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Breakthrough Covid Cases: Uncommon and Often Mild, but Not Always

For Moira Smith and her mother, July promised a glimmer of normalcy after months of isolation. The two flew from Alaska to Houston and visited …

Breakthrough Covid Cases: Uncommon and Often Mild, but Not Always

For Moira Smith and her mother, July promised a glimmer of normalcy after months of isolation. The two flew from Alaska to Houston and visited family, celebrating the first birthday of their cousin’s granddaughter. Ms. Smith’s mother bought a patterned pink onesie to give as a gift, and they all snapped photos of the baby’s face smeared with chocolate.

Ms. Smith, 46, knew that her cousin’s family was not vaccinated but tried not to dwell on that. She and her mother had both received their Pfizer shots months earlier. In the hotel room one evening, Ms. Smith’s mother made an offhand comment to her relatives: “You can take your masks off but you have to promise to get vaccinated,” she chided them.

The next morning Ms. Smith and her mother were headed home, on a layover in the Seattle airport, when they got the phone call: Their relative’s baby had come down with a fever and tested positive for Covid-19.

Two days later, Ms. Smith woke up feeling like she had been “hit by a Mack truck,” with body aches and a sore throat, and tested positive for the coronavirus. The next week, her mother, who is 76 and has lung cancer, texted her an emoji of a thermometer indicating she, too, had spiked a fever, and she later wound up in the emergency room with Covid.

Ms. Smith and her mother are part of a wave of Americans falling sick with Covid even though they are fully immunized, in what are known as breakthrough infections.

Public health experts continue to believe that breakthrough infections are relatively uncommon, and rarely result in severe illness or hospitalizations. The vaccines available in the United States offer powerful protection from serious Covid illness, hospitalization and death. A recent analysis of state-reported data from the Kaiser Family Foundation found that more than nine in 10 Covid-19 cases that resulted in hospitalization and death occurred among people who were not fully vaccinated.

“We always anticipated that there would be some breakthrough infections because the vaccines at their very best were 95 percent effective,” said Dr. William Schaffner, professor of infectious disease at Vanderbilt. “The vaccines were designed to prevent severe illness, and they’re spectacularly successful at that.”

But as the more transmissible Delta variant becomes dominant in the United States, rising numbers of breakthrough cases are being reported, although most are mild.

“Delta is vastly more contagious, so as it is spreading among the unvaccinated there is spillover into the vaccinated population,” Dr. Schaffner said. “The unvaccinated are a big highway of transmission. The vaccinated are a little side street.”

Elaina Cary-Fehr’s father Isaac was transferred to long-term care facility after being hospitalized with Covid in June.“I hate that this had to happen to my family,” she said.Credit…Cindy Elizabeth for The New York Times

Because people infected with the Delta variant have far more of the virus in their nose and upper respiratory tract, the importance of mask-wearing has become paramount. After the Centers for Disease Control and Prevention shifted its guidance on masking, recommending that vaccinated people in hot-spot areas resume wearing masks in public indoor spaces, millions of Americans who are fully immunized struggled to adjust their expectations for autumn months that had seemed to offer some semblance of festivity. And a small subset of Americans has already seen their routines upended by breakthrough infections.

Spurred by concerns about breakthrough infections, federal health officials recently recommended that Americans who received the Pfizer or Moderna vaccines receive a third dose in the coming months. This week Johnson & Johnson reported that a booster shot of its vaccine raised levels of antibodies against the coronavirus.

For some, breakthrough infections have felt like mild allergies, coming with symptoms including a cough, sniffles and a scratchy throat. Others have had more severe cases, where they are bedridden with body aches, fevers and chills. And still others have had some of the telltale signs of Covid such as loss of taste and smell, “Covid rash” and brain fog.

“We were calling it floaty-head syndrome,” said Molly O’Brien-Foelsch, 47, a marketing executive in Pennsylvania who tested positive for Covid after a trip to the British Virgin Islands with her husband last month. “It felt like there was a huge marshmallow on my head.”

Scientists believe that breakthrough infections rarely result in severe illness, but there have been cases of prolonged hospitalizations. Elaina Cary-Fehr’s father Isaac, a 64-year-old Uber driver in Austin, was transferred to a long-term care facility after being hospitalized with Covid pneumonia in June and later receiving a tracheotomy tube. He was released from the facility this week.

“I believe in the vaccine, I kept holding on to hope that it would work and it did,” Ms. Cary-Fehr said. “But I hate that this had to happen to my family.”

Dr. Rebecca Hughes, 32, works as an emergency medicine resident in Boston, so she had spent the last year with a simmering sense of anxiety about Covid exposure. She can still recall the fear she felt the first time she treated a coding Covid patient and wondered for hours whether her mask might have slipped and put her at risk. But all year she was kept safe by her protective equipment.

Then, last month, her family took a vacation to visit her grandparents in Utah. It was a trip they had hoped to take last February but postponed as Covid case rates rose. Four days after they landed, Dr. Hughes felt her throat becoming scratchy. She was certain it was allergies but took a Covid test just in case; it came back positive. Shortly afterward her newborn, who was 9 weeks old, started sneezing and tested positive too, along with Dr. Hughes’s three other children, ages 8, 6 and 3.

Jimmy Yoder, right, and his partner, Kyle Smith, felt ill after a weekend in Provincetown last month. “In the back of my mind I was like, ‘There is no way I’m going to get Covid,’ “ Mr. Yoder said.Credit…Gabriela Bhaskar/The New York Times

“It felt ironic after I spent so long caring for Covid positive patients on every single shift since the pandemic started,” Dr. Hughes said. “My 8-year-old knows I’ve been seeing people die from this. She looked at me and said, ‘Am I going to be OK?’”

Although some breakthrough infections like Dr. Hughes’s are difficult to trace to a precise exposure event, other Americans have found their vacation plans intersecting with well-known outbreaks.

Jimmy Yoder, 25, felt no trepidation as he and his boyfriend, both vaccinated, packed their bags to spend a weekend in Provincetown in July. And because their days and nights there were a blur of clubs and dancing, he assumed that the Monday morning fatigue that greeted him back in Brooklyn was just a bad hangover.

“I was feeling a little rundown but attributed it to a weekend of partying,” Mr. Yoder said. “In the back of my mind I was like, ‘There is no way I’m going to get Covid, I’m immune.’ ”

By Wednesday morning, Mr. Yoder no longer felt so confident. “I felt like I had a really bad flu,” he said, with a high fever and congested sinuses. He and his boyfriend both tested positive that day. Mr. Yoder slept for the next 18 hours, and when he and his boyfriend were both starting to feel better they ordered a celebratory pizza. They realized then that they had both lost their sense of taste and smell.

Mr. Yoder was relieved to find that of all the people he had exposed — friends who had driven him home from Provincetown, an office full of colleagues — only one tested positive. “Obviously it shows the vaccines are still working a lot,” he added.

As many Americans begin the familiar exercise of questioning and calling off plans, scientists are stressing the continued importance of mask-wearing to reduce transmission and infection.

“If you get infected and breathe virus out, it will get trapped by your mask,” said Dr. John Moore, a professor of microbiology and immunology at Weill Cornell. “These viruses don’t have pairs of scissors that can cut through masks.”

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escortaksaray escortamasya escortankara escortantalya escortantep escortardahan escortartvin escortaydın escortbalıkesir escortbartın escortbatman escortbayburt escortbilecik escortbingol escortbitlis escortbolu escortburdur escortbursa escortçanakkale escortçankırı escortçorum escortdenizli escortdiyarbakır escortdüzce escortedirne escortelazığ escorterzincan escorterzurum escorteskişehir escortgiresun escortgümüşhane escorthakkari escorthatay escortığdır escortısparta escortistanbul escortizmir escortizmit escortkarabük escortkaraman escortkars escortkastamonu escortkayseri escortkıbrıs escortkilis escortkırıkkale escortkırklareli escortkırşehir escortkocaeli escortkonya escortkütahya escortmalatya escortmanisa escortmaraş escortmardin escortmersin escortmuğla escortmuş escortnevşehir escortniğde escortordu escortosmaniye escortrize escortsakarya escortsamsun escortsiirt escortsinop escortşırnak escortsivas escorttekirdağ escorttokat escorttrabzon escorttunceli escortzonguldak escorturfa escortuşak escortvan escortyalova escortyozgat escorterkeklerde sertleşmeye iyi gelen ilaçlarsertleştirici hap eczane fiyatlarıvega 100 mg hapfuck googledolandırıcı hesap satışıbacklink alToscanello Blu Anice AnasonToscanello CappuccinoToscanello Cioccolato ÇikolataToscanello GrappaToscanello LimoncelloToscanello MacchiatoToscanello Rosso CaffeToscanello RubinoToscanello VanilyaToscanello PuroToscanello Cappuccino PuroAvrupa yakası escortAksaray escortAtaköy escortAtaşehir escortAvcılar escortBahçelievler escortBahçeşehir escortBakırköy escortBaşakşehir escortBeşiktaş escortBeylikdüzü escortBostancı escortBüyükçekmece escortEsenyurt escortEtiler escortFatih escortHalkalı escortKadıköy escortKartal escortKüçükçekmece escortMaltepe escortMecidiyeköy escortMerter escortPendik escortRus escortŞirinevler escortŞişli escortTaksim escortTopkapı escortümraniye escortZeytinburnu escortgaziantep escortalanya escorttekirdağ escortşanlıurfa escortşanlıurfa escortsamsun escortbolu escortbodrum escortbeylikdüzü escortyozgat escortyalova escortvan escortuşak escorturfa escorttrabzon escorttokat escorttokat escortsivas escorturfa escortsakarya escortsakarya escortrize escortniğde escortniğde escortmuğla escortmuğla escortmarmaris escortmardin escortmardin escortmaraş escortmanisa escortmanisa escortkütahya escortkocaeli escortkocaeli escortkıbrıs escortkastamonu escortkars escortısparta escortgümüşhane escortgiresun escortgaziantep escortzonguldak escortzonguldak escortyozgat escortyalova escortvan escorttrabzon escorttekirdağ escortsivas escortsamsun escortordu escortmersin escortmaraş escortmalatya escortkütahya escortkuşadası escortkonya escortkayseri escortkastamonu escortısparta escorthatay escortgiresun escorteskişehir escorterzurum escorttekirdağ escortdiyarbakır escortçorum escortçeşme escortburdur escortbolu escortmalatya escortdenizli escortbodrum escortbalıkesir escortafyon escortbalıkesir escortaydın escortartvin escortantep escortantalya escortağrı 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escortbolu escortbeylikdüzü escortmalatya escortadana escortafyon escorteskişehir escorterzurum escorterzurum escorterzincan escortelazığ escortelazığ escortelazığ escortelazığ escortedirne escortedirne escortdüzce escortdiyarbakır escortdidim escortdenizli escortçorum escortçeşme escortçeşme escortçanakkale escortçanakkale escortçanakkale escortburdur escortbolu escortbodrum escortbodrum escortbalıkesir escortaydın escortartvin escortartvin escortantep escortantep escortalanya escortağrı escortafyon escortadana escortantalya escortalanya escortalanya escortAmazon Prime izleBeIN Connect izleBlutv izleDisney Plus izleexxen izleGain TV izleNetflix izleAmazon prime izleBlutv izleDisney Plus izlebeylikdüzü escorteryaman escortcaptain blackkalpli sigarasertleştirici hap eczane fiyatlarışişme bebeksertleşme sağlayıcı ilaçlar ve isimleriviagra fiyatManchester Double Drive SigaraKing Edward imperial puroadana escort1xbet kayıt1xbet casino1xbetpenis sertleştirici cinsel haplarescortAydın 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escort bayanEscort ankaraEscort Bayan İstanbulümraniye escortüsküdar escortzeytinburnu escortkadıköy escortkağıthane escortkartal escortmaltepe escortkeçiören escortmanavgat escortalanya escortbodrum escortkuşadası escortdidim escortarnavutköy escortsilifke escortbelek escortşişli escortpendik escortkarşıyaka escortseyhan escortnilüfer escortesenler escortbeylikdüzü escortİstanbul escortİstanbul escort bayanEscort istanbulBayan escortEscort bayanescortseoboşalmayı geciktirici haplargeciktirici kremlergeciktirici spreylerpenis büyütücü haplarbayan azdırıcı damlabayan azdırıcı haperken boşalma geciktirici ilaçlarpenis büyütücü çeşitleribayan cinsel istek arttırıcılarcialis fiyatıviagra fiyatlarıbayan cinsel istek arttırıcılarerken boşalmayı geciktirici ilaç çeşitleripenis büyütücü ürün çeşitlerierken boşalmayı geciktirici ilaç çeşitleribayan cinsel istek arttırıcı damlageciktirici sprey çeşitlerien iyi geciktirici kremkadın istek arttırıcı damlaen iyi bayan azdırıcı ilaçcialis fiyatı eczaneviagra eczane fiyatıerken boşalmayı geciktirici haplargeciktirici krem çeşitleripenis büyütücü haplarcinsel gücü arttırıcı ilaçlarbayan azdırıcı ilaçlaren iyi geciktirici ilaç isimleripenis büyütücü kremen iyi bayan cinsel istek arttırıcılargeciktirici haplargeciktirici kremler çeşitlerikadın azdırıcı çeşitlerigeciktirici ilaç çeşitleripenis büyütücü çeşitlerieczane cialis fiyatıviagra eczane fiyatlarıbayan azdırıcı ilaçlaren iyi geciktiricilerpenis büyütücülerbayan uyarıcılarerken boşalmayı geciktiren ilaçlarpenis büyütücülerviagra eczane satış fiyatlarıeczane cialis fiyatıerken boşalmayı geciktirici ilaçlargeciktirici krem fiyatlarıgeciktirici sprey eczaneen etkili büyütücülerbayan istek arttırıcı çeşitlerien iyi bayan cinsel istek artırıcılarerken boşalmayı geciktirici ilaçcialis eczanecialis eczanede kaç tlADANA ESCORTANKARA ESCORTANTALYA ESCORTMERSİN ESCORTİZMİR ESCORTKAYSERİ ESCORTKONYA ESCORTAnadolu Yakası Escortavrupa yakası escortcialis fiyatıcinsel ereksiyon ilaçlarıcialis fiyatlarıviagra fiyatıcialis fiyatı eczaneFlynta 20 Mgkamagra 100 mgOrcafil 20 MgLifta 5 MgHardcis 5 MgLex 20 MgLevitra 20 MgPriligy 30 MgVigaroo 100 MgHardcis 20 MgAfilta 20 MgHardcis 20 Mgdegralifta 20 mgankara escortantalya escortizmir escortmersin escortCinsel sağlık ürünleriCinsel performans ürünleriGeciktirici ürünlerSertleştirici haplarKamagra jelKamagra jel fiyatKamagra jel eczaneVega 100 mgVega 100 mg fiyatViagraViagra fiyatViagra 100 mg fiyatViagra 30 lu fiyatCialisCialis fiyatCialis 20 mg fiyatCialis 100 mg fiyatCialis 30 lu tablet fiyatCialis 5 mg fiyatankara escortantalya escortizmir escortAdıyaman EscortArtvin EscortBilecik EscortBingöl EScortBitlis EscortBurdur EscortÇankırı EscortÇorum EscortGiresun EscortGümüşhane EscortKars EscortKastamonu EscortKırklareli EscortKırşehir EscortNevşehir EscortErzincan EscortNiğde EscortOrdu EscortSiirt EscortSinop EscortBayburt EscortKaraman EscortKırıkkale EscortBatman EscortŞırnak EscortBartın EscortArdahan Escortığdır EscortKarabük EscortOsmaniye EscortDüzce EscortKilis EscortAdana EscortAnkara EscortAntalya EscortAydın EscortBursa EscortDenizli EscortDiyarbakır EscortEskişehir EscortAntep EscortHatay EscortMersin Escortizmir EscortKayseri EscortKocaeli EscortKonya EscortMalatya EscortMardin EscortSakarya EscortSamsun EscortTrabzon EscortYalova EscortAdıyaman EscortAfyon EscortVan EscortAğrı EscortAmasya EscortBalıkesir EscortBilecik EscortBolu EscortBurdur EscortÇanakkale EscortEdirne EscortElazığ EscortErzincan EscortErzurum Escortısparta EscortKars EscortKastamonu EscortManisa EscortKütahya EscortMuğla EscortRize EscortSivas EscortTekirdağ EscortUrfa EscortOrdu EscortNevşehir EscortMaraş EscortZonguldak Escortadana escortalanya escortankara escortantalya escortaydın escortbursa escortçorlu escortdenizli escortdiyarbakır escortelazığ escorteskişehir escortgaziantep escortizmir escortkayseri escortkocaeli escortkonya escortmalatya escortmersin escortpendik escortsakarya escortsamsun escorttrabzon escortadana escortankara escortalanya escortantalya escortaydın escortbursa escortçorlu escortdenizli escortdiyarbakır escortelazığ escorteskişehir escortgaziantep escortistanbul escortizmir escortizmit escortkayseri escortkocaeli escortkonya escortmalatya escortmersin escortsakarya escortsamsun escorttrabzon escort520 Kalpli Sigara Kavunlu520 Kalpli Sigara Liçi Kral Meyvesicialis eczane fiyatı 2023viagra eczane fiyatı 2023free shopbayan azdırıcılarerken boşalmayı geciktiricilerviagra fiyatı 2023cialis fiyatı 2023eczanede satılan sertleştirici ilaçlarbeylikdüzü escortcialiscialiscialis 100 mgviagra 30 lu tabletkadın azdırıcıereksiyon haplarıgeciktirici spreypenis büyütmeviagrakamagracinsel ilaçlarcialis 5 mgcialis 20 mgcinsel eczanebayan azdırıcı eczaneistek arttırıcı damlacinsel güç arttırıcı ilaçlareczanelerde satılan geciktiricilerkamagra jelorjinal viagracialis 5 mgviagraeczane sağlıkcialis fiyatviagra fiyatkamagra jelcialis 100 mgviagra 30 lucialis 20 mggeciktirici spreybayan azdırıcı ilaçlarkadın azdırıcı damlasertleştirici ilaçlarpenis büyütücücialis 5 mgcialiscialis 5 mgKamagra jelCialis fiyatViagra fiyatEreksiyon haplarıCinsel sağlık ürünleriCinsel ilaçlarBayan azdırıcı damlaCialis fiyatViagra fiyatKamagra jelGeciktirici spreyCinsel performans artırıcı ürünlerBayan azdırıcı hapCialis 30 lu tabletpenis sertleştirici ilaç isimlericialis fiyatı 2023 eczaneviagra eczane satış fiyatı 2023lifta fiyatı eczanepenis sertleştirici ilaç çeşitlerieczane cialis fiyatıorijinal viagra fiyatıfx15 orijinal zayıflama hapıyapay kızlık zarı siparişvajina daraltıcı kremyalova escortmuğla escortaydın escorttrabzon escortkütahya escortçanakkale escortbalıkesir escortmanisa escorttekirdağ escortkahramanmaraş escortelazığ escortsivas escortşanlıurfa escorterzurum escortamasya escortvan escortrize escortgiresun escortordu escorttokat escortyozgat escortçorum escortmond sigarabayan azdırıcı damla çeşitlerikamagra jel eczane fiyatıafyon escortbalıkesir escortkütahya escortmanisa escortbolu escortmuğla escortbodrum escortmarmaris escortedirne escortkeşan escortriz escorterzincan escorthatay escortçorlu escortDating Escortkonya escortmersin escortadana escortbursa escortmalatya escortkayseri escortaydın escortMilano Coffee Sigara Kahve AromalıMilano Gum Sigara Sakız Aromalıoris sigaraelazığ escortkocaeli escortizmir escortkayseri escortgaziantep escortadana escortkonya escortümraniye escortizmit escorteskişehir escortmersin escortIstanbul Escortsamsun escortvan escortaydın escortedirne escortaksaray escortantalya escortescort antalyaescortAdana Escortadıyaman escortafyon escortağrı escortaksaray escortamasya escortankara escortantalya escortardahan escortartvin escortaydın escortbalıkesir escortpung hile satın albartın escortbatman escortbayburt escortbilecik escortbingöl escortbitlis escortbolu escortburdur escortbursa escortçanakkale escortçankırı escortçorum escortdenizli escortdiyarbakır escortdüzce escortedirne escortelazığ escorterzincan escorterzurum 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