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COVID-19 Vaccine Latest Updates

• Will ARC offer the new COVID-19 bivalent vaccine for primary and booster?

  What to know about the new bivalent vaccines.

  • The updated Moderna COVID-19 (bivalent) and Pfizer-BioNTech (bivalent) vaccine boosters contain half of its mRNA to produce spike protein against BA.1 (the original omicron strain) and the other half of the mRNA targets BA.4 and BA.5 (the current circulating strains that have the same spike protein).
  • The total dose of mRNA is the same. *
  • The updated Pfizer-BioNTech (bivalent) is approved for ages six months and over. (Updated 12/8/2022)
  • The updated Moderna COVID-19 (bivalent) is approved for ages six months and over. (Updated 12/8/2022)
  • The FDA and CDC have withdrawn the approval for the current boosters of the original Pfizer-BioNTech and Moderna vaccines for people over 11. The original vaccine formulations will be used for primary vaccine series and booster for children under 12.

  *See specific age groups for dosing recommendations.

  Reminder: you can also receive your flu shot when you book any COVID-19 vaccination.

• Who can get a COVID-19 booster shot at ARC?

  Boosters are available at ARC to people six months and older, based on the criteria outlined by the CDC as of 12/8/2022:

  • Children six months to five years old: The Moderna Bivalent dose IS a booster dose and can ONLY be given to those who have completed Moderna (both doses) as their primary series in this age group. The Moderna bivalent for six months – five years is homologous – meaning it is NOT interchangeable (can’t mix and match) – so it cannot be given to a patient who had Pfizer as a primary series in this age group.
    The Pfizer Bivalent dose for six months to four years is a three-dose PRIMARY series with the Monovalent Pfizer vaccine given as doses one and two, and the BIVALENT vaccine given as dose three – this IS NOT a booster dose. There is NO Pfizer booster dose for this age group.
  • Children 5-11 years old: For moderately or severely immunocompromised children aged 5–11 years old, CDC recommends an additional dose of the original (monovalent) Pfizer-BioNTech COVID-19 vaccine to complete the primary series – a total of three doses.
  • Teens 12-17 years old: CDC now recommends a dose of the updated Pfizer (bivalent) vaccine to complete the primary series with or without the original booster.
  • Adults 18 years and older: CDC now recommends a dose of the updated Pfizer-BioNTech (bivalent) or Moderna COVID-19 (bivalent) vaccine to complete the primary series with or without the original booster. If you received Johnson & Johnson's Janssen COVID-19 vaccine, you can get an updated Pfizer-BioNTech or Moderna booster.

  Note: You are considered up to date with your COVID-19 vaccines if you have completed a COVID-19 vaccine primary series and received the most recent booster dose recommended for you by the CDC.

  *Although mRNA vaccines are preferred, J&J/Janssen COVID-19 vaccine may be considered in some situations.

  Timing of booster shots: CDC now recommends:

  • Original (monovalent) booster for 5-11 years:
  • Five months after the completion of the primary series of Pfizer-BioNTech COVID-19 vaccine for those aged 5-11 years old.
  • Updated (bivalent) booster for 12 and over:
  • The new bivalent booster is approved to be given one time two months after the primary series or the last booster.

  If you would like to schedule your booster now, you can schedule online at MyChartARC.com or call 512-272-4636.

  Source: CDC Website

• What vaccines does ARC have available?

  ARC has all of the COVID-19 vaccines approved by the FDA; Pfizer, Pediatric Pfizer, and Moderna. Go to the ARC COVID-19 Vaccine page to find the clinic and shot most convenient to you.

• What is the difference between the COVID-19 vaccine and the COVID-19 booster?

  The terms are used to differentiate between the point in time in which they are received, as well as their intent. The Pfizer and Moderna vaccines consist of two shots spaced out over several weeks, meant to create antibodies in your system to fight the coronavirus. The intent of the booster shot is to “boost” the effects of the initial vaccinations.

  The updated Moderna COVID-19 (bivalent) and Pfizer-BioNTech (bivalent) vaccines contain half of its mRNA to produce spike protein against BA.1 (the original omicron strain) and the other half of the mRNA targets BA.4 and BA.5 (the current circulating strains that have the same spike protein). These formulas will now be used for both vaccine and boosters, in all people over 12.

  Visit the CDC booster shot page to get the latest information on who should get the booster shot and when.

• Can a vaccinated person get sick and transmit the virus to someone else?

  The most recent update from the CDC: The Omicron variant likely will spread more easily than the original SARS-CoV-2 virus and how easily Omicron spreads compared to Delta remains unknown. CDC expects that anyone with Omicron infection can spread the virus to others, even if they are vaccinated or don't have symptoms. This is a fluid situation, and we will keep the updates coming as we learn more.

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Vaccines for Ages 6 Months - 17 Years

• Does ARC offer the COVID-19 vaccine for children ages 6 months - 17 years?

  Yes. ARC follows the CDC-recommended COVID-19 vaccine schedules for children and teens.

• How to schedule a COVID-19 vaccine for children ages 6 months - 17 years.

  • With proxy access: Visit MyChartARC.com, choose [COVID-19 vaccination], and follow the prompts.
  • Without proxy access: Call 512-272-4636.
  • To get proxy access: Visit ARCMyChartproxy.com for guidance.

• Can 6 months - 17 year olds get their regular vaccinations and the COVID-19 vaccine at the same time?

  Yes. As per CDC guidelines, regular vaccinations and the COVID-19 vaccine can be administered at the same time.

• Are the Pfizer BioNTech and Moderna COVID-19 vaccines safe for children ages 6 months - 17 years?

  Tens of thousands of volunteers ages 6 months - 17 years were involved in clinical trials for the vaccines. The clinical trials showed that the COVID-19 vaccines are remarkably safe and effective before they got FDA emergency use authorization.

  The FDA has given the Pfizer-BioNTech COVID-19 and Moderna vaccines emergency authorization to use in children ages 6 months through 15 years old and full approval to use in people ages 16 years and older. Learn more about the process of developing, authorizing, and approving COVID-19 vaccines. The vaccines continue to be monitored very closely. The Centers for Disease Control and Prevention (CDC) say that COVID-19 vaccines will have "the most intensive safety monitoring in U.S. history."

• Are the Pfizer BioNTech and Moderna COVID-19 vaccines for children ages 6 months - 17 years the same as the adult version?

  The composition of the vaccines is the same, but the dosages and scheduling vary by age group:

  • Pfizer
  • Age 6 months – 4 years: 3 dose primary series – 2nd dose 3-8 weeks after 1st dose, and 3rd dose 8 weeks after 2nd dose. No booster is recommended. 1/10 the amount of the adult dose.
  • Age 5 - 11 years: 2 dose primary series – 2nd dose 3-8 weeks after 1st dose. Booster recommended 5 months after 2nd dose.
  • Age 12 - 17 years: 2 dose primary series – 2nd dose 3-8 weeks after 1st dose. Booster recommended 5 months after 2nd dose.
  • Moderna
  • Age 6 months – 5 years: 2 dose primary series – 2nd dose 4-8 weeks after 1st dose. No booster is recommended. ¼ the amount of the adult dose.
  • Age 6 - 17 years: the FDA has given a EUA (emergency use authorization) for Moderna. ACIP meets on June 23 to finalize recommendations.

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COVID-19 Delta and Omicron Variants

• What is the Omicron variant?

  The Omicron variant (known as B.1.1.529) is a highly contagious SARS-CoV-2 virus strain. The CDC expects that anyone with Omicron infection can spread the virus to others, even if they are vaccinated or don't have symptoms. More data are needed to know if Omicron infections, and especially reinfections and breakthrough infections in people who are fully vaccinated, cause more severe illness or death than infection with other variants.

• What is the Delta variant?

  The Delta variant (known as B.167.2) is a highly contagious (and possibly more severe) SARS-CoV-2 virus strain. The CDC considers the Delta variant a Variant of Concern (VOC). A VOC seems to spread more easily and quickly than other variants, which may lead to more cases of COVID-19. An increase in the number of cases will put more strain on healthcare resources, lead to more hospitalizations, and potentially more deaths primarily for unvaccinated individuals. Currently, the Delta variant accounts for the majority of new COVID-19 cases in the US. It's possible it has a slightly higher likelihood of causing more severe disease, but the data is inconclusive.

• What are the symptoms of the Delta and Omicron variants?

  Symptoms of the Delta and Omicron variant are more like a bad cold. The most common symptoms are:

  • Headache
  • Sore throat
  • Runny nose
  • Fever
  • Cough

• Are vaccines effective against the Delta and Omicron variants?

  Current vaccines are expected to protect against severe illness, hospitalizations, and deaths due to infection with the Delta and Omicron variants. However, breakthrough infections in people who are fully vaccinated are likely to occur. The recent emergence of Omicron further emphasizes the importance of vaccination and boosters. The CDC recommends that everyone ages 18 years and older should get a booster shot at least two months after their initial J&J/Janssen vaccine or six months after completing their primary COVID-19 vaccination series of Pfizer-BioNTech or Moderna.

• Does ARC lab test for variants in vaccinated patients who have tested positive for COVID-19?

  Currently, variant testing is only available through hospitals for patients that have severe COVID-19 infection.

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COVID-19 Vaccine Initial Doses at ARC

• How do I book my appointment to get my second dose of vaccine?

  Your appointment will be scheduled upon receiving Dose 1 at ARC. If you did not get your first dose at ARC, please call 512-272-4636.

• Will I need to book an appointment to get a COVID-19 vaccine?

  Yes. You can view scheduling options at ARCcovidvaccine.com. You can expect to provide the necessary personal and insurance information and sign consent forms in order to get vaccinated.

• Will I be able to get the COVID-19 vaccine in the clinic?

  ARC provides in-clinic vaccinations at all locations. We will monitor patients for any reactions. You can expect to book an appointment, provide necessary personal and insurance information, and sign consent forms in order to get vaccinated.

• How much does the COVID-19 vaccine cost?

  The COVID-19 vaccine is free, however there is an administration fee of $80.00.

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COVID-19 Booster Vaccine at ARC

• Can I get a COVID-19 booster at ARC if I did not get my first shots there?

  You don't have to have gotten your J&J/Janssen or first two mRNA doses at ARC to get your booster at ARC.

• Do I have to be a patient of ARC to get a COVID-19 booster at ARC?

  No. New patients can schedule a booster at ARC at 512-272-4636.

• What is the updated bivalent booster?

  A new updated booster has been approved by the FDA and CDC as of Sept. 1, 2022.

  • The updated Pfizer-BioNTech (bivalent) or Moderna COVID-19 (bivalent) vaccine boosters contain half of their mRNA to produce spike protein against BA.1 (the original omicron strain) and the other half of the mRNA that targets BA.4 and BA.5 (the current circulating strains that have the same spike protein). The total dose of mRNA is the same. This formula should generate a better antibody response against the current circulating strains.
  • The FDA and CDC have withdrawn the approval for the current boosters of Pfizer and Moderna – the original vaccine formulations will only be used for primary vaccine series.
  • Currently the new bivalent booster is approved to be given one time 2 months after the primary series or the last original booster.

• Who can get a booster at ARC?

  The updated Pfizer-BioNTech (bivalent) booster is approved for age five and over. The updated Moderna COVID-19 (bivalent) booster is approved for ages six months and over.

  Boosters are available at ARC to people six months and older, based on the criteria outlined by the CDC as of 12/8/2022:

  • Children six months to five years old: The Moderna Bivalent dose IS a booster dose and can ONLY be given to those who have completed Moderna (both doses) as their primary series in this age group. The Moderna bivalent for six months – five years is homologous – meaning it is NOT interchangeable (can’t mix and match) – so it cannot be given to a patient who had Pfizer as a primary series in this age group.
    The Pfizer Bivalent dose for six months to four years is a three-dose PRIMARY series with the Monovalent Pfizer vaccine given as doses one and two, and the BIVALENT vaccine given as dose three – this IS NOT a booster dose. There is NO Pfizer booster dose for this age group.
  • Children 5 – 11 years old: For moderately or severely immunocompromised children aged 5 – 11 years old, CDC recommends an additional dose of the original (monovalent) Pfizer-BioNTech COVID-19 vaccine to complete the primary series – a total of three doses.
  • Teens 12 - 17 years old: CDC now recommends a dose of the updated Pfizer (bivalent) vaccine to complete the primary series with or without the original booster.
  • Adults 18 years and older: CDC now recommends a dose of the updated Pfizer-BioNTech (bivalent) or Moderna COVID-19 (bivalent) vaccine to complete the primary series with or without the original booster. If you received Johnson & Johnson's Janssen COVID-19 vaccine, you can get an updated Pfizer-BioNTech or Moderna booster.

  Note: You are considered up to date with your COVID-19 vaccines if you have completed a COVID-19 vaccine primary series and received the most recent booster dose recommended for you by the CDC.

  *Although mRNA vaccines are preferred, J&J/Janssen COVID-19 vaccine may be considered in some situations.

  Timing of booster shots: CDC now recommends:

  Original (monovalent) booster for 5-11 years:

  • Five months after the completion of the primary series of Pfizer-BioNTech COVID-19 vaccine for those aged 5-11 years old.

  Updated (bivalent) booster for 12 and over:

  • The new bivalent booster is approved to be given one time two months after the primary series or the last (monovalent) booster.

  If you would like to schedule your booster now, you can schedule online at MyChartARC.com or call 512-272-4636.

   

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COVID-19 Vaccine Information

• What is the difference between the Johnson & Johnson, Moderna, and Pfizer COVID-19 vaccines?

  	Johnson and Johnson	Moderna	Pfizer
  Age	18+	6 months+	6 months+
  How it works	Uses cold virus (does not replicate, does not make you sick) to deliver a genetic message to your body to make spike protein which produces an immune response	Uses tiny lipid bubbles to deliver a genetic message (mRNA) to your body to make spike protein which produces an immune response	Uses tiny lipid bubbles to deliver a genetic message (mRNA) to your body to make spike protein which produces an immune response
  How many doses	1	2	2
  When can I return for my 2nd dose?	No 2nd dose needed	**28 days after the 1st dose	**21 days after the 1st dose
  When is full effectiveness achieved?	2 weeks after administration of the single dose	2 weeks after administration of the 2nd dose	2 weeks after administration of the 2nd dose

  **CDC allows second doses to be given up to 4 days early (17 days for Pfizer and 24 days for Moderna.)
  
  **Ideally, the second doses should be administered as close to the recommended interval as possible, but may be given within 42 days of the first dose. If a second dose is given after the 42-day interval, it does not need to be repeated.

• What are the guidelines if I've been vaccinated?

  After you are fully vaccinated for COVID-19, take these steps to protect yourself and others:

  • In general, you do not need to wear a mask in outdoor settings.
  • If you are in an area with high numbers of COVID-19 cases, consider wearing a mask in crowded outdoor settings and when you are in close contact with others who are not fully vaccinated.
  • If you have a condition or taking medications that weaken your immune system, you may not be fully protected even if you are fully vaccinated. You should continue to take all precautions recommended for unvaccinated people, including wearing a well-fitted mask, until advised otherwise by their healthcare provider.
  • If you are fully vaccinated, to maximize protection from the Delta variant and prevent possibly spreading it to others, wear a mask indoors in public if you are in an area of substantial or high transmission.

  Learn more from the CDC COVID-19 vaccine FAQ.

• What are the Pfizer and Moderna COVID-19 vaccines?

  The Pfizer and Moderna COVID-19 vaccines are both Messenger RNA (mRNA) vaccines. The FDA has authorized the emergency use of both vaccines to prevent COVID-19. The Pfizer vaccine can be used for individuals six months of age and older and the Moderna vaccine is for individuals six months of age and older under an Emergency Use Authorization (EUA).

  Learn more about types of COVID-19 vaccines available.

• What are the side effects after getting a COVID-19 vaccine?

  It is normal to have some side effects after any vaccination, like pain and swelling where you received the shot. You may also have fever, chills, tiredness, and headache. They are normal signs that your body is building protection. These side effects may slow you down but should go away in a few days.

• What are the risks of allergic reaction after getting a COVID-19 vaccine?

  The CDC recommends that someone with a history of severe allergic reactions or anaphylactic reaction to anything NOT in the vaccine can still get the COVID vaccine but must be observed for 30 minutes after vaccination instead of 15 minutes. If someone has had an anaphylactic reaction to any component that is PART OF the vaccine, then the vaccine should not be given.

• Who should NOT get the Pfizer or Moderna COVID-19 vaccine?

  You should not get the Pfizer or Moderna COVID-19 vaccine if you:

  • Had a severe allergic reaction after a previous dose of this vaccine.
  • Had a severe allergic reaction to any ingredient of this vaccine.

  See the Moderna COVID-19 vaccine EUA fact sheet.

• What are the ingredients in the Pfizer-BioNtech COVID-19 vaccine?

  The Pfizer BioNTech COVID-19 vaccine includes the following ingredients: mRNA, lipids ((4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), 2 [(polyethylene glycol)-2000]-N,N-ditetradecylacetamide, 1,2-Distearoyl-sn-glycero-3- phosphocholine, and cholesterol), potassium chloride, monobasic potassium phosphate, sodium chloride, dibasic sodium phosphate dihydrate, and sucrose. See the Pfizer-BioNTech COVID-19 vaccine fact sheets.

• What are the ingredients in the Moderna COVID-19 vaccine?

  The Moderna COVID-19 vaccine contains the following ingredients: messenger ribonucleic acid (mRNA), lipids (SM-102, polyethylene glycol [PEG] 2000 dimyristoyl glycerol [DMG], cholesterol, and 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC]), tromethamine, tromethamine hydrochloride, acetic acid, sodium acetate, and sucrose. See the Moderna COVID-19 vaccine EUA fact sheet.

• What are the ingredients in the Johnson & Johnson COVID-19 vaccine?

  The Janssen COVID-19 Vaccine contains the following ingredients: Recombinant, replication-incompetent adenovirus type 26 expressing the SARS-COV-2 spike protein, citric acid monohydrate, trisodium citrate dehydrate, ethanol, 2-hydroxypropyl-B-cyclodesxtrin (HBCD), polysorbate, and sodium Chloride. See the Janssen COVID-19 vaccine EUA fact sheet.

  It is best not to get the vaccine within 48 hours of an allergy immunotherapy shot (allergy shot.)

• How are the Pfizer and Moderna COVID-19 vaccines given?

  • Both the Pfizer and Moderna COVID-19 vaccines are given as an injection into the muscle.
  • Both are a vaccination series of 2 doses.
  • Pfizer's 2^nd dose is given 21 days after the first dose and Moderna's is given 1 month after the first dose.
  • You must receive a second dose of the same vaccine to complete the vaccination series.

  Learn more about types of COVID-19 vaccines available.

• What is the difference between an mRNA and viral vector vaccine?

  Messenger RNA (mRNA) is the genetic material that a virus or a cell in your body uses to teach our cells how to make a protein—or even just a piece of a protein—that triggers an immune response inside our bodies. That immune response, which produces antibodies, is what protects us from getting infected if the real virus enters our bodies.

  A viral vector vaccine uses a harmless version of a different virus, called a "vector", to deliver information to the body that helps it protect you. The vaccine teaches your body how to make copies of the spike proteins. If you are exposed to the real virus later, your body will recognize it and know how to fight it off.

• How does the COVID-19 mRNA vaccine work?

  The COVID-19 virus uses mRNA to produce the spike protein that forms the outer layer of the virus. The spike protein in the virus generates an immune response. The COVID-19 mRNA vaccines give instructions for our cells to make a harmless piece of the spike protein, our immune system recognizes it does not belong and begins making antibodies. The advantage of an mRNA vaccine is that it generates a stronger type of immunity –making antibodies and immune system killer cells– a double strike against viruses.

  Understand How COVID-19 Vaccines Work.

• How new are mRNA vaccines?

  Scientists have been exploring developing mRNA vaccines as far back as 30 years ago, so it's not an entirely new concept. In fact, it's relatively easy and fast to make mRNA in large quantities in the laboratory. mRNA vaccines have been studied before for flu, Zika, rabies, and cytomegalovirus (CMV). Beyond vaccines, cancer research has used mRNA to trigger the immune system to target specific cancer cells.

  Understand How COVID-19 Vaccines Work.

• Should I be concerned about having genetic material injected into me?

  Messenger RNA (mRNA) enters the immune cells in your body as a message for that cell to create proteins that generate an immune response. The mRNA gets rapidly degraded inside the cell and never enters the nucleus of the cell (where your DNA is contained). So, the mRNA is not interfering or interacting with your genetic material.

• Should I get the vaccine if I am pregnant?

  ARC OB doctors support the recommendations of the American College of Obstetrics and Gynecology and the Society of Maternal and Fetal Medicine – both recommend COVID-19 vaccination during pregnancy. Pregnancy increases the risk of severe COVID-19 and recently published studies have confirmed the safety of COVID-19 vaccines during pregnancy. If you have questions about COVID-19 vaccination during pregnancy, you can discuss with your OB doctor.

• What are mammography recommendations for women receiving the COVID-19 Vaccine?

  Screening mammograms and COVID-19 vaccines are both very important for your health.

  • COVID-19 vaccine
    Some women who receive the COVID-19 vaccine develop swollen lymph nodes under their arm on the same side as their vaccine injection. This is the normal immune reaction to a vaccine. These swollen lymph nodes usually return to normal on their own in a few days or weeks.
  • Why do swollen lymph nodes matter?
    Breast radiologists look closely for any changes on your mammogram. Swollen lymph nodes under one arm can be seen on a mammogram and can be a rare sign of breast cancer
  • What happens if there are swollen lymph nodes on my mammogram?
    Depending on your medical history and when you received your vaccine, the breast radiologist may recommend that you return to the breast center for an ultrasound of your underarm area and they also may recommend a follow up exam to show that the lymph nodes have returned to normal size.
  • When should I schedule my screening mammogram?
    Try to schedule your screening mammogram before your first COVID-19 vaccine dose or at least 4 weeks after your second vaccine dose. This reduces the chance that swollen lymph nodes from the vaccine will appear on your mammogram.
  • What if my mammogram is already scheduled?
    Keep your vaccination appointment. Getting vaccinated is critical to stop the spread of COVID-19. Consider rescheduling your screening mammogram if possible before your vaccine. However, if you are already overdue for your screening exam or cannot reschedule within the next few months, keep your screening mammogram appointment and keep your COVID-19 vaccination appointments. Regular screening mammograms ensure that breast cancer can be detected as early as possible. Both are very important to ensure that you stay healthy. It's especially important to keep your mammogram appointment if you are significantly overdue for screening. Remember: annual screening saves the most lives.
  • What should I tell the technologist on the day of my screening mammogram?
    Notify your mammography technologist if you have received a COVID-19 vaccine. Tell her when you received the vaccine, and which arm the vaccine was given. State whether it's your first or second dose. This information will help the breast radiologist interpreting your screening mammogram
  • What if I have other breast problems?
    If you have any changes in your breast or underarm, such as pain or a lump, contact your medical provider. The guidelines above are only for women with no breast symptoms who are scheduled for a COVID-19 vaccine.

• If I had a positive COVID-19 test or if I have antibodies is the vaccine needed?

  People who have gotten sick with COVID-19 still benefit from getting vaccinated as re-infection is possible. Experts do not yet know how long someone is protected from getting sick again after recovering from COVID-19. We won't know how long immunity produced by vaccination lasts until we have more data. Learn more from the CDC COVID-19 vaccine FAQ.

• How long does immunity last from the vaccine?

  We won't know how long immunity produced by vaccination lasts until we have more data. Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are trying to learn more about.

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Diagnosing & Testing

• Can I get tested without an appointment with a doctor?

  New and established patients can schedule a COVID-19 test at ARC WITHOUT a telemedicine or in-person visit if you are not experiencing symptoms. If you have fever, cough, shortness of breath, or other flu-like symptoms we will ask you to book an in-clinic or telemedicine visit. Currently, it takes 1-3 days to receive results.

  • Book at ARC MyChart if you already have an account.
  • Book online if you are new to ARC or do not have a MyChart account.

• What is the difference between the RT-PCR test and antigen test?

  Both the molecular (PCR) test and antigen test for COVID-19 are diagnostic tests. The PCR test detects the genetic material of the virus and the antigen test detects specific proteins from the virus. According to the FDA, antigen tests are more likely to miss an active COVID-19 infection compared to molecular tests. ARC offers the RT-PCR test. See FDA website for more information.

• Where can I get pre-op COVID-19 testing?

  ARC offers pre-op COVID-19 testing for new and established ARC patients.

  • If an ARC physician is doing the surgery, they will enter the lab order and you can go to one of the following clinics for a test:
  • ARC Cedar Park Building C
  • ARC Far West
  • ARC Kyle Plum Creek
  • ARC Round Rock
  • ARC Southwest
  • If a non-ARC physician is doing the surgery:
  • Book at ARC MyChart, if you already have an account.
  • Call 512-272-4636 and press “1” if you are new to ARC or you do not have a MyChart account.
  • Schedule your appointment within 7 days of your surgery.

• How long does it take to get the results?

  It normally takes 1-2 days to receive results. During periods of high demand we update the information at the top of the page.

• Will I see my results in ARC MyChart?

  Yes. It takes 1-3 days for postive or negative results to appear in ARC MyChart.

• Can I do a telemedicine visit with my ARC doctor?

  Most ARC primary and specialty care doctors offer telemedicine visits if appropriate. A telemedicine visit may be carried out by video or phone call. You can request a telemedicine visit at the time you book your appointment. In some cases, if an in-person office visit is booked, your doctor may decide to see you via telemedicine. If that happens your healthcare team will contact you in advance. Many of our patients appreciate being able to take care of their medication refills and COVID-19 evaluations without leaving their homes. You can book many telemedicine visits on ARC MyChart.

• What if I test negative for COVID-19 and still have symptoms?

  If your COVID-19 test result is negative but you have symptoms related to the illness, you may still have the virus in your system and should continue to protect yourself and minimize spread.

  Please remain in home quarantine no less than 5 days from the onset of symptoms AND until you have been fever-free without medications for 24 hours AND until you have improvement in cough and shortness of breath. Practice strict home hygiene to avoid spread in your household.

  Treat your symptoms with over-the-counter medications. If you have persistent cough and worsening shortness of breath, pain in the chest, or confusion, we can help you determine if we can care for you in our clinic or if you need to go to the ER.

  • Call 512-272-4636 and press “4” to speak with a nurse.
  • Visit NormanMD.com to speak with a doctor immediately on ARC’s on-demand virtual urgent care service (additional fee may apply).

• Should I do a blood type test?

  There was a study published in the New England Journal of Medicine (NEJM) that suggests that blood type can impact the risk of developing severe COVID-19. However, the study is still inconclusive and your blood type will not change recommended preventive or treatment measures. The presence or absence of underlying health problems, like chronic heart and lung disease, has much more of an impact than the possible association with blood type.

  It is not currently recommended that you do blood type testing to determine COVID-19 risk and there are contradictory findings at other institutions. A blood type test is also not covered by most health plans. If you would like to check your blood type and prefer not to spend the out-of-pocket lab fees, we recommend donating blood if you meet the requirements. When you donate blood, you are informed of your blood type and also help the community's blood supply.

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Treatment

• Can I get Paxlovid if I'm not sick and traveling?

  ARC providers can prescribe Paxlovid for patients at high risk of severe disease only if they are having symptoms and complete a visit. We are unfortunately not able to prescribe Paxlovid as a preventive measure for travel.

• What should I do if I test positive for COVID-19?

  Per CDC guidelines updated 5/11/2023.

  If you test positive for COVID-19, stay home for at least 5 days and isolate from others in your home.

  You are likely most infectious during these first 5 days.

  • Wear a high-quality mask if you must be around others at home and in public.
  • Do not go places where you are unable to wear a mask. For travel guidance, see CDC’s Travel webpage.
  • Do not travel.
  • Use a separate bathroom, if possible.
  • Take steps to improve ventilation at home, if possible.
  • Don’t share personal household items, like cups, towels, and utensils.
  • Monitor your symptoms. If you have an emergency warning sign (like trouble breathing), seek emergency medical care immediately.
  • Learn more about what to do if you have COVID-19.

  Treat your symptoms with over-the-counter medications. If you have persistent cough and worsening shortness of breath, pain in the chest, or confusion, we can help you determine if we can care for you in our clinic or if you need to go to the ER.

  • Call 512-272-4636 and press “4” to speak with a nurse.
  • Visit NormanMD.com to speak with a doctor immediately on ARC’s on-demand virtual urgent care service (additional fee may apply).

  For the most updated information, visit the CDC page on COVID-19 isolation and precautions.

• What should I do if I have been exposed to COVID-19?

  Start precautions immediately

  • Wear a mask as soon as you find out you were exposed
  • Start counting from Day 1, the first full day after your exposure
  • Continue precautions for 10 full days. You can still develop COVID-19 up to 10 days after you have been exposed
  • Get tested on Day 6, even if you don’t have symptoms
  • Watch for symptoms
  • Isolate if you develop symptoms or test positive

  Masks are not recommended for children under ages 2 years and younger, or for people with some disabilities. Other prevention actions (such as improving ventilation) should be used to avoid transmission during these 10 days.

  If you have persistent cough and worsening shortness of breath, pain in the chest, or confusion, we can help you determine if we can care for you in our clinic or if you need to go to the ER.

  • Call 512-272-4636 and press “4” to speak with a nurse. 
  • Visit NormanMD.com to speak with a doctor immediately on ARC’s on-demand virtual urgent care service (additional fee may apply).

• What treatments are available for children and adults with COVID-19?

  It is best to speak to a doctor about available treatments in our community. This changes often due to supply and demand and new developments.

  • Visit MyChartARC.com, choose COVID-19 Testing and Illness.
  • Call 512-272-4636 and press “1” to book an appointment.
  • Visit NormanMD.com to speak with a doctor immediately on ARC’s on-demand virtual urgent care service (additional fee may apply).

  Antibiotics are ineffective in treating COVID-19 since a virus causes it, and antibiotics do not work against viruses. They only work on bacterial infections.

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Antibody Testing

• What is an antibody test?

  An antibody test might tell you if you had a past COVID-19 infection. It is most accurate if you get the test at least 2 weeks after the onset of symptoms. It is a blood test and results can take 1-5 days depending on demand.

• Can I get an antibody test at ARC?

  Yes. ARC offers antibody testing for individuals and businesses. If you have a lab order from an ARC physician, you can make an appointment at any ARC clinic for a blood draw. Businesses can call 512-407-8686 to set up an account. Results take about 3-5 days.

• Can I get a COVID-19 anti-body test at ARC after I have my COVID-19 vaccine?

  Every situation is different so you should talk to your doctor if you have concerns. There are different types of antibody tests – some that look for prior infection, and others that could indicate prior vaccination. However, the correct timing and titer of antibody testing for vaccine response is unknown. Vaccine immunity comes from other responses by the immune system (like T cell immunity), not just antibodies. Because of these facts, antibody testing for vaccine immunity is not recommended.

• Do I have to be an ARC patient to get an antibody test at ARC?

  No. New and established patients can have an antibody test at ARC. New patients must have a telemedicine visit with a doctor to determine if an antibody test is indicated.

• How do I get a lab order for an antibody test?

  • If you have had a visit with an ARC doctor for COVID-related symptoms, you can message that doctor on MyChart or call the clinic to request a lab order.
  • If you suspect you had COVID-19 or had direct contact with someone with COVID-19 but we have not seen you for COVID-related issues, then you must schedule an in-clinic or telemedicine visit with an ARC doctor. ARC doctors will explain antibody testing to you and how to interpret the results specific to your situation. We recommend a telemedicine visit for your convenience.

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Insurance and Cost

• How can I continue to see my doctor if I lose my health insurance due to this pandemic?

  You may qualify for a Special Enrollment Period to get covered through the Marketplace, Medicaid, or CHIP. If you do, you can enroll outside the yearly Open Enrollment Period. We can help you stay with your ARC doctor.

  • View our Patient Guide for Insurance to check accepted health plans at ARC.
  • Visit healthcare.gov to check if you qualify for the special enrollment period.
  • Visit yourtexasbenefits.com to learn about health benefits through Texas state programs.

• What is the cost of the COVID-19 test if I am uninsured?

  Most insurance companies cover costs for tests, however copays, coinsurance, deductibles, and certain exclusions may apply, i.e., testing for travel. For patients without insurance, the cost of the various COVID tests are:

  • COVID PCR test: $134 ($100 with our cash pay/discount)
  • COVID/Flu A&B test: $286 ($214.50 with the cash pay/discount)

• What discounts do you offer uninsured patients?

  As a courtesy, ARC offers a 25% cash discount on most services to uninsured patients who pay in full at the time of service or by the "Due Date" on the first billing statement received. Please call (512) 407-8686 for further details. For an estimate of charges it is best to call your clinic in advance. Some services, such as lab tests, may be billed by the laboratory conducting testing.

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Patient Safety

• Do I have to wear a mask to my visit?

  The CDC has updated mask-wearing recommendations in healthcare facilities in areas of low community risk, which means masking is not currently required. However, to help us protect our high-risk patients, we ask all patients to please wear a mask if they have respiratory symptoms, a positive COVID-19 test, or COVID-19 exposure.

  Know your community spread.

• If I prefer not to come in, can I have a telemedicine visit?

  Your ARC primary or specialty care doctor will determine if you need to have your visit in the clinic or if a telemedicine visit is possible. You can schedule many telemedicine visits through ARC MyChart. You can also call your clinic and press "1" and request a telemedicine visit when you speak to a scheduler. Read more at ARCtelemedicine.com.

• How does ARC separate patients exhibiting respiratory symptoms from others?

  ARC greeters screen all patients for symptoms of potential viral illness before entering the clinic. This protocol applies to all visits at all clinics, both primary care and specialty care.

  • For patients with symptoms, the greeter checks them in from outside the clinic and asks them to wait in their car. An ARC staff member meets them at the door when their exam room is ready and escorts them directly to the exam room.
  • Patients without symptoms check in at the front desk and wait in the lobby.

• Can I bring a visitor with me to my visit?

  Due to the spread of COVID-19, ARC discourages guests. Patients may be accompanied by one healthy adult per patient, if help is needed for the visit. ARC greeters screen all visitors before entering the clinic and visitors with symptoms of any viral illness will be required to wait outside of the clinic.

• How does ARC protect patients from getting coronavirus from staff?

  ARC follows CDC and City of Austin guidelines taking the following precautions.

  • Anyone with a temperature or suspicion of COVID-19 gets tested and goes home to self-isolate.
  • If they test negative, they self-isolate until the fever is gone 24 hours AND symptoms improve.
  • If they test positive, they self-isolate until their fever is gone for 24 hours AND it has been at least 5 days since symptom onset AND symptoms improve.
  • If they do not have symptoms but had direct contact with a household member who tested positive and with whom they had prolonged close contact, they continue to work wearing an N95 mask, and test twice over several days if not vaccinated. If they have received all recommended vaccine doses, including booster, no quarantine is required per the CDC.

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COVID-19 Vaccine Research Study

• Where can I participate in a COVID-19 vaccine research study?

  Austin Regional Clinic offers opportunities for participation in clinical research studies. We are currently conducting various COVID-19 vaccine and treatment studies. To sign up, call 512-225-5931.

• Is it risky to participate in a COVID-19 research study?

  Research standards are very strict; this helps to ensure maximum safety to participants. This is a phase III trial. This is usually the last stage before FDA approval, meaning it has passed strict safety measures to get to this point. This study, like all others at ARC, has been reviewed by teams of government and research experts to ensure the benefits outweigh any risks of the study.

• Am I paid to participate in the COVID-19 study?

  You are compensated for your participation to cover your time, travel, and participation. All your study medications, lab tests, and health evaluations are free. You can also have the satisfaction of helping to advance medical science.

• How do I sign up for your COVID-19 research study?

  Call 512-225-5931 to sign up for the study.

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Risk Factors

• Am I at risk for COVID-19 in Central Texas?

  There is community spread of COVID-19 in Central Texas. The Texas Department of State Health Services (DSHS) and the City of Austin work closely with CDC in monitoring the developing outbreak.

  • Read more about the risk of COVID-19 in the Austin area
  • Read more about the risk of COVID-19 in Texas
  • View the Johns Hopkins University COVID-19 tracking map

• How easily does COVID-19 spread?

  The virus that causes COVID-19 spreads easily and sustainably in the community ("community spread"). Community spread means people have been infected with the virus in an area and may not be sure how or where they became infected. Spread of COVID-19 occurs via airborne particles and droplets. People who are infected with COVID can release particles and droplets of respiratory fluids that contain the SARS CoV-2 virus into the air when they exhale (e.g., quiet breathing, speaking, singing, exercise, coughing, sneezing).

• How can I tell if information online is true?

  There is a lot of information online about coronavirus that is untrue or misleading. In addition, fraudsters are targeting beneficiaries in a number of ways, including telemarketing calls, social media platforms, and door-to-door visits. Please be cautious of unsolicited requests for any ID or credit card information. A good resource to determine if something you read online is true is www.snopes.com. If you suspect COVID-19 fraud, contact National Center for Disaster Fraud Hotline (866) 720-5721 or [email protected].

  The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about fraud schemes.

• Are children at increased risk for severe illness, morbidity, or mortality from COVID-19 infection compared with adults?

  Based on available evidence, children do not appear to be at higher risk for COVID-19 than adults. But, according to the CDC, children are as likely to be infected with COVID-19 as adults and can:

  • Get very sick from COVID-19
  • Have both short and long-term health complications from COVID-19
  • Spread COVID-19 to others, including at home and school

• Are pregnant people more susceptible to infection, or at increased risk for severe illness with COVID-19?

  The CDC advises that pregnant people have no greater chance of getting sick from COVID-19 than the general public. However, they recognize that pregnant people experience changes in their bodies that may increase their risk of some infections with viruses from the same family as COVID-19. It is always important for pregnant people to protect themselves from illnesses.

  Read more about COVID-19 and pregnant people.

• Is breastfeeding safe when a birth parent has an infectious illness?

  Breast milk provides protection against many illnesses. The limited data available suggests that the virus does not likely spread through breast milk. The CDC recommends a birth with symptoms or with confirmed COVID-19 should take all possible precautions to avoid spreading the virus to their infant, including washing their hands before touching the infant and wearing a face mask, if possible, while feeding at the breast. If expressing breast milk with a manual or electric breast pump, the birth parent should wash their hands before touching any pump or bottle parts and follow recommendations for proper pump cleaning after each use. If possible, consider having someone who is well, feed the expressed breast milk to the infant.

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Common Symptoms

• What is COVID-19?

  COVID-19 is a respiratory illness caused by the new coronavirus.

  Read more about COVID-19 from the CDC.

• What are the symptoms?

  People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. Anyone can have mild to severe symptoms. People with these symptoms may have COVID-19:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headaches
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

  Learn more about the symptoms of COVID-19.

• What symptoms require immediate attention?

  If you develop emergency warning signs for COVID-19, get medical attention immediately. Emergency warning signs* include difficulty breathing or shortness of breath, persistent pain or pressure in the chest, new confusion or inability to arouse, bluish lips or face.

  Learn more about the symptoms of COVID-19.

  *This list is not all-inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

• What are the similarities between flu and COVID-19?

  Both COVID-19 and flu can have varying degrees of signs and symptoms, ranging from no symptoms (asymptomatic) to severe symptoms. Common symptoms that COVID-19 and flu share include:

  • Fever or feeling feverish/chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue (tiredness)
  • Sore throat
  • Runny or stuffy nose
  • Muscle pain or body aches
  • Headache
  • Some people may have vomiting and diarrhea

  Signs and symptoms of COVID-19, different from flu, may include change in or loss of taste or smell.

  See the CDC website for more on thesimilarities and differences between flu and COVID-19.

• How can I tell if I have a cold, flu, allergies, or COVID-19?

  A stuffy nose, sore throat, and a cough are all common symptoms. While there are subtle ways to help you distinguish between cold, flu, and allergies, COVID-19 is less predictable. No matter what may be slowing you down, we recommend extra caution this season. Stay home if you are not feeling well to avoid spreading any virus you may be carrying. Book an in-clinic or telemedicine visit if your symptoms worsen, if you want a flu or COVID-19 test, or if you have other health concerns.

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When to Seek Medical Care

• When should I call my doctor?

  We recommend you call your primary doctor at the first sign of symptoms. This will help limit the spread of the virus in our community. If you are eligible, this will also allow your physician to prescribe Monoclonal antibody treatment or Paxlovid.

  • Monoclonal antibody treatment is available in limited supply at the Regional Infusion Center. You must be referred by your physician.
  • Paxlovid is currently available in very limited quantities, but we expect better availability over time. Paxlovid must be started within 5 days of symptom onset.

  If you develop emergency warning signs for COVID-19, get medical attention immediately. Emergency warning signs include:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

  Call 512-272-4636 if you have questions.

• Do I need to go to the ER?

  You should call 9-1-1 or go to the ER only if you experience emergency warning signs. Emergency warning signs include:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

  Call 512-272-4636 if you have questions.

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Prevention

• Should I wear a face mask or covering when I go out?

  People, including children older than 2, should wear a mask in indoor public places if they are:

  • Not fully vaccinated
  • Fully vaccinated and in an area with substantial or high transmission
  • Fully vaccinated and with weakened immune systems

  In general, you do not need to wear a mask in outdoor settings. But, in areas with high numbers of COVID-19 cases, consider wearing a mask in crowded outdoor settings and for activities with close contact with others who are not fully vaccinated.

  Refer to your city or county Risk-Based Guidelines to confirm if further masking guidelines are in effect.

  CDC mask guide.

• Is a valve mask as safe as other masks?

  No. A "valve mask" only protects the wearer but does not protect people around the person wearing the mask. The valve is one-way, filtering air breathed in, not breathed out. It does not protect people around the wearer because droplets from breath, sneezes, and coughs still spread through the valve. Valved masks do not prevent transmission from infected individuals (with or without symptoms) to people around them. During this pandemic, a surgical mask or cloth mask is far superior. Surgical mask is preferred when you come into the clinic; cloth mask is acceptable. Please ask for a surgical mask from the greeter to replace or wear with your valved mask.

• If I wear a mask do I still need to social distance?

  Yes, it is critical to understand that a face covering or mask does not substitute for the need to maintain physical distancing. Instead, face coverings — coupled with physical distancing — are seen as important tools to decrease the risk of illness spread.

• How can I protect myself and my family?

  The best way to prevent illness is to avoid being exposed to this virus. Everyday preventive measures are effective; the same ones that prevent the spread of colds and the flu:

  • Get a COVID-19 vaccine as soon as you can. Schedule a vaccine.
  • Wear a mask that covers your nose and mouth to help protect yourself and others.
  • Stay 6 feet apart from others who don't live with you.
  • Avoid crowds and poorly ventilated indoor spaces.
  • Test to prevent spread to others. Schedule a test.
  • Wash your hands often with soap and water. Use hand sanitizer if soap and water aren't available.

  Read more about how to protect yourself.

• How can I talk to my kids about Coronavirus?

  Dr. Elizabeth Knapp, Co-Chief of ARC Pediatrics, suggests that before starting the conversation, parents should first check their own anxiety level. If you are anxious about this conversation, perhaps the other parent or a grandparent or another adult should be the one to have the conversation. Start by asking kids of any age about what they already know. Listen to what they say and correct any misinformation. Start with a question like, "Have you heard grownups talking about a new sickness going around?"

• What can I do to reduce stress and anxiety?

  A few things to reduce stress and anxiety include:

  • Give yourself a break from screens: watching the news, social media, your smart phone.
  • Take deep breaths, eat healthy, outdoor exercise, and get plenty of rest.
  • Do activities you enjoy (keeping in mind the social distancing measures above).
  • Connect with friends and family online or by phone, or in person if everyone is feeling healthy and symptom-free.

• Is it safe to attend local events?

  A few tips for attending local events include:

  • Being in crowded places like restaurants, bars, fitness centers, or movie theaters puts you at higher risk for COVID-19. Remember to mask, distance, and wash or sanitize hands frequently.
  • Avoid indoor spaces that do not offer fresh air from the outdoors as much as possible.
  • If indoors, bring in fresh air by opening windows and doors, if possible.

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Returning to Work After COVID-19 Illness

• Do I need to require a doctor's notes for my employees to return to work?

  No. As long as your employees have followed CDC Isolation protocol, they can return to work without a doctor's note.

• Do the EEOC and CDC recommend doctor's notes to return to work?

  No. The Equal Employment Opportunity Commission (EEOC) as well as the Centers for Disease Control (CDC) advise that, practically speaking, doctors and other healthcare providers may be too busy to provide such documentation, so employers should consider allowing these employees to return to work as they see fit. Because of this, the CDC does not recommend that employers require their employees to provide communication from a physician or healthcare provider, "clearing," them to return to work.

  Download the Austin Public Health Return to Work Guidance flyer.

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Social Distancing

• Is it still important to practice social distancing?

  Social distancing minimizes the spread of the virus. When we stay away from many people we deprive the virus the opportunity to move from one person to another.

  • Inside your home
    • Avoid close contact with people who are sick.
    • If possible, maintain 6 feet between the person who is sick and other household members.
  • Outside your home
    • Remember that some people without symptoms may be able to spread virus.
    • Stay at least 6 feet from other people, especially if you are at higher risk of getting very sick.

  Read more about how to protect yourself.