vania-janet/multiturn-rag-retrieval-data huggingface dataset:
Guidance on “Long COVID” as a Disability Under the ADA, Section | HHS.gov
Difficulty thinking or concentrating (sometimes called “brain fog”)
Shortness of breath or difficulty breathing
Headache
Dizziness on standing
Fast-beating or pounding heart (known as heart palpitations)
Chest pain
Cough
Joint or muscle pain
Depression or anxiety
Fever
Loss of taste or smell

This list is not exhaustive.  Some people also experience damage to multiple organs including the heart, lungs, kidneys, skin, and brain.
2. Can long COVID be a disability under the ADA, Section 504, and Section 1557?
Yes, long COVID can be a disability under the ADA, Section 504, and Section 1557 if it substantially limits one or more major life activities.9
  These laws and their related rules define a person with a disability as an individual with a physical or mental impairment that substantially limits one or more of the major life activities of such individual (“actual disability”); a person with a record of such an impairment (“record of”); or a person who is regarded as having such an impairment (“regarded as”).10
  A person with long COVID has a disability if the person’s condition or any of its symptoms is a “physical or mental” impairment that “substantially limits” one or more major life activities.
This guidance addresses the “actual disability” part of the disability definition.  The definition also covers individuals with a “record of” a substantially limiting impairment or those “regarded as” having a physical impairment (whether substantially limiting or not). This document does not address the “record of” or “regarded as” parts of the disability definition, which may also be relevant to claims regarding long COVID.
a. Long COVID is a physical or mental impairment
A physical impairment includes any physiological disorder or condition affecting one or more body systems, including, among others, the neurological, respiratory, cardiovascular, and circulatory systems.  A mental impairment includes any mental or psychological disorder, such as an emotional or mental illness.11

Long COVID is a physiological condition affecting one or more body systems.  For example, some people with long COVID experience:

Lung damage
Measles Update
One dose is about 93% effective.

More information about the measles vaccine (CDC.gov)

How does measles spread?
Measles is spread via an airborne route. Measles is one of the most contagious diseases. Up to 90% of those who are not immune to measles because they haven't been vaccinated or the vaccine didn't work, will get measles when they are exposed. The measles vaccine is very effective.
What are the symptoms?
7-14 days, and up to 21 days after a measles infection, symptoms usually include:

high fever (may spike to more than 104°)
cough
runny nose (coryza)
red, watery eyes

3-5 days after symptoms begin a rash occurs:

The rash usually begins as flat red spots that appear on the face at the hairline and spread downward to the neck, trunk, arms, legs, and feet.
Small, raised bumps may also appear on top of the flat red spots.
The spots may become joined together as they spread from the head to the rest of the body.
When the rash appears, a person's fever may spike to more than 104° Fahrenheit.

How long is a person with measles contagious?
A person with measles can pass it to others from 4 days before a rash appears through the 4th day after the rash appears.
If my child or another family member has been exposed to measles, what should I do?
Immediately call your local health department or health care provider for advice. You may be able to get vaccinated or receive immunoglobulin to prevent disease.
What are the complications of Measles?
A small number of people who get measles will need to be hospitalized and could die. Many people with measles have complications such as diarrhea and ear infections. Serious complications include pneumonia and brain swelling. Long term serious complications can also include subacute sclerosing panencephalitis, a brain infection that can lead to permanent brain damage.
COVID-19 Vaccines And Testing | VA Central Arkansas Health Care | Veterans Affairs
COVID-19 Vaccines And Testing | VA Central Arkansas Health Care | Veterans Affairs

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 COVID-19 Vaccines at Central Arkansas Veterans Healthcare
 

COVID-19 Vaccines and testing

CAVHS is providing the Pfizer-BioNTech, Moderna, and Johnson & Johnson (Janssen) vaccines to all Veterans, spouse of a Veteran, caregiver of a Veteran, and recipients of Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) benefits. We are offering free shots at all CAVHS facilities, including a convenient drive-through clinic at Fort Roots in North Little Rock.

Easy access to vaccines - all Veterans eligible
Appointments and walk-ins are welcome at all VA facilities.  If you don't receive care at VA, we encourage you to pre-register online at least one hour before you go, which will save time when you arrive.  While at VA you will need to wear a face mask, and physical distancing measures will be in place.  
Learn more about COVID-19 vaccines at VA.
Note:
Your employer, pharmacy, or local public health officials may offer you a COVID-19 vaccine.  We encourage you to take the first opportunity you have to get a vaccine at the most convenient location for you.

COVID-19 vaccine booster information
The health and safety of our Veterans and staff is a top priority for CAVHS.  Getting vaccinated remains the best way to protect everyone form serious illness.  Protect yourself, your family, and your community by getting your vaccination or a booster shot today.  Veterans are asked to bring a valid VA ID and CDC vaccination card.
COVID-19 Vaccines And Testing | VA Montana Health Care | Veterans Affairs
Risk of becoming infected with the virus
Risk of severe illness and death from COVID-19
Risk of spreading the virus to others
Risk of harm to society if essential workers, including health care personnel, are unable to work

After the first 2 groups, we’ll begin to offer vaccines to more Veterans who are at high risk of severe illness from COVID-19. Your VA health care team will contact you if you’re eligible to get a vaccine during this time.
To get the latest updates and sign up to stay informed about COVID-19 vaccines, visit our vaccine information page.
Free at-home COVID-19 tests
Order four free at-⁠home COVID-⁠19 tests at COVIDtests.gov, or by calling 1-800-232-0233 (TTY 1-888-720-7489). Order tests now so you have them when you need them. Learn more about COVID-19 testing at VA.
COVID-19 booster shot questions
Montana VA is now giving COVID-19 Booster shots to Montana Veterans. Our first booster clinic was held in Billings at the Benjamin Charles Steele VA Clinic on Nov. 4, 2021 and was followed by a three-day booster clinic for Helena-area Veterans at the National Guard Aviation Readiness Center near Helena Regional Airport from Nov. 8-10 before expanding to locations in Havre, Lewistown, Missoula, Butte, Kalispell, Great Falls and Bozeman.

 

 Why should I get a COVID-19 vaccine booster shot? 
 

The initial vaccine remains highly effective in reducing the likelihood of infection and preventing severe illness, hospitalization, and death among those infected. The purpose of a booster shot is to “boost” antibody protection when it has decreased over time.  

 What is the difference between a third dose and booster shot of Moderna? 
 

A booster shot is for people whose immune response may have weakened over time.
Información para entender cómo actúan las vacunas contra el COVID-19 | CDC
Antes de otorgar su aprobación, la FDA revisó la evidencia desarrollada a partir de los datos y la información enviados para respaldar la EUA. Incluyó:

datos e información de los ensayos preclínicos y clínicos,
detalles acerca del proceso de fabricación,
resultados de las pruebas que se hicieron para garantizar la calidad de las vacunas, e
inspecciones a las instalaciones donde se elaboran las vacunas.

Se determinó que las vacunas se ajustan a los más altos estándares de seguridad, efectividad y calidad en la fabricación, exigidos por la FDA para un producto aprobado. Obtenga más información acerca del proceso de aprobación de la FDA.

Recomendaciones para la vacuna

Cuando la FDA autoriza o aprueba una vacuna contra el COVID-19, el ACIP revisa todos los datos disponibles acerca de la vacuna para determinar si la recomienda y quiénes deben recibirla. Luego, estas recomendaciones de vacunación atraviesan un proceso de aprobación del que participan tanto el ACIP como los CDC.
 Mirar video: Entender el rol del ACIP y cómo se llega a la recomendación de una vacuna [00:05:02]

Seguimiento de seguridad a través de sistemas de monitoreo de las vacunas

Cientos de millones de personas en los Estados Unidos se vacunaron contra el COVID-19 bajo el monitoreo de seguridad más exigente en la historia de los EE. UU.
Frequently Asked Influenza (Flu) Questions: 2019-2020 Season | CDC
It includes the MF59 adjuvant, an oil-in-water emulsion containing squalene oil. FLUAD™ is the first adjuvanted seasonal flu vaccine marketed in the United States.
Can I get vaccinated and still get flu?
Yes. It’s possible to get sick with flu even if you have been vaccinated (although you won’t know for sure unless you get a flu test). This is possible for the following reasons:

You may be exposed to a flu virus shortly before getting vaccinated or during the period that it takes the body to gain protection after getting vaccinated. This exposure may result in you becoming ill with flu before the vaccine begins to protect you. (Antibodies that provide protection develop in the body about 2 weeks after vaccination.)
You may be exposed to a flu virus that is not included in the seasonal flu vaccine. There are many different flu viruses that circulate every year. A flu vaccine is made to protect against the three or four flu viruses that research suggests will be most common.
Flu vaccine varies in how well it works, and unfortunately, some people can become infected with a flu virus that a flu vaccine is designed to protect against, despite getting vaccinated. Protection provided by flu vaccination can vary widely, based in part on health and age factors of the person getting vaccinated. It also can vary based on the match between the vaccine viruses used to produce vaccine and circulating viruses that season. In general, a flu vaccine works best among healthy younger adults and older children. Some older people and people with certain chronic illnesses may develop less immunity after vaccination. Flu vaccination is not a perfect product, but it is the best way to protect against flu infection.
Even if you do get the flu after being vaccinated, some studies have shown that a flu vaccine can reduce the severity of your illness.

A 2017 study showed that flu vaccination reduced deaths, intensive care unit (ICU) admissions, ICU length of stay, and overall duration of hospitalization among hospitalized flu patients.
Frequently Asked Influenza (Flu) Questions: 2019-2020 Season | CDC
Some older people and people with certain chronic illnesses may develop less immunity after vaccination. Flu vaccination is not a perfect product, but it is the best way to protect against flu infection.
Even if you do get the flu after being vaccinated, some studies have shown that a flu vaccine can reduce the severity of your illness.

A 2017 study showed that flu vaccination reduced deaths, intensive care unit (ICU) admissions, ICU length of stay, and overall duration of hospitalization among hospitalized flu patients.
A 2018 study showed that among adults hospitalized with flu, vaccinated patients were 59 percent less likely to be admitted to the ICU than those who had not been vaccinated. Among adults in the ICU with flu, vaccinated patients on average spent 4 fewer days in the hospital than those who were not vaccinated.

Top of PageFlu Vaccine Effectiveness
How effective will flu vaccines be this season?
It’s not possible to say in advance exactly how well the flu vaccine will work this season. How well it works can vary by season, virus type/subtype, the kind of vaccine, and age and other host factors of the people being vaccinated. At least two factors play an important role in determining the likelihood that flu vaccines will protect a person from flu illness: 1) characteristics of the person being vaccinated (such as their age and health), and 2) the similarity or “match” between the flu viruses in the vaccine and those spreading in the community.
During years when the viruses in the flu vaccine and circulating flu viruses are well matched, it’s possible to measure substantial benefits from flu vaccination in terms of preventing flu illness. However, even during years when the vaccine match is good, the benefits of flu vaccination will vary across the population, depending on host factors like the health and age of the person being vaccinated and even potentially which flu vaccine was used.
Recent studies by CDC researchers and other researchers suggest that flu vaccination usually reduces the risk of influenza illness by 40% to 60% among the overall population when the vaccine viruses are like the ones spreading in the community.
For more information about vaccine effectiveness, click here.
Stay Up to Date with COVID-19 Vaccines | CDC
Pfizer-BioNTech

1 DosePfizer-BioNTechUPDATED VACCINEMore details: Up to Date

Moderna

1 DoseModernaUPDATED VACCINEMore details: Up to Date

Novavax

1 DoseNovavaxUPDATED VACCINE2nd DoseNovavaxUPDATED VACCINE3-8 weeks after 1st dose

People aged 12 years and older who got previous COVID-19 vaccine(s)
People aged 12 years and older who got Pfizer-BioNTech or Moderna COVID-19 vaccines before September 12, 2023, or Novavax COVID-19 vaccine before October 3, 2023, should get 1 updated Pfizer-BioNTech, Moderna, or Novavax COVID-19 vaccine.

Vaccine OverviewLearn more about COVID-19 vaccines
Pfizer-BioNTech VaccineModerna VaccineNovavax Vaccine

‡12 years and older: People aged 12 years and older who have not previously gotten any COVID-19 vaccine doses and choose to get Novavax should get 2 doses of updated Novavax vaccine to be up to date.
People Aged 65 years and Older
People aged 65 years and older who have not previously received any COVID-19 vaccine doses and choose to get Novavax should get 2 doses of updated Novavax vaccine, followed by 1 additional dose of any updated 2023–2024 COVID-19 vaccine to be up to date.

To find COVID-19 vaccine locations near you: Search vaccines.gov, text your ZIP code to 438829, or call 1-800-232-0233.

Recommendations for Children Aged 6 Months – 4 Years
Children Who Are Not Vaccinated
Children aged 6 months–4 years should get two or three doses of updated COVID-19 vaccine depending on which vaccine they receive.

Pfizer-BioNTech

1st DosePfizer-BioNTechUPDATED VACCINE2nd DosePfizer-BioNTechUPDATED VACCINE3–8 weeks after 1st dose
3rd DosePfizer-BioNTechUPDATED VACCINEAt least 8 weeks after 2nd dose
Cómo Obtener Su Historial De Vacunas COVID-19 En Línea | Veterans Affairs
Siga estos pasos para obtener sus registros de vacunas COVID-19 a través de la aplicación VA Health and Benefits.

 Si aún no tiene la aplicación VA Health and Benefits, puede descargar la aplicación ahora desde la tienda de aplicaciones de Apple o Google Play. 
Obtenga la aplicación VA Health and Benefits en la tienda de aplicaciones de Apple (en inglés)
Obtenga la app VA Health and Benefits desde la tienda de Google Play (en inglés) 
 Inicie sesión en la aplicación.
La primera vez que inicie sesión en la aplicación, deberá hacerlo con su Premium DS Logon, My HealtheVet premium o una cuenta verificada de ID.me. Si no tiene una de estas cuentas, puede crear una cuenta verificada de ID.me.
A continuación, puedes optar por configurar el inicio de sesión de forma biométrica. Esto te permite utilizar las funciones de seguridad integradas en tu teléfono, como el reconocimiento facial y de huellas dactilares, para acceder de forma segura a tu información.
Cree una cuenta verificada de ID.me (en inglés) 
 Dirígete a la sección de Health care de la app. 
 Selecciona VA vaccines. 
 Seleccione el registro de vacunas que desea compartir en su teléfono móvil. 

Cómo obtener sus registros a través de una app conectada 
Con una cuenta en línea, puede conectar sus registros de salud del VA a una aplicación de salud que no sea del VA (o de terceros).
Vacunas Contra El COVID-19 En VA | Veterans Affairs
Vacunas Contra El COVID-19 En VA | Veterans Affairs

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Flu Vaccine | Sierra County, CA - Official Website
(Your fever should be gone without the use of a fever-reducing medicine.)• While sick, limit contact with others as much as possible to keep from infecting them.• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.• Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.• Avoid touching your eyes, nose and mouth. Germs spread this way.• Clean and disinfect surfaces and objects that may be contaminated with germs like the flu.Need more information?Sierra County Flu Shot FormCalifornia Department of Public HealthCenter for Disease ControlShort video on how vaccines and immunity works

 
 
 

 

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Sally Easley, RNSr. Public Health NurseDeborah Perkins, RNInfection Prevention SpecialistDr. Celia Sutton-PadoHealth Officer202 Front St.P.O. Box 7Loyalton, CA 96118Ph: 530-993-6700Fx: 530-993-679022 Maiden LaneP.O. Box 38Downieville CA 95936Ph: 530-289-3711Fx: 530-289-3716HoursMonday - Friday8 a.m. - 5 p.m.ClosedNoon - 1 p.m.
 

 
 
 

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Vacunas Contra El COVID-19 En VA | Veterans Affairs
Si es elegible y quiere vacunarse, le animamos a que responda.Pero antes de proporcionar cualquier información personal o hacer clic en cualquier enlace, asegúrese de que la llamada, el correo electrónico o el mensaje de texto sean realmente del VA.Los mensajes de texto siempre provienen del 80728.Los correos electrónicos siempre vendrán de una dirección de correo electrónico de va.gov.Si alguien le llama del VA y no reconoce el número de teléfono, pida un número para devolverle la llamada. Luego llame a su centro de salud local del VA para verificar.Su centro puede invitarle a vacunarse de diferentes maneras:Pueden invitarle a un evento de vacunación grande, como una clínica de autoservicio.Pueden ofrecerle una fecha y hora específicas para vacunarse.Pueden pedirle que concierte una cita.

 Qué debe decirle a su proveedor de atención médica antes de recibir la vacuna contra el COVID-19 
 

Antes de recibir una vacuna, informe al proveedor que le administrará la vacuna sobre todas sus condiciones de salud.
SAVE LIVES Act allows VA to soon provide COVID-19 vaccinations to all Veterans, their spouses and caregivers - VA News
SAVE LIVES Act allows VA to soon provide COVID-19 vaccinations to all Veterans, their spouses and caregivers
 WASHINGTON — President Joe Biden signed the SAVE LIVES Act into law today, expanding VA’s legal authority to provide COVID-19 vaccines to all Veterans, regardless of their VA health care enrollment status, as well as Veteran spouses, caregivers and some beneficiaries. 
The SAVE LIVES Act removed some of the legal limits on the medical care VA can provide to Veterans, based on health care eligibility and priority groups. 
The expanded authority depends on readily available COVID-19 vaccine supply and requires VA to continue to prioritize vaccinations and healthcare delivery for our nation’s Veterans enrolled in VA care. 
“The SAVE LIVES Act increases the number of individuals who are eligible to get lifesaving COVID-19 vaccines from VA from 9.5 million to more than 33 million,” said VA Secretary Denis McDonough. “Meeting the task of vaccinating this expanded population will be a tremendous undertaking for the VA and will require a significant increase in our allocation of vaccine supply, but I am confident that VA’s workforce is up to the task.” 
VA is providing COVID-19 vaccinations to Veterans and employees per its COVID-19 Vaccination Plan. As of March 24, VA has fully vaccinated 1,594,812 individuals, including Veterans, VA employees and federal partners.
The next steps in VA’s prioritized expansion efforts are to offer the vaccine to all enrolled Veterans – approximately 9.5 million – followed by those outlined in the bill, as vaccine supply permits:

	Non-enrolled Veterans as defined in the new legislation, including those without service-connected disabilities and who have incomes above VA’s threshold.

	Overseas Veterans who rely on the Foreign Medical Program.

	Veteran caregivers who are enrolled in either the Program of Comprehensive Assistance for Family Caregivers or the Program of General Caregiver Support Services.

	Veteran caregivers enrolled in certain Geriatrics and Extended Care Programs, such as Veteran Directed Care, Bowel and Bladder, Home Based Primary Care and VA’s Medical Foster Home Program.