“Is a COVID vaccine like antivirus software on my computer? Can it protect against potential threats?”

Do you really want a mRNA vaccine?

What really happens when you get either the Pfizer or Moderna COVID vaccines?

mRNA vaccines have been researched for 25 years. This is not an overnight sensation. Covid-19 virus just happened at the right time, which is why these vaccines could be developed so quickly.

So, what happens at the cellular level?

The genetic material of human cells is stored in our DNA. This DNA can only exist in the nucleus of cells, which makes the nucleus the home of all of our genetic material.  While DNA can only exist in the nucleus, every cell translates this genetic info into something called RNA when it leaves the nucleus. This process happens in our cells all the time. Thus, RNA never enters the nucleus. It just lives in the cell outside the nucleus. Therefore, RNA cannot change our genetic make-up.

There are different types of RNA. So called messenger RNA (mRNA) then translates its information and manufactures proteins. These proteins have a multitude of jobs in our body. When a person receives one of the two COVID mRNA vaccines, the protein produced is the spike protein that is also found on the actual virus – remember the illustrations of the virus with its many spikes that are supposed to resemble a crown. As a result of the foreign protein, our body makes antibodies against those spike proteins.

Most of the antibody production happens in our immune system where our lymph nodes and spleen play an important role; think of the swelling of lymph nodes in our necks due to a strep throat infection or an enlarged spleen when adolescents have infectious mononucleosis.

When you get an intramuscular injection of mRNA, the muscle tissue at the site of the injection and the corresponding lymph nodes (if given in the arm, the lymph nodes in your armpit), the spleen and to some extent the liver make the COVID virus spike protein. The majority of the spike protein is produced in the first 2-3 days after injection. After a few days routine mechanisms in our cells shut down the mRNA and thus the spike protein production stops. mRNA only survives for a short time. Our immune system then makes antibodies against the COVID virus spike proteins. Since only the spike proteins are produced, the vaccine cannot cause disease.

When the vaccinated person then encounters the real, live COVID virus, our immune system recognizes the spike protein on the actual virus and mobilizes the antibodies, which were produced when you received the vaccine.  Those antibodies are ready to help you fight the infection.

If you have any questions, please feel free to reach out.

Petra Hackenberg-Bauer, MD

Petra H. Hackenberg-Bauer, MD

Have more questions? Contact our office today!

We want to ensure that our patients remain well informed when it comes to COVID-19 and the COVID-19 vaccine. If you have more questions about how you and your family can stay safe during the pandemic, call our pediatric office at (513) 232-8100 today!

Children’s Mental Health Awareness Week

Children’s Mental Health Week is in full swing.  This year’s theme is Express Yourself. This theme is about finding ways to share feelings, thoughts, or ideas, through creativity.

Emotional Intelligence is a critically important skill to develop in our kids.  At Anderson Hills Pediatrics, we want to support you in developing these skills in your children for their overall wellness.  We want to help our kids understand a range of emotions, what emotions feel like in their body, the purpose of those emotions, and healthy ways to manage them.  Kids with a solid Emotional IQ have better relationships with others, feel more confident navigating interpersonal conflicts, and are more confident in themselves.

Below are a few resources that Caitlin, LPPC-S, our behavioral health counselor, recommends as options to help you and your family spend time on emotional health and understanding. We hope these will help you and your family!

Games and Activities:

Books:

  • The Way I Feel, by Janan Cain
  • Giraffes Can’t Dance, by Giles Andreae and Guy Parker-Rees
  • When Sophie Gets Angry – Really, Really Angry, by Molly Ban
    Visiting Feelings, by Lauren Rubenstein
  • Wemberly Worried, by Kevin Kenkes
  • Crazy Hair Day, by Barney Saltzberg
  • Love, Hugs, and Hope: When Scary Things Happen, by Christy Monson
  • The Invisible String, By Patrice Karst and Joanne Lew-Vriethoff
  • Sitting Still Like a Frog: Mindfulness Exercises for Kids (and their parents), by Eline Snel
  • What to Do When Your Temper Flares: A Kid’s Guide to Overcoming Problems with Anger, by Dawn Huebner

If you have concerns about your child’s emotional or behavioral health, please call us to schedule a mental health assessment with Caitlin Geiser, LPCC-S.  Remember, your child’s physical and  mental/emotional health are important to us!

1B Vaccines for Patients 16 & Older

COVID vaccines for phase 1B are beginning. Phase 1B includes any patients over age 16 with severe congenital, developmental, or early onset medical conditions. Unfortunately, we do not have vaccines in our offices to provide to you/ your child just yet. However, eligible patients are still encouraged to search for a vaccine provider on the Ohio Department of Health (ODH) website by clicking HERE.

Until vaccines are more widely administered, we will continue to do our part to slow the spread by social distancing, wearing our masks, washing our hands, etc. Please help us in doing the same!

Request an Appointment at our Pediatric Clinic

If you have any questions, our team is here for you! Give us a call at 513-232-8100 or send us a non-urgent message through the Patient Portal.

 

COVID-19 VACCINE WAITLIST

Anderson Hills Pediatrics had previously applied for vaccines though the Ohio Department of Health for our team and those patients that are of eligible age to receive them. We have been approved for and are expecting we will be able to offer the Moderna vaccines to patients 18 years and older. We are still anxiously awaiting a date in which we will receive doses for patients. We are expecting that date to be late spring or early summer, but of course are hoping that will be sooner!

Interested in having your patient included on our COVID vaccine waitlist? You may do so by signing-up and choosing “COVID-19 Vaccine” as your reason for visit. Once vaccines are available, we will contact those on our waitlist for our COVID vaccine clinics.

At this time, we ask that only patients only 18 years or older add to the waitlist. 

For patients under the age of 18, trials are currently underway for children and adolescents now. There is hope that some children may be able to receive the vaccine prior to the 2021-2022 school year. Healthy Children has a great resource article with more information on this topic that we have linked for you.

We will share more information with you on when/where children under the age of 18 can receive vaccines as it becomes available to us.

 

COVID Vaccine Q&A

UPDATED 1/24/2021

The COVID-19 vaccine has been shown to decrease the severity of illness in people who catch this virus. Having a significant portion of Ohioans vaccinated will help us prevent serious hospitalizations and death.

WHEN WILL OUR OFFICE GET THE COVID-19 VACCINE?

We have been approved to receive them through the state.  They are doing the best they can to distribute them to the highest risk population first.  We hope to get them soon and will make them immediately available prioritizing with our staff in direct patient care and then to patients as our supplies increase.

WHY SHOULD I GET THE VACCINE?

It’s true that most people who get COVID-19 are able to recover. Some develop severe complications. Because the disease can damage the lungs, heart and brain, it may also cause long-term health problems that experts are still working on.  Another reason to get it is that it protects those around you.  Even if COVID-19 doesn’t make you very sick, you could pass it on to someone else who might be more severely affected.  Widespread vaccination is important to end the pandemic.

WHAT IS THE COVID-19 VACCINE EFFECTIVENESS?

Evidence shows that COVID-19 vaccines are safe and work to prevent COVID-19. Of the first two vaccines to be granted FDA emergency use authorization, the Pfizer-BioNTech vaccine was 95% effective and the Moderna vaccine was 94% effective in phase 3 clinical trials with more than 70,000 participants between the two studies. Although the COVID-19 vaccines have been developed recently, the technology used in mRNA vaccines, like those developed by Pfizer-BioNTech and Moderna, has been studied for decades.

WILL I HAVE TO GET THE VACCINE YEARLY LIKE THE FLU?

While research to determine how long the immune response will last with the vaccine is still under way, studies have shown they believe it could be effective up to 12 months.

WILL THERE BE A COMBINATION FLU AND COVID VACCINE?

Currently there is not a combination vaccine but research is in the works for a combined influenza/COVID-19 vaccine.

WILL THE VACCINE GIVE ME COVID-19?

Vaccines prime your immune system to recognize and fight off the disease, but they don’t cause an infection.  When the genetic material mRNA enters your cells, it instructs them to make a piece of the “spike” protein that’s present on the coronavirus that causes COVID-19. Those protein pieces don’t harm your body, but instead trigger your immune system to mount a response to fight them off.

WHAT ARE THE SIDE EFFECTS OF THE COVID-19 VACCINE?

Side effects are minimal. The most common side effects include fatigue, headache, soreness or redness at the injection site, and muscle or joint pain, and should not prevent you from getting a vaccine that can prevent you from catching or spreading this deadly virus.

IF I HAVE AN AUTOIMMNUNE DISEASE, CAN I GET THE VACCINE?

Yes! Neither Pfizer nor Moderna are live vaccines.  The mRNA is short lived and Its degradation is due to RNAse, not our immune system.  Regardless of our immune status, the mRNA does not integrate into our DNA.

CAN THE VACCINE TRIGGER AN AUTOIMMUNE RESPONSE?

We always worry about this with a new vaccine but so far we have not seen an issue with triggering autoimmune disease.

WILL THE VACCINE WILL ALTER MY DNA

FALSE. The vaccines DO NOT change your DNA. For all four COVID-19 vaccines under development (Pfizer, Moderna, AstraZeneca and Janssen), the main function is to bring messenger RNA, also known as mRNA, into a part of our cell called the cytoplasm. The genetic material known as DNA is in the nucleus of our cells. There is a wall around the nucleus that prevents RNA from getting into the nucleus. Thus, the vaccines have no ability to change our DNA. Also, the mRNA used in these vaccines    only lasts in our cytoplasm for a few days, and then our body destroys it. So, the mRNA does its job of having our body make a harmless piece of the spike protein in COVID-19, and then our body starts an immune response against the spike protein. This immune response is what protects us against being infected by COVID-19.

DO COVID-19 VACCINES CONTAIN HUMAN STEM CELLS?

FALSE. None of the vaccines contain human cells. The Pfizer and Moderna vaccines are pure mRNA that was made in the lab. This process does not use any cells at all. The AstraZeneca and Janssen vaccines use an adenovirus to bring the spike protein gene to our cells. Viruses need to grow in cells. After the    adenovirus used in the AstraZeneca and Janssen vaccines are grown, the virus is collected from the    cells and purified. So there ONLY is virus, NO human cells, in the AstraZeneca and Janssen vaccine. The initial cell line for the AstraZeneca vaccine came from human embryonic kidney cells. However, those cells were obtained over 60 years ago. There are NO human cells in the finished product of either the AstraZeneca or Janssen vaccine.

WHAT IS THE AGE LIMIT TO RECEIVE THE VACCINE?

The Pfizer-BioNTech vaccine is currently recommended for patients age 16 and up, and the Moderna vaccine is currently recommended for patients age 18 and up. As more information becomes available on children and COVID-19 vaccines from the FDA, CDC, and vaccine manufacturers, it will be made available at coronavirus.ohio.gov/vaccine. There are current vaccine trials occurring on children younger than these ages, but we do not know when a vaccine for children will widely be approved and available.

HOW MANY DOSES WILL BE NEEDED?

Both Pfizer and Moderna require TWO from the same manufacturer. Pfizer second dose is 21 days after the first. Moderna second dose is 28 days after the first. These are recommended intervals with a 4-day grace period.

WHAT IF I ALREADY HAD COVID – DO I STILL NEED THE VACCINE?

Yes, COVID-19 vaccination will be offered to you regardless of whether or not you already had COVID-19. You will not be required to have an antibody test before you are vaccinated. However, anyone currently infected with COVID-19 should wait to get vaccinated until after their illness has resolved and after they have met the criteria to discontinue isolation.

Additionally, current evidence suggests that reinfection with the virus that causes COVID-19 is uncommon in the 90 days after initial infection. Therefore, people with a recent infection may delay vaccination until the end of that 90-day period if desired.

CAN I GET THE VACCINE IF I’M IMMUNOCOMPROMISED?

YES.  The mRNA vaccines (Pfizer and Moderna) are not “live” vaccines and thus immunocompromised individuals are at no greater risk from these vaccines than any other person. While neither the Astra Zeneca nor Janssen vaccine use adenoviruses that can grow in our body, they are “live.” Thus, while we have no reason to think either the Astra Zeneca or Janssen vaccines are of increased risk to people with immunocompromising conditions, it would be best to discuss with you doctor if one type of the COVID19 vaccine may be better for you

WILL THE VACCINE PROTECT AGAINST THE NEW COVID-19 VARIANT (COVID-20)

Viruses frequently change through mutation, and new variants of a virus are expected to occur over time. Multiple variants of the virus that causes COVID-19 have been documented in the United States and globally during this pandemic. Most variants do not change how the virus behaves, and many disappear. There is no evidence that these variants cause more severe illness or increased risk of death. Public health officials are also studying if variants are detected by currently available viral tests, and if they respond to medicines being used to treat COVID-19 patients.

The CDC’s recommendations for slowing the spread remains — wearing masks, staying at least 6 feet apart from others, avoiding crowds, ventilating indoor spaces, and washing hands often — will also help prevent the spread of this variant.

CAN WE TRUST THE VACCINES SINCE IT WAS RUSHED?

The first vaccines for COVID-19 do involve new technology, and they were developed in record time. However, this was not due to shortcuts in the vaccine development process. The new technology is called messenger RNA, or mRNA. While this is the first time it’s being widely used in a vaccine for the public, researchers have actually been working on this vaccine strategy for more than three decades.

The companies put their vaccines through rigorous clinical trials involving tens of thousands of volunteers.  The FDA follows the volunteers for up to two years after receiving the vaccines to make sure, they are safe and effective.  Because it was put out so fast, data was closely scrutinized from those trial to ensure efficacy.

CAN OTHER VACCINES PROTECT ME FROM COVID-19?

Other vaccines, such as those for flu, measles, or other diseases, will not protect you from COVID-19. Only the vaccines designed specifically to protect you from COVID-19, once approved for use by the FDA, can prevent COVID-19. While a flu vaccine will not prevent you from getting COVID-19, it can prevent you from getting influenza (flu) at the same time as COVID-19. Because the flu viruses and the virus that causes COVID-19 will both be spreading during this time, getting a flu vaccine will be more crucial than ever.

WHAT IS THE DIFFERENCE BETWEEN EMERGENCY USE AUTHORIZATION (EUA) AND APPROVAL FROM FDA?

An Emergency Use Authorization (EUA) authorizes the use of an unapproved medical product, or unapproved use of an approved medical product, for use during a public health emergency if the benefits of its use outweigh any known or potential risks. Both Pfizer-BioNTech and Moderna’s COVID-19 vaccines have been granted EUA following rigorous review. The EUAs are valid until the pandemic is over, the FDA revokes the EUAs, or the products are approved for traditional licensure by the FDA. The FDA closely monitors each vaccine for safety after the EUA is issued. Drug manufacturers are encouraged to obtain traditional FDA licensed vaccine approval as soon as possible.

WILL I HAVE TO PAY FOR THE VACCINE?

If you choose to get a COVID-19 vaccine, you will not have to pay. Vaccine doses purchased with taxpayer dollars will be given to Ohioans who choose to receive them at no out-of-pocket cost. Vaccine providers will be able to charge an administration fee for giving the shot to someone, so you may still receive a bill for the work a clinical team member did in providing the vaccine.

Like most of COVID-19 related billing, these services may be covered differently at some point in the future. It is always important to check with your insurance company regarding what services they cover.

WHEN CAN I STOP WEARING A MASK AND AVOIDING CLOSE CONTACT?

There is not enough information currently available to say if or when the CDC will stop recommending that people wear masks and avoid close contact with others to help prevent the spread of the virus that causes COVID-19. Experts need to understand more about the protection that COVID-19 vaccines provide before making that decision. Other factors, including how many people get vaccinated and how the virus is spreading in communities, will also affect this decision.

DOES IMMUNITY AFTER GETTING COVID-19 LAST LONGER THAN PROTECTION FROM COVID-19 VACCINES??

The protection someone gains from having an infection (called natural immunity) varies depending on the disease, and it varies from person to person. Since this virus is new, we don’t know how long natural immunity might last. Current evidence suggests that reinfection with the virus that causes COVID-19 is uncommon in the 90 days after initial infection.

Regarding vaccination, we won’t know how long immunity lasts until we have a vaccine and more data on how well it works.

Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are trying to learn more about, and CDC will keep the public informed as new evidence becomes available.

CAN I RECEIVE THE VACCINE IF I AM BREASTFEEDING?

There is no data on the safety of COVID-19 vaccines in lactating women or on the effects of mRNA vaccines on the breastfed infant or on milk production/excretion. mRNA vaccines are not thought to be a risk to the breastfeeding infant. People who are breastfeeding and are part of a group recommended to receive a COVID-19 vaccine, such as healthcare personnel, may choose to be vaccinated.

DOES THE COVID VACCINE AFFECT FERTILITY?

No. This is a myth that was first put on several social media platforms. According to a report by the US Food and Drug Administration (FDA), 23 women became pregnant while participating in Pfizer’s mRNA vaccine clinical trial. Out of the 12 pregnant individuals who received the vaccine, there were no reported adverse events such as miscarriages. In the 11 who received a placebo, 2 cases of adverse effects were reported. The American College of Obstetrics and Gynecology (ACOG) has said that pregnancy is not a reason to avoid vaccination.

HOW LONG AFTER RECEIVING OTHER VACCINES CAN I GET THE COVID VACCINE, OR VICE-VERSA?

You must wait a minimum of 14 days after receiving any other vaccines before you can get your COVID Vaccine.

 

 

 

 

 

 

Happy Holidays

From your Anderson Hills Pediatrics team, we want to wish you Happy Holidays!

We know that this season will continue to look very different for many of you, your children, family and friends. We want your winter holidays to be as enjoyable this year as it has in years’ past!  The final weeks of 2020 may be the most important of this year. Holiday celebrations with multiple sides of families and friends within short periods of times are known to be super spreader events. We want to do our best to ensure your child or children and family stay healthy through this season.

How can you celebrate safely this year? Below are a few tips that still apply for this holiday season. 

  • Prepare and enjoy a meal with those in your household.
  • Create a virtual meal or gathering with those outside of your home.
  • Enjoy parades, sporting events and holiday movies by watching at home.
  • If the weather cooperates, we encourage you to celebrate outdoors.
  • Continue to wash hands regularly, when they are soiled, before and after prepping food, and before and after eating.
  • While we don’t suggest gatherings outside of the household, if you choose to do so, we encourage you to keep the group size under 8 and no more than 2 households combining.  

Finally, we wanted to make you aware of a few changes in our operating hours during the holidays. The Anderson Office is open with normal business hours except for December 24th and 31st. On those dates, we will be open for ill appointments between 8:00AM -12:00PM. Our Amelia Office will be closed on December 24th, 25th, 31st and January 1st. We will also continue to have a nurse or physician available by phone 24/7 at 513-232-8100.

Below are also a few other resources we hope help you and your family navigate through this unprecedented this holiday season.

Thank you to you, our patients, for providing a 2020 to be remembered. We a grateful for all of the positive experiences we have had with you this past year, and are looking forward to many more in 2021. We wish you a safe and comforting holiday season and a happy new year!

COVID-19 Vaccine Updates

Anderson Hills Pediatrics continues to monitor and assess COVID-19 vaccine information as it becomes available. Our main priority has always been to make sure of  the safety of our patients, our team, and physicians.

The COVID vaccine manufactured by Pfizer received Emergency Use Authorization (EUA) from the FDA, but it is not yet available to the general public and not approved for patients under the age of 16 years. The initial vaccines were shipped in limited quantities for high-risk healthcare workers, first responders, and long-term care facility residents.

While we have applied for vaccines with the Ohio Department of Health, we currently do not have any vaccines available at our offices. While we did apply for vaccines, we also do not have a timeframe in which those may be arriving or how many we might receive. We do know that supplies are limited, so the vaccine will be distributed to the community in phases based on risk of exposure and disease severity, as outlined by the CDC. General public vaccine availability will be determined based upon how rapid vaccine doses can be produced and distributed. We have heard that this may be around Spring/Summer of 2021.

For more information regarding the  COVID-19 vaccination, you can visit cdc.gov

Thanksgiving Safety Tips

“I have seen COVID cases in the office every day this week, which is a crazy uptick since Halloween. Yes, most children handle COVID very well, BUT NOT ALL.

PLEASE listen to the scientists and don’t break your bubble to celebrate Thanksgiving. You will be sharing more than you intend unless you are able to celebrate outdoors with masks and social distancing.

The consequences for your loved ones are just not worth it. I have listened to many stories of regret this week.

PLEASE listen to your local public health officials!” – Dr. Hackenberg-Bauer

For many of us, Thanksgiving is about getting together with our loved-ones to enjoy time together, remember all we have to be grateful for, and share a meal. However, the COVID-19 pandemic has caused quite the uptick in illnesses over the past several weeks, and a key reason is due to small household gatherings.

We want your Thanksgiving to be as enjoyable this year as it has in years’ past! We also want to do our best to ensure you child or children and family stay health through this and the holiday season.  How can you celebrate safely this year? Below are a few tips for Thanksgiving traditions that we hope will help you in planning and celebrating next week.

  • Prepare and enjoy a Thanksgiving meal with those in your household.
  • We have gotten good at virtual learning over the past year! Use that skill to create a virtual meal or gathering with those outside of your home.
  • Enjoy parades, sporting events and holiday movies by watching at home.
  • If the weather cooperates, we encourage you to celebrate outdoors.
  • Continue to wash hands regularly, when they are soiled, before and after prepping food, and before and after eating.
  • While we don’t suggest gatherings outside of the household, if you choose to do so, we encourage you to keep the group size under 8 and no more than 2 households combining.

Below are also a few other resources we hope help you and your family navigate through this unprecedented this holiday season!

Annual Food Drive

We feel it is important to take steps in providing support and service to our community. Each year we host a food drive at our offices to collect items needed by the Inter Parish Ministry.

Due to this year’s pandemic, we did not feel safe collecting items in our offices. However, we still want to give back! Our offices and teams will be contributing virtually this year to IPM. If you have the means to do so, we encourage you to join us by clicking the link below.

Donate Here

Thank you for joining us in this year’s food drive!

 ADHD Awareness

October is ADHD Awareness Month!

Attention Deficit Hyperactivity Disorder (ADHD) affects over 9% of school-aged children. Boys are also diagnosed with ADHD two times more often that girls. ADHD is a chronic condition that makes it difficult for children (and even adults) to manage their behaviors. ADHD is characterized by 3  groups of behavior symptoms that are inattention, hyperactivity, and impulsivity. If left untreated, ADHD can lead to life-long issues and challenges for these individuals.

Below are a few resources that Caitlin, LPPC-S, our behavioral health counselor recommends as options to help parent your child with ADHD. We hope these will help you and your family!

Cincinnati Parenting Groups and Webinars:

  • Information regarding the Cincinnati Children’s Hospital Medical Center ADHD group, schedule and registration can be found here.
  • Webinars and Events with CHADD –  Event Calendar

Curious if your child may have ADHD or need additional support with their already diagnosed condition? Our team of physicians and behavioral health counselors are here to help! Do not hesitate to give us a call at (513) 232-8100 to discuss options for your child’s care.

Photo Credit: CHADD

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