigue.
For the latest coronavirus news and advice go to AARP.org/coronavirus.
He expects the population eligible for the Pfizer and Moderna boosters people 65 and older and those at greatest risk for COVID-19 due to underlying health conditions will have similar experiences.
Should Children Get Vaccinated Even If Theyve Recovered From Covid
Yes. Children who are eligible based on their age should be vaccinated as soon as they are feeling well and no longer need to quarantine. Natural protection from COVID-19 peaks at about six weeks after recovering and begins to drop at three months after recovering.
Protection from COVID-19 after getting vaccinated lasts much longer: data shows protection remains high six months after vaccination, and researchers predict it will last much longer than that. The vaccines offer a very high level of protection against COVID-19, as well as protection against COVID-19 variants.
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Im Immunocompromised And Received The Johnson & Johnson Vaccine Can I Get Another Dose Of A Covid
At this time, the FDA and CDC do not recommend that immunocompromised people receive an additional dose of the Johnson & Johnson vaccine. Clinical trials are ongoing, and once results are available, the FDA and CDC will make a recommendation. Currently, the third dose is recommended for immunocompromised people who have received two doses of the Pfizer or Moderna vaccine.
How Modernas Reactions Compare To Other Shots
Reactions to the Moderna vaccine are similar to those reported after the Pfizer vaccine, which is also an mRNA vaccine.
Recipients of both the Moderna and Pfizer mRNA vaccines commonly reported pain at the injection site and redness after the first dose, along with fatigue and joint pain after the second dose.
The reactions to the mRNA vaccines have not been terribly different, certainly not to a degree that an individual should choose one or the other on the basis of side effects, said Liu.
In clinical trials, the Johnson & Johnson shot was associated with milder side effects compared to the mRNA shots.
Since Moderna and Pfizer require two shots and most side effects were from the second shot, the J& J vaccine may have slightly fewer side effects, said Swaminathan.
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When Youre Likely To Experience A Side Effect
Most side effects show within a day or two after being vaccinated.
|What you may feel||What can help||When this could start|
Pain at the injection site, a headache and feeling tired and fatigued. These are the most commonly reported side effects.
Place a cold, wet cloth, or ice pack on the injection site for a short time.
Do not rub or massage the injection site.
Within 6 to 24 hours
Muscle aches, feeling generally unwell, chills, fever, joint pain and nausea may also occur.
Rest and drink plenty of fluids
Paracetamol or ibuprofen can be taken, follow the manufacturers instructions.
Seek advice from your health professional if your symptoms worsen.
Within 6 to 48 hours
Will Pfizers Vaccine Continue To Be Tested Even Though It Has Received Fda Approval
The FDA and Centers for Disease Control and Prevention have monitoring systems in place to ensure any safety concerns continue to be identified and evaluated in a timely manner.
The FDA is also requiring Pfizer to conduct additional studies about the risk of myocarditis and pericarditis after vaccination. These studies will include long-term outcomes in people who have developed myocarditis after vaccination.
It is not required by the FDA, but Pfizer will conduct additional safety studies, including a study involving pregnancy and infant outcomes after the mother received Comirnaty while pregnant.
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Things To Keep In Mind
Whether your symptoms after the booster are similar to the previous shots or are more mellow, Swift says its important for people to know that side effects are nothing to be alarmed about. They are expected and they are temporary. To date, no long-term side effects related to the COVID-19 vaccines have been detected, the CDC says. Serious adverse events after vaccination have happened, but are rare.
Another sticking point boosters: Stay flexible. This booster could be the end of the COVID-19 vaccine series or it could be the start of a more regular schedule, like the annual flu shot. This is all still such an evolving landscape, Swift says.
And finally, while boosters have been the center of attention these last few weeks, its crucial to remember that the most important shot is not shot three or four, it’s shot one, Swift says.
We still have people out there who haven’t had shot one, and that’s much more critical to ending the pandemic than boosters. Boosters are icing on the cake. And I like icing on my cake, but we need the cake, Swift adds.
The Debate Over Covid
Better answers could arrive soon. Israel and some European countries are ahead of the United States in their version of booster plans. A study looking at the early days of Israels booster campaign, giving another dose of the Pfizer-BioNTech vaccine to people 60 or older, did not appear to turn up any new safety concerns. And statements from the companies about their small studies of boosters have indicated similar safety features to the earlier doses.
Since most issues tied to vaccination occur shortly after the shots are delivered, if there was a dramatic increase in risk in terms of the safety profile, wed start to see that soon, Slifka said.
Below, STAT outlines some of the side effects tied to the different vaccines and what experts are considering at this point.
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Should Kids With Developmental Disabilities Get Vaccinated
Kids with developmental disabilities are not more susceptible to COVID-19, but they may have greater challenges when it comes to wearing a mask, washing their hands, avoiding touching their eyes, nose or mouth, and social distancing. For these reasons, they may be at a higher risk for contracting and spreading the virus. For their protection and the protection of others, it is important to vaccinate children with developmental disabilities.
On Aug. 13, 2021, the Centers for Disease Control and Prevention and the Advisory Committee of Immunization Practices approved a third dose of a Pfizer or Moderna vaccine for people who are immunocompromised.
How Long Does Coronavirus Last What To Expect If You Contract Covid
How long does a case of coronavirus last? Find out the COVID-19 symptoms to expect day by day if you contract the virus, according to experts.
As the coronavirus epidemic continues in the US, you might be wondering just how long you’ll be sick if you do contract COVID-19. Every case is different, but after months of scientific study and data collection, experts have a fairly good idea. Here are the symptoms you’ll be dealing with, when they’ll likely strike, and how long it will take until you’re fully recovered and can safely emerge from self-isolation.
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When To See A Pharmacist
A pharmacist can help determine whether over-the-counter medications are safe and appropriate for each person, and if so, which are the best options.
They consider a persons health history and make sure that any over-the-counter products will not interact with other medications. In addition, a pharmacist can recommend home remedies and advise about whether to contact a doctor. They can also explain how to use a medication, how it works, and what side effects to look out for.
Anyone who may be having a severe allergic reaction to the vaccine should call 911 or otherwise receive emergency medical attention. This reaction can lead to anaphylaxis and may involve difficulty breathing, closing of the throat, facial swelling, and hives. These reactions to the vaccine are very rare, and anaphylaxis affects 25 in every 1 million people who receive a COVID-19 vaccine.
Anaphylactic reactions to the vaccine tend to occur quickly. After having a dose of the vaccine, a person will be observed by a healthcare professional for about 15 minutes. This is to ensure that if an allergic reaction occurs, medical professionals are on hand and prepared with treatment.
Breathing Issues After Covid
A bad case of COVID-19 can produce scarring and other permanent problems in the lungs, but even mild infections can cause persistent shortness of breath getting winded easily after even light exertion.
Lung recovery after COVID-19 is possible, but takes time. Experts say it can take months for a persons lung function to return to pre-COVID-19 levels. Breathing exercises and respiratory therapy can help.
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What If I Get Covid
This unique situation means you may need to postpone your second shot. But dont worry its okay to space it out a little longer. Currently a second dose of Pfizer is recommended 21 days later, and a second dose of Moderna is recommended 28 days later. There is no need to repeat the first shot. Below are a few scenarios and guidelines for timing the second shot:
If you have COVID-19 with symptoms:
- Wait until 10 days have passed since your symptoms started, AND
- Wait until you havent had a fever for at least 24 hours and your other symptoms have improved.
- If you have severe symptoms, wait until you are feeling better and talk to your doctor about timing for the second shot.
If you have COVID-19 without symptoms :
- You can stop isolation 10 days after your first positive COVID-19 test, and schedule an appointment after this 10-day time is over.
If youve been exposed to COVID-19 :
- Quarantine for 14 days and monitor your symptoms.
- If you have a negative COVID-19 test, you can end quarantine and get your second shot if the test was five days after you were exposed.
If you have questions about getting your second shot after getting COVID-19 or being exposed, please call your doctor, who can advise you based on your personal health and situation.