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Post-Vaccination Considerations for P-12 Schools
Considerations for Persons with Systemic Signs and Symptoms Pre- and Post- COVID-19 Vaccination
| Recommended Infection Prevention and Control Strategies |
Status of Individual (student or staff) 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., fever (100.4°F or higher), new onset of moderate to severe headache, shortness of breath, new cough, sore throat, vomiting, diarrhea,, loss of taste/smell) | Symptoms may be vaccine related, possible COVID-19, or other unrelated illness (e.g., chills, headache, myalgia, arthralgia, fatigue) |
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| Exclude from School | Yes | Yes | NO- if symptoms consistent with common COVID-19 vaccination side effects occur within the first 48 hours post-vaccination, afebrile, and feels well enough to attend school | 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 Assessment of Symptomatic Persons in Exclusion Guidance Decision Tree |
Yes Refer to Assessment of Symptomatic Persons in Exclusion Guidance Decision Tree |
Yes – if symptoms do not improve and persist for more than 2 days Not Recommended - if symptoms resolve within 2 days. |
Yes Refer to Assessment of Symptomatic Persons 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 |
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| 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 attend school. Recommended - if symptoms persist for more than 2 days and pending test results. YES - if SARS-CoV-2 test Positive. |
YES – if SARS-CoV-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. No - if Test-to-Stay protocol has been approved for school/situation, and both case and close contact were consistently and correctly masked when exposure occurred 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. No - if Test-to-Stay protocol has been approved for school/situation, and both case and close contact were consistently and correctly masked when exposure occurred Not Recommended - if less than 90 days (3 months) from last positive test. |
NO -if they meet all the following criteria:
YES – if they do not meet all of the above criteria. |
Updated: 10/19/2021