Post-Vaccination Considerations for School Employees

Considerations for Persons with Systemic Signs and Symptoms Pre- and Post- COVID-19 Vaccination

Recommended Infection Prevention and Control Strategies Status of Individual with Systemic Signs and Symptoms of COVID-19 Infection
Unvaccinated Received COVID-19 Vaccination in the prior 3 days (including day of vaccination, which is considered Day 1). Partially or Fully Vaccinated
Symptoms unlikely to be from COVID-19 vaccination (e.g., cough, shortness of breath, rhinorrhea, loss of taste/smell) Symptoms may be vaccine related, possible COVID-19, or other unrelated illness (e.g., chills, headache, myalgia, arthralgia, fatigue)
Exclude from School YES YES NO – if afebrile and symptoms occur within the first 48 hours and feels well enough to work. YES – if fever of 100.4F or greater or if symptoms persist for more than 2 days YES
Refer for Clinical Evaluation YES
Refer to Row D in Exclusion Guidance Decision Tree.
YES YES – if symptoms do not improve and persist for more than 2 days.
Not Recommended - if symptoms resolve within 2 days.
YES
Refer to Row D in Exclusion Guidance Decision Tree.
Perform COVID-19 Test
(Health Care Provider may decide to test based on clinical assessment.)
YES
NOT Recommended – if less than 90 days (3 months) from last positive test.
YES
NOT Recommended – if less than 90 days (3 months) from last positive test.
YES – if symptoms do not improve and persist for more than 2 days.
Not Recommended – if symptoms resolve within 2 days.
Not Recommended – if less than 90 days (3 months) from last positive test.
NOT Recommended – if less than 90 days (3 months) from last positive test.
If SARS-CoV-2 test Positive: Refer to Row A in Exclusion Guidance Decision Tree.
If SARS-CoV-2 test Negative: Refer to Row B in Exclusion Guidance Decision Tree.
Place in Isolation YES – if SARS-CoV-2 test Positive: Stay home at least 10 calendar days from onset of symptoms AND for 24 hours with no fever (without fever-reducing medication) AND improvement of symptoms. NO - if afebrile and symptoms occur within the first 48 hours and feels well enough to work.
Recommended - if symptoms persist for more than 2 days and pending test results.
YES - if SARS-CoV-2 test Positive.
YES – if SARSCoV-2 test Positive.

Considerations for Asymptomatic Persons Pre- and Post- COVID-19 Vaccination

Recommended Infection Prevention and Control Strategies Status of Asymptomatic Individual
Unvaccinated Received COVID-19 vaccination in the prior 3 days (including day of vaccination, which is considered Day 1) or is Partially Vaccinated. Fully Vaccinated
Place in Quarantine if Named as a Close Contact to a Known Case of COVID-19 YES – if no history of previous positive test for SARS-CoV-2; or if greater than 90 days (3 months) from last positive test.
Not Recommended – if less than 90 days (3 months) from last positive test.
YES – if no history of previous positive test for SARS-CoV-2; or if greater than 90 days (3 months) from last positive test.
Not Recommended – if less than 90 days (3 months) from last positive test.
NO -if they meet all the following criteria:
  • Are fully vaccinated (i.e., ≥2 weeks following receipt of the second dose in a 2-dose series, or ≥2 weeks following receipt of one dose of a single-dose vaccine)
  • Have remained asymptomatic since the current COVID-19 exposure

YES – if they do not meet all three of the above criteria.

Updated: 05/14/2021