How long after infection should I get my updated COVID shot?

COVID Variants Infectious Diseases Vaccines

Experts recommend waiting 3 to 6 months after infection before getting your updated COVID-19 shot. While it’s safe to get the shot sooner, delaying by 3 to 6 months helps your body to mount a stronger immune response to the vaccine. Optimal vaccine timing also depends on your local guidelines, COVID risk profile, and COVID exposure.

TL,DR: Timing your shot after COVID-19 infection is a balancing act. On one hand, your immune system mounts a better response if you wait a while between infection and vaccination. On the other hand, if you wait too long, you could get infected while your immune system is cooling off. Most experts agree that the sweet spot is between 3 and 6 months after infection. This way, you maximize the immune benefits of your next shot, with minimal risk of re-infection during the wait.

Why is it helpful to wait? First, it gives ample time for your immune response to infection to mature, so that when you deliver the next jab, you’re amplifying the best possible fighters. Second, it reduces “immune interference”. Antibodies from your last infection can hinder your immune system’s ability to “see” and respond to a vaccine because they may bind to vaccine components (eg. the viral spike protein). These principles of vaccination are true across a variety of different vaccines, beyond COVID-19.

To figure out your optimal timing, consider these factors:

Local public health guidelines. COVID-19 vaccination guidelines vary greatly from place to place. In the US, you are eligible for an updated COVID shot as soon as you recover, though the CDC says that “people who recently had SARS-CoV-2 infection may consider delaying a COVID-19 vaccine dose by 3 months from symptom onset or positive test. In Canada, the National Advisory Committee on Immunization (NACI) recommends waiting 3- 6 months after infection before your next shot.

COVID-19 risk profile. If you or a loved one (or close contact) are at high-risk of severe outcomes from COVID-19, a shorter delay between infection and vaccination interval may be warranted.

COVID-19 exposure. If local COVID-19 levels are high, or if you expect to travel overseas, or to a highly risky event, it may be worth getting your shot sooner rather than later.

Practical considerations. Don’t let perfect timing stop you from getting it done! It makes good sense to go with the timing that fits your life, perhaps alongside other shots.

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Updated COVID vaccines are now FDA and CDC approved and available soon in the US!

Can I get the COVID vaccine at the same time as another vaccine?

Resources:

JCI Insight: An extended interval between vaccination and infection enhances hybrid immunity against SARS-CoV-2 variants

US CDC Guidance on COVID-19 vaccination

Canada’s COVID immunization guidelines

The influence of interval between doses on response to vaccines

Study on immune response to vaccination: Durability of Antibody Levels After Vaccination With mRNA SARS-CoV-2 Vaccine in Individuals With or Without Prior Infection

Link to Original Substack Post