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Reader doubts COVID vaccine’s value

- Keith Roach, M.D. Readers may email questions to: ToYourGood­Health@med .cornell.edu or mail questions to 628 Virginia Dr., Orlando, FL 32803.

Dear Dr. Roach: I had COVID-19 in February 2021. I had no persistent symptoms at all! I was cold and tired, and that is all that I experience­d.

I am a healthy 66-yearold. I do not want to be vaccinated with a COVID-19 vaccine. I do not understand why a vaccinated person can still get COVID-19, still spread COVID-19, still has to wear a mask, still fears getting COVID-19. So, what makes this vaccine so great?

Answer: Neither having received the vaccine nor a history of COVID-19

S. infection are guarantees that a person will not get COVID-19 again. There are breakthrou­gh infections in people from both categories. What makes the vaccine so great is that you get highlevel immunity without the risk of serious illness.

Most people have a pretty benign course, like you did. But hundreds of thousands of people have died, and millions more have longterm complicati­ons after COVID-19 infection. The risk of death or long-term complicati­ons after vaccinatio­n is infinitesi­mal.

Because you can still get infected and because the infection might have no symptoms at all, it’s still recommende­d for you to wear a mask to protect the people around you.

After having had the infection, getting a vaccine appears to give very, very high protection against recurrent disease, and I would urge you to reconsider getting the vaccine.

Dear Dr. Roach:

I have a question I haven’t seen addressed. When getting a vaccinatio­n, does it matter which arm is used? I almost always get my vaccinatio­ns in the left arm but was wondering if I should trade off with my right arm. Could the repeated use of the same muscle result in less effectiven­ess?

G.S.

Answer: It does not matter which arm you use in terms of effectiven­ess. The arm will usually get sore after the injection. Most people choose their nondominan­t hand for the vaccine, but some patients prefer using their dominant hand, because the arm movement seems to make the soreness get better faster.

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