Stamford Advocate

Be careful after COVID vaccinatio­n

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

Dr. Roach writes: In a previous column, I deferred making a recommenda­tion about a COVID-19 vaccine until more data were available. The Food and Drug Administra­tion has now made the safety and efficacy data publicly available for the Pfizer COVID-19 vaccine. It has been approved and already given in the U.K, and is approved for use in the U.S..

After thoroughly reviewing the data, I recommend getting the vaccine when it becomes available to you. I plan to get it as soon as it is offered, as the benefits far outweigh the risks, in my opinion.

Over 20,000 study participan­ts received the vaccine; another 20,000+ received a placebo. Subjects ages from 12 to 91 were studied. The FDA reported data up to four months after subjects received their first vaccinatio­n. Eight cases of confirmed COVID-19 occurred in the group that got the vaccine, compared with 162 in the group that received placebo, meaning the vaccine is 95% effective. The age of the subject had little effect, with a 96% effectiven­ess in those ages 1655, and 94% in those 55 and older. The vaccine started to become effective at 14 days. People with a history of

COVID-19 infection benefitted from the vaccine just as much as those without, suggesting no natural immunity was present.

Vaccine reactions were common and expected. The most common unsolicite­d patients reports included redness or swelling at the injection site (11%), fatigue (6%), headache (5%), muscle pain (5%) and fever (5%). Serious adverse events were rare, less than 0.5%.

There are some important unknowns. The most important is that we do not know how long immunity to the vaccine will last. It may be that people will need booster shots.

However, there simply won’t be enough vaccine available as fast as we would like, so it remains as important as ever to take all the steps we can to prevent further infections. That especially means social distancing, hand hygiene and mask-wearing. Most important of all is to avoid large gatherings, especially indoors.

Please be careful until, and even after, you get the vaccine.

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