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This just came in and I thought I'd share it. Epidemiologist
Katelyn Jetelina does a good job helping you decide on whether to
get a second COVID-19 updated (bivalent) booster vaccine now. The
key factors are your age, any health conditions you may have, how
long it has been since you got your first updated booster, and any
upcoming social events you may have.<br>
<br>
Manny<br>
<br>
<pre class="moz-signature" cols="72">"Failure is unimportant. It takes courage to make a fool of yourself."
— Charlie Chaplin</pre>
<div class="moz-forward-container"><br>
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-------- Forwarded Message --------
<table class="moz-email-headers-table" cellspacing="0"
cellpadding="0" border="0">
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<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Subject:
</th>
<td>Do I need a spring booster?</td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Date:
</th>
<td>Tue, 25 Apr 2023 12:51:37 +0000</td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">From:
</th>
<td>Katelyn Jetelina from Your Local Epidemiologist <a
class="moz-txt-link-rfc2396E"
href="mailto:yourlocalepidemiologist@substack.com"
moz-do-not-send="true"><yourlocalepidemiologist@substack.com></a></td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Reply-To:
</th>
<td>Katelyn Jetelina from Your Local Epidemiologist
<a class="moz-txt-link-rfc2396E"
href="mailto:reply+1xnsiz&a13t&&749b32fdbbd697875c9311388b602b280560249650b1c0a60dae20f1ed64bf69@mg1.substack.com"
moz-do-not-send="true"><reply+1xnsiz&a13t&&749b32fdbbd697875c9311388b602b280560249650b1c0a60dae20f1ed64bf69@mg1.substack.com></a></td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">To: </th>
<td><a class="moz-txt-link-abbreviated"
href="mailto:manny@ratafias.com"
moz-do-not-send="true">manny@ratafias.com</a></td>
</tr>
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<title>Do I need a spring booster?</title>
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src="https://mailgun.substack.com/api/v1/email/open?token=eyJtIjoiPDIwMjMwNDI1MTI1MTM3LjMuYjljYmU0NGUzZTJlNjc2ZkBtZy1kMS5zdWJzdGFjay5jb20-IiwidSI6NDY3OTkzLCJyIjoibWFubnlAcmF0YWZpYXMuY29tIiwiZCI6Im1nLWQxLnN1YnN0YWNrLmNvbSIsInAiOjExNzAwMzU2MywidCI6Im5ld3NsZXR0ZXIiLCJhIjoiZXZlcnlvbmUiLCJzIjoyODEyMTksImMiOiJwb3N0IiwiZiI6dHJ1ZSwicG9zaXRpb24iOiJ0b3AiLCJpYXQiOjE2ODI0MjcxMTYsImV4cCI6MTY4NTAxOTExNiwiaXNzIjoicHViLTAiLCJzdWIiOiJlbyJ9.MgT5Er3JbVssBDzPHcT7kXGFChtOdSXOtr-pz1qmUXE"
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!important;padding-bottom:0 !important;padding-right:0
!important;padding-left:0 !important;" moz-do-not-send="true"
width="1" height="1" border="0">
<div
style="display:none;font-size:1px;color:#333333;line-height:1px;max-height:0px;max-width:0px;opacity:0;overflow:hidden;"
class="preview">The booster confusion in emails I have
received over the past week is palpable. Should I get a spring
booster? This is how I’m thinking about it. Hopefully it
helps. Level of urgency The level of urgency for a spring
booster should be dependent on two things:
</div>
<table role="presentation" class="email-body-container"
width="100%" cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td><br>
</td>
<td class="content" width="550"><br>
</td>
<td><br>
</td>
</tr>
<tr>
<td><br>
</td>
<td class="content" width="550" align="left">
<div style="font-size: 16px; line-height: 26px; margin:
0 auto; max-width: 550px; overflow-wrap: break-word;
width: 100%;">
<table role="presentation" width="100%"
cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td style="height: 20px;" align="right">
<table role="presentation" width="auto"
cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align: middle;"><span
class="tw-font-body tw-text-ssm
tw-text-substack-secondary"
style="color: #808080 !important;
font-family: SF Pro Text,
-apple-system, BlinkMacSystemFont,
Inter, Segoe UI, Roboto, Helvetica,
Arial, sans-serif, Apple Color
Emoji, Segoe UI Emoji, Segoe UI
Symbol !important; font-size: 13px
!important;"><a
href="https://open.substack.com/pub/yourlocalepidemiologist/p/do-i-need-a-spring-booster?utm_source=email&redirect=app-store"
class="tw-text-substack-secondary
tw-underline"
style="-webkit-text-decoration-line:
underline !important; color:
#808080 !important;
text-decoration-line: underline
!important;"
moz-do-not-send="true">Open in app</a>
or <a
href="https://substack.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.wciNS7XxplA0iUvG4dmQgJD9y1ocezfdZRgEH4d4MDA?"
class="tw-text-substack-secondary
tw-underline"
style="-webkit-text-decoration-line:
underline !important; color:
#808080 !important;
text-decoration-line: underline
!important;"
moz-do-not-send="true">online</a></span></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<table role="presentation" class="header
graphic-header" style="border-spacing: 0; padding:
16px 0 32px;" width="auto">
<tbody>
<tr>
<td style="padding: 0; text-align: center;"
align="center"><a
href="https://substack.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.wciNS7XxplA0iUvG4dmQgJD9y1ocezfdZRgEH4d4MDA?"
moz-do-not-send="true"><img
role="presentation"
src="https://substackcdn.com/image/fetch/w_1100,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F523ac601-a63a-4d07-906e-bc4e7bfbb83a_2200x440.png"
class="header-image" style="border: none
!important; display: block; height: auto;
margin: 0 auto; max-width: 550px;
vertical-align: middle; width: 100%;"
moz-do-not-send="true" width="550"
height="110"></a></td>
</tr>
</tbody>
</table>
<div class="typography" style="font-size: 16px;
line-height: 26px;">
<div class="preamble" style="font-size: 16px;
line-height: 26px; margin-top: 16px;">
<div dir="auto" class="body markup"
style="font-size: 16px; line-height: 26px;
margin-bottom: 16px; text-align: initial; width:
100%; word-break: break-word;">
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;
margin-bottom: 0; margin-top: 0;"><em><span>Si
quiere leer la versión en español, pulse </span><a
href="https://substack.com/redirect/cdfa40b3-fafa-4adf-9324-d0a1c28e3aa4?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">aquí</a><span>.</span></em></p>
</div>
<hr style="background: #e0e0e0; border: none;
height: 1px; margin: 16px 0 0; padding: 0;"></div>
</div>
<div dir="auto" class="post typography"
style="font-size: 16px; line-height: 26px; padding:
16px 0 0 0;">
<div class="post-header" style="font-size: 16px;
line-height: 26px;">
<h1 class="post-title published"
style="-moz-osx-font-smoothing:
subpixel-antialiased; -webkit-font-smoothing:
subpixel-antialiased; color: #404040;
font-family: 'SF Pro Display', -apple-system,
BlinkMacSystemFont, 'Inter', 'Segoe UI', Roboto,
Helvetica, Arial, sans-serif, 'Apple Color
Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol';
font-size: 32px; font-weight: 900; line-height:
36px; margin: 0;"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=117003563&utm_source=post-email-title&isFreemail=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjExNzAwMzU2MywiaWF0IjoxNjgyNDI3MTE2LCJleHAiOjE2ODUwMTkxMTYsImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.5yhpE7yUk1DDFep6uMkFGHI0o-3RO1ioNcbudUhU-iQ"
style="color: #404040; text-decoration: none;"
moz-do-not-send="true">Do I need a spring
booster?</a></h1>
<table role="presentation" class="post-meta"
style="align-items: center; height: 20px;
margin: 1em 0;" width="100%" cellspacing="0"
cellpadding="0" border="0">
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<tr>
<td>
<table role="presentation" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<div
class="frontend-pencraft-Text-module__reset--20JLV
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frontend-pencraft-Text-module__color-primary--2I-sF
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frontend-pencraft-Text-module__meta--3RRSj custom-css-email-post-author"
style="color: #404040;
font-family: 'SF
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Emoji', 'Segoe UI
Symbol'; font-size:
11px; font-weight: 500;
letter-spacing: .2px;
line-height: 20px;
margin: 0;
text-decoration: unset;
text-transform:
uppercase;"><a
href="https://substack.com/redirect/87734c6d-0af0-42aa-8960-24582c61df24?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
style="color: #404040;
font-family: 'SF
Compact',
-apple-system,
-apple-system,
-system-ui,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple
Color Emoji', 'Segoe
UI Emoji', 'Segoe UI
Symbol'; font-size:
11px; font-weight:
500; letter-spacing:
.2px; line-height:
20px; margin: 0;
text-decoration: none;
text-transform:
uppercase;"
class="frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__size-11--1-ofT
frontend-pencraft-Text-module__line-height-20--1soeQ
frontend-pencraft-Text-module__weight-medium--aTbx5
frontend-pencraft-Text-module__font-meta--2i-cR
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frontend-pencraft-Text-module__transform-uppercase--38jbr
frontend-pencraft-Text-module__meta--3RRSj" moz-do-not-send="true">Katelyn
Jetelina</a></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<div
class="frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__size-11--1-ofT
frontend-pencraft-Text-module__line-height-20--1soeQ
frontend-pencraft-Text-module__weight-medium--aTbx5
frontend-pencraft-Text-module__font-meta--2i-cR
frontend-pencraft-Text-module__color-secondary--XjVGl
frontend-pencraft-Text-module__transform-uppercase--38jbr
frontend-pencraft-Text-module__meta--3RRSj" style="color: #808080;
font-family: 'SF
Compact', -apple-system,
-apple-system,
-system-ui,
BlinkMacSystemFont,
'Segoe UI', Roboto,
Helvetica, Arial,
sans-serif, 'Apple Color
Emoji', 'Segoe UI
Emoji', 'Segoe UI
Symbol'; font-size:
11px; font-weight: 500;
letter-spacing: .2px;
line-height: 20px;
margin: 0;
text-decoration: unset;
text-transform:
uppercase;"><time
datetime="2023-04-25T12:51:41.115Z">Apr
25</time></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
<td align="right">
<table role="presentation" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td style="vertical-align: middle;"><a
href="https://substack.com/redirect/87734c6d-0af0-42aa-8960-24582c61df24?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1cf8441-2181-452a-a5af-364eb49b32b5_828x1792.png"
style="border: none
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margin: 0px; max-width: 550px;
min-height: 40px; min-width:
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vertical-align: middle; width:
40px;"
class="custom-css-email-avatar
frontend-email-system-basics-module__avatar--1sRIo"
moz-do-not-send="true"
width="40" height="40"></a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
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style="border-bottom: 1px solid #e0e0e0;
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width="100%" cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr height="16">
<td style="font-size: 0px; line-height: 0;"
height="16"> </td>
</tr>
<tr>
<td>
<table role="presentation" width="100%"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<table role="presentation"
width="38"
cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=117003563&utm_source=substack&isFreemail=true&submitLike=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjExNzAwMzU2MywicmVhY3Rpb24iOiLinaQiLCJpYXQiOjE2ODI0MjcxMTYsImV4cCI6MTY4NTAxOTExNiwiaXNzIjoicHViLTI4MTIxOSIsInN1YiI6InJlYWN0aW9uIn0.FfomAWpj14vfGuTAS_O7ZzTLUkmCEINcvtwDRjCV-dk&utm_medium=email"
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width: 38px;"
class="email-icon-button"
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src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FLucideHeart%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
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alt=""
class="icon"
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width="18"
height="18"></a></td>
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</tbody>
</table>
</td>
<td style="min-width: 8px"
width="8"><br>
</td>
<td style="vertical-align:
middle;">
<table role="presentation"
width="38"
cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=117003563&utm_source=substack&utm_medium=email&isFreemail=true&comments=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjExNzAwMzU2MywiaWF0IjoxNjgyNDI3MTE2LCJleHAiOjE2ODUwMTkxMTYsImlzcyI6InB1Yi0yODEyMTkiLCJzdWIiOiJwb3N0LXJlYWN0aW9uIn0.5yhpE7yUk1DDFep6uMkFGHI0o-3RO1ioNcbudUhU-iQ&utm_source=substack&utm_medium=email"
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class="email-icon-button"
moz-do-not-send="true"><img
src="https://substackcdn.com/image/fetch/w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Ficon%2FLucideComments%3Fv%3D4%26height%3D36%26fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2"
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alt=""
class="icon"
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width="18"
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</tr>
</tbody>
</table>
</td>
<td style="min-width: 8px"
width="8"><br>
</td>
<td style="vertical-align:
middle;">
<table role="presentation"
width="38"
cellspacing="0"
cellpadding="0"
border="0">
<tbody>
<tr>
<td align="center"><a
href="https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly95b3VybG9jYWxlcGlkZW1pb2xvZ2lzdC5zdWJzdGFjay5jb20vcC9kby1pLW5lZWQtYS1zcHJpbmctYm9vc3Rlcj91dG1fc291cmNlPXN1YnN0YWNrJnV0bV9tZWRpdW09ZW1haWwmYWN0aW9uPXJlc3RhY2stY29tbWVudCIsInAiOjExNzAwMzU2MywicyI6MjgxMjE5LCJmIjp0cnVlLCJ1Ijo0Njc5OTMsImlhdCI6MTY4MjQyNzExNiwiZXhwIjoxNjg1MDE5MTE2LCJpc3MiOiJwdWItMCIsInN1YiI6ImxpbmstcmVkaXJlY3QifQ.cfSj1GkA2rHBECbsYjBD0Dfhh22ygbe-S8EO1z-3GXo?&utm_source=substack&utm_medium=email"
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width: 38px;"
class="email-icon-button"
moz-do-not-send="true"><img
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<td style="vertical-align:
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<table role="presentation"
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border="0">
<tbody>
<tr>
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<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;
margin-top: 0;"><span>The booster confusion in
emails I have received over the past week is
palpable. </span><em>Should I get a spring
booster</em><span>? </span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">This is
how I’m thinking about it. Hopefully it helps. </p>
<h4 class="header-with-anchor-widget"
style="-moz-osx-font-smoothing:
subpixel-antialiased; -webkit-font-smoothing:
subpixel-antialiased; color: #404040;
font-family: 'SF Compact Display',
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 1.125em; font-weight: bold;
line-height: 1.16em; margin: 1em 0 0.625em 0;
position: relative;">Level of urgency</h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">The
level of urgency for a spring booster should be
dependent on two things: </p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><em><strong>1.
Risk factors. </strong></em><span>Ninety
percent of people in the hospital “for” or
“with” COVID-19 do </span><em>not</em><span>
have a bivalent vaccine (i.e. fall booster).
This group has the highest level of urgency. </span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>If
you had the fall booster, you’re in pretty
good shape against acute severe disease. </span><em>Will
this change with time?</em><span> We don’t
know. The U.S. (and a handful of other
countries) don’t want to risk finding out, so
a spring booster is “permissible”. </span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>People
in the hospital today for COVID-19 are older
adults and/or those with a comorbidity. (If
you want to know why, read more </span><a
href="https://substack.com/redirect/ca64fbd0-2719-4829-9953-a15cff69fe95?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa; text-decoration:
none;" moz-do-not-send="true">here</a><span>.)
This means groups with the second highest
level of urgency for a spring booster are
those with a fall booster and: </span></p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;">Adults over 75 years; </p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;">Adults over the age of 65 years with a
comorbidity; and,</p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;">Moderate or severely
immunocompromised. </p>
</li>
</ul>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>If
you’re not in one of these groups, your level
of urgency is </span><em>significantly </em><span>reduced.
You could time a booster for maximum
protection. If I were over 65 </span><em>without</em><span>
a comorbidity, I would, especially since
wastewater concentration is </span><a
href="https://substack.com/redirect/f5416f32-825a-41c6-a475-f183eb532681?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa; text-decoration:
none;" moz-do-not-send="true">nosediving</a><span>.
For example, four weeks before a really big
event you don’t want to miss, like a wedding,
get a booster. Or wait to get a booster on the
chance that another variant of concern comes
(and get it right before a wave). </span></p>
<div class="captioned-image-container-static"
style="font-size: 16px; line-height: 26px;
margin: 32px auto;">
<figure style="margin: 0 auto; width: 100%;">
<table class="image-wrapper"
style="mso-padding-alt: 1em 0 1.6em;"
width="100%" cellspacing="0" cellpadding="0"
border="0">
<tbody>
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<td style="text-align: center;"><br>
</td>
<td class="content" style="text-align:
center;" width="1456" align="left"><a
class="image-link" target="_blank"
href="https://substack.com/redirect/efafda3a-b7b5-4e28-8215-20f76ed119a7?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="align-items: center;
border: none; display: block;
flex-direction: column; height:
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position: relative; text-decoration:
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data-attrs="{"src":"https://substack-post-media.s3.amazonaws.com/public/images/5dbbcb4b-f0fb-4c8b-b8a1-82b23a5fc9ba_2765x1220.jpeg","fullscreen":null,"imageSize":null,"height":642,"width":1456,"resizeWidth":null,"bytes":221734,"alt":null,"title":null,"type":"image/jpeg","href":null,"belowTheFold":true,"internalRedirect":null}"
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display: block; height: auto;
margin: 0 auto; margin-bottom: 0;
max-width: 100% !important;
vertical-align: middle; width:
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height="242.51373626373626"></a></td>
<td style="text-align: center;"><br>
</td>
</tr>
</tbody>
</table>
</figure>
</div>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><em><strong>2.
Timing. </strong></em><span>If you’re in
one of the urgent groups, the next question
is: </span><em>When was your last infection
or vaccine? </em></p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;">6+ months ago: Go get a spring booster
today. </p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;">4-6 months: Schedule one, but you
don’t need to rush to the pharmacy. </p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><4 months: Wait. But do not wait
until past May/June, so that you enough
runway time before the (anticipated) fall
vaccine. </p>
</li>
</ul>
<h4 class="header-with-anchor-widget"
style="-moz-osx-font-smoothing:
subpixel-antialiased; -webkit-font-smoothing:
subpixel-antialiased; color: #404040;
font-family: 'SF Compact Display',
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 1.125em; font-weight: bold;
line-height: 1.16em; margin: 1em 0 0.625em 0;
position: relative;">Potential individual-level
risks</h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>People
are wondering about risks of spring boosters.
The risks are small, especially when we
compare them to risks resulting from
infection. Perhaps the following risks should
really only be considered for those who are </span><em>not
</em><span>in the high-urgency groups above. </span></p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Myocarditis</strong></em><span>.
This is the biggest risk of COVID-19
vaccines but is really only a problem for
adolescents. (Benefits still outweigh
risks. There is also a risk of myocarditis
from COVID-19 infection.) </span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Flu vaccine.</strong></em><span>
There may be an </span><a
href="https://substack.com/redirect/0403416c-2a92-4463-9e23-c9ca42539adf?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">increased risk of
stroke </a><span>if you get flu and
COVID-19 vaccines at the same time. This
shouldn’t be a problem for your spring
decision. </span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Side effects</strong></em><span>.
Some people get their butt kicked from
side effects immediately after the
vaccine. Some just don’t have the ability
to be out of commission for a few days. </span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Imprinting</strong></em><span>.
We know imprinting is a thing with
COVID-19. And, we </span><em>should </em><span>expect
imprinting. (Read a deep dive </span><a
href="https://substack.com/redirect/8b0eb562-eba0-4016-b502-a8258265fd02?j=eyJ1IjoiYTEzdCJ9.fXnNfjqEHuJb90uhUC5MuKSqDSSONTVxMYyEVAne1uo"
rel="" style="color: #538cfa;
text-decoration: none;"
moz-do-not-send="true">here</a><span>.)
The biggest influence of imprinting occurs
after first exposure to the virus (through
vaccine or infection). We still don’t have
good evidence that imprinting is </span><em>harming
</em><span>protection, though. </span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height: 26px;
margin: 0; margin-bottom: 0; padding-left:
4px;"><em><strong>Unknown unknowns</strong></em><span>.
We simply don’t know the risks of
stimulating the immune system with 6 shots
in 2 years, too. There are always unknown
risks, albeit small.</span></p>
</li>
</ul>
<h4 class="header-with-anchor-widget"
style="-moz-osx-font-smoothing:
subpixel-antialiased; -webkit-font-smoothing:
subpixel-antialiased; color: #404040;
font-family: 'SF Compact Display',
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 1.125em; font-weight: bold;
line-height: 1.16em; margin: 1em 0 0.625em 0;
position: relative;">Bottom line</h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">Anyone
who hasn’t had a bivalent vaccine (i.e. fall
Omicron booster) needs to get one. If you have
your bivalent already, there is a spectrum of
urgency. Try not to overthink it too much. </p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">Love,
YLE </p>
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Local Epidemiologist (YLE)” is written by Dr.
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