Frequently Asked Questions: COVID-19

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Vaccines for Children age 5-11

Pella Regional will offer limited pediatric COVID immunizations on a regular basis to the 5-11 year old age on Wednesdays. They will be available on a first-come, first served basis. PATIENTS WILL NEED TO BE SCHEDULED FOR THESE, there are no walk-ins available. Also, because of the logistics of the vaccine, they are not available to give during clinic appointments. They must be scheduled during specific opportunities by calling our call center.

Q: What is being offered?

A: CDC Approved Pfizer Vaccines for ages 5-11. The vaccine is administered in a 2 dose series, 21 days apart.

 

Q: What considerations or contraindications are there to receiving the vaccine?

A: Per the manufacturer and CDC, very few.

  • It is recommended and approved for all children 5-11 including those with immunocompromised or previous history of COVID.
  • It may be Co-administered with any other vaccines, or soon before or after any other vaccine regardless of timing (separate injection sites by an inch)
  • Previous anaphylactic reaction to another COVID vaccine would be a contraindication.
  • PATIENTS WITH CURRENT COVID INFECTION should wait until acute illness has passed, and they have met criteria to stop isolation.

Like any other vaccine, patients who have moderate to severe acute illness are advised to wait. We define this as having a temp of 100.1 or higher, per provider discretion, or parent comfort.

 

Q: What side effects can children and families expect?

A: Local: pain, swelling, erythema at the injection site.  Systemic: fever, fatigue, headache, chills, myalgia, arthralgia, lymphadenopathy. In the study most side effects passed in a couple days. There were some very rare instances of high fever (104) that resolved in a day.

Pre-medicating before the vaccination is not recommended. Routine antipyretic or analgesic medications can be taken post-vaccination as needed. Of course, aspirin is not recommended in this age range. It is not recommended to take blood thinners or

Q: I’ve read about Myocarditis, should parents and providers be worried?

A: Per the ACIP there have been rare reports of myocarditis after COVID vaccines. There are higher rates of Myocarditis associated with having the COVID disease itself. It is considered safe to give to children, even with a prior history of myocarditis. If a child should develop myocarditis after a first dose, a second dose should not be given.

 

Q: Why can’t we give the vaccine during Well Child appointments or walk-ins?

A: Pediatric COVID vaccines comes in a 10 dose, multi-dose vial that must be reconstituted, and then used within 12 hours. We cannot give “one off” doses as it would waste vaccine. Schedule patients in groupings allows us to coordinate wise use of the vaccine.

 

Q: Is there a charge for the vaccine?

A: There is no charge for the vaccine, but we do charge an administration fee. However, any portion not covered by insurance is waived. In other words, it should never cost child/family any money out of pocket.

 

Q: What about children 12 and up or adults wanting the vaccine or the booster?

A: Pella Regional pharmacy, Hy-Vee, and public health are still providing primary vaccines AND boosters. Marion County Public Health is focusing on the adult population and letting clinics handle children.

 

Q: What about our clinics in Prairie City, Ottumwa, Bussey, and Sully?

A: We are waiting for information from Jasper and Wapello county for our other sites. Vaccine continues to be distributed at the county level. Until the vaccine is available in single dose form, it is unlikely we can offer in Bussey and Sully due to logistics of using multi-dose vaccines in smaller sites.

 

Q: Will the children get vaccine cards?

A: Yes, children will receive the federally issued vaccine cards like everyone else

 

Q: Are you keeping a waiting list?

A: We are not keeping waiting lists. We are not prioritizing doses – it is first come, first serve. At this time, we are not “pre-scheduling” as vaccine supply is not fully predictable. Patients and families should watch our website and social media for updates.

 

Q: I need to know more. I don’t have enough information.

A: There is a significant amount of information available on the CDC.

IDPH 11/3 Vaccine Brief on approval of peds COVID vaccine: Pfizer Pediatric Vaccine COVID-19 Vaccine Information Brief (iowa.gov)

 Much information can be found at Interim Clinical Considerations for Use of COVID-19 Vaccines | CDC

 The study results can be personally reviewed in the New England Medical Journal here: https://www.nejm.org/doi/full/10.1056/NEJMoa2116298

Adult Vaccine and Booster Doses

Pella Regional’s Retail Pharmacy on the Square is still offering the Adult COVID-19 Johnson & Johnson and Moderna vaccines and boosters on Fridays between 12-6pm. Call 641-628-1612 for more information.

Are visitors allowed?

  • Current visitor information is available on this page: https://www.pellahealth.org/patients-visitors/visitors/ 

Do I need to wear a mask?

In order to reduce the risk of transmission of COVID-19, Pella Regional Health Center and its family of medical clinics located in Bussey, Pella, Knoxville, Ottumwa, Prairie City, and Sully will ask patients over the age of two to wear a mask or homemade face covering to any medical appointment. If patients do not have face coverings or fabric masks one will be provided by Pella Regional for use during the visit. Guidance from the CDC encourages the public to wear face coverings in places like clinics and hospitals, where it’s not always practical to maintain six feet of separation between individuals.

What appointments or procedures am I required to get tested for COVID-19?

All patients scheduled for elective procedures, C-sections, or inductions will receive a COVID-19 test prior to the surgery/procedure. If a patient tests positive, the procedure will be postponed. In the case of a positive test for a C-section or induction, additional precautions will be taken during care.

What are entrance hours for the hospital and clinics?

Entrance Hours:

  • Emergency Department (Entrance 2) Always open
  • Pella Medical Clinic (Entrance 3) Monday through Saturday 8 am to 7 pm and Sunday 12 pm to 7 pm.
  • Wound Care and Cardiac Services (Entrance 7) Monday through Friday 7:30 am to 5 pm. This entrance is only open to Wound Care and Cardiac Services patients.
  • Specialty/Oncology/Infusion, Rheumatology Clinics (Entrance 4) Monday through Friday 8 am to 5 pm. 
  • Main Entrance (Entrance 1) Open Monday through Friday from 6:30 am to 5 pm.
  • Medical Clinics in Ottumwa, Knoxville, Bussey, Sully and Prairie City: Monday through Friday 8 am to 5 pm

Should I be worried for my safety to receive care at Pella Regional?

You are our friends, family, neighbors and our patients. We take your safety seriously while also continuing to provide compassionate care that you have trusted since 1960.

We have taken extra safety precautions to ensure low exposure to COVID-19 while visiting our facilities. Visit our Serious About Safety page for more information.

Is there an option for receiving care without coming into the facility?

A Virtual Visit allows a patient to meet with their local Pella Regional primary care provider through a secure, HIPAA compliant video chat without leaving their home. Patients can call their provider’s office to find out if Virtual Visits are appropriate for their condition. Your provider may also be reaching out to you to schedule a Virtual Visit. Visit our Virtual Visit page for more information.

I am pregnant. Where can I find more information on COVID-19 and pregnancy?

This is an exciting time and you may have questions about how COVID-19 may impact your check-ups and delivery plans. Here are some common questions and answers about pregnancy, delivery and staying healthy and safe at Pella Regional.