Who here has not gotten COVID? Who has long COVID?

Hoping you have a home pulse oximeter. If you sustain a low O2 level for very long, you will need to get to the ER sooner than the morning. Get well soon!

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Both?

Seems that the pattern is that there is an initial rush when the new variant COVID-19 vaccine becomes available, but a little later, it becomes easily available.

I was pretty late getting my latest booster because of some health issues that popped up. I didn’t get it until mid December. I was able to get a same day appointment when I was ready. Actually, because I got the boost less than two weeks before H tested positive for Covid, I was really surprised when I didn’t get it.

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Husband has had all but the last COVID shot but he’s developed some substantial eczema after the last couple of boosters. It lasted months each time and was problematic.

We know there’s been reports that the vaccine can trigger autoimmune skin conditions. No way to know if it’s just coincidental or not, but it concerns him.

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If all of doses where the eczema occurred were mRNA (Pfizer / Comirnaty or Moderna / Spikevax), perhaps he can try to find out if the Novavax vaccine (a protein subunit vaccine) is less likely to be associated with that.

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I haven’t been able to find any studies in the last year; nothing on Novovax. There was an NIH study from the bivalent that showed Moderna had the highest percent of incident, followed by Pfizer and then J&J. But even those were relatively small studies and the difference wasn’t substantial.

Moderna has a higher dose of mRNA than Pfizer, so it is not surprising that unwanted effects are more common.

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Here’s the Novavax adjuvant fact sheet/data. You can separately look up the various studies listed on p 6-7.

https://www.fda.gov/media/159897/download

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Thanks, none of the results seem to discuss long term eczema unfortunately.

I think that’s a good sign then? Maybe contact Novavax and ask?

I’m glad you suggested that! I had forgotten that we bought one for DH at the start of the pandemic, since he was at high risk if he got COVID. My O2 level is 97 now. Lower than my normal but not bad.

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Page describes some discoveries about a type of long COVID (quick fatigue during exercise):

https://www.nature.com/articles/s41467-023-44432-3

My biggest nightmare just came true, with my 90 yr. old mother testing positive, for the first time, today. She called her primary care provider and they refused to give her Paxlovid, as she only met 3 of the 4 criteria (doesn’t remember what they were). She takes blood pressure medication.

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My O2 level this morning was back to 99 and my chest X ray was normal. I really am feeling a little better. I’m going to continue to take it easy. The doctor said to tell my husband (the Energizer Bunny) that it’s OK for me to sit on the couch, ha.

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So sorry you have that worry!! I hope she isn’t feeling too badly and that it just mildly runs it’s course.

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If you aren’t going to prescribe paxlovid to someone who’s 90, who are you going to prescribe it to? Unless there’s a medication issue. Or an underlying condition.

This is one of my pet peeves, the randomness of physicians who will or won’t prescribe paxlovid. I hear of some doctors who prescribe it to those who ask. And others who seem to be the paxlovid police. It seems to be so doctor dependent. It would be nice for some uniformity.

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There are many contraindication for prescribing paxlovid. And some medications can’t just be stopped.
https://labeling.pfizer.com/ShowLabeling.aspx?id=19599#:~:text=Avoid%20use%20of%20neratinib%2C%20venetoclax,product%20label%20for%20anticancer%20drug.

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My 90 yr. old mother has no contraindications. If she paid $1400 out of pocket, they would prescribe it. Does Medicare have it’s own criteria?

I think Paxlovid’s EUA still allows pharmacists in every state to prescribe it…maybe reach out to your mom’s pharmacist?

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Not that I know of and Paxlovid should be free for medicare recipients:

ā€œPaxlovid, the most commonly used oral antiviral, will continue to be free through 2024 for people with Medicare or Medicaid through a U.S. government patient assistance program operated by the drug’s maker, Pfizer.ā€

I agree to try to reach out to another provider if there are no contraindications for your mom.

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