COVID-19 Vaccination

Vaccines at our Practice

Please be aware that North Florida Women’s Care is not yet providing COVID-19 vaccines. We are registered as a vaccine administrator; however, we have not yet received vaccine shipments. When they arrive, we will begin offering vaccination appointments to patients who are most vulnerable, following the state's guidelines on which populations to prioritize. We cannot schedule vaccination appointments until we receive the vaccine, as only then will we know the number of available doses. We appreciate your patience! In the meantime, we encourage those seeking the vaccine to reach out to their primary care providers or to pre-register with the state via MyVaccine (fl.gov)

Those Who are Pregnant, Breastfeeding or Trying to Become Pregnant:

The providers of North Florida Women’s Care recommend that women who are nursing, pregnant or trying to become pregnant may get the COVID vaccine when it is available to them.

Rare exceptions to this recommendation include people with a history of anaphylaxis to other vaccines, those who had recently tested positive for COVID, women who have recently received a COVID antibody infusion treatment, and women who received another vaccine within the past 14 days of the proposed COVID-19 vaccination date.

The risk of delaying the vaccine or not getting the vaccine, even while pregnant or breastfeeding, are much greater than the potential risks of the vaccines themselves.

See our Quick Facts sheet! 
 

  • Pregnancy testing is not a requirement prior to vaccination.
  • Pregnant women who experience side effects following vaccination may take acetaminophen.
  • Side effects for pregnant people are not expected to be any different than in non-pregnant people.
  • Pregnant patients should not receive Tdap or flu shots within 14 days after the COVID-19 vaccine.
  • If a patient becomes pregnant after the first dose of the COVID-19 vaccine, providers can still administer the second dose, as indicated.
  • mRNA vaccines are not thought to be a risk to the breastfeeding infant. People who are breastfeeding and are part of a group recommended to receive a COVID-19 vaccine, such as healthcare personnel, may choose to be vaccinated.

Pregnant people are at increased risk for severe illness from COVID-19:

Observational data demonstrate that, while the chances for these severe health effects are low, pregnant people with COVID-19 have an increased risk of severe illness, including illness that results in ICU admission, mechanical ventilation, and death compared with non-pregnant women of reproductive age. Additionally, pregnant people with COVID-19 might be at increased risk of adverse pregnancy outcomes, such as preterm birth, compared with pregnant women without COVID-19.

*No safety data is available regarding COVID-19 vaccine use during pregnancy, during breastfeeding, or the effects of mRNA on breastfed infants or on milk production/excretion.

Resources: Vaccination Considerations for People who are Pregnant or Breastfeeding | CDC

The General Population:

All COVID-19 vaccines currently available in the United States have been shown to be highly effective at preventing COVID-19.

Based on what we know about vaccines for other diseases and early data from clinical trials, experts believe that getting a COVID-19 vaccine may also help keep you from getting seriously ill even if you do get COVID-19. Getting vaccinated also protects the people around you.

Clinical trials of all vaccines must first show they are safe and effective before any vaccine can be authorized or approved for use, including COVID-19 vaccines. The known and potential benefits of a COVID-19 vaccine must outweigh the known and potential risks of the vaccine for use under what is known as an Emergency Use Authorization (EUA).

Getting COVID-19 may offer some natural protection, known as immunity. Current evidence suggests that reinfection with the virus that causes COVID-19 is uncommon in the 90 days after initial infection. However, experts don’t know for sure how long this protection lasts, and the risk of severe illness and death from COVID-19 far outweighs any benefits of natural immunity.

People with underlying medical conditions can receive the FDA-authorized COVID-19 vaccines provided they have not had an immediate or severe allergic reaction to a COVID-19 vaccine or to any of the ingredients in the vaccine. Learn more about vaccination considerations for persons with underlying medical conditions. Vaccination is an important consideration for adults of any age with certain underlying medical conditions because they are at increased risk for severe illness from the virus that causes COVID-19. See also: The CDC's page for Myths and Facts about COVID-19 Vaccines. 

Will the COVID-19 vaccine affect my fertility?

Based on current knowledge, experts believe that COVID-19 vaccines are unlikely to pose a risk to a person who is trying to become pregnant, in the short or long term. The protein formed by the mRNA vaccines is not hte same protein as the one that helps the placenta attach to the uterus. There is no evidence suggesting that fertility problems are a side effect of approved vaccines of any kind. 

Source: the CDC, IDSA

 

Vaccine side effects:

Temporary side effects may include redness at the injection site, nausea, muscle aches, fatigue, fever or chills. Side effects may feel like flu and even affect your ability to do daily activities, but they should go away in a few days.

None of the COVID-19 vaccines contain the live virus that causes COVID-19 so a COVID-19 vaccine cannot make you sick with COVID-19.

Some people have experienced allergic reactions after receipt of the vaccine. CDC recommends that all vaccine recipients, including pregnant people, should talk with their healthcare provider if they have a history of severe allergic reaction (e.g., anaphylaxis) to any other vaccine or injectable therapy (e.g., intramuscular, intravenous, or subcutaneous). Key considerations to inform these discussions include the unknown risks of developing a severe allergic reaction and the benefits of vaccination.

In most cases, discomfort from fever or pain is normal. Contact your doctor or healthcare provider:

If the redness or tenderness where you got the shot increases after 24 hours
If your side effects are worrying you or do not seem to be going away after a few days

If you get a COVID-19 vaccine and you think you might be having a severe allergic reaction after leaving the vaccination site, seek immediate medical care by calling 911.

The two COVID-19 vaccines currently available in the United States do not contain eggs, preservatives, or latex. For a full list of ingredients, please see each vaccine’s Fact Sheet for Recipients and Caregivers:

Pfizer-BioNTech COVID-19 Vaccine EUA Fact Sheet for Recipients and Caregivers (fda.gov)

Moderna COVID-19 Vaccine EUA Fact Sheet for Recipients and Caregivers (fda.gov)

Post-Vaccine Behavior:

Patients who decide to get vaccinated should continue following the current guidelines to prevent the spread of COVID-19 after they are vaccinated. That means:

  • Wearing a mask
  • Staying at least six feet away from others
  • Avoiding crowds
  • Washing hands with soap for 20 seconds or using hand sanitizer with at least 60% alcohol
  • Following CDC travel guidance
  • Following any applicable workplace guidance

Pre-Register Now for the Covid-19 Vaccine:

COVID-19 vaccines continue to arrive in Florida in extremely limited supply. As Florida awaits additional vaccine supply from the Federal Government, we urge currently eligible Florida residents to save their place in line by pre-registering today. If you are:

  • 65 years old or older; or
  • A resident or staff member at a long-term care facility; or
  • A healthcare professional with direct patient contact; or
  • Deemed extremely vulnerable to COVID-19,

…and have not received the vaccine (first or second dose), pre-register at MyVaccine (fl.gov)

 

Sources: The CDC, the FDA, and the American College of Obstetrics and Gynecology (ACOG)

Posted on February 1, 2021

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