Celebrating full vaccination against SARS-CoV-2… with a mask on

Today, I celebrate the fact that I’m officially fully vaccinated against the novel coronavirus responsible for the pandemic and all of its miserable restrictions. It’s been 14 days since my second Moderna jab.

I encourage everyone eligible and not medically contraindicated to pursue the same happy state.Person celebrating by blowing into unfurling pink butterfly party toy

The uncomfortable side effects weren’t the greatest thing ever, but they are long gone. My confidence, on the other hand, only grows stronger that I won’t catch or spread COVID-19 to those I love or innocent strangers.

My commitment to protecting others is a product of both my patriotismand my Jewish faith’s teachings on the inherent dignity and value of human life.

My behavior won’t change too much, however, given that I’m only the second person in our household of six people to achieve this milestone. My father-in-law, at a venerable age ≥75, was part of our state’s Phase II, given access to scarce vaccine appointments back in February.Patients during mandatory observation for side effects after coronavirus vaccination jab

Two thirds of us* have had second shots, and my youngest got his first jab within days of his cohort becoming eligible. The others in our household will reach full immunity over the course of the next four and a half weeks.

Knowing that even just the first dose of Pfizer vaccine reduces my youngest’s odds of symptomatic coronavirus infection by more than half, he will be able to rejoin his class for in person learning for at least the final couple of weeks of the school year.

What a blessing!School tents for COVID-19 - 1

It is especially poignant given my son’s love for this special school, which has been his academic home for more than half of his life, added to the fact that he’s moving on to his next level of education at a different institution in the fall.

Schools here rightly are still required by law to enforce masks for pupils indoors; my child will continue to wear a face covering at all times on campus, exceeding state regulations. He will continue to take care to keep social distance inside as well.

Because a frail, ill, elderly member of our family—and household—has a history of severe anaphylaxis triggered by medications and vaccine components, protecting ourselves from suffering severe COVID-19 is great, but not sufficient. She remains at elevated personal risk if she catches the coronavirus, yet unprotected by anything except her family’s caution.Safety goggles, cloth face mask, and disposable gloves

We will continue to guard against even mild infection, practicing indoor masking and social distancing in all public places, because no one knows yet exactly how contagious a vaccinated, asymptomatic or mildly symptomatic carrier really is.

Breakthrough infections after vaccination are rare and not usually severe, but they definitively exist and have caused some to suffer for prolonged periods of time.

I’m thrilled and grateful to live in a wealthy, powerful nation wherein my family enjoys the fruits of stupendous work on the part of scientists and clinicians fighting a novel disease. I understand and agree with the conclusion that a majority of fully vaccinated people can safely modify some behaviors at this point in the pandemic.

I also offer our situation as a cautionary tale to all those mocking and minimizing maintained vigilance even as rates of infection, hospitalization, and death improve. We aren’t just paranoid hypocrites who doubt or misunderstand science.

We are multi-generational households. We are people with allergies and other uncommon health conditions causing variable responses to vaccines. We are concerned parents, children, and grandchildren. We are traumatized family members of victims who lost lives to the pandemic.Woman hugs child

By most measures, COVID-19 is retreating. I celebrate that fact, too! My gaiety is merely tempered by the facts of my personal situation.

People of goodwill must continue to support each other—and everyone else in our communities—as each family negotiates the tail end of their own version of the pandemic. That’s how we recover, as a society.

I know of no greater way to honor those who’ve suffered, and those we’ve lost, than to carry on leading a joyful life including generous quantities of service and gratitude.

That process will look different from house to house, and community to community.

That’s not just okay, it’s a magnificent reflection of the vibrant diversity of modern America. Getting back to normal isn’t the best we can do; let’s move forward together to an even better future.

Respecting that others may do so differently from you is a powerful step in that direction.

Functional democracy—or effective government in a democratic republic such as the United States of America—depends upon civic virtue. Failing to protect others within my community would undermine everything I believe to be right, just, and good.

* i.e., us = my household

Teenagers such as my kids already have lower rates of severe or even symptomatic infection with this virus. In a population aged 65+, the first dose of either mRNA vaccine was protective against COVID-19 serious enough to require hospitalization at a rate of 64%. Subsequent studies show 12-15 year old adolescents mounting greater antibody responses to these vaccines than even young adults 16-25—who responded more vigorously than elders—likely due to the more robust immune system of youth.

Honestly admit vaccine side effect costs & better support the “hesitant” to increase compliance

When you get your COVID-19 vaccination—and I’d argue that approximately 99% of those reading this post have a moral imperative to do so—a realistic assessment of the facts suggests that you are likely* experience some uncomfortable side effects though they may be very mild.

News coverage, even in sources specifically geared toward those of us living with chronic conditions, heavily emphasizes the societal good which vaccination will bring—which is real enough—but most writers lean too heavily toward cheerleading at the expense of offering valuable information people need to cope with the particular pressures of their own individual lives.

I would like to stress that those of us more vulnerable than average to infirmity should plan for several days of being less effective in our work and daily lives after vaccination. It’s better to be prepared than to be caught flat-footed after the fact.

Politicians and business leaders who want the economy to boom should be offering solutions to make such preparations possible for the millions of Americans living in and at the edge of poverty who can’t afford to construct such safeguards for themselves.

Roughly 30 million American adults want to take the COVID-19 vaccine but haven’t yet managed to actually get the shot(s). Closer to 28 million are instead “vaccine hesitant,” stating they would probably or definitely not get vaccinated.Redacted official CDC COVID-19 Vaccination Record Card

Sufferers of autoimmune disease, getting your jab may well bring on a flare. That was my experience after my first dose, and I’m glad I dug down far enough through coy, dissembling news coverage and popular health reporting to be forewarned about the risk.

Here’s one published case study in The Lancet regarding the health of one gentleman with rheumatoid arthritis after getting the BioNTech-Pfizer vaccine. This article on Creaky Joints is the most honest that I read, speaking directly to specific reactions people with autoimmune conditions might expect.

I would take that first dose again, however, and I did return for my second shot of the Moderna vaccine.

I began composing this post whilst “enjoying” the resultant joint pains, exhaustion, and headache that came with full vaccination. Dose two also induced half a day of resounding nausea that could have been an exaggerated version of the queasiness I routinely get when very tired.

Side effects from the second shot prevented me from my normal activities—already constrained by my autoimmune disease diagnosis—for about two and a half days.

I.e., I would not have felt safe driving for at least two days after my second shot, nor would I have been healthy enough to go to work.

By comparison, after my first jab, I experienced sudden onset of extreme fatigue, headache, and an odd sensation I only associate with coming down with a virus that I can best describe as “the spaces in my joints feeling stretched out and wobbly.”Analog wall clock showing 12:06

Those shot #1 symptoms popped up about six hours after I received it mid-morning. I went to bed early, and the next day, all the viral infection type side effects were far less troublesome. I felt less than 100% the day after, but able to partake in most normal activities.

I.e., I could have worked through the side effects triggered by my first dose.

My arm ached significantly for a total of five or six days, however, and I developed an uncomfortable swollen feeling in my armpit several days later that was probably my lymph nodes reacting.

On the other hand, in the four weeks after my first dose of Moderna’s vaccine, I experienced the most significant stiffness, joint pain, swelling, and fatigue that I’d had since the pandemic began. Staying at home most of the time while society remained mostly shut down was generally very protective for me against my usual, recurrent autoimmune disease symptoms.

I used far less pain medication than usual between March of 2020 and April 2021. I went entire weeks without needing an NSAID anti-inflammatory or using prescription pain killers. Between my two doses of COVID-19 vaccine, I required at least one of those every day.

I.e., I would have struggled to meet the demands of a full time job plus family responsibilities on many of the days between my first and second vaccine injections.Prescription bottle of pain pills

It is worth noting that this potentially vaccine-provoked flare never reached peaks equivalent to the worst ones I had right after my diagnosis. Also, the flare absolutely could have been coincidental. But, again, it’s the only serious one I had through the entire pandemic right up until I got my first shot.

I’m not arguing against vaccination. I am suggesting some of us might need extra resources to meet our daily responsibilities when we elect vaccination, doing our part to protect the entire community. Stepping up comes with a cost.

I have a healthy, supportive spouse. My large family includes relatively helpful, fit teens able to pick up the slack with household chores. Family members have been able to stagger vaccine appointments so we never experienced side effects simultaneously. Our income is sufficient that purchasing takeout meals or prepared foods is not a burden. I am easily able to reach my regular doctor with any concerns because I’m well-served with health insurance and the means to pay for Direct Primary Care out of pocket—including an option to text message my GP directly for urgent issues outside business hours.

In short, I have the good fortune to control most aspects of my daily life, so I could plan around the reality of vaccine side effects. I had sufficient personal resources to fall back on to meet all of my post-vaccination needs. Far too many Americans are less fortunate, many in more than one of the areas I’ve mentioned.

Speaking specifically to the autoimmune-challenged community, I’ve been delighted to find that my second dose of the mRNA vaccine seems to have abruptly ended the prolonged flare I experienced in the four weeks between shots. After feeling much worse due to its side effects than I had in over a year, by the fourth day post-vaccination, I became more energetic—and had less joint pain and stiffness—than I could recall feeling in recent memory. bandage on upper arm

I.e., my RA flare ended abruptly along with my vaccine side effects from the second shot.

Given that vaccination clears lingering symptoms for as many as 41% of COVID long haulers, I was fascinated to observe what could be a related effect in myself after jab #2. Communicating this potential improvement in daily functioning to those who are vaccine hesitant while believing themselves to have had COVID—some of whom never got confirmation of a likely coronavirus infection due to the scarcity of tests early in the pandemic—seems like yet another missed opportunity in public health messaging.

Everyone who wants the economy to rebound fully should take all possible actions to enable workers, especially those at the margins of poverty with limited access to health care, to make, keep, and recover after appointments for inoculation. Full disclosure of the known risks and known benefits—but also realistic potential risks and probable benefits—could bring us closer to herd immunity and full fiscal and medical recovery.

COVID-19 still holds many mysteries for science to uncover. The need to offer accurate information as well as paid time off to over-burdened breadwinners and caregivers so that they can confidently book vaccinations—without risking their livelihood!—isn’t one of them.

America’s front-line, essential workers have already borne more than their fair share of the fight against this pandemic. Today, those who employ these millions should step up with specific support to enable each one to get his or her shots.

* I say “likely” based upon the CDC website stating, for the Pfizer vaccine, “84.7% reported at least one local injection site reaction” and “77.4% reported at least one systemic reaction.” For the Moderna version, they state “[s]ystemic reactions were reported by the majority of vaccine recipients” with over 80% experiencing injection site reactions.