COVID-19 Boosters: Everything You Should Know to Stay Up-To-Date

Since the beginning of the COVID-19 pandemic, new variants of the virus have emerged, causing surges in infections and hospitalizations over time. Staying up to date with your vaccinations is essential for protecting yourself against this evolving health threat. However, recommendations may be different for some people based on factors such as age or other health concerns.

The Centers for Disease Control and Prevention (CDC) recommend that you receive the latest COVID-19 vaccine regardless of whether you received the original doses; the newest version of the vaccine is expected to be available during fall 2023. Additional recommendations include:

  • Children between six months and four years old who receive the Pfizer-BioNTech vaccine should get three doses, including at least one dose of the latest vaccine
  • Children aged five years or older who receive the Pfizer-BioNTech vaccine should get at least one dose of the updated vaccine
  • Children between six months and five years old receiving the Moderna vaccine should get two doses, including at least one dose of the latest vaccine
  • People who are unable or choose not to get a recommended mRNA vaccine should get the Novavax COVID-19 vaccine doses approved for their age group
  • People who got the Johnson & Johnson/Janssen COVID-19 vaccine should get one dose of the updated COVID-19 vaccine

If you are aged 65 or older, you are also eligible to receive an additional dose of the updated vaccine at least four months after your first dose. People who are moderately or severely immunocompromised may receive an additional dose of the vaccine at least two months after their first dose.

You can receive the latest COVID-19 vaccine at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Myocarditis?

Approximately 10 to 20 out of every 100,000 people around the world are affected by myocarditis each year. Myocarditis is a condition that causes inflammation in the heart muscle, enlarging it and weakening its ability to pump blood. It is most often caused by an infection from a virus, bacteria, fungi, or parasites, as well as some medical treatments and inflammatory conditions.

Myocarditis can cause a range of different symptoms, and not everyone may experience the same ones. They may include:

  • Chest pain
  • Heart palpitations
  • Shortness of breath
  • Lightheadedness
  • Abdominal pain
  • Leg or foot swelling
  • Fainting

Certain serious complications are associated with myocarditis, including arrhythmia, heart failure, lung problems, and even death. However, in most cases, this condition is mild and will go away on its own.

Some people are at greater risk of developing myocarditis than others. People of all ages and any gender can get it, but it is most common in young adults assigned male at birth. A genetic tendency to react poorly to inflammation can also increase your risk, as well as excessive alcohol consumption.

Certain medical conditions may also make you more vulnerable to myocarditis, including diabetes, HIV/AIDS, kidney disease, chest injuries, skin injuries or infections, and eating disorders. Additionally, medical treatments such as dialysis, radiation, a central venous line, and certain heart condition or cancer treatments may also increase your risk.

If you experience severe myocarditis, treatment may involve medication, surgery, or both. Corticosteroids, heart medications, or treatments for underlying conditions that may be causing your myocarditis could help. If these do not provide adequate relief, you may require procedures such as:

  • IV medications
  • Ventricular assist device (VAD)
  • Intra-aortic balloon pump
  • Extracorporeal membrane oxygenation (ECMO)
  • Heart transplant

If you experience chronic or severe myocarditis, schedule an appointment with a cardiologist at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486. If cardiac arrest or acute heart failure occurs, dial 911 immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Long Can You Test Positive for COVID-19?

You can test positive for COVID-19 up to 90 days after your first positive result. However, if you recovered from the virus but were re-infected during this 90-day window, you may continue to test positive for a longer period of time.

The reliability of your COVID-19 test results depends, in part, on the type of test you choose. Antigen tests, also known as “rapid” tests that can be taken at home or administered at designated testing sites, cannot rule out an infection with a single negative result; under certain circumstances, they can also cause a false positive result to occur.

Nucleic acid amplification tests (NAATs) generally provide more accurate results than antigen tests. This type of test is performed at a laboratory or designated testing site. It can detect viral genetic material up to 90 days after your initial infection, even if you’ve already recovered from the virus, making it difficult to determine whether you’ve been re-infected during this 90-day period.

If you have tested positive for COVID-19 within the last 90 days, it is not recommended that you receive additional NAATs. Instead, use multiple antigen tests spread 48 hours apart; antigen tests should only continue to test positive a few weeks after your initial result.

If you are experiencing long-term effects of COVID-19 infection such as headaches, joint pain, or neurological problems, Flushing Hospital Medical Center’s Post-COVID Care Center may be able to help. To schedule an appointment, please call (718) 736-8204.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Tips on How to Avoid Purchasing a Fake At-Home COVID Test Kit

There was a time when many of us would stand in line for hours to get a COVID test, but due to the increased availability of at-home kits, more and more are opting to perform the test themselves. While home tests are very convenient, consumers must be careful that the tests they are purchasing are real.

Experts warn that inadvertently buying fake tests are not only are a waste of money, but they can also increase the risk of unknowingly spreading the virus and not receiving appropriate treatment.

Flushing Hospital offers the following information on how to avoid buying a fake test.

When purchasing a COVID-19 home test on-line, it is best to check the Food and Drug Administration’s (FDA) website: https://www.fda.gov/  The FDA maintains a running list of every SARS-CoV-2 antigen diagnostic test approved under its emergency use authorization (EUA) process. The list includes several types of test kits and features product brand names for easy reference. Websites selling false tests may falsely claim that that their tests are FDA approved so it’s important to check for authenticity.

When buying an over-the counter COVID test kit in person, it’s important that you purchase it from a reliable source, such as your local pharmacy or supermarket. It is strongly advised that you do not buy a test kit from a street vendor as they may be selling kits from oversees that are not FDA-approved or they may be selling old or fake kits in boxes that appear to be legitimate. Experts warn if the seller cannot produce a business license, then you should not buy a kit from them. Additional tips include avoid packaging in foreign languages and kits not sold in boxes.

Flushing Hospital warns when purchasing a test kit, avoid being tempted by lower prices and don’t rush to buy a suspect kit out of fear of limited availability.  You owe it to yourself and your loved ones to get a test kit that will offer you accurate results.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Flushing Hospital Provides Information About The COVID Pill

In the continued fight against COVID-19, there has been some promising news about the development of a COVID pill. However, there are many questions surrounding this form of treatment.

Recently, pharmaceutical companies Pfizer and Merck announced that their anti-viral pills could minimize the effects of the virus for those who contract it. These medications are similar to other anti-viral medications currently used to combat the flu and other viruses. Pfizer claims its pill can decrease the likelihood of death or hospitalization by 89% if taken within three days of symptoms starting. Merck states its capsule can reduce similar risks by 50%.

Neither of the anti-viral medications are currently available as Merck and Pfizer have either already applied to the Food and Drug Administration for emergency use or are in the process of doing so and both are waiting for approval as there is still a lot we need to learn.

While this news is encouraging, it is important to understand that if or when these pills become available, they should not be considered a cure. Unlike antibiotics, which work to kill bacterial infections, anti-viral medications usually work to lessen the symptoms of the virus. These pills would also need to be taken during the early stages of the viral infection to be effective. They should only be considered as important additions to other hospital-based treatments.

One concern of many health professionals is that those individuals who are averse to the vaccine will use the existence of the anti-viral medications as an excuse not to get vaccinated, believing that they can get treated by the medications should they contract COVID-19. This philosophy can be misguided as vaccines remain the best protection against the virus.

Another fear among doctors is that people taking the anti-viral pills will not follow appropriate medication adherence. For instance, Merck’s anti-viral pill is required to be taken as a batch of four pills, twice a day, for five days. This medication will be ineffective if it is not taken as directed.

These anti-viral medications have the potential to decrease complications and hospitalizations and make COVID-19 a much more manageable disease, but more time is needed to test their safety and efficacy. Until then, it is recommended that anyone who is eligible receive the COVID vaccine.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

COVID-19 Booster Shot Facts

According to the Centers for Disease Control and Prevention (CDC), “Studies show that after getting vaccinated against COVID-19, protection against the virus may decrease over time and be less able to protect against the Delta variant.”

It is for this reason that the CDC recommends a booster shot of the Pfizer-BioNTech COVID-19 vaccine for individuals who are at the highest risk of contracting COVID or developing complications from severe disease.

Receiving the booster shot can provide additional protection from the virus by helping people maintain their level of immunity longer.

At this time, the CDC is recommending that the following individuals receive a third shot of the Pfizer-BioNTech COVID-19 vaccine:

  • People 65 years and older and residents in long-term care settings should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series
  • People aged 50–64 years with underlying medical conditions should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series
  • People aged 18–49 years with underlying medical conditions may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks
  • People aged 18-64 years who are at increased risk for COVID-19 exposure and transmission because of occupational or institutional setting may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks.

If you have questions about your eligibility for a booster vaccine please contact your doctor or visit www.cdc.gov.

To schedule an appointment with a doctor at Flushing Hospital Medical Center, please call 718-670-5486.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What You Need To Know About The Delta Variant

It is common for viruses to change through mutation, and new variants of a virus are expected to occur. These variants can affect the strength, symptoms, or transmission rate of the virus. There have been multiple variants of the virus that causes COVID-19 identified in the United States and globally throughout this pandemic. One variant that you may be hearing more and more about is the delta variant.

The highly transmissible delta variant of the COVID-19 virus was first identified in India and has now been reported in at least 104 countries. According to the Centers for Disease Control and Prevention (CDC), the delta variant is now the dominant strain of the virus, representing 51.7% of new COVID cases in the United States as of the week of July 3.

The delta variant is a cause of concern to health authorities because it is thought to be the most transmissible variant yet. According to the World Health Organization (WHO), the delta variant is estimated to be approximately 55% more transmissible than the alpha variant, which was first identified in Britain last year. Officials believe delta is more contagious because of its ability to partially evade the antibodies made by the immune system after a coronavirus infection or vaccination.

Many health experts fear the variant will cause a surge in new cases this fall, hitting the unvaccinated the hardest. Currently, only 48% of adult Americans are fully-vaccinated, well below the 70% most believe is needed to achieve herd immunity. In fact, areas in the U.S. with low vaccination rates are already beginning to see delta-driven outbreaks, and the number of COVID-19 cases has begun to climb again nationally.

The good news is that data suggests that several widely used shots, including those made by Pfizer-BioNTech, Moderna, Johnson & Johnson and AstraZeneca, appear to retain most of their effectiveness against the delta variant.

 

Flushing Hospital urges everyone eligible to get vaccinated if you have not already done so and encourage your family and friends to get vaccinated as well.  Vaccination is the best way to stop the spread of all the variants and reduce the odds that new, even more dangerous variants emerge.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Breakthrough COVID Cases

COVID-19 vaccines have proven effective in helping our bodies fight COVID and prevent serious illness.  Based on evidence gathered from clinical trials, Johnson and Johnson’s Janssen vaccine was found to be 66.3% effective in protecting us from the virus, Moderna’s vaccine 94.1%, and Pfizer- BioNTech’s vaccine 95%.

Although each vaccine offers a high level of protection, none are 100% effective in preventing illness in vaccinated people.  Therefore, a small percentage of fully vaccinated people can potentially get sick if they are exposed to the virus.  These occurrences are being referred to as “Vaccine Breakthrough Cases”

According to the Centers for Disease Control and Prevention (CDC), breakthrough cases are expected. However, they are very rare. A recent study conducted by the agency found that among the 101 million people vaccinated from January 1st to April 30th, there were just 10,262 breakthrough cases across 46 states.  This amounts to .01% of the population.

Despite concerns about breakthrough cases, the CDC is encouraging people to get vaccinated because the number of COVID-19 cases, hospitalizations, and deaths that will be prevented among vaccinated persons will far exceed the number of breakthrough cases.  Furthermore, there is some evidence that suggests vaccination may make symptoms less severe in those who are vaccinated, and still get sick.

It is important to note that COVID vaccines are most effective two weeks after a person is fully vaccinated.  Individuals are considered fully vaccinated after they have completed the recommended number of doses for the vaccine received.  Someone who tests positive for COVID-19 between doses or within the two-week period after receiving their final dose, would not be considered a breakthrough case.   The CDC defines breakthrough cases as people who test positive for the coronavirus 14 or more days after receiving their final shot.

While COVID vaccines play a vital role in stopping the spread of the virus, we must continue to practice safety measures to protect ourselves and others.  Wearing a mask, washing our hands, and practicing social distancing can bolster our efforts to prevent exposure and the transmission of COVID.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is It Spring Allergies Or COVID19?

With Spring now upon us, more and more people are taking advantage of the nicer weather and spending significant time outdoors, but this change in season can also bring the return of allergies for many. For some, these allergic reactions could be confused with symptoms of Covid-19. Flushing Hospital wants to offer our community with tips on how to tell the difference between seasonal allergies and Covid.

While the symptoms of allergies and Covid-19 can be similar, there are some definitive ways to tell which you are experiencing so you can treat it appropriately.

Typically, a virus such as Covid-19 causes a system-wide response, while an allergy, which is an overreaction of the immune system in response to exposure to a trigger, is usually more localized. For instance, someone with Covid-19 may have a fever, body aches, chills, a sore throat, weakness, and respiratory symptoms. On the other hand, someone with allergies will be more likely to have the symptoms centered on the nose, eyes, and throat, and they usually will not have a fever.

In addition, allergies cause itchiness: itchy eyes, itchy nose and sneezing, and a tickle in the throat, while itchiness is usually not a symptom of illness. COVID-19 also does not seem to cause much in the way of nasal symptoms, which means if your child is sneezing a lot, it is more likely allergies and isn’t related to COVID-19.

To treat allergies, your doctor may recommend using allergy medications to prevent or manage the symptoms. This can include antihistamines (a medication that blocks histamine, a chemical your body releases when exposed to a trigger), nasal corticosteroids (prescription medications that relieve symptoms by reducing inflammation in your nasal passages), and if you also have asthma, a rescue asthma inhaler (this contains a medication that opens airway passages) and inhaled corticosteroids (this reduces the inflammation in your airways).

In addition, there are some things you can do to limit your chances of experiencing allergy symptoms, including:

  • Wear a hat and sunglasses to prevent pollen from getting in your eyes.
  • Remove your clothes as soon as you come home and wash them remove allergens.
  • Wash your child’s hands and face as soon as they come in from the outdoors.

It is important to note that you can have seasonal allergies and still contract Covid, so it is important to not dismiss the possibility of one just because you have the other.  If you have any suspicions, it is important to consult with your physicians.  To make an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Flushing Hospital Provides Information on mRNA Vaccines

With more and more Americans becoming eligible to receive their COVID-19 vaccine, questions about what type of vaccines are being administered and how they work are very common.  Flushing Hospital Medical Center, with the help of the Centers for Disease Control and Prevention (CDC)would like provide our community with the facts about Messenger RNA (or mRNA) vaccines.

According to the CDC, mRNA vaccines are a new type of vaccine to protect against infectious diseases. To trigger an immune response, many vaccines put a weakened or inactivated germ into our bodies. Not mRNA vaccines. Instead, they teach our cells how to make a protein—or even just a piece of a protein—that triggers an immune response inside our bodies. That immune response, which produces antibodies, is what protects us from getting infected if the real virus enters our bodies.

It is important to note the following facts about the mRNA vaccines

  • They do not use the live virus that causes COVID-19
  • They cannot give someone COVID-19
  • They do not interact with our DNA in any way
  • mRNA never enters the nucleus of the cell, which is where our DNA is kept
  • The cell breaks down and gets rid of the mRNA soon after it is finished using the instructions.

mRNA vaccines are new, but they are not unknown.  Researchers have been studying and working with mRNA vaccines for decades. Interest has grown in these vaccines because they can be developed in a laboratory using readily available materials. This means the process can be standardized and scaled up, making vaccine development faster than traditional methods of making vaccines. Even though they are new, mRNA vaccines are held to the same rigorous safety standards by the U.S. Food and Drug Administration (FDA).

Future mRNA vaccine technology may allow for one vaccine to provide protection for multiple diseases, thus decreasing the number of shots needed for protection against common vaccine-preventable diseases. Beyond vaccines, cancer research has used mRNA to trigger the immune system to target specific cancer cells.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.