Protect Yourself and Others from COVID-19

You need to have gotten your second Pfizer shot at least six calendar months before you are eligible for a booster – for example, if your second Pfizer vaccine was March 18, you were eligible for a booster on September 18. You can get your booster any time after that six-month window has passed. If you got the Moderna or Johnson and Johnson shot, you are not eligible for a booster.

In addition, you need to be within one of these groups:

• 65 years old or older
• Living in a long term care facility, homeless shelter or correctional facility
• 18 through 64 years of age at high risk of severe COVID-19 because of underlying medical conditions, such as cancer; cerebrovascular disease; COPD; diabetes mellitus type 1 and 2; heart conditions like heart failure, coronary artery disease or cardiomyopathies; obesity with a BMI over 30; pregnancy/recent pregnancy; and a history of current or past smoking.
• At increased risk for being exposed to COVID-19 because of where you live or work, including:
  • Front line and non-front line essential workers, such as health care workers, teachers, day care staff, grocery workers.
  • Paid and unpaid workers who interact within less than 6 feet of others.
  • Unpaid caregiver of a frail or immunocompromised person.

Immunocompromised includes those who:

• Have been receiving active cancer treatment for tumors or cancers of the blood.
• Received an organ transplant and are taking medicine to suppress the immune system.
• Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system.
• Have moderate or severe primary immunodeficiency (such as DiGeorge syndrome Wiskott-Aldrich syndrome).
• Have advanced or untreated HIV infection.
• Have active treatment with high-dose corticosteroids or other drugs that may suppress your immune response.

Only mRNA vaccines are approved as boosters for immunocompromised people. You should try to get the same brand of shot if you got two doses of the mRNA vaccine the first time. If you did not, it’s OK just to get a Pfizer or Moderna vaccine as your booster. You should wait at least 28 days after your first two doses to get the third dose.

The vaccines authorized by the FDA are safe. They have met the FDA’s high safety standards, and have been reviewed by independent scientists in public meetings.

There is no evidence that any COVID-19 vaccine will any cause long-term effects.

Avera’s OB-GYN, family practice/obstetrics and midwifery providers join the CDC and American College of Obstetricians and Gynecologists and the Society for Maternal and Fetal Medicine in endorsing COVID-19 vaccines and boosters for pregnant and breastfeeding women.

This endorsement is based on a growing body of evidence about the safety and effectiveness of receiving the COVID-19 vaccine during pregnancy, which suggests that the benefits of the vaccine far outweigh the risks.

No. You can even get the COVID vaccine on the same day as other vaccines.

COVID-19 rates have been higher in rural areas than in urban and suburban areas, partly because more people are over the age of 65. The vaccine will protect you and everyone around you.

The latest scientific data has shown us that unvaccinated individuals who were previously infected with COVID-19 are still twice as likely to become infected by the Delta variant.

With the rise of the Delta variant across the U.S., COVID cases have shifted to younger ages, with more than 200 children hospitalized a day.

Children who have been vaccinated are less likely to:

• Pass COVID along to more high-risk people,
• Miss school due to COVID,
• Be pulled from sports and other activities due to COVID,
• Miss days at their after-school job and other obligations due to COVID.

According to the CDC, while children are less likely to develop severe illness from COVID-19, they are still at risk of complications like respiratory failure, heart inflammation, shock, kidney failure, and Multisystem Inflammatory Syndrome in Children (or MIS-C).

• There have been a very small number of cases of inflammation of the heart (myocarditis/pericarditis) after vaccination - about 1,200 cases in 300 million vaccine recipients.
• The cases have mostly occurred in male adolescents and young adults age 16 and older showing up as chest pain within the first several days after vaccination, and typically resolves with no long-term effects.
• Due to the very small risk of this condition, especially when weighed against the very serious risk of COVID and serious COVID complications, the CDC and Avera continue to strongly recommend COVID vaccination for everyone ages 12 and older.

Yes, the COVID-19 vaccine is safe for breastfeeding women. Avera’s OB/GYN Service Line joins the Centers for Disease Control and Prevention, the American College of Obstetricians and Gynecologists and the Society for Maternal and Fetal Medicine in endorsing COVID-19 vaccines for breastfeeding women.

• The vaccine is shown to be as much as 95% effective in preventing COVID-19, and even more effective in preventing serious illness from COVID-19.
• The vaccine is well-tolerated among breastfeeding women.
• Breastfeeding women who receive the COVID-19 vaccine pass antibodies to their children through their breastmilk.
• In one study, some breastfeeding women did notice a reduction in milk supply, which in all cases returned to normal within 72 hours of vaccination, without any intervention.

Without the vaccine, you risk getting COVID-19 and passing it along to your baby.

Learn more:

• CDC: COVID-19 Vaccines While Pregnant or Breastfeeding
• Harvard Health: Wondering about COVID-19 vaccines if you’re breastfeeding?
• JAMA: Short-term Reactions Among Pregnant and Lactating Individuals in the First Wave of the COVID-19 Vaccine Rollout
• Breastfeeding Medicine: Maternal and Child Outcomes Reported by Breastfeeding Women Following Messenger RNA COVID-19 Vaccination