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Tag Archives: vaccine

Vaccine reactions

The PolyBlog
May 18 2021

If you clicked here thinking I was talking about physical reactions, you’re only partially right. Mostly I’m more interested in the emotional reactions.

In our household of 3, we all have slightly different medical issues that raise our individual and collective profiles to higher-than-average risks. I already posted about my experience Joining the herd, and my emotional reaction when my wife hugged me afterwards, a “lighter” overall reaction than I was expecting from myself. I thought I’d be shaking when I left the office, or emotional in the car, or dancing a jig. Instead, it was rather ho-hum.

We were waiting for Andrea’s number to come up in the pharmacy lottery at various locations and then one popped up for a mass vaccination option on a weekend at a school. She registered, it all went through, and she had her appointment. I felt almost as much relief that SHE had an appointment as when I got mine. YES! She went in the a.m., lined up in a field more or less (they had set appointment times, it wasn’t a long line or anything), got her jab and came home.

Physically, I dealt with headaches and fatigue. She also got the Astra-Zeneca dose and had sweats and chills. She said she woke up in the middle of the night freezing, colder than she’s ever been in her life. Anecdotally, people are saying/estimating that your degree of reaction to the vaccine is likely the same degree you would have to the actual disease, but of course there’s almost no evidence either way. It’s a popular thought, with no way to test it, but it’s somewhat comforting almost as well as disturbing. “Oh, it’s good that I got it because if that was my reaction to the VACCINE, imagine my reaction to the disease!”.

At any rate, that put us at 2/6 shots for the house. I felt almost more relief I would say at her having hers than me having mine. That’s not some sort of altruistic thing, it’s just a mark of where my stress lies.

The big news

We have been interested in the news around the approval of various vaccines for kids, and the cut-offs. First it was good for people 18 and over. Then some news showed up where studies had tested down to age 16. Then 12. Now they’re doing some trials all the way down to infants. And as I said in my last post, we estimated he might be able to get his first shot in the fall.

But Ontario has been making some progress, having passed the 50% “first shot” threshold recently. In a conversation with a social worker we chat with at CHEO about J’s anxiety issues around a pending surgery and other topics, we mentioned that he is confirmed for return to in-person school in September and that we were really hoping for him to get vaccinated with at least one dose before then. I figured maybe 2 doses by Xmas, but there wasn’t much information out there, honestly. Not local anyway.

The social worker told us that CHEO was now doing vaccinations for some of their clients, and were reaching out to those in various conditions. This was fantastic news, of course, although it would likely mean nothing for Jacob, we thought. He’s not a super-high-risk overall, although he has some respiratory issues, and interactions with other conditions would be unpredictable/unknown. Mostly, it’s a mental health issue, if I was characterizing it definitively, at least currently. We’re in lockdown, we have been doing the “right” things for 14m. We don’t take risks. The recent lockdown makes almost no difference to our life, the only thing that changed was more curbside pickup than previously.

We talked about it, mentioned our excitement to hear the news, etc. and two hours later, CHEO called us to offer us a spot. We have no idea if this was linked to the conversation, or was more because of possible surgery coming up, or just we were next on their list in some category. We didn’t care, we said yes immediately.

They also said we could bring up to two caregivers over 16 with us (i.e. the parents or someone else if we already had our shots). We tried to see if we could squeeze his cousin in (she’s only 14 though), but alas, no. Unfortunately, by the time they got back to us with the answer, it was too late to randomly grab any friends or family in need of a shot to go with us (the names had to be provided in advance). So it was just Jacob.

He went in with Andrea, got his jab, all good, and over the two days that followed, he had a slightly sore arm with no other reaction to the Pfizer shot.

When no reaction is the reaction

Yet again, I’m not talking about the physical. Jacob got his first shot; this has been my single largest source of stress for 14m, worrying about him, wanting and waiting for him to get vaccinated so I could breathe out. And when it happened? I shared it on FB, but, well, I didn’t feel anything.

I didn’t jump for joy. I didn’t cry. I didn’t feel some weight being lifted from my shoulder. I tried to. I actually tried to “lean in” so to speak to the experience, to force myself to feel it, and there was something there, I’m certainly happy FOR him and WITH him. But no giant “hurrah”.

Yet we have reached the mid-point. Three out of six shots, and a strong likelihood our household will be fully vaccinated BEFORE the end of the summer. This is HUGE.

The biggest news in our household since the pandemic started. And that’s not just me thinking it. Everyone that I’ve told about Jacob’s news has reacted the same way. “Holy cow, that’s amazing!”. Because it is ground-breaking. Parents? Sure. Us? Sure? But our kids getting vaccinated? That’s huge!

Yet I feel almost let down by my own reaction. How am I NOT reacting more strongly? Am I just numb? Is it the languishing thing still? I can talk about it, I sense some “relief” resonating inside somewhere. But 20 minutes afterwards, it was like “What’s next?”.

I still feel like there should be some sort of milestone marker that happens. A “V1” stamped on your forehead with indelible ink that only fades when you get V2. A giant pinata you get to smash on your way out, shaped like the Corona virus molecule. A lollipop for getting a needle. SOMETHING that says “Your life is different now.”

Ay, there’s the rub

As I wrote that last paragraph, I had a small epiphany with myself. This is often why I write my blog. Because as I write, I uncover what I’m thinking but having trouble defining, an act of articulation where a phrase pops out of my mouth where I go, “HEY! Look at THAT! THAT’S IT!”.

My life didn’t change. Andrea’s life didn’t change. Jacob’s life didn’t change. We got jabbed, and we still live in a pandemic world in lockdown. Just as the new lockdown barely changed our lives, having our first jab has made zero difference either. We’re still getting up in the morning in a Groundhog Day world of computerized plug-in until lunch, meeting together for sustenance, plugging in again until dinner, sharing sustenance again, doing something together after supper (currently binging Supergirl), and then bedtime at some point for each of us. The next day, we wake up, and Sonny and Cher are singing “I Got You Babe” on the radio.

Getting jabbed is a precondition for the world opening up again, for our world to change, but it has a much longer incubation period than walking out of the office and hoping to break a pinata. And I’m not sure that I will or can feel that “hurrah” until we can do something normalish. Last summer, after the first wave, we were excited to go out for dinner and eat on a patio in Norland, Ontario near the family cottage. I’m not sure what this year or the end of the pandemic looks like to me.

I think we all need an End-of-Pandemic Bucket list. A top ten list of things I want to do when things are open again. Really open, not temporarily open.

What would be on your bucket list? How are you going to mark the occasion? How will you “feel” the world is open again?

Posted in Family | Tagged family, health, vaccine | Leave a reply

Joining the herd

The PolyBlog
April 25 2021

As of today, we have completed 1/6 of our household steps towards vaccinated immunity. With the recent drop in age for the AZ vaccine, my GP’s office had sent out a broadcast email to patients over 40 to say “Come and get it!”, like ringing a dinner bell. But my profile isn’t completely typical, so after reading a bunch of stuff online, I reached out to my GP to check on whether the AZ vaccine was right for me and that my curation had been correct.

Efficacy concerns

Generally speaking, of course, the recommendation is to go with availability over efficacy rates. Currently, the Pfizer and Moderna vaccines are about rated to 90-95% efficacy, while AZ was down at 70%. Those are the initial efficacy rates against contraction, but all three of course are almost 100% effective against serious illness leading to hospitalization or death. In other words, even if you get sick after that initial efficacy number, your second number is generally 100%.

So what’s the issue?

I’m on the cusp of pre-diabetic / diabetic. When the three available vaccines were tested, they had very few people in the sample group with diabetes, and when they did, they usually weren’t separated out between Type 2 (controlled with lifestyle or medication) or Type 1 (requiring insulin shots). I would be near to the Type 2 category.

For the results they DO have, the numbers drop for efficacy — anywhere from 15-25% lower than that of the general population. Again, though, that’s the efficacy rate against contraction. Very few of the studies reported had reliable reporting on the secondary efficacy, but it LOOKED like 100%.

Yet you can only get one vaccine type, and I was reasonably sure I was good to go with the AZ one, but as I said, I wanted to be sure. I booked my appointment and then reached out to the GP for a quick consult before getting it.

My questions broke down into three steps:

a. As a near type 2 patient, was there anything that suggested I should wait for Pfizer over AZ? Was there anything with my health that said “wait”? As expected, and as hoped, she confirmed that the second efficacy number is close to 100% still for AZ for diabetics, and thus, yes, availability is more important than initial efficacy.

b. My household has an atypical profile with all three of us in the house having higher-risk profiles individually. Did that change anything in the calculation? I was mostly worried that I could still contract it with the lower rate and transmit it to them. But “some” immunity faster is still better than efficacy rates, as expected and hoped. It might even strengthen the rationale, although it is a double-edged sword, of course.

c. The last question was one I found no information about anywhere…some disease profiles suggest that the person should NOT wait 4m for the second dose but should get it sooner rather than later. Certain auto-immune diseases for example are being recommended to get Dose #2 as soon as possible. While AZ is being rolled out for dose #1 now, and the second in 4m, I wanted to know if anything in my personal or household profile changed that calculation. Put bluntly, if I could get Dose #1 of AZ now but Dose #2 wasn’t available for 4m, but I could wait a month for Pfizer but get 2 doses a couple of weeks apart, then waiting might get me “completed” for dose #2 faster. Diabetes didn’t seem an obvious candidate to avoid the waiting period, but as I said, you can only get one dose. I didn’t want to find out after the fact that I should have gone another route.

In the end, I was all clear. I was expecting to be, sure, but I did want to be sure. It’s too important to rely on Dr. Google for this one.

The shot

I confess, I don’t often think of it as a shot. Sure, I say “flu shot” like everyone else, and my “COVID shot”, but I would never use it as a verb. A couple of friends posted about being shot and I was like, “Huh?”. Because for me, it is very clearly a stabbing. 🙂

I booked the appointment through my GP’s online site and was relatively shocked to see that they had Sunday appointments available. I didn’t click as soon as I got the first notice, I wanted to check a few things, but I was able to book on Thursday for Sunday’s schedule. Pretty quick overall.

I arrived, parked in the lot next door (free on weekends!), and entered the hospital (the clinic is in the first floor of a LT care facility). A security person directed me to a COVID screening form, a receptionist checked me in and gave me a new mask, a nice escort took me to an available nurse in one of the examining rooms, and it was on like Donkey Kong.

Cathy, the nurse, did a simple run-through of who I was, checked my contact info so I could get receipts and follow-up notifications, screened me for a bunch of Qs again about reactions or likely reactions to a vaccine, confirmed a few details about the vaccine itself (where I was like, huh? Oh right, yes, she should tell me what she’s injecting, I suppose). Small needle, go to the waiting room for 15 minutes.

While I was in the waiting room, I got the notification from the scheduling portal for my second dose. They also told me orally that it was assuming they got the vaccine then, and nothing changes to either move it up or back. It’s an administrative booking, basically, more of a reservation than any guarantee that they’ll have a dose available then or that it will take that long.

I killed my 15m and left. About 30m after I got my shot, the Ministry of Health sent me a confirmation email as my immunization record.

My mental / emotional reaction

I said to Andrea and Jacob that I might cry when I got it. So much stress, and here’s a small light at the end of the tunnel. And as I walked towards the hospital, I did feel quite emotional. All the way through it? Nada. Just process.

When I left the building, I let the experience flow into me, and while I felt like I *could* react more for a release, I wasn’t feeling like I needed it. I was fine. Ho hum even.

I found it a bit odd, actually. I wanted to ring a bell, smash a pinata, get doused in confetti, have someone solemnly say, “I now pronounce you vaccinated”.

But ten minutes after I left, I was back in my ongoing mindset. The NY Times had a great article this past week about the new term for those who are stuck between normalcy and not-quite-depression — it’s called languishing. And it almost precisely captures what I have been feeling for the last two months as I recovered from my leg wound and rebuilding my website.

Now that I’m done the rebuild, I feel almost out of sorts. There’s no fanfare for finishing THAT either. I feel like there should be a reward for myself, some milestone to celebrate somehow, and yet here is perhaps one of the biggest milestones of the last 14m, and I was already past it and thinking, “Hmm, what’s for dinner?”.

Right up until Andrea hugged me at home. Then I lost it. I could probably lose it again right now, while I am writing this, if I let myself. The built-up energy, the tension in my heart and mind. Yet it isn’t honestly about me, not really. Sure, I’m scared like everyone else, and with my health, there’s a good chance that long-term ventilator use would not end well if I was hospitalized.

But my biggest worry is about Jacob and Andrea. I am their biggest vector. Jacob has almost no other vectors BESIDES me, actually. And the thought of my getting sick and exposing them, or leaving them without my support, is scary AF.

The journey isn’t over

Earlier today, I received my feed from GoComics.com and I loved the post by Tim Campbell (here). In the comic, it shows a person running a race and crossing under a banner held up by two vaccine needles. The caption reads, “Keep Going. This is not a finish line.”.

And it’s not, in oh so many ways. But let’s cut it to two.

First, the obvious one, just because I have a single dose, or even if I had a double dose, I still have to keep social distancing and wearing a mask. It doesn’t change my life until we get closer to herd immunity.

Second, the bigger issue? It’s one dose of six that my household needs. I need another dose of course. Plus Andrea is consulting with one of her doctors on her best way forward, similar to my discussion above. In the meantime, she’ll take whoever offers her an appointment first, and she’s registered multiple places. With 2 doses needed for her.

But Jacob is turning 12 in May, and probably by the fall / early winter, there will be options for people down to the age of 12. I chatted with him recently about how he feels about it, and while he has no strong views about the vaccine or not, the abstract doesn’t really resonate with him vs. the practical issues of going to school or being virtual. The bigger issue for him is that he doesn’t like needles. I told him he needs to get comfortable with the idea because I don’t know of too many reasons we wouldn’t do the vaccine for him if it’s generally available. 🙂 Maybe he can race his cousins although a couple of them might have a leg up, having a doc for a mom. 🙂

So where does that leave me? A tad bit more hopeful than I was this morning. I’m still languishing.

But I’m at least languishing with a small hole in my left arm. I’ve taken my step towards joining the herd.

Posted in Health and Spiritualism | Tagged Covid, health, mental health, vaccine | Leave a reply

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