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Maria T. Olivero, M.D.

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Brett E. Stanaland, M.D.

COVID 19 Vaccine Information

CDC-FDA GUIDANCE/
RECOMMENDATIONS
Once the CDC-FDA gives us guidance on the specific vaccines, who should receive vaccine and were to obtain the vaccine, the information will be posted here.
Please check back for changes in recommendations.  This banner will be edited frequently. 12-17-20
 

12-18-20 A statement from the FMA was posted yesterday regarding 179,000 doses of the Pfizer Covid 19 vaccine released to Florida. The statement emphasizes recommendation for each person that receives an initial vaccine to follow-up and ensure they receive the second dose within 21-28 days. The statement recognizes that there are far more healthcare providers and residents of long term care facilities than there is vaccine available. Also stated was that the FMA has been in contact with the Florida Department of Health and will continue to advocate that all physicians in the high risk/high contact category be provided appropriate access to the vaccine. Until the vaccines are widely available the FMA urges everyone to continue their efforts to combat the virus by wearing a mask, washing their hands and avoiding large crowds and closed settings.

12-21-20 GOV DeSantis Plan on Vaccine Distribution in Florida - www.flgov.com/2020.12/16

Gov DeSantis Vaccine Distribution Plan for Florida, Click Link, too much to type

12-29-2020 As expected we are receiving many questions regarding the COVID-19 vaccine, where to get it, should I get it, which form to get, etc.  One of the best resources to review is the CDC website on Vaccine Implementation.

www.cdc.gov/vaccines/covid-19/implementation-strategies.html

Currently, the recommended age group to receive the vaccine are those 65 and older.  I recommend ALL patients receive the vaccine.  I received the Moderna Vaccine yesterday, being that I am on Hospital Staff at NCH.  Dr Olivero will receive hers on Thursday.  Today I have a sore arm and minor muscle aches but not as bad as what I experienced with the SHINGRIX vaccine for shingles. Getting vaccinated is the only way we can get control of this virus and get back to normal.

As far as what form, only two forms are available the Pfizer and the Moderna.  The Moderna is the form that made it to Collier County.  Both are mRNA vaccines.  The Moderna form was studied by Vanderbilt and NIH and is the form Dr. Fauci received. Unfortunately, at this time the form you get is the form you are offered.  Hopefully, vaccine injections will be available soon for those over 65 in Collier County.  There are limited sites giving injections to this population in Lee County.  Check local government websites or News websites for locations and times.

Having asthma, allergic rhinitis, food allergy, insect allergy or drug allergy are NOT contraindications to receiving this vaccine.

As far as allergic reactions, there have been several anaphylactic like reactions reported with the COVID-19 vaccines.  As with ALL medications there is a risk of allergic response.  Patients with history of anaphylaxis where epinephrine had to be administered are at higher risk than the general population.  The risk of not receiving the vaccine outweighs the risk of receiving. Therefore, all patients with a history of severe allergic reactions of any sort should receive their vaccine at a facility that can treat anaphylaxis if it occurs and also wait 30 min instead of 15 as recommended after they receive their injection.  I would recommend premedication 1 hour before with Zyrtec 10 mg, Benadryl 50 mg or Allegra 180 mg along with Tylenol 650mg.  If you have epinephrine syringes take them with you.

As far as immunodeficient patients or those with compromised immune systems, from cancer, chemotherapy, or other medications that suppress immune responses, the CDC has not yet given clear recommendations for this population.  The GENERAL GUIDELINES from the CDC states as long as it is not a live virus vaccine that it is appropriate to vaccinate this vulnerable population. 

The CDC has guidance for patients with previous adverse reactions to vaccines such as Guillain-Barre and Bell's Palsy please see the following link:

www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/underlying-conditions.html  

Patients on Xolair or other biologic therapies for severe asthma or urticaria should receive the vaccine.  I would recommend to wait at least 1 week after receiving a biologic injection before receiving the COVID-19 vaccine.

Hopefully, this will help to answer your questions.  Please stay tuned, I will update this banner when new information is received. 

 

Today, there have been several questions regarding testing for polyethylene glycol (PEG) a component of the Pfizer COVID-19 vaccine that may be responsible for allergic reactions.  We currently do not test for IgE or immediate hypersensitivity to PEG.  We will not be able to test for the vaccine until we have access to it. We are currently researching the possibility of testing to either the vaccines or their components in the future.  If you feel the risk of a reaction by receiving the vaccine is greater than the risk of contracting COVID-19 then do not get the vaccine.

 

 

 

*****Listed in the 2019 and 2020 Naples Illustrated Magazine's Top Doctors. Click this link.*****

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Allergy care you can trust.  We are Board Certified by the American Board of Allergy and Immunology (www.ABAI.org) and are actively involved in Maintaince of Certification (MOC).

Our practice has served the Naples Community since 1995.

We have helped thousands of patients TAKE CONTROL of their allergies by having years of speciality training in the diagnosis and treatment of:

  • Asthma
  • Respiratory Allergy
  • Hayfever
  • Allergic Conjunctivitis
  • Sinus Disease
  • Eczema
  • Urticaria
  • Chronic Cough
  • Insect Allergy
  • Anaphylaxis
  • Food and Drug Allergies
  • Immune Deficiencies 

Accepting new patients.

Call for an appointment 239-434-6200 

 

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Tuesday, August 22, 2017

New Treatment Available for Atopic Dermatitis
Great news for adult patients with moderate to severe atopic dermatitis. There is a new treatment available.. Dupixent! This is a monoclonal antibody that binds and inhibits interleukin-4 receptor alpha subunit, interfering with interleukin-4 and interleukin-13 cytokines, reducing inflammation and altering immune responsiveness. Directed biologic therapy to the underlying cause of this severe frustrating disease.
8:30 am edt 


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