Usually I know what I’m talking about (or, at least, think I do)… but I’ve been trying to figure something out, and I am going in circles. Some things require questioning.
There are 2.8 million people in BC who are 50 or older, of which some 700,000 are ages 50 to 60… and this particular demographic (which I’m part of) is the one who got their first shot in late April/early May, their second shot in late June/early July… and, therefore, have become eligible for the booster in recent weeks. The invites may have been sprinkling down like tiny snowflakes at first… but now… we’ve seen in recent days what a real snowfall can look like. Terrific. As soon as you get your invite, book your appointment. Hopefully you can get to it.
But wait… here’s the question: If you recently had Covid, should you wait for the booster? How long should you wait? Why?
So… I’ve asked a lot of people and I’ve read lots of articles and data, and the best response I can formulate when presently asked, is… “Good question!” or “I sincerely don’t know” or “Ask me in 6 months”.
Here in BC, we don’t get to find out what variant we had. They’re obviously collecting the data, but for some reason, don’t want to disclose it. I wish they did, as do many people, because it might make some difference in the chosen course of action, given that the present vaccines are designed for Delta and previous versions; the booster is too. There is no doubt that one, two and three vaccines confer protection against serious illness no matter what version you’re unfortunate enough to contract, so everyone should eventually get all of them. But the issue is… if you’ve recently had Covid as the result of a breakthrough infection (ie 90% of us who got sick in December), when should you get the booster? Pouring a cupful of boiling water into an already-boiling pot doesn’t do much… but if that large pot of water has cooled off a bit, then it does.
I got in a bit of trouble trying to ask this question in one of the BC Covid Facebook groups; the moderators refused to allow it, and gave me pithy and useless one-line responses to my questioning their attitude. Yes, I know you can get the booster 14 days after your symptoms subside. Yes, I know Dr. Henry said just get the booster as soon as you can, no matter what… and I understand where she’s coming from; she doesn’t want to see a flood hospital admissions, and the best way to achieve that given what we don’t yet know – and to umbrella to the whole issue – is to just get everyone as vaccinated as possible… as soon as possible. But that’s not necessarily a medical decision; it’s based on mitigating the local worst-case scenarios with respect to overwhelming the medical infrastructure. My counter-argument would be, “Sure, ok… but maybe someone else needs that booster more at this very moment.” Indeed, there is a lot of talk of “super-immunity” that you have (for a while… how long? A month? Two months? Three?) after a vaccine/vaccine/infection course. If I’m presently “super-immune”, why waste a booster on me right now? Depending who you ask, here are the recommendations:
BC says get it two weeks later.
Ontario says one month.
Quebec says two to three months.
One American article I read said up to six months.
I’m a big fan of Dr. Henry and usually agree with her, so it was interesting to be treated like some sort of anti-vaxxer just because I dared asked a question that threatened to go against the (present-day) gospel of our PHO.
As we all know, science evolves and, as we learn more, so do recommendations. Dr. Henry herself has course-corrected many times, as she should. I suspect this issue will evolve over time as well as more data is collected, analyzed and understood.
But in the meantime, there are all sorts of complicated reasons and mitigating factors going into these various opinions, and there are too many variables… and, of course, different places have different priorities and/or concerns. Vaccine shortages? Bed shortages? Percentage of population vaccinated? Which strain was the infection? Etc etc.
For what it’s worth, I’m leaning towards waiting a month to six weeks. I’m pretty certain I got Omicron given the symptoms, lack of symptoms, and course of the illness… and, that being the case, that covers me (for a while) from all presently-known strains. Certainly, I should be good till the end of the month, and then I’ll reconsider. Or, of course, I might read something in an hour that’ll change my mind. I’m counting on the fact that actual data and facts on the topic will emerge every day, and my (and everyone else’s) opinions and decision making won’t be based on just rudimentary data, speculation and gut feel. And if you’re in the same boat, please feel free to share your thoughts in the comments; I’d love to hear where you’re thinking is at.
On a separate note, one that requires no speculation or changing opinions… we’ve been hearing for a long time that if you’re sick and/or unvaccinated, stay away from people who may have compromised immune systems. As healthy and immune as you may be from contracting the illness, not everyone is so lucky. So, stay away.
Even if you choose not to stay away, the potential victim usually has a say. If you’re not vaxxed but your relative is, and they tell you to stay the hell away, they themselves can flee the scene if you’re so entitled as to impose yourself upon their presence.
But… that’s not always the case, and the specific case I want to talk about are babies.
Human babies are pathetically frail when compared to other mammals. Some animals are good to go on their own mere hours after being born. It’s only humans that rely on parental protection for so long. Years, not hours. Babies depend on us to keep them safe, and the reason I mention this is that a recent article pointed out a very simple stat that speaks for itself: All of the babies presently hospitalized in Ontario due to complications from Covid-19… are from unvaccinated mothers. All of them. One hundred percent.
Yes… some other things don’t require any questioning at all.
They want it in arms as soon as possible because we are rapidly nearing a peak. The sooner you’re boosted, the better. Trying to optimize the right timing across the whole population isn’t worth the effort, so simple guidance is better.
I was just listening to a radio host today, just returning to work after his 10 day quarantine, ask the exact same question. He too is stumped on what to do because of the various answers he received.
If you listen to Dr Juni on CBC’s Cross Country checkup – last Sunday,he was asked this very question. He recommended waiting 6-8 weeks for the booster and explained why. About 1hr 39min into the podcast, in response to a question from a Beverly McCall.
they said get the booster even if you think or have had the omicron or covid because you can get it more than once and the vaccine starts to build antibodies right away
Question for you:
How do you know you’re super-immune? Were you diagnosed by a licensed physician?
In fact, you may not be super-immune at all. Although it would appear likely, you simply don’t know. Because you’re not a doctor.
I still think the best course is always to follow the health guidelines and not try to interpret them according to our own circumstances. Or if in doubt, ask your doctor.
If DBH says get a booster as soon as you can, no matter your circumstances, then I take recourse in her medical advice, and I get my booster. And in fact, that is exactly what I’m doing. I got my text invitation at 2:20AM on Monday, and I booked my appointment at 2:22AM for the earliest possible time slot, which is Sat at 3:30PM.
Let’s not forget who is the doctor here and who is the patient.