Long covid after breakthrough infection

The findings that vaccination against SARS-CoV-2 does not protect against some of the post-acute outcomes of COVID-19 should not obscure the fact that vaccination remains an important protective factor against these outcomes at the population level, since the best way to prevent those outcomes is to prevent SARS-CoV-2 infection in the first place. This is also the case in those ≥ 60 years-old.23 However, our results highlight that some post-acute outcomes of SARS-CoV-2 (and notably long-COVID presentations) are likely to persist even after successful vaccination of the population, so long as breakthrough infections occur. These findings thus help in determining the necessary service provision. They also underline the urgency to identify other preventive or curative interventions to mitigate the impact of such COVID-19 sequelae.
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That's a pretty important finding to support advocacy for ongoing research into Long Covid i.e. we know that vaccination doesn't entirely prevent breakthrough Covid-19 infections, and this study suggests breakthrough infections have about the same chance of causing Long Covid as Covid-19 infections in the unvaccinated. @SNT Gatchaman

(The findings about the lack of a big impact of vaccination in older people was sobering.)
 
Moved post.

In the last Weekly Clinical Update with dr. Griffin, at 15.48 minutes, he talks about not really seeing Long Covid in vaccinated people that get infected. He has reached out to many infectious disease physicians who combined are caring for millions of patients, asking them as well, and it seems this is not much of a phenomena. He says this is really reassuring. It's a large collection of anecdotes this is based on, and he's looking forward to see data.

I really hope this is true! :)

 
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Kalliope said:
he talks about not really seeing Long Covid in vaccinated people that get infected. He has reached out to many infectious disease physicians who combined are caring for millions of patients, asking them as well, and it seems this is not much of a phenomena.
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Part of the problem could be that many doctors aren't diagnosing anyone (breakthrough infection or not) with long covid. They're fobbing them off with 'anxiety'.

He should talk to patients rather than doctors. This person showed up on reddit today for example. She was a breakthrough case who has ended up with a ME/CFS diagnosis.
 
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San Fransisco Chronicle COVID appears here to stay. But what about the 'long' version of the disease?

quote:

What’s missing, eight months after vaccines became widely available, is good data about how people with breakthrough infections experience long COVID, said Dr. Linda Geng, co-medical director of Stanford Medicine’s long COVID clinic.

But clues about what to expect with COVID are found by looking at other common viruses that can cause long-term medical consequences, Geng said. Such viruses include Epstein-Barr, a type of herpes, which can cause mononucleosis and other illnesses; human papilloma, which can lead to cancer; and West Nile, which can cause memory and balance problems.

“So it is very likely that if COVID stays, I suspect that we will continue to see long COVID as well, because of the patterns of other viruses,” Geng said.

And few experts expect COVID to vanish anytime soon.

“Eventually, everyone will be exposed,” said Dr. Abraar Karan, an infectious disease expert at Stanford, noting that even a small study like the one in Israel suggests that “vaccines, while excellent, will not eliminate long COVID.”

“And because it is an entity we don’t fully understand, I would not underestimate the long-term effects,” he said of this virus. “We must tread carefully for now.”
 
David Putrino, Nisreen Alwan, Petter Brodin and Akiko Iwasaki are among those interviewed for the article
Nature Do vaccines protect against long COVID? What the data say

Quote:
Putrino has noticed that even being fully vaccinated doesn’t necessarily protect against long COVID. Many of his clients were infected before vaccines were rolled out, and had been coping with symptoms for a year or more before they were referred to him. But he has seen about a dozen people who experienced long COVID from ‘breakthrough’ infections — in which vaccinated people catch the coronavirus. “It is noticeably less common than in unvaccinated people, but it’s still there,” he says. He thinks that clinics could see more such cases as the months tick by.
 
Kalliope said:
David Putrino, Nisreen Alwan, Petter Brodin and Akiko Iwasaki are among those interviewed for the article
Nature Do vaccines protect against long COVID? What the data say

Quote:
Putrino has noticed that even being fully vaccinated doesn’t necessarily protect against long COVID. Many of his clients were infected before vaccines were rolled out, and had been coping with symptoms for a year or more before they were referred to him. But he has seen about a dozen people who experienced long COVID from ‘breakthrough’ infections — in which vaccinated people catch the coronavirus. “It is noticeably less common than in unvaccinated people, but it’s still there,” he says. He thinks that clinics could see more such cases as the months tick by.
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I have yet to see recognition that vaccines make some pwLC and pwME worse, or may have triggered LC (although it could be more in the "making worse" category). This is very bad for vaccine messaging, it will be used, and rightfully so, by the anti-vaccine movement. Hiding the truth breeds mistrust, and, again, rightfully so.

What is the point of having a nice-sounding "duty of candor" if no one cares about it when it's the uncomfortable choice? This damn obsession with "nocebo" is pretty much helping fuel a very dangerous political undercurrent, where the reflex to default to BS reassurance reinforces the problem.
 
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