@RealTimeCOVID19 clinical call notes

Summary from Jay Butler MD and Amanda Cohn MD after ACIP meeting

1. Separate monoclonal antibody and vaccine, at least 90 days
2. No switching between vaccines
3. Okay in pregnancy, no routine testing for pregnancy

4. Okay for lactating women
5. Defer vaccination for pts with history of severe allergy to a prior vaccine (on going discussion)
6. After vaccine continue to mask and distance - but no need to be quarantined after exposure

7. Stagger vaccination of HCW, especially second dose so not everyone is out with immune response symptoms
8. Don't pretreat with OTC meds but okay to take if symptoms occur

9. Bell's palsy more common in COVID group but no recommend to avoid giving vaccine for pts with history of BP
10. peg (polyethylene glycol) in the vaccine suspected cause of anaphylaxis
11. Ideally observe pts for 30 minutes after to monitor for hypersensitivity

12. Screening tool to be developed to identify pts at higher risk for hypersensitivity/AE
13. After reconstitution pfizer vaccine should be administered within 6 hrs. Pfizer apparently had a video on how to reconstitute but I can't find it easily