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Cone health doctor Zoe Stallings
is answering your COVID-19 and
vaccine related questions.
This first question says
if someone has had covid,
do they still need to get vaccinated?
Yes, you can still get reinfected.
We don't know how much your natural
antibodies and how long will protect you,
so we are advising that you get vaccinated
with one of the available vaccines. OK,
and just to follow up on that.
What is the timeline for that?
So we typically saying that you don't
want to run and get a vaccine right
after you're out of quarantine.
We do recommend that you wait about a month
and then set up an appointment if you
go on conehealth.com backslash vaccine,
you can see different ways that
you can make appointments,
and so that's a great resource,
because there's also videos and information
about how the timing where you should
go and what number you should call.
So go on conehealth.com backslash vaccine.
Alright, this person says do I need
to wait any period of time to get a
covid vaccine after having dental work?
Specifically, I'm having a cavity filled.
No, no deley just go ahead and
get your vaccine as soon as
an appointment is available.
So this person is asking does the M
RNA cause your DNA to be affected,
impacted or edited in some way?
No, the M RNA at and this is across,
you know, in terms of science,
it's hard to get into that without
some drawings to show you.
But in general M RNA and DNA are not.
You're not going to see an
insertion in any way of the M RNA
into your own body's sequencing.
It does not change your DNA. OK,
and then this next question is does
the vaccine cause false positives for
imaging like mammograms or anything
else? Great question.
I'm actually glad that came up.
So in general you can see that
the vaccine can activate a
lymph node and that lymph node,
especially in the area.
Let's say you had your vaccine on the left
shoulder and the breast on the left side,
that lymph node in the armpit or in
some of the glands could be positive
from the activation of your immune system,
which can enlarge in the lymph node.
So what I usually say is if you've had covid
when you're scheduling your mammogram,
let them know when you had the vaccine.
Because what they'll do is they'll either
push back your mammogram appointment,
or anticipate that you'll see that
some of the radiology Department's are
actually using that as a screening
question to ask patients so that they're
not alarmed when you see a large
lymph node near the breast tissue.
So that's a very
good question. Alright, so this question is,
does someone with multiple sclerosis need
to be concerned about taking the vaccine?
Now any immunocompromising conditions
such as multiple sclerosis,
any autoimmune disorders such as lupus.
We're talking about people
who are on chronic steroids.
They in particular are highest risk,
so they should get the vaccine.
Do not delay. In fact,
you are in one of the groups where we are
encouraging you talking to your specialist.
We need more information,
making sure that you check out colon
health town halls on the vaccine,
but you would be a high risk
population on cone Health website.
They also talk about the risk factors
and how you can calculate a covid score.
When patients see me,
I look at their covid risk score and it
factors in their chronic underlying disease,
and multiple sclerosis would be one.
So we want you to get your
vaccine a covid risk score.
Yeah, what is that?
So it can be factors in age.
It looks at underlying chronic
disease such as diabetes.
It looks like.
Do you have already a pulmonary disease?
So do you have a lung disease already?
And then it also looks at what
current symptoms are you a smoker
and if you have some of those,
it gives you a 01234 and it tries
to help us as providers think
about talking about the vaccine
and also helping to correct some
of those underlying risk factors.
So if someone has COPD which
we call it emphysema.
And their diabetic,
and they're still smoking.
They have a very high risk
of complications from covid,
so on the screen when you
come into a cone site,
it will automatically say a covid risk score.
So we see that person not wearing a mask.
We're going to tell them,
hey, put your mask on.
Everybody needs it,
but your risk is very high for
complications uh-huh.
OK, good thank you for telling
us about that risk score,
'cause I hadn't heard that before, right?
This person says if I took the
J&J if I have to get a booster.
I don't want to risk.
The J&J again, can I get a Pfizer booster?
So let's tackle both of those things.
The risk of the J&J Ann if
it is too risky and 2nd.
What about changing for another booster?
OK, so on Friday.
The CDC said that they are declaring
that Johnson Johnson is back to
being safe right now. Cone health.
We haven't resumed vaccinating
with Johnson and Johnson as yet,
and so it's considered safe by the CDC.
The numbers are still very good.
There have been 15 cases of
clots out of eight million.
The numbers are still good.
However, we just haven't resumed yet
were given out the visor and the Moderna,
and you can check online for
that detail in terms of in the
future with with the booster
that is to be determined because.
What will happen is for instance
you get a two shot for Pfizer and
two shots for Moderna One Shot
series for the Johnson and Johnson.
I don't know if in the future
will have to give you 2 for you
to start over with Pfizer,
or if you're considered vaccinated an
immune and we just kind of do titers.
I am not sure what the future
holds with that, so stay tuned.
There will be more updates.
Alright yeah,
'cause the next question was like I'd
like to know how often we're going
to have these shots in the future and
at this point we just don't know.
We just don't know, yeah, so get your
shot now so that we can get more
data and figure out what we need to
do for the future gotcha.
OK alright, we've got one more
segment with Doctor Zoe Stallings.
We'll be right back after this break.