UChicago Medicine Dispels COVID-19 Vaccine and Variant Myths

Fact - Just because someone didn't die from COVID-19 doesnt mean they won't be impacted long-term or won't spread it to someone who will become severely ill or die. To learn more about the vaccine, visit: uchicagomedicine.org/covid-19

Photo Credit: UChicago Medicine

As of early January 2022, about 79% of the U.S. population age 5 and older has had at least one dose of the COVID-19 vaccine. But the numbers for additional doses, including boosters, are much lower: Not quite 67% of that same age group has received two doses. For people age 18 and older, only about 40% have received a booster dose, per the .

In Illinois, COVID-19 vaccination numbers are similar to nationwide statistics, and cases and hospitalizations are surging, with data showing COVID-19 community transmission at 鈥渉igh鈥 levels .

UChicago Medicine, with headquarters on the city鈥檚 South Side, has launched a campaign to encourage vaccination, featuring a video on COVID-19 Vaccine 鈥溾 and blogs by clinical leaders on the importance of getting a booster.

Myths that the health system is dispelling include:

Myth: I had COVID-19, so I don鈥檛 need the vaccine.
Fact: With natural infection, there is a level of uncertainty on how the antibodies will respond, and immunity is really specific to that particular variant. On the other hand, we do know the vaccine is very protective for most variants. In most people, getting vaccinated generates a lot of antibodies.

Myth: There鈥檚 still a chance of getting COVID-19 after the vaccine, so there鈥檚 no point in getting vaccinated.
Fact: No vaccination is 100% effective. However, your chances of getting COVID-19 are much lower after vaccination, and you are much less likely to be seriously ill or have complications after vaccination. This is because your immune system is primed and ready to fight off the virus before it can cause a lot of damage.

Clinical leaders at UChicago Medicine are talking facts and science to emphasize the importance of getting a COVID-19 vaccine booster. In a , Emily Landon, M.D., an infectious disease specialist and executive medical director for infection prevention and control, discussed booster shots and explained why people are getting breakthrough infections if the vaccines are effective.

鈥淐OVID-19 vaccines create high levels of antibodies that can block the virus from ever infecting our cells,鈥 Landon explains. 鈥淎s time passes after your vaccination, however, you also develop memory B cells and T cell immunity and antibody levels go down. With fewer blocking antibodies, the virus might be able to start an infection.鈥

As viruses evolve, 鈥渟trains that can bypass those antibodies have an advantage鈥; when some people have a high-level of exposure, it can 鈥渙verwhelm the antibodies鈥 that people do have,鈥 Landon said. That鈥檚 considered a 鈥渂reakthrough infection.鈥 But, as she noted, 鈥渕emory B and T cells are able to respond quickly and stop the infection before too much damage is done.鈥

Vaccination can mean the difference between a person having mild symptoms and having serious illness or damage to organs. Landon explained: 鈥淲hen otherwise healthy vaccinated individuals develop breakthrough infection, it is usually mild. Unvaccinated people don鈥檛 have existing antibodies or memory B cells or T cells waiting to fight off COVID-19, which means they have to start their immune response from scratch.鈥

That could cause 鈥渕ore damage to their organs and tissues before COVID-19 is killed off鈥 and lead to other serious complications. In addition, unvaccinated individuals are 鈥渕uch more likely to need intensive care support or have lingering symptoms known as long-COVID,鈥 Landon said.

Landon also wrote a blog in late December about , answering questions about when to test, how accurate home tests are and more.