| Two family members with RSV. One had a fever but the fever is now gone. Still has cough and some congestion. The other family member never had a fever but has cold-like symptoms. I know the “rule” to be around other people is 24 hours fever-free without medicine. But how do we determine when they can be around other people when the other never had a fever? Total cessation of all symptoms? We’d like to see other relatives for Christmas but obviously don’t want to get anyone sick. Not sure how long we should wait to see them. |
| If you have a baby I’d wait for all symptoms to be gone and avoid anyone that had been in contact with the sick people. My baby had RSV and it was honestly a nightmare. I wouldn’t risk it even if that means missing Christmas. |
| A preschooler and adult have it. Would be seeing 75+ vaccinated relatives. |
| It’s unlikely that most are vaccinated, only the very old and very young can receive it. It can be very serious illness for any age, I’d avoid infecting others. |
| To be clear, we are the household with RSV. Trying to figure out when we can see other relatives. The other relatives in question include 75+ adults who have received the RSV vaccine (but are obviously still older). |
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When symptoms resolve and meet somewhere not at your house (and not theirs either) so you don't have to worry about surfaces.
If you want to go full crazy have your relatives change clothes and wash their hands well when they get home. The preschooler will be the tough one. They will be hugging + breathing all over their relatives. Don't assume the RSV vaccine is full proof and prepare accordingly. |
RSV vaccines are not available to the very young; they are given monoclonal antibodies if needed. In fact, the FDA just stopped all RSV vaccine trials in infants aged 0-2 years and in RSV-naive children aged 2-5 years after a Moderna trial showed higher incidence of severe RSV illness in vaccinated infants than in infants receiving a placebo. One infant receiving the Moderna RSV vaccine in the trial required ventilation. https://www.bmj.com/content/387/bmj.q2852.full https://www.fda.gov/media/184301/download |
Please do not expose your extended family members to RSV. Frankly, I would wonder if this constitutes criminal assault if you knowingly expose the most vulnerable (elderly & young children) to RSV. |
So how long to wait? Everyone knows about the RSV. The elderly relatives want to see the preschooler. |
RSV is contagious for up to one month (30 days) when carried by elderly or young children. Otherwise RSV typically remains contagious for 3 to 8 days. In short, wait at least 30 days in your situation. |
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Hot off the presses...
FDA Requires Guillain-Barré Syndrome (GBS) Warning in the Prescribing Information for RSV Vaccines Abrysvo and Arexvy: FDA Safety Communication https://www.fda.gov/safety/medical-product-safety-information/fda-requires-guillain-barre-syndrome-gbs-warning-prescribing-information-rsv-vaccines-abrysvo-and |