The Centers For Disease Control And Prevention.
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Disclaimer: Early release articles are not considered as final versions. Any changes will be reflected in the online version in the month the article is officially released. Coronavirus disease COVID symptoms can be mistaken for vaccine-related side effects during initial days after immunization.
Among 4, vaccinated healthcare workers in Israel, 22 0. Clinicians should not dismiss postvaccination link as vaccine-related and should promptly test for COVID Large-scale vaccination of risk groups and later the general population is the single most effective public health measure for mitigation of the coronavirus disease COVID pandemic. In some countries the vaccination programs coincided with a surge in detected COVID cases and increased burden on the healthcare system 2.
During December —JanuaryIsrael experienced a surge in COVID incidence that resulted in the third national lockdown imposed since the pandemic began in early 3. The hospital started its personnel vaccination program on December 20,and excluded workers who had recovered from COVID Among 4, HCWs vaccinated in the first week of the campaign, 22 0.
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Among the 22 vaccinated HCWs who tested positive for COVID, 13 were tested because they had symptoms, most commonly an influenza-like illness that included fever, chills, cough, headache, myalgia, and sore throat. Among the 22 COVID—positive HCWs, 11 had presumable community-related exposures, 4 of whom reported exposure incidents that occurred before or on the date of vaccination. However, we did not identify any point-source exposures or COVID clusters linked to the immunization process.
The median time between the onset of symptoms and testing was 1 day, demonstrating the high level of suspicion for COVID during the vaccination campaign. Of note, apart from the need for early detection, persons who test positive for COVID after receiving the first vaccine dose whether asymptomatic and tested following exposure or tested because they are symptomatic are not eligible to receive the second dose, according to Ministry of Health policy.
However, depending on availability of vaccines, this policy might change when further data are collected. HCWs, especially acute and chronic care facility personnel, are at high risk for contracting symptomatic and asymptomatic COVID and might become infected at home or nosocomially while caring for patients or interacting with other staff members 5 — 7.
Infections among HCWs have an immediate effect on their close occupational environment and the overall healthcare system.]
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