I Got the COVID-19 Vaccine: Part 2

Hello, SuperCaptainBraveFAM!

Nurse Leah here with part 2 of my vaccine journey.

On February 4th, I wrote a lot about the Moderna and Pfizer vaccines for COVID-19. Hopefully, it wasn’t too much of an information dump and answered some questions you might have had. Now that most of the technical stuff is out of the way, I can talk about my personal experiences with getting the vaccine.

Vaccine distribution set up, January 7, 2021

My main job is for a home healthcare company. This means that normally I go to my patients’ homes for anywhere between a 30-minute visit to a 12-hour shift. Traveling through the city is involved as well as direct patient contact. I was careful at maintaining a clean and sanitized work ethic before. Now, like many others, I’m almost over-zealous about it.

My vaccine story actually starts in the middle. In the middle of winter, in the middle of the multi-tier vaccination eligibility requirements created by the state of California, in the middle of a transition of leadership, and in the middle of my breakfast.

My job being what it is, I knew that even as a healthcare worker, I wouldn’t be eligible for either vaccine for a while. Frontline workers at hospitals deserve the vaccines first. So, I was surprised when I received an email from work with a link to make an appointment with the LA Department of Public Health for the first dose of the COVID-19 vaccine.

At the time of writing, if you visit the LA Department of Public Health website you can find links outlining the current tier system and eligibility requirements for vaccine distribution. There is also a link to schedule an appointment if you meet the requirements.

I made my appointment for 9:55 am on January 7, 2021.

Scheduling the first dose was pretty easy. I chose a site near my house to cut down on travel time and as early an appointment as I could get. At this site the vaccine offered was the Moderna vaccine.

Ever since 7th grade, I've lived my life on Lombardi time.

“If you are five minutes early, you are already ten minutes late.”

~Vince Lombardi

So, I showed up to my 9:55 appointment at 9:15 AM.

Nurse Leah waiting in the observation area after receiving the Moderna COVID-19 vaccination.

Then had to walk a bit to get to the actual site since the GPS sent me to the wrong entrance of the building. I was instantly glad I was early because the line already went around the corner and was making its way down the street.

In early January, the vaccine wasn’t yet available to those 65 and older, so the others in line with me were fellow healthcare workers. Close to a year of practice meant that keeping a 6-foot gap between us was practically habit at this point. Which is a little sad to think about, but is our new normal.

It took about an hour and a half of waiting in line. I filled out the health form when I made the appointment and checking in was quickly done. From there it was just a matter of providing proof of employment & my ID and then I was sitting down for the shot.

The shot itself was pretty standard. Straight into my arm with me staring straight ahead. Because I absolutely hate needles and I’ve learned that looking at the process seems to make it hurt more. Maybe it does, maybe it doesn’t. But I’m still not gonna look when I get an injection or blood drawn.

The first feeling I experienced was the cold. One thing I didn’t mention in the last vaccination post is that both vaccines need to be stored at very, very cold temperatures. Then my arm felt sore very quickly, which is normal for me when I get injections in my upper arm.

I got my vaccination card, was led to an area for observation, and given a time when it was considered safe to leave. I felt okay, if a little headachy. But after 15 minutes, I was okay to go home.

Chatting with friends while in the observation area

From the moment I got there to the moment I was cleared to leave; the whole process took about 1 hour and 45 minutes. I’ve waited in lines at Disneyland that were just as long. And the payoff for this wait is definitely worth it. During the wait time I texted with some friends who were doing the same thing I was, only at different sites.

By pure coincidence, my cousin—who works at a nursing home—received the vaccine the same day at his facility. We spent the rest of the day texting back and forth on how we were doing. The texts went along the lines of this:

Me: My arm hurts.

Him: Mine too. Got a fever?

Me: Nah. Not really. You?

Him: A little one. But it’s warm in my room.

*Two hours later*

Him: I fell asleep. Kinda tired.

Me: Same. Fever?

Him: Lemme check.
Nah

Me: Gotta eat. Laters

He told me the next day that he had little to no appetite, but that could also just be one of his quirks. I honestly couldn’t stop snacking—which is one of my quirks.

Stephen Chow as Sing in Kung Fu Hustle (2004)

But my arm was very, very sore. And remained sore for the next few days.

On January 12, Operation Warp Speed—the program tasked with vaccine development and distribution—announced that the vaccine would be made available to those 65 and older.

With the transition of leadership in the country, there was a bit of confusion on where, when, and how to schedule appointments for my mother and godmother, who are 69 and 75 respectively. Both are retired registered nurses who have each dedicated close to 35 years of their lives to their patients.

In an article on the AARP website, as of January 27, vaccines are available to adults 65 and older in all but six states—with some of those states planning to start distribution in early or mid-February. And even then, some counties have different age ranges listed for vaccine eligibility. Be sure to check the guidelines not only for your state, but county as well when looking to schedule an appointment for family members.

The situation on vaccine administration is ever evolving and the LA Department of Public Health website—DPH for short—has done its best to keep up with these changes. Information can and has changed by the minute with additional sites being added (or removed) from the list. My mother and I have taken to keeping a tab open on our phone’s internet browsers and checking every hour (or every 5 minutes) on available appointments at the sites she prefers.

On Sunday, January 24, I received an excited text from my mom stating that she got an appointment at one of the vaccination Mega PODs set up by LA County. She tried to schedule another one for my godmother for the same day, but in the time it took her to make one appointment, all the available spots were taken.

That’s when I started lurking on the DPH website, constantly refreshing the page and acting as I did in the early days of online auction shopping. Wishing and hoping.

Clickin’ and hopin’; refreshin’ and watchin’
Plannin’ and checkin’ each site for a spot
To make sure my Aunt gets her shot.

Sorry there, sometimes I re-write song lyrics in my head. (I love Dusty Springfield.)

Being so glued to the scheduling website, I almost missed the page flicker and change before my eyes. Suddenly there were three available appointments at the same location where I got my first shot.

THREE available appointments.

Knowing some of my godmother’s information, I started filling out the form and ran downstairs to tell her the news. (She & my mother live with me & my daughter now that they’re retired.) Excitedly, she gave me the other necessary details. Altogether, it took about 10 minutes to fill out the form and by the time we were done, all of the appointments were taken. Again.

Only this time, she had an appointment scheduled.

It was at this moment that the three of us—my mom, my godmother, and myself—realized that we’d scheduled their shots on the same day.

At completely different sites.

Retired RN, E. Mercado (age 75) waiting in the observation area after receiving the Moderna COVID-19 vaccine

Across town from each other.

*Cue Benny Hill-esque music*

The first appointment on the schedule was for my godmother. 8:30 AM at a site close to our house. The second was for my mom at the Mega POD located at The Forum at 11:30 AM. And they only had one car available to use.

I had prior knowledge of the layout of the first vaccine site, so I gave them some advice on where to park and my godmother was second in line to get the Moderna vaccine. Once my godmother was cleared from the observation area, they drove to The Forum and my mom received the Pfizer vaccine there.

The experience of waiting for both vaccines in one day is a strange one for sure, but it might be a story that becomes a familiar one by the time spring comes around. With every passing day, news stories and online chatter about the confusion of the vaccine schedule grows. Instances like that my mother and godmother experienced may repeat itself throughout the country.

Thankfully, the controlled, nail-biting dash they went through for their first doses won’t happen for the second shots of their respective vaccines. They were both given appointments for their second dose after they received their COVID-19 Vaccination cards. And that’s one less worry for them.

Because my godmother got the Moderna vaccine, her second dose is scheduled 28 days after the first. And because my mother got the Pfizer vaccine, her second dose is scheduled 21 days after the first.

They can be more leisurely about getting the shots the second time around and I can feel a little better knowing that they are safer when they go out.

It's very important to note that if you receive the vaccine from one company, then your second dose MUST be from the same company.

And now the World Health Organization is stating that because of the burden and stress a limited supply of vaccines can cause on a country, the second dose of the vaccine can be given up to 42 days after the first. But the WHO encourages getting the second dose as close to the 21- or 28-day period originally intended by the creators of the vaccines.

But back to me.

When I scheduled my godmother's appointment, I still hadn’t received my second dose. At the time I was given my vaccine card, I was just told what time to schedule my second appointment. I wasn’t given one automatically; but told to check the DPH website when it was near the 28-day mark and make my appointment then.

Together we can limit the spread!

So, while I was refreshing the page to make appointments for the two most important women in my life, I was looking for an opening for my own appointment.

If you live in Los Angeles or San Diego county and are actively searching for vaccine opportunities, then you’ve probably noticed that California set up a scheduling website called myTurn. This is intended to help schedule vaccine appointments.

And in the first week of the website being active, it became a huge pain in my behind.

Partly because I wanted to make appointments for the elders in my family and partly because there was no option for me to make a second appointment for myself.

By day 4 of my frustration, I received an email from the LA Department of Public Health with a dedicated link to schedule my second dose of the Moderna vaccine.

They didn’t forget me after all!

Nurse Leah after the second Moderna vaccine injection

28 days after my first shot, I got my second one.

On Thursday, February 4th, I went back to the site where I got my first shot. The line looked longer from the last time, but it definitely moved faster and as I got closer to the front, I noticed several differences in the set up.

This time the number of personnel available to help people check in was doubled and there were twice as many stations administering injections. As well as a larger observation area with more seating and more people sanitizing the chairs. In addition, before entering the vaccine administration area the line branched off into two sections. One for individuals getting their first dose of the vaccine and one for those who were there for their second.

These were small, but effective changes that made getting the vaccine more streamlined. All in all, it took about an hour and 15 minutes. And 30 of those minutes were spent sitting in the observation area.

The reason I had to sit in the observation area for 30 minutes instead of the 15 minutes I sat for last time is because I have Type 2 Diabetes and that required a longer observation time. I forgot to ask if it was because this was my second shot or if more info was available now regarding the Moderna vaccine and side effects related to having Diabetes.

Once I got home, I was hit with a wave of fatigue that was stronger than any I'd felt in a long, long time. I knew that I had to eat something so that my immune system had fuel to react to the vaccine. So I ate a quick lunch and went down for a nap.

During my nap, my mom and daughter checked in on me and later told me that I was wrapped up in my blankets in a relatively warm room. When I woke up, I definitely had a fever.

Fatigue, chills, fever.

That's three of the common side effects of the COVID-19 vaccine. And three that I didn't really encounter during my first injection. Which could be taken as a sign that my immune system recognizes and is ready to fight any cell that has the SARS-CoV2 protein spike.

(Remember from the last post that SARS-CoV2 is the virus that causes COVID-19 and that the vaccines are designed to help the immune system recognize the virus by a specific protein spike on its cell surface.)

I hate getting fevers. Of all cold and flu symptoms, for me, fevers are the least tolerable. It feels like my eye sockets are on fire, my skin feels dry and hot, and once the fever breaks the clammy sweat is just...ugh.

My normal body temperature is close to 97 degrees Fahrenheit. So when my temperature rose to 101.1 degrees Fahrenheit at 1 am, I was miserable. But as miserable as I was, I am stubborn enough to let my body and immune system do their thing and ride the fever out. Until the morning, that is.

On Friday, I took some ibuprofen and started drinking sports drinks to stay hydrated. Throughout the day, I had the classic "medicine head" fog. Concentrating was difficult and remembering to eat became a bit of an issue. I could tell I was a little hungry, but there was no driving appetite.

As for my arm where I got the injection?

It was sore, but not as sore as the first time. Do you know what was sore? My neck and shoulders. I carry a lot of my stress in my shoulders and neck. I've been told this by multiple people, including my chiropractor and my mom. But this was a whole new level of tense.

I knew I had work the next day, but wasn't sure if I'd feel well enough to do so. Luckily, I work with a great team and one of my co-workers offered to come in if I needed her to.

Thankfully though, by 11 pm Friday night, the worst of the side effects were gone and I felt fine.

On Saturday, I went to work and did everything I needed to do. Bringing several sports drinks with me, to stay hydrated.

Now the only lingering effect of the second Moderna vaccine is soreness at the injection site.

Well, that and the knowledge that I'm now protected against the worst effects of a SARS-CoV2 infection, aka COVID-19.

My post-vaccine reactions may not be typical or shared by many people. But it's a better experience than getting COVID-19 to begin with.

The COVID-19 vaccine rollout is an ongoing process and one of the biggest enterprises that our healthcare system has ever undertaken. I have friends in healthcare who are working at vaccination sites and spoke to me about how organized things are. And I have friends who are struggling to find appointments for their parents and grandparents.

My and my family’s experience with the vaccine and vaccine distribution process could be different from yours. Or eerily similar. Or some version of in between. Any way you see it, we live in unprecedented times and sharing stories & experiences like ours can help us feel closer when we are physically apart.

I’d very much like to hear from you. What have you seen or experienced in terms of the COVID-19 vaccines? What questions were answered and what questions came to mind when reading about them?

The conversation has started. The story is in the middle. Let’s keep things going and get to The End.

Stay safe and stay brave, SuperCaptainBraveFAM.

Don’t forget to subscribe to our mailing list, like, and follow us on social media for more content and upcoming announcements!

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I Got the COVID-19 Vaccine: Part 1

Hello, SuperCaptainBraveFAM!

If you are a new reader to the blog, welcome! I’m Nurse Leah. I am a Licensed Vocational Nurse and work in the home healthcare sector.

Which—at the time of writing—puts me in the Phase 1A, Tier 2 group of the LA County Vaccine Distribution Plan and makes me eligible to receive the Pfizer or Moderna vaccines for COVID-19.

I received the first dose of the Moderna vaccine for COVID-19 on January 7, with the second dose scheduled 28 days later. Which happens to be today, February 4.

Today, I’m going to go over what I know and have found out about how both the Moderna & Pfizer vaccines work and commonly asked questions about the vaccines. In Part 2, I’ll talk about my own journey with signing up, receiving, and side effects I experienced with regards to the injections.

Right off, I have to admit that I am firmly pro-vaccine. The science behind vaccines is sound and makes sense to me. I totally understand why certain people are vaccine hesitant or want to wait before allowing their kids to get this vaccine. (More on the reasons why in a bit.) But overall, the scientific approach toward vaccines in general, and for the COVID-19 vaccines in particular, is one that I have trust in.

I will put links for the info I have at the bottom of the blog. I’ll also try my best to use mostly casual knowledge that I have about immunology from my pre-nursing days to keep the blog from getting too technical.

So, buckle up, cuz ahead thar be science.

~Nurse Leah

How do vaccines work?

If I’m remembering my AP Bio correctly, then vaccines work by priming or “jump starting” the body’s immune response to the presence of a specific pathogen. The pathogen could be a virus or bacteria that causes you to get sick. Your immune system is in place to identify and destroy these body invaders.

There are special proteins on the surface of practically every cell ever. And every type of cell can have a different sequence of these proteins. Think of them like calling cards, keys, or (in my attempt to connect with today’s youth) hashtags. Each one is unique to that pathogen and one of the jobs of the immune system is to keep track of these “hashtags” and prevent certain ones from flooding the body’s newsfeed.

When you get a vaccine, it’s giving your immune system an example of the pathogen. Your immune system then creates antibodies that identify that pathogen and signals the need to fight/destroy/ban the identified cell from your body.

So, when the actual pathogen shows up, your immune system recognizes and can destroy it before it can spread and make you sick.

One question that my mom asked when I told her I got the vaccine was “Do you have COVID-19 now?”

In one word my answer was: no.

And allow me to explain why.

There are different types of vaccines and a lot of that has to do with how well they work at priming our immune system for fighting and keeping the body from getting the disease. One of the most common types of vaccines are live-attenuated vaccines. This is where a live, weaker version of the pathogen is introduced into your body for your immune system to identify and remember.

If you guys are curious about the different types of vaccines, leave a comment down below and I can rev up my research machine and write about that in the future.

There are other companies working on vaccines as well. Just because Pfizer and Moderna received permission to distribute their vaccines first doesn’t mean they’re the GOAT (Greatest of All Time) at protecting us against getting COVID-19.

However, both the Pfizer and Moderna vaccines are mRNA vaccines. There is no live virus in the dose and those who receive it do not contract COVID-19 from the injection.

Now on to the question: What is mRNA?

It sounds like another science-y word. DNA. And you’d be right. But they’re not the same thing.

mRNA stands for messenger RiboNucleic Acid

(It’s not spelled that way. It’s just a way for me to visualize why it’s abbreviated the way it is.)

DNA stands for DeoxyriboNucleic Acid

They’re both nucleic acids. But do different things. And mRNA cannot change the DNA of a cell.

mRNA is used by all cells to help create proteins that the cell then uses for whatever job it’s coded for.

So, what does an mRNA vaccine do exactly?

Using techniques learned over decades, scientists were able to analyze and isolate a specific protein spike from the SARS-CoV2 virus. This is the virus that causes COVID-19. Once the sequence of the protein spike was determined, scientists then created an mRNA sequence that re-creates the SARS-CoV2 protein spike onto non-SARS-CoV2 cells.

When the body’s immune system interacts with body cells that have the SARS-CoV2 protein spike, an immune response occurs and antibodies are formed. Remember that antibodies are how the body recognizes and identifies pathogens.

The faster your immune system can recognize a pathogen like SARS-CoV2, the faster your immune system can mobilize to get rid of it.

Going back to the hashtag metaphor, your Immune System is like an admin for the social media group that is your Body.

The SARS-CoV2 virus is like one of those automated spam bot accounts that comment on everyone’s posts with scams. And in every comment it makes, it has the hashtag for COVID-19.

The current mRNA vaccines know what the COVID-19 hashtag looks like and reports it to the Immune System.

Now the Immune System can do its admin thing and delete/destroy/ban every comment with the hashtag for COVID-19.

And in the end, it leaves the Body’s newsfeed clear of the illness and clutter the SARS-CoV2 spam bot left behind.

Is the vaccine safe?

Every drug and modern technique used in medicine has a balance of risks and benefits. What types you use and feel safe using should be discussed fully and honestly with your doctor. Remember that they are on your side and if you have any concerns, you have the right to voice them and ask for further clarification on any aspect of your care.

When the FDA gave Emergency Use Authorizations to the Moderna and Pfizer vaccines, there was a whole process involved where scientists and physicians went over the collected data supplied by the companies and weighed the benefits versus the risks of allowing the use of the vaccines.

You can find a quick infographic of the process here. As of January 31, 2021, some news outlets report that a third vaccine—this one produced by Johnson & Johnson—is expected to apply for an Emergency Use Authorization for their COVID-19 vaccination in early February.

The vaccines offered by Moderna and Pfizer are as safe as they can be given the facts and processes the scientific studies have shown at this time.

It sounds like a non-answer. Believe me, typing that was somewhat difficult for me.

But it’s also the truth.

And it’s a lot better than hearing the words “We’ll see” from your parents when you ask for that toy that's just this shy of dangerous.

What are the Side Effects?

As mentioned before, there are risks and benefits to any medication.

Common side effects that both the Moderna and Pfizer vaccines share are:

  • At the injection site:

    • Pain, swelling, and redness

  • General side effects:

    • Fatigue/tiredness

    • Headache

    • Muscle pain

    • Joint pain

    • Chills

    • Fever

    • Nausea

    • Vomiting (reported most often in the Moderna vaccine)

The serious side effects are along the lines of a severe allergic reaction. Which include difficulty breathing, swelling of the face and throat, a fast heartbeat, a bad rash all over the body, and dizziness & weakness. Severe allergic reactions like this are called anaphylaxis.

If you’re like me and have family members with shellfish allergies, it’s a very concerning issue when considering whether or not to get either vaccine.

If there is any chance that you believe an allergic reaction is possible for you or a loved one—for example, if the person getting the vaccine keeps an Epinephrine pen (Epi-Pen) with them at all times because of an already known allergy—then I strongly suggest talking to your doctor to create a personalized plan for when it is time to get the vaccine.

Sowho can get the vaccine?

I mentioned earlier that the vaccines offered at the time of writing this blog were given Emergency Use Authorization by the FDA. After reviewing the information given to them by the companies, the FDA created guidelines on the use of each vaccine based on their knowledge of the safety and efficacy of the vaccine. (Efficacy means how well the vaccine does to prevent infection by the SARS-CoV2 virus.)

For the Pfizer vaccine, the FDA authorization allows those 16 years old and older to get the vaccine.

For the Moderna vaccine, the FDA authorization allows those 18 years old and older.

The reason for these particular ages has to do with the ages of the people involved in the clinical trials at each company. The data available only included people above the ages listed. It’s also because the data in the clinical trials is contained to the age group listed that the vaccines aren’t currently available for children.

There also isn’t a lot of data about the vaccine’s effect on pregnant or breastfeeding women. During the time of the clinical trials, there were several pregnancies reported after the start of the trials in the groups taking part, but at the time of writing, there is no information on any negative side effects in either mother or child in relation to the vaccine.

The only people in the allowed age range who absolutely should NOT get either COVID-19 vaccine are those who’ve had a severe allergic reaction to a previous dose of the vaccine or who’ve had a severe allergic reaction to any of the ingredients of the vaccine.

The documents of outlining the Emergency Use Authorizations of each vaccine are available to the public on the FDA website. If you want to read more about them, you can find the Moderna EUA Fact Sheet and the Pfizer EUA Fact Sheet by clicking the links.

When will the vaccine be available for children?

Walk down any medicine aisle in a grocery store and you’ll find a section with brightly colored boxes with the word CHILDREN’S splashed before the name of many familiar medications. It’s more than just an issue of changing the amounts and ratios for smaller humans. It’s about achieving the desired chemical reactions.

The way children’s bodies react to medicine can be different than adults. So separate studies and clinical trials for children of different ages need to happen before any vaccine can be available for kids. Any data for adjustments that might need to happen to make the vaccine just as effective for kids as in adults is collected during this period.

The way that Emergency Use Authorizations work in the case of vaccines is that the company must wait 60 days after 50% of the clinical trial group gets their last dose of the vaccine to apply for the authorization. This allows scientists and doctors time to check for any side effects. The process is the same for any clinical trial that includes adolescents and children.

In a January article in Bloomberg, it was reported that the Pfizer vaccine trial for adolescents ages 12-15 completed enrollment for volunteers. Which means the clinical trial with actual administered doses of vaccine should start soon.

In the same article, Moderna reported that the first doses in their vaccine trial for adolescents ages 12-18 were given in December. With the current timeline of the second dose given at 28 days after the first, it’s entirely possible for the Moderna vaccine to be eligible for an Emergency Use Authorization for children in that age range by the time the 2021-2022 school year starts. 

There will be trials for younger kids, too. And those will go through the same process in order to get the Emergency Use Authorization from the FDA.

Which, being the mom of a current 4th grader, sounds ah-maze-ing. But, seeing as how my 4th grader has a high chance of having a shellfish allergy (we haven’t tested this theory yet), I’m still nervous.

With either company, the road to getting the vaccine into the arms of our kids is a long one. And given the current rollout in the U.S. for giving vaccines to the adults, patience is a virtue we’ll definitely need.

But what is it like getting the COVID-19 vaccine?

That is a great question. And one that honestly deserves its own blog post. Whatever you may feel about the current state of vaccine administration, I will share my own experience with the Moderna COVID-19 vaccine from finding out if I was eligible to receive it to the side effects I felt in the days after the shot. And with California making individuals 65 and over eligible as well, I can share what steps I took to make sure my mother got her vaccine safely and quickly.

Stay safe and stay brave, SuperCaptainBraveFAM!

"I Got the COVID-19 Vaccine: Part 2" is coming up on Monday, February 8th. So, don’t forget to subscribe to our mailing list, like, and follow us on social media for more content and upcoming announcements!

www.supercaptainbraveman.com

Instagram: @supercaptainbraveman

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For further information regarding COVID-19 and the vaccines mentioned in this blog, please visit:

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html

https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines

https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/moderna-covid-19-vaccine#additional

https://www.fda.gov/vaccines-blood-biologics/vaccines/emergency-use-authorization-vaccines-explained

https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/pfizer-biontech-covid-19-vaccine

Congratulations for reading this far down the blog!

As an extra, here’s the link to a video made by one of my favorite science YouTube channels: ASAP Science. In it they talk about the effects of mRNA vaccines on the human body. Enjoy! https://youtu.be/the81FQoAUI