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COVID-19 Update 11/11/22

Calling & Visiting Us

  • We require all adults & children over 2 years to wear a mask/face covering when visiting our office & throughout your visit. Masks protect both you & those around you, and generally speaking, most children have adapted well to regular mask use. Please note that we will not write letters of exemption from mask wearing except in cases of extreme physical or mental disability.
  • For patients/parents/guardians with current COVID infection or currently in quarantine, we kindly ask you to reschedule your non-urgent/well visit.  
  • We continue to take appropriate precautions to decrease germ transmission within our office by limiting crowding, regular cleaning, frequent handwashing, & wearing personal protective equipment.

Testing for COVID-19

We are able to provide COVID testing for patients who are ill.  Depending on volume & the type of testing available, results are expected in 1-2 days and will be uploaded to the patient’s MyChart account. We do not write orders for testing to be done outside of our practice.

Symptomatic – available

We generally prefer to see symptomatic patients in office so that we can do a physical exam & ensure there are no alternative diagnoses before ordering testing. When available, we try to utilize rapid PCR testing & results are expected same day. We strongly suggest maintaining access to your MyChart account – lab results are posted there in real time so often, you will be notified of results before our providers get to review labs during lunchtime or end of day!

We are not able to perform confirmatory PCR testing after home antigen testing. If your child’s school/other is requiring confirmatory testing, please use this tool to locate a testing facility or try other options like Curative.

Asymptomatic exposures to COVID-19 – Unavailable

With our high volumes of sick patients, we are unable to offer testing for asymptomatic exposures at this time. Patients who do not have symptoms but were directly exposed to COVID infection may need testing after exposure depending on several factors. Visit the MA Department of Public Health website for complete instructions on how to handle a direct exposure to a positive COVID case.  

Testing Positive for COVID

COVID results get published to MyChart as soon as they result. Positive results will receive additional clinical guidance via MyChart message only and will include details on quarantine, household exposures, and cardiac clearance for return to activity. We ask all families to review these recommendations and only call with additional questions if necessary.

On December 28, 2021, the CDC updated their recommendations for quarantine after testing positive for COVID. The CDC hasn’t clearly defined how to handle COVID positive younger children who cannot consistently mask & are unvaccinated, so we continue to recommend 10 day quarantine for that group (especially toddler age and younger) which is a recommendation endorsed by the DPH.

One of the most common questions we get is how to handle continuous exposures for household members who cannot isolate in the home. Generally, if a household contact is continuously exposed to your COVID positive child, day 1 of their quarantine would be after the child’s 10 day quarantine period (positive child’s count starts on first day of their symptoms or COVID positive test if asymptomatic).

Vaccination for COVID-19 

On May 10, 2021, the Pfizer COVID vaccine was granted emergency use authorization for children age 12+ years, followed by approval for 5-11 year old on November 2, 2021.  COVID vaccine for 6mos – 5 years was approved on June 18th, 2022.

Our providers have all received the COVID vaccine and feel comfortable recommending it for our eligible patients.  Please rest assured that though the vaccine development process seemed fast, we trust the strict guidelines already in place.  If you or your child has had recent COVID infection, vaccine/boosters can be given 14 days after positive result.  

Current Vaccine Availability

Vaccine for Children 6mos – 5 years – Available

For the 6mos – 5 year age group, we don’t have a strong preference for either vaccine and our choice is largely based mostly on which vaccine is easier to manage in terms of storage, administration, etc.  Both vaccines show a good antibody response and offer solid protection against severe illness.  Moderna is two doses, has a higher rate of moderate side effects, and has more evidence of efficacy against mild, symptomatic illness. Pfizer is three doses, has more limited side effects but comparatively may not prevent as much against mild symptomatic illness.

We currently have the Moderna vaccine.  Vaccines will be done at nurses visits in Woburn only and you will need to call for those appointments.  We are also able to offer it at well visits in both sites on most days.  

COVID Vaccine for 6mos – 5 years – CDC
COVID Vaccine FAQ for Families – AAP

Vaccine for 5-11 Years – Boosters only Available

We have a small amount of Pfizer bivalent booster vaccine available for this age group.  Please note we do not have vaccine available for the primary series at this time.

You can use this tool to find a location offering primary series doses near you.

Vaccine for 12+ Years – Limited availability

We currently have a small amount of the Moderna bivalent booster vaccine available for this age group.  Please note we do not have vaccine available for the primary series at this time.  If you’re interested in a booster for your adolescent, please call the office to check availability.

vaccine Resources

Post-COVID Infection Cardiac Clearance

As we continue to learn more about COVID-19, we now know there have been limited reports of cardiac effects from even mild COVID infections.  The American Academy of Pediatrics is recommending clearance for return to sports/activity after COVID based on factors including severity of symptoms & intensity of sport/activity.  Children of all ages with moderate COVID infection (>4 days of fever, etc.) will need a clearance visit three weeks after COVID infection.  Parents should connect with our nurses to determine the best course of action before returning to activities, and once the patient is determined safe to return, a gradual return to play will be recommended.

Additional Information & Resources

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