Kids and the COVID-19 Vaccine: What Parents Need to Know

The COVID-19 vaccine is now available to children ages 5 to 11. Here’s what parents and children need to know about the safety and effectiveness of the vaccine, the possible side effects, and the benefits of getting vaccinated.
 
We Recommend the COVID-19 Vaccine for Children Age 5-11
 
On November 2, 2021, the Pfizer COVID-19 vaccine was authorized for emergency use for children ages 5-11. It is a 2-dose series taken three weeks apart. Each dose will be 1/3 the dosage of the adolescent/adult vaccine.  
 
The vaccine for children ages 5-11 years is effective:
·    90-100% effective in clinical trials.
·    There were no severe cases of COVID-19 in clinical trials.
·    The vaccine works against Delta and other known variants of concern.
 
IHA Pediatrics has been vaccinating children ages 12 and up since May of 2021, and we have confidence that the Pfizer COVID-19 vaccine is safe and effective for our patients. As of October 2021, more than 11.1 million adolescents have been vaccinated against COVID-19 with the Pfizer COVID-19 vaccine. 

Vaccine Appointment Available

IHA Pediatrics is now offering COVID-19 vaccines to current patients aged 5-11 however, availability may be limited. 
 
We are working quickly to begin vaccinating our younger patients and will share more information on how to schedule your child’s COVID-19 vaccine in the coming days. Please continue to check our website and social media for the latest updates. If your child has an appointment scheduled at IHA Pediatrics in the next few weeks and is eligible for the COVID-19 vaccine, please ask for it at your appointment.
 
We also encourage you to search vaccines.gov to enter your zip code and easily find locations where vaccines are available. 
 
Don’t Forget the Flu Vaccine! 
It is more important than ever to stay healthy and protect yourself against preventable illnesses. It is safe to receive the flu vaccine at the same time as the COVID-19 vaccine. 

Top Ten Questions Parents Ask about the COVID-19 Vaccine

Should I worry the vaccine is too “new”? No.

As of October 2021, more than 6.63 billion doses of the COVID-19 vaccine have been given worldwide, with more than 416 million doses in the United States. For adolescents alone, over 11 million doses of the COVID-19 vaccine tell us that this vaccine is no longer “new.” Scientists and pediatricians feel confident in the safety of the COVID-19 vaccine. Waiting puts you at higher risk for infection and illness.

The vaccine got to us fast due to: 

  • The vaccine research for mRNA started in 1961 and, in the last decade specifically, was focused on SARS.
  • The vaccine was released more quickly than other vaccines because the production started before the clinical trials. This was due to the pandemic, which provided funding and resources to make that happen.  
  • Due to high disease rates in our community during vaccine development, we didn’t have to wait for a minimum number of cases for clinical trials, as is standard with vaccine development. 

Will we need booster shots every year? We don’t know yet.

It depends on how many people get vaccinated and if the virus continues to spread and change. As the population becomes vaccinated, we reduce the spread of the virus, which helps to prevent it from continuing to change. We won’t need boosters if we are reducing and eliminating variants of COVID-19.

Does it affect puberty or fertility? No.

Based on our knowledge of mRNA, we are confident that the COVID-19 vaccine will not have long-term effects on puberty or fertility. mRNA cannot integrate with DNA or alter cells. 

  • Vaccine ingredients are cleared from the body quickly. mRNA is fragile and breaks down within 72 hours after injection. Ingredients do not linger in the body. 
  • Thousands upon thousands have gotten pregnant after receiving the COVID-19 vaccine. 
  • mRNA vaccine is not made up of COVID-19. It is only the protein. 
  • There are reports of menstrual cycle changes after the COVID-19 vaccine. This is due to the body mounting an immune response and a temporary side effect, like a fever. 

What are the most common side effects for children? They can vary but are minimal.

  • Side effects that have been reported are mild to moderate such as fever, fatigue, headache, chills, diarrhea, or muscle aches.
  • More children reported side effects with the second dose compared to the first dose.
  • Rare side effects can happen, such as swollen lymph nodes or skin sensitivity, but these are not long-term and resolved in most cases in a few days. 

How do we know about long-term side effects? Decades of research.

Based on our knowledge of mRNA and the human body, we don’t expect long-term side effects since it breaks down in the body in 72 hours.  

  • As with all vaccines, including the COVID-19 mRNA vaccines, concerning side effects have occurred 6-8 weeks after injection. Vaccine development is based on decades of research. Scientists have done a rigorous review of all available data before approving for children. Our history of science tells us that if there are no side effects in those first few weeks, we are confident that concerns that arise with any patient decades later are unlikely to be related to any vaccine.  
  • mRNA cannot be converted to or inserted into DNA. It’s not scientifically possible. 

How common is myocarditis for children after vaccination? Extremely rare.

​​​​Myocarditis means “inflammation of the heart muscle.” This can happen due to the robust immune response the vaccine can have on your body.

  • It is very rare, about 26 cases per 1 million.
  • Myocarditis has occurred rarely in some people following the mRNA COVID-19 vaccines, typically within a week after the second dose.
  • The risk is highest in males 12–29 years of age.
  • The risk of myocarditis after the mRNA COVID-19 vaccine is lower than the risk of myocarditis from the actual COVID-19 virus in adolescents and adults.
  • When myocarditis occurs in those with COVID-19 infection, it is more common, severe, and lasts long-term.
  • No cases of myocarditis were reported in the vaccine clinical trial among ~3000 children, ages 5–11 years.
  • Symptoms of myocarditis are most commonly chest pain, difficulty breathing, or a fluttering heartbeat.
  • Adolescents who have had this rare side effect are monitored closely. Most make a full recovery in 3-4 weeks by using anti-inflammatory medications like ibuprofen.
  • No children have died of myocarditis after the COVID-19 vaccine.

My child had COVID. Do they need the vaccine? Yes.

  • We know that “natural immunity” can be high at first. However, protection can drop off quickly or change based on circulating variants.
  • Getting a vaccine, even for those who have already had COVID-19, strengthens your immune response.
  • If you had COVID-19 once, it is possible to get a different strain again. The immune response after infection is not as focused. Evidence shows the vaccines protect you longer and for all the variants to date.
  • Most importantly, the vaccine gives protection and prevents hospitalization for several of the COVID variants. 
  • Your child can get the COVID-19 vaccine once they are out of quarantine. There is no “waiting period,” as another strain may come, and the vaccine will protect from getting hospitalized. 

Can children become very sick with COVID? Yes.

COVID-19 disease in children can range from no symptoms to severe illness. 

  • As of October 2021, over 6.3 million COVID-19 pediatric cases have been reported.
  • Only 43% of children under 12 have natural immunity.
  • 30% of hospitalizations for children with COVID-19 had no underlying medical conditionsAs of October 2021, there were 5,217 MIS-C cases linked to COVID-19 in children. This multi-organ system effect makes children extremely ill and requires hospitalization, often in the ICU. 
  • Long COVID, or lingering COVID-19 symptoms, can lead to learning problems, heart problems, exercise fatigue with sports, and respiratory issues. This has been reported in about 8% of children who have had COVID-19. 
  • Since the pandemic began, over 600 pediatric deaths due to COVID-19 have been reported. It is now a top 10 cause of death for children in the United States. 

What are the ingredients? Put simply, it’s fat, salt, electrolytes, and sugar.  

  • Lipids are the “fatty layer” that protects the delicate mRNA so it has time to work before getting chopped up. Polyethylene glycol (PEG), the most famous lipid, is also the main ingredient in MiraLAX (which you know about if your child has ever been constipated).
  • The ingredients are only just salt, some electrolytes, mRNA, fat, and sugar. These ingredients help keep the vaccine stable and are natural preservatives.

Is there less quarantine from school, sports, or activities if vaccinated? Yes.

  • This pandemic has been traumatizing, especially for children. Their lives were abruptly disrupted in March 2020, and their mental and physical health has suffered. Anxiety and depression rates are up. 
  • Based on the State of Michigan’s current guidelines, students who are vaccinated and exposed to COVID-19 can remain in school and wear a mask.  
  • We know that less quarantining will only benefit all children.

Hiring In-home services or repairs

Source: Centers for Disease Control

CDC offers the following tips for staying safe and slowing the spread of COVID-19 while scheduling services or repairs inside the home. This may include installation and repair of plumbing, electrical, heating, or air conditioning systems; painting; or cleaning services.

In general, the closer and longer you interact with others, the higher the risk of COVID-19 spread. Limiting close face-to-face contact and staying at least 6 feet away from other people is the best way to reduce the risk of COVID-19 infection, along with wearing masks and practicing everyday preventive actions. Before welcoming service providers into your home, consider these tips to help keep you, your family, and the service provider safe during in-home services or repairs:

BEFORE THE VISIT

  • Check with your local health department to see if there is a stay-at-home order in your state or local community that restricts non-essential activities or services. If a stay-at-home order is in effect in your community, consider if the service request is essential or if it can be delayed.
  • If you or someone in your home has COVID-19, has symptoms consistent with COVID-19, or has been in close contact with someone who has COVID-19, wait to schedule non-emergency services that require entry into your home until it is safe to be around others.
  • If you or someone in your home is at higher risk for severe illness from COVID-19, such as older adults or those with underlying medical conditions, consider not being inside the home during the service, or find someone else who can be in the home instead.
  • Do as much of the pre-service consultation as possible before the service provider arrives, to reduce the amount of time the service provider spends inside your home. For example, discuss the details of the service request on the phone or by email, and send pictures ahead of time.
  • Discuss any COVID-19 precautions the service provider is taking, including the use of masks for the duration of the service visit, any pre-screening procedures (such as temperature checks) and using the restroom during the service call.


DURING THE VISIT

  • Do not allow service providers to enter your home if they seem sick or are showing symptoms of COVID-19.
  • Ask the service provider to wear a mask before entering your home and during the service visit. Also, you and other household members should wear a mask. Consider having clean, spare masks to offer to service providers if their cloth face covering becomes wet, contaminated or otherwise soiled during the service call.
  • Avoid physical greetings, for example, handshakes.
  • Minimize indoor conversations. All conversations with the service providers should take place outdoors, when possible, and physically distanced indoors, if necessary.
  • Maintain a distance of at least 6 feet from the service provider, and limit interactions between the service provider and other household members and pets.
  • During indoor services, take steps to maximize ventilation inside the home, such as turning on the air conditioner or opening windows in the area.


AFTER THE VISIT

  • If possible, use touchless payment options or pay over the phone to avoid touching money, a card, or a keypad. If you must handle money, a card, or use a keypad, wash your hands with soap and water for at least 20 seconds or use hand sanitizer with at least 60% alcohol after paying.
  • After the service is completed, clean and disinfect any surfaces in your home that may have been touched by the service provider.

If you have symptoms of COVID-19 and need to be tested, Save Your Spot at Fever and Upper Respiratory Illness Clinic at an IHA Urgent Care near you.

Kid’s Mental Health

How to help your children navigate anxiety and depression brought on by COVID-19

As we head into the final month of summer, the effects of the COVID-19 vaccine surround us as life begins to feel more normal. For many children and adolescents, it’s a time to get back to sports and activities, hang out with friends and family, and soon return to school. Unfortunately, re-entry into “normal” is not as easy as it may seem for many youth in our community. Fifteen months of social isolation during the pandemic has magnified issues in children and adolescents who have struggled with anxiety and depression.

There have been studies regarding the relationship between loneliness and mental health in healthy children and adolescents. We know social isolation and loneliness can increase the risk of depression even a decade later. Throughout the country, pediatricians are concerned that the loneliness experienced during the COVID-19 pandemic will likely affect the future mental health of our youth.

Patrick Gaulier, Senior Clinical Social Worker at IHA WestArbor Pediatrics, notes that “many adolescent patients have talked about feeling isolated and separated from their friends and other supportive groups.” Children and teens have turned to social media as their primary source of maintaining a connection with their peers. In many cases, this online-only environment has ended friendships which, in turn, causes many adolescents to become reluctant to return to in-person learning. During a recent appointment, Patrick recalls a 10-year-old describing deeply disliking in-person learning because he “doesn’t know anyone anymore” and worries he will not be able to make friends again.  

What to look for

With the return to activities, symptoms of anxiety or depression could show up at any point. Some children may initially seem fine, with parents noticing signs several weeks later. Other children will exhibit symptoms right away. Not all children will be able to express their feelings of depression or anxiety in an obvious way. Instead, they will show complaints of physical symptoms or behavior changes. Parents and guardians should learn to recognize signs of mental illness, as it isn’t always obvious. Children and adolescents may express their worries through behaviors such as withdrawal from family and friends, irritability, argumentativeness, and aggression. Some may try to avoid activities that they previously enjoyed. Or, they may show physical symptoms like stomach aches or headaches. 

How to help the children and teens in your life

Checking in with kids about their mental health may be one of the most important things we do to help our youth out of the COVID-19 pandemic. Sometimes, it’s as easy as saying, “Hey, I see you are having a hard day today. Is something making you worried?” 

Encouraging children and adolescents to participate in physical activities and spend time outdoors with peers is an excellent step in helping improve physical and mental health. Kids will experience positive emotional benefits with increased safe socialization as we continue to vaccinate and cases continue to decrease. 

Of course, when in doubt, you should always reach out to your child’s pediatrician. Pediatricians routinely evaluate patients for mental health concerns. They can make recommendations such as healthy lifestyle changes or connect you with a mental health professional who has experience and expertise in treating children. 

We cannot ignore the negative impacts on mental health on the development of children and adolescents during the COVID-19 pandemic. We know that parents, family, friends, pediatricians, and therapists can all help address the mental health needs of children and adolescents. The earlier we intervene for our youth, the better chance we have of making a positive impact. If you would like to speak to a pediatrician about your child’s mental health, IHA Pediatrics is available for same or next-day appointments in-person or via video to determine the next steps. More information can be found online at then link below.

Kids and the COVID-19 Vaccine

What parents want to know

The U.S. Food and Drug Administration (FDA) has approved the Pfizer COVID-19 vaccine to be used to vaccinate children ages 12-15. While this is encouraging news and yet another step toward ending the COVID-19 pandemic, we understand that parents may have questions about the vaccine. IHA supports the scientific data behind this most recent vaccine and fully supports vaccination as the best way to end the pandemic. COVID-19 vaccines are safe and effective, with more than 261.5 million doses administered in the United States. Vaccinating this age group will help kids get back to their normal lives including school, sports and more, while keeping high-risk family members and others safe. Read on for answers to the most frequently asked questions around children and the COVID-19 vaccine. If you have additional questions or concerns, don’t hesitate to contact your pediatric provider.

How safe is the mRNA vaccine? The COVID-19 mRNA vaccines are safe and effective.*

• The mRNA vaccine technology is not new for COVID19. We were able to get to this point quickly because this vaccine has actually been in development for years

• It was first developed during the 2003 SARS outbreak. Scientists were able to adjust the vaccine they had been creating back then

• In early 2000s we were not successful since mRNA breaks down VERY quickly and it needed to be transported by something. Finding that something has been a challenge until now. Scientists tried fat bubbles for COVID19, and it worked! • mRNA is more than just DNA’s lesser-known cousin, RNA plays a role in turning on information for your body’s proteins. This remarkable molecule can carry the instructions (messenger RNA or mRNA)

• Scientists believe an mRNA vaccine could be safer for us compared to traditional vaccines because they are NOT made up of the actual pathogen. This means that, unlike traditional vaccines, they do not contain weakened, dead, or noninfectious parts of a virus. They contain only the instruction manuals to tell cells how to fight COVID19. You cannot get COVID19 from the vaccine since it’s just instructions on how to fight it.

• The other cool thing about mRNA vaccines is that they quickly degraded in the body. After it does its job boosting your immunity against COVID19, it is gone. It cannot insert itself into human DNA.

• Even though everyone can react differently, the boosting immunity part is why many feel common side effects of fever, headache, swollen lymph nodes, tried or achy for a day or two. These are all normal signs that tell you your immune system is working to build up the fight against COVID19, even in kids.

• Only time can tell us, but since the mRNA technology degrades itself after sending its message and mounting an immune response, it gives scientist confidence that there will not be long term side effects. From the many years of vaccine experience, we do know it’s rare to see concerning side effects happen after six weeks in any vaccine.

*Source: PHG Foundation

My Child had COVID-19. Do they still need the vaccine? Yes.

• The vaccine strengthens your immune response

• The vaccine protects better against variants than natural immunity

• The natural immunity is not as effective as the vaccine and it goes down after a few months

• Checking antibody titers is not very helpful since we don’t know enough. We cannot say for sure even if you have antibodies that you are fully immune, which variants are included or who long the immunity will last.

Does COVID-19 really affect kids? Yes.

• Children account for 22.4% of COVID cases

• Children make, on average, 13.8% (or 3.78 million total cases) of all COVID19 cases in the U.S. But this is changing. According the American Academy of Pediatrics, last week children accounted for 22.4% of cases (71,649 out of 319,601 COVID diagnoses). Just one year ago, pediatric cases made up 3% of U.S. cases.

• Some studies have reported 25% of children suffered persistent symptoms after COVID and many can have prolonged symptoms of fatigue with increased physical activity.

*Source: American Academy of Pediatrics

Should I be concerned about the COVID-19 vaccine and infertility? No.

• There has not been any data to support concerns regarding infertility.

• In early December 2 scientists in Europe were part of freedom movement that raised concerns that the one of the COVID virus proteins could interfere with the placenta. However, there was no research or evidence to back up this claim. We now know that COVID virus protein does not cause infertility. If fact, due to the pandemic, the rate of pregnancy has increased along with the number of COVID cases! If a disease doesn’t have the potential to cause concern, neither does the vaccine.

Click here to learn more from Paul Offit, MD, Director of Vaccine Education Center at Children’s Hospital of Philadelphia, on why this claim is false.


Vaccine scheduling for adolescents is coming soon!

Stay updated with the latest information on the COVID-19 vaccine and scheduling a vaccine for your child or yourself.

Diagnosing COVID-19

What you need to know about testing for COIVD-19.

What is the difference between a PCR test and a Rapid Antigen test for COVID-19?

IHA currently offers two types of diagnostic tests for COVID-19:

  1. Antigen test (frequently referred to as a rapid test). This test detects protein fragments specific to the Coronavirus. Turnaround time for results is usually very quick and, in some cases, results can be reported in 15 minutes.
  2. PCR test. PCR testing is considered the “gold standard” in COVID-19  (SARS-CoV-2) detection. This test actually detects RNA (or genetic material) that is specific to the virus and can detect the virus within days of infection, even when the patient is asymptomatic. Turnaround time is longer than the antigen test, results take approximately 2-5 days to return. Some rapid testing could have a quicker turnaround time. Result turnaround times will fluctuate based on the community testing demand but can take up to 5 days and sometimes even longer.

How do I know which test I should get?

Discuss your personal situation with a healthcare provider to receive the best guidance on the most appropriate test. A rapid antigen test can be used when a patient is experiencing symptoms of COVID-19.  Positive results from an antigen test are highly accurate, and while false positives can occur, they are rare. If your antigen test is negative, your healthcare provider may recommend that you have a confirmatory PCR test.

Should I wait until I have symptoms to get a COVID-19 test?

We recommend waiting 5-7 days post exposure to COVID-19 before getting tested unless you develop symptoms of COVID-19.  If a PCR test is negative and the patient remains asymptomatic, we recommend quarantining for 14 days from time of exposure.

What is a COVID-19 antibody test?

Antibody, or serology, tests look for antibodies in your blood to determine if you had a past infection with the virus that causes COVID-19. Antibodies can usually be detected in a person’s blood 2 – 3 weeks after symptoms begin. An Antibody test cannot be used to diagnose an active infection and is not recommended for patients currently experiencing COVID-19 symptoms.

What tests are available for antibody tests?

COVID-19 antibody testing is done through a blood draw. A laboratory test order is required to be tested for COVID-19 antibodies and the test can be completed with other bloodwork if appropriate. Talk with your provider if you think a COVID-19 antibody test is appropriate for you.

If I got the COVID-19 vaccine, will my antibody test come back positive?

Maybe. The vaccine is intended to induce an immune response, so the antibody test (serology test) may be positive in someone who has been vaccinated.


Learn more about the COVID-19 testing and how you can get tested if you need to.

The COVID-19 vaccines are our best shot for ending the pandemic. Schedule your vaccine at an IHA Vaccine Clinic near you.

Returning to Normal*

*For kids it’s anything but normal.

By Patrick Gaulier, LMSW & Leah Diebel, LLMSW

Last year, Michigan parents and students were faced with a very difficult adjustment from in-person education to attending school virtually. As many schools push for more time in the classroom, parents and students are again making an adjustment, this time back to in-person learning. After a year of virtual classes where students didn’t have to leave their bedroom or home, walking into a school with hundreds of other children or teens can feel like a daunting task. As a parent, dropping your (nervous) child off after months of having them home is equally daunting. Even kids and parents that normally don’t experience social anxiety (or anxiety period) may feel nervous because they are out of practice. It’s normal to feel that way and there are ways to help the return to school go more smoothly for parents and children.

Prepare for school to be different from what they remember.

The school children left last spring is not the same place they will be returning to. Everyone will be wearing masks, friends will have distance between them, there may even be plexiglass shields, and lunchtime and recess will be a very different experience. Uncertainty around what school will look like upon their return will be a source of anxiety for children and teens, so the more information they have (at their level) the better. Talk to your kids about the new rules in place and how they feel about them. Try to get answers to their questions prior to their first day back in the classroom.

Let them worry.

Collectively, we say we are returning to “normal”, but really, we’re not. Kids are returning to school, but it won’t be what they remember as normal. The most normal thing about this whole process is worrying. Everyone has worries and parents can help children to see worrying is a normal part of life. Parents can help children manage worry and anxiety by asking open-ended questions like “what happened at school today?” or “what did you do at recess today?” or “did you see anything interesting on social media today?” Children may not be ready to share their feelings or answers to their questions, but they know you are ready to listen when they are. The most important takeaway is to not minimize or discount your children’s anxiety.

Create opportunities for conversations.

As you prepare as a family for the return to in-person learning, be sure to give your children an opportunity to voice their concerns and excitement as well. Plan to sit down for device-free dinners where conversations can happen. Spend a few extra minutes tucking them in at night and ask them how they are feeling about upcoming changes. For teens a chat while driving is an opportunity to talk without forced eye contact. Schedule an outing with children either individually or as a family, depending on how your child best communicates, where they have dedicated time where they can feel heard.

Brush up on social skills.

For some kids, it’s been a while since they had face to face interactions with other students, teachers and staff at their school. For younger kids, try role playing some basic greetings and conversations they can have with someone they haven’t seen is a while. Talk about some different conversations starters and questions they can ask. They should also think about a couple things they would want to share with friends. Going into school prepared can help kids manage the anxiety that comes with the change from virtual interactions to facet-to-face.

Create a new routine and stick to it.

Since so much about the school day will be different, the daily routine should evolve, not disappear. Structure and routine will provide stability in times of uncertainty. Kids should wake up early enough to complete their morning routine and parents should model structure by also waking up and preparing for the day. It won’t be acceptable to walk around in pajamas at school, so it shouldn’t happen at home as children get ready to make the change from home learning to classroom learning. If children are returning to virtual classes, they can still go through their morning routine even if their commute is to a desk at home.

Know when they/you need more help.

If you think your child is struggling or may need more help than you are able to provide, the IHA Pediatric Behavioral Health Care team is here for you and your children. They will work in collaboration with your child’s IHA pediatrician to improve your child or adolescent’s overall health as well as helping the family understand the child’s development. IHA Pediatric Behavioral Health Specialists are available for video appointments through any IHA Pediatric practice.

COVID-19 Vaccines 101

Understanding how the COVID-19 vaccine works

Johnson & Johnson’s one-dose COVID-19 vaccine has become the third COVID-19 vaccine given Emergency Use Authorization (EUA) by the U.S. Food and Drug Administration (FDA). The Johnson & Johnson vaccine uses a harmless adenovirus to activate an immune response to the coronavirus spike protein. As we work to vaccinate more of our patients and communities, we’re working to increase understanding around how the different vaccines work to protect against COVID-19 and why the best vaccine is the one you can get.

How COVID-19 Vaccines Work

COVID-19 vaccines help our bodies develop immunity to the virus that causes COVID-19 without us having to get the illness. Different types of vaccines work in different ways to offer protection, but with all types of vaccines, the body is left with a supply of “memory” cells that will remember how to fight that virus in the future.

It typically takes a few weeks after your last dose of vaccine for your body to have the highest level of protection.

Sometimes after vaccination, the process of building immunity can cause symptoms, such as fever, muscle aches, feeling tired. These symptoms are normal and are a sign that the body is building immunity.

Types of Vaccines

Currently, there are two types of COVID-19 vaccines that are authorized for emergency use in the United States. None of these vaccines can give you COVID-19 because they do not contain any live COVID virus.

  • mRNA vaccines contain material from the virus that causes COVID-19 that gives our cells instructions for how to make a harmless protein that is unique to the virus. After our cells make copies of the protein, they destroy the genetic material from the vaccine. Our bodies recognize that the protein should not be there and build cells that will remember how to fight the virus that causes COVID-19 if we are infected in the future. (Moderna, Pfizer- BioNTech)
  • Vector vaccines contain a weakened version of a live virus—a different virus than the one that causes COVID-19—that has genetic material from the virus that causes COVID-19 inserted in it (this is called a viral vector). Once the viral vector is inside our cells, the genetic material gives cells instructions to make a protein that is unique to the virus that causes COVID-19. Using these instructions, our cells make copies of the protein. This prompts our bodies to build cells that will remember how to fight that virus if we are infected in the future. (Johnson and Johnson)

How the Vector COVID-19 Vaccines WorkTrinity Health

Most COVID-19 Vaccines Require More Than One Shot

All but one of the COVID-19 vaccines that are currently authorized for emergency use in the United States use two shots. The first shot starts building protection. A second shot a few weeks later is needed to get the most protection the vaccine has to offer. One vaccine (Johnson and Johnson) only needs one shot to provide protection.

The Bottom Line

Getting vaccinated is one of many steps you can take to protect yourself and others from COVID-19. Protection from COVID-19 is critically important because for some people, it can cause severe illness or death. All vaccines have been proven to prevent serious illness, hospitalization and death. It doesn’t matter which vaccine you get, just get vaccinated when it is your turn.

Stopping a pandemic requires using all the tools available. Vaccines work with your immune system so your body will be ready to fight the virus if you are exposed. Other steps, like masks and physical distancing, help reduce your chance of being exposed to the virus or spreading it to others. Together, COVID-19 vaccination and following CDC’s recommendations to protect yourself and others will offer the best protection from COVID-19.


Learn more and read frequently asked questions about the COVID-19 vaccination.

Sports & COVID-19

Youth sports are back in Michigan…with restrictions

One of the many great disappointments during the pandemic was the loss of sports. From preschool t-ball to professional sports, being active and on a team is such an important part of so many lives. And those that don’t participate, spectate! The rules of the game have changed several times since the beginning of the pandemic, most recently with the resumption of contact sports for Michigan youth.

Beginning February 8th, in-person practice and competitions for sports leagues are now allowed…with some restrictions. For contact sports to resume, masks must be worn at all times during practices and competition. If masks can’t be worn during play, participants must be regularly tested for COVID-19, consistent with MDHHS’s Testing and Additional Mitigation Measures for Athletic Practice and Play guidance according to the state.

If your or your child’s sport of choice is non-contact and played outdoors where the athletes can maintain a social distance, masks will not be required. For all other sports, indoor or outdoor, masks or testing protocol will be required.

Following the guidance outlined by the state is crucial to stop the spread of the virus among athletes and spectators. There will be less people in the stands – up to 250 people are allowed in stadiums that seat fewer than 10,000 people, and up to 500 people are allowed at venues that seat more than 10,000 people, and those that do attend will also need to wear a mask at all times.

General Mitigation Measures for Athletics from the state of Michigan:

  • Wear a face mask at all times in practice and competition.*
  • Wash hands frequently and cover coughs and sneezes.
  • Use separate equipment as much as possible. Frequently clean and disinfect any shared equipment and surfaces.
  • See the MDHHS Guidance for Athletics for more recommendations to mitigate risk and prevent the spread of COVID-19 in sports.

*Exceptions are for athletes in contact sports where face masks pose a safety hazard. In these situations, additional mitigation measures, including testing before unmasked play, are required. Please see the MDHHS Guidance for Athletics for more information

For more details on the how COVID-19 impacts youth sports in Michigan visit: http://bit.ly/3s9XxV5

COVID-19 Vaccine Myths & Facts

The development of the COVID-19 vaccine brings hope that we will soon be able to hug loved ones, greet people without a mask and meet friends for dinner. While the COVID-19 vaccines available have been proven safe and effective at preventing COVID-19, it’s understandable that there may be some apprehension around getting the vaccine. We’re here to help sort out the myths from the facts, so you can confidently get your vaccination and move toward an end to the pandemic.

Visit ihacares.com/covid19 for the latest COVID-19 vaccine updates and frequently asked questions .

Source: Centers for Disease Control & Prevention (CDC)

The COVID-19 vaccine offers hope for the future, but for now ending this pandemic will require all the available tools. Your best defense against COVID-19 is the combination of the vaccine, wearing a mask, social distancing and continuing to wash your hands.

If you have symptoms of COIVD-19 or have been exposed, save your spot at one of our testing locations.

Virtual Care at IHA

Communication tips for the best virtual patient experience

The COVID-19 pandemic has forced many industries to rethink how they deliver services to the public. The medical field is no different. Virtual Care, or healthcare via phone, video or email, offers access to timely medical care without leaving home or entering a waiting room in-person. This format is new to a lot of patients, so we pulled together our providers recommendations for a successful telehealth medical appointment.  

  • Practice using the technology. Download the platform (IHA providers use Zoom) ahead of your appointment time. Then, make sure it works! Virtual appointments require both video and audio. Ensure your device meets the requirements, know how to join your video appointment and do so a few minutes early.
  • Consider using headphones with a microphone for better sound and privacy.
  • Know where to go to troubleshoot any issues that come up.  Logging on early will give you an opportunity to work out issues before your provider joins the conversation. Visit ihacares.com/resources/video-appointments for information on video appointments with an IHA provider.
  • Find a quiet space where you can focus on your conversation with your provider. Discourage interruptions by putting a sign on your office door or tell those around you it’s not a good time to interrupt.
  • Eliminate distractions before your appointment begins – do not login for your video appointment from the car, cafeteria, bathroom, or while making dinner.
  • Consider your background. Try to minimize natural light by not sitting in front of a window. The glare can make it difficult for your provider to see you in your video.
  • Bring a flashlight along to your appointment if you have a skin issue such as a lesion or rash to help your provider your skin. Measure the are prior to the appointment if possible.
  • Confirm your insurance coverage and copays for telehealth appointments. Virtual appointment coverage varies based on insurance companies, so be sure to confirm your personal coverage ahead of time to avoid unexpected bills.
  • Treat a virtual appointment as you would an in-person appointment. Have relevant health history and treatments at your fingertips and come prepared with your questions or concerns. Write them down beforehand if possible.
  • If you would have brought someone else with you to your in-person appointment, have them sit with you, virtually or in-person if you are living with them, for your virtual appointment. It can be helpful later to have a second person listening and even taking notes. They may hear something you miss or come up with a question you may not have thought of.
  • If you use medical devices on a regular basis (blood pressure monitor, heart monitor, thermometer, glucometer, etc.), have them close at hand during your virtual appointment. Or better yet, take readings prior to your call or video appointment.

When it comes to healthcare, we understand patients have individual needs and one size doesn’t fit all! So we offer several ways to access care – Actually 5!

Allowing patients to get care in a way that works best for them is what we’re all about. Click below to schedule your appointment, your way.