Category: COVID

Vaccines and Pain/Fever Medicines

Dr. Gengo shares information from a recent article. The use of Motrin and Tylenol when getting a vaccine possibly may have a negative impact on the immune response to the vaccine.

The recommendations:

  1. Use those medications only if needed.
  2. Using the medications before the vaccine to prevent side effects seems to have the most noticeable impact.
  3. Tylenol use a few hours after injection does not seem to have a negative impact on immune response.

Important notes:

  • Do NOT interrupt daily aspirin therapy.
  • If you take daily aspirin for cardiovascular or cerebrovascular protection do not skip your aspirin because of your COVID vaccine
  • If you are taking aspirin 81 mg daily this is not a high enough dose to produce an antipyretic or anti-inflammatory effect and should not compromise your vaccine
  • If you are taking aspirin 325 mg daily , take your last dose of aspirin the MORNING before your vaccine and then take your aspirin at least 4 -6 hours after your vaccine on the day of inoculation


In summary, do not shy away from using Tylenol after vaccine administration if need and try to avoid Motrin and Tylenol as prophylactic treatment before the vaccine. The full article can be found here.

Covid-19 Vaccine Myths & Facts

By: Bennett Myers, MD, Director of DENT Multiple Sclerosis & Immunology Center and the DENT Spasticity Clinic.

The following information is from the Mayo Clinic in Rochester, Minnesota. It is considered by many to be the top health care center in the world.

The 2 vaccines available have already been given to over 10 million Americans. Outside of very rare serious allergic reactions, no dangerous side effects have been found.  Some side effects experienced were: sore arms, flu like symptoms (usually mild after first shot, mild to moderate after second) lasting from one to several days frequently occur.

Over 400,000 Americans have died of COVID-19 since February 2020, even if you are young, healthy, and low risk, you interact with people who are not (at home, at work, and in the community). COVID-19 may not kill you, but it can kill people you come in contact with. Only if enough of us get vaccinated will this pandemic end.


Let’s set the record straight on some of the myths circulating about COVID-19 vaccines.


Myth: The COVID-19 vaccine is not safe because it was rapidly developed and tested.
Fact: Many pharmaceutical companies invested significant resources into quickly developing a vaccine for COVID-19 because of the world-wide impact of the pandemic. The emergency situation warranted an emergency response, but that does not mean that companies bypassed safety protocols or didn’t perform adequate testing.

Doctors will recommend the use of those vaccines that we are confident are safe. The Pfizer and Moderna vaccines were created using a novel technology based on the molecular structure of the virus. The novel methodology to develop a COVID-19 vaccine allows it to be free from materials of animal origin and synthesized by an efficient, cell-free process without preservatives. The vaccines developed by Pfizer/BioNTecH has been studied in over 43,000 people.

To receive emergency use authorization, the vaccines must be proven safe and effective. The FDA and an Advisory Committee on Immunization made up of a panel of vaccine safety experts independently evaluated the safety data from the clinical trials. The safety of COVID-19 vaccines continues to be closely monitored by the Centers for Disease Control and Prevention (CDC) and the FDA.


Myth: I already had COVID-19 and I have recovered, so I don’t need to get a COVID-19 vaccine.
Fact: There is not enough information currently available to say if or for how long after infection someone is protected from getting COVID-19 again. This is called natural immunity. Early evidence suggests natural immunity from COVID-19 may not last very long, but more studies are needed to better understand this. The CDC recommends getting the COVID-19 vaccine, even if you’ve had COVID-19 previously. However, those that had COVID-19 should delay vaccination until about 90 days from diagnosis. People should not get vaccinated if in quarantine after exposure or if they have COVID-19 symptoms.


Myth: There are severe side effects of the COVID-19 vaccines.
Fact: There are short-term mild or moderate vaccine reactions that resolve without complication or injury. About 15% of people developed short lived symptoms at the site of the injection. 50% developed systemic reactions primarily headache, chills, fatigue or muscle pain or fever lasting for a day or two. Keep in mind that these side effects are indicators that your immune system is responding to the vaccine and are common when receiving vaccines.


Myth: I won’t need to wear a mask after I get vaccinated for COVID-19.
Fact: It will take time for everyone who wants a COVID-19 vaccination to get one. Also, while the vaccine may prevent you from getting sick, it is unknown at this time if you can still carry and transmit the virus to others. Until more is understood about how well the vaccine works, continuing with precautions such as mask-wearing and physical distancing will be important.


Myth: More people will die as a result of a negative side effect to the COVID-19 vaccine than would actually die from the virus.
Fact: Circulating on social media is the claim that COVID-19’s mortality rate is 1%-2% and that people should not be vaccinated against a virus with a high survival rate. However, a 1% mortality rate is 10 times more lethal than the seasonal flu. In addition, the mortality rate can vary widely and is influenced by age, sex and underlying health condition.
While some people that receive the vaccine may develop symptoms as their immune system responds, remember that this is common when receiving any vaccine and not considered serious or life-threatening. You cannot get COVID-19 infection from the COVID-19 vaccines; they are not live viruses.
It’s important to recognize that getting the vaccine is not just about survival from COVID-19. It’s about preventing spread of the virus to others and preventing infection that can lead to long-term negative health effects. While no vaccine is 100% effective, they are far better than not getting a vaccine. The benefits certainly outweigh the risks, even in healthy people.

Myth: The COVID-19 vaccine was developed to control the general population either through microchip tracking or “nanotransducers” in our brains.
Fact: There is no vaccine microchip, and the vaccine will not track people or gather personal information into a database.

This myth started after comments made by Bill Gates from The Gates Foundation about a digital certificate of vaccine records. The technology he was referencing is not a microchip, has not been implemented in any manner and is not tied to the development, testing or distribution of COVID-19 vaccines.


Myth: COVID-19 vaccines will alter my DNA.
Fact: The first COVID-19 vaccines to reach the market are messenger RNA (mRNA) vaccines. According to the CDC, mRNA vaccines work by instructing cells in the body how to make a protein that triggers an immune response. Injecting mRNA into your body will not interact or do anything to the DNA of your cells. Human cells break down and get rid of the mRNA soon after they have finished using the instructions.


Myth: COVID-19 vaccines were developed using fetal tissue.
Fact: Neither the Pfizer/BioNTech COVID-19 vaccine nor the Moderna COVID-19 vaccines contain fetal cells, nor were fetal cells used the development or production of either vaccine.


Myth: COVID-10 vaccines cause infertility or miscarriage.
Fact: No, COVID-19 vaccines have not been linked to infertility or miscarriage.

A sophisticated disinformation campaign has been circulating online, claiming that antibodies to the spike protein of COVID-19 produced from these vaccines will bind to placental proteins and prevent pregnancy. This disinformation is thought to originate from internet postings by a former scientist known to hold anti-vaccine views. A similar lie has spread previously about other vaccines, including the polio, measles, and ebola vaccines.

These postings are not scientifically plausible, as COVID-19 infection has not been linked to infertility. Also, no other viral infection or vaccination-inducing immunity by similar mechanisms has been shown to cause infertility. Antibodies to the spike protein have not been linked to infertility after COVID-19 infection. There is no scientific reason to believe this will change after vaccination for COVID-19.
While there are no formal studies, the best evidence comes from women who got sick with COVID-19 while pregnant. While data clearly indicate pregnant women are at higher risk of hospitalization due to COVID-19 infection, there is no evidence of increased miscarriage rates.
During natural infection, the immune system generates the same antibodies to the spike protein that COVID-19 vaccines would. Thus, if COVID-19 affected fertility, there already would be an increase in miscarriage rates in women infected with COVID-19. This has not happened.


Myth: I am allergic to eggs so I shouldn’t get the COVID-19 vaccine
Fact: Neither the Pfizer/BioNTech COVID-19 vaccine nor the Moderna COVID-19 vaccines contain egg nor were eggs used the development or production of either vaccine. However, those with severe allergic reactions to eggs or any other substance (i.e., anaphylaxis) are encouraged to remain after vaccination for 30 minutes for observation.


Myth: COVID-19 vaccines must be stored at extremely low temperatures because of preservatives in the vaccines.
Fact: Pfizer/BioNTech and Moderna have reported that their vaccines contain no preservatives.

Different vaccines have different storage requirements. For instance, the Pfizer/BioNTech vaccine must be stored at minus 94 degrees Fahrenheit (minus 70 degrees Celsius), while Moderna has said that its vaccine needs to be stored at minus 4 degrees Fahrenheit (minus 20 degrees Celsius). Both of these vaccines use messenger RNA, or mRNA, to teach your cells how to make a protein that will trigger an immune response to COVID-19. However, messenger RNA is fragile and can break down easily. Storing messenger RNA vaccines, like these COVID-19 vaccines, in an ultracold environment keeps them stable and safe.


DENT’s Family/Caregiver Policy during COVID

The Dent’s Family/Caregiver Policy during COVID is that we are limiting access to patients only unless absolutely necessary due to the size of our examination rooms and the need to remain as socially distant as possible for the health and safety of our patients and staff.

Exceptions to this rule are patient’s that are under the age of 18 and must have a parent present for their appointment or for patients that have a medical condition that requires them to have a caregiver with them for their appointment. In these instances one visitor will be permitted in the office with the patient, additional guests will be asked to wait in their vehicle.

If you have any questions or concerns related to this policy, feel free to reach out to your provider team via the MyDentChart patient portal.

To our dear friends in the Western New York community,

March 25, 2020


To our dear friends in the Western New York community,


Please know that your DENT team is here for you, and remains open for all essential office, diagnostic and treatment services, including injections, infusion, imaging, and counseling.

If you are scheduled for an in-office visit, rest assured that we follow CDC and other national and international expert guidelines for a safe environment.

If you exhibit symptoms of infection, including cough, fever, and shortness of breath, you should stay home, consult your primary care physician to address those symptoms, and schedule a telemedicine visit with your DENT provider to ensure that your care is uninterrupted.

Especially during times like this, your questions and concerns must be addressed efficiently. The best way to communicate with us is through our MyDentChart patient portal. A convenient tool for using the portal is a smartphone app called Healow.

Instructions for installing and using Healow can be found here.

Once installed, it is a simple way to send and receive messages, manage your appointment, and even conduct a “Tele-Visit” with your provider.

Although these are anxious times, we will get through this together. Your care matters and we vow to always be here for you.


Laszlo Mechtler, MD, Chief Medical Officer

Joseph Fritz, PhD, Chief Executive Officer



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