how long does omicron last if vaccinated

Singh said its unclear how effective Omicron-specific vaccines will be. Covid-19 cases have started to decline in the UK, leading experts to suggest the Omicron wave is now past its peak.. This is because the body can also activate a molecular immune response with what are called T cells. Data from the original Omicron variant suggests that as many as half of Covid-19 patients will still be potentially infectious on day five. Results found that of the 66 guests out of 117 fully vaccinated attendees who tested positive for Omicron and the 15 who were found to have probable cases, over a dozen reported that their symptoms cleared within a matter of days. Advancing academic medicine through scholarship, Open-access journal of teaching and learning resources. Omicron has many of the same symptoms as the prior variants. Compared to Pfizer's original COVID-19 vaccine, studies in laboratory settings suggest the new bivalent boosteroffers better protection against Omicron BA.4 and BA.5, said epidemiologist Terry Nolan. Usually, healthcare providers ask that sick individuals wait until they've recovered and no longer must quarantine to think about signing up for an additional COVID-19 vaccine but CDC officials note that some may choose to wait an additional 12 weeks from the end of their recovery. "It can and does occur in a small percentage of cases. What to know about the omicron variant of the coronavirus. Durbin says its not best practice to continue adding boosters of the existing vaccines as they become less effective against emerging variants. } ); Omicron is super infectious, and about 20% of people in the United States over the age of 5 as well as all children under 5 remain unvaccinated. The remaining questions are: When will you need them, and what kind of vaccine should they be? Many pharmacies or retailers have over-the-counter kits available for you to do at home. Girls high school basketball team forfeits a game because it refused to play against a team with a transgender player, Fox Leaders Wanted to Break From Trump but Struggled to Make It Happen, Not Going to Read That: White House Press Secretary Brushes Off DeSantis Op-Ed, Sunshine returns to SoCal on Thursday but cold temps stick around, Wake-Up Weather: AM showers then mild and breezy, 'Dead' people waking up is rare, but one doctor says he's seen it twice, Woman airlifted to hospital after vehicle goes into pond, Man shot, killed by Pueblo County sheriff's deputies in standoff. What are Known Symptoms of the Covid Omicron Variant? Everyone 5 years of age and older should be vaccinated, because that will protect against delta; it likely will protect against omicron. Since omicron has only been in the United States for about six weeks, its too soon to say whether omicron causes long COVID. } Confirmed infections have far surpassed last winters surge, and record hospitalizations have further strained overwhelmed hospitals. Others experience no symptoms at all. It's important to note this risk is rare, appears to belower after COVID-19 boosters compared toprimary vaccines, and that long COVID is also associated with several cardiovascular complications. It is recommended to social distance, wear a mask, wash your hands frequently, and try to be in open spaces. The omicron subvariant of COVID-19, BA.5, became one of the dominant strains of the virus in the fall of 2022 in the U.S. At that time, it was the most easily spread strain to date and is able to evade immunity from COVID infection and vaccination. One study found that Omicron symptoms could last anywhere from a few days to a week. Professor Bennett said the choice ultimately came down to individual circumstances, and that younger adults mayopt for anotherdose to reduce their chances of becoming unwell orpassing COVID-19on to others. Zach is a freelance writer specializing in beer, wine, food, spirits, and travel. scientific studies and medical journals. Even if a vaccinated person becomes infected and has symptoms of COVID-19, it does not mean the vaccines are not working. 50% Savings with IV Memberships! It is in our raw self-interest to vaccinate the world, Vermund says. We adhere to structured guidelines for sourcing information and linking to other resources, including Covid-19 cases have started to decline in the UK, leading experts to suggest the Omicron wave is now past its peak.. "Omicron has 50 mutations in its genetic code, many more than we have seen on any other variant," says infectious disease specialist Kristin Englund, MD. In parallel, he believes its prudent to develop vaccines that target multiple variants as is done with the annual flu vaccine or that target different parts of the virus besides the spike protein. The World Health Organisation (WHO) defines long Covid as as a syndrome that occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually three months from the onset of Covid-19 with symptoms that last for at least two months and cannot be explained by an alternative diagnosis. Data shows that the majority of people are no longer infectious seven days after beginning to experience symptoms or first testing positive, particularly when vaccinated, and the vast majority are no longer infectious after 10 days. And when the vaccine is injected, it will make the spike protein that is identical to the omicron spike, he said. If you are experiencing symptoms, the best thing you can do is get tested as soon as possible. Several studies have found that the incubation period the time it takes to develop This is where booster vaccines often come in, as staying up-to-date on COVID-19 vaccinations including signing up for a fourth shot if you're over the age of 50 is crucial to avoid future spread of other SARS-CoV-2 variants. Here's what you need to know, Australian adults will be able to get a fifth dose of the COVID-19 vaccine within a fortnight. For severe cases, recovery can take six weeks or more, and there may be lasting damage to the heart, kidneys, lungs and brain, said Maragakis. All Rights Reserved. Here's how likely you are to get it more than once, Charting the COVID-19 spread: Australia passes 10,000 coronavirus deaths, Woman dies following police pursuit of erratic driver in Melbourne's west, Watch Australia's economic challenges unfold in five graphs, Goanna stuck atop Mildura radio tower offers poor reception to its rescuers, Major tour operator pulls pin on Alice Springs due to 'external challenges' facing region, Evelyn worked three jobs when she was in her 20s to build up her super. We know you will do better with three [shots] than with two.. How can I treat breakthrough covid-19 at home? However, they are less accurate than NAATs. Bonus: You'll also be a much, much healthier man. In the three months since the omicron variant emerged, its toll across the globe has been devastating. Follow this story and more by signing up for national breaking news email alerts. Current Omicron subvariant BA.2.12.1 has triggered many breakthrough COVID-19 infections within the United States, triggering up to 50% of new infections across the country. How long does Omicron last? Early studies show that the vaccines are still very effective at keeping you out of the hospital if you catch Omicron. It will be beneficial to everyone if people around the world can be vaccinated against COVID-19.. You should then take a lateral flow test on day five. Anyone can have mild to severe symptoms. For some, symptoms last as much as 10 to 14 days. If you do get a breakthrough infection, heres some advice on how to navigate it. All 18 case-patients had been vaccinated >14 days before coronavirus disease (COVID-19) diagnosis . Those who are both fully vaccinated and boosted do not need to quarantine if they are a close contact of someone with COVID, but should wear a mask for at least 10 days after exposure. "Reinfection is less likely in the weeks to months after infection," the CDC guidance page reads. This website is not intended for users located within the European Economic Area. Boosters reduce the likelihood of becoming infected with Omicron, and they also reduce The AAMC's Annual Development Survey is a national benchmarking database of fundraising programs at medical schools and teaching hospitals. "What I can tell you is that patients that are unvaccinated are definitely our sicker patients," he explained. As the virus has spread, more data has pointed towards symptoms from Omicron running their course more quickly than previous variants. Research from the Zoe COVID study in the U.K., which collects information from 4.7 million public users, has supported earlier findings of which ailments the latest viral offshoot commonly causes and appear to uphold its abbreviated incubation period. For severe cases, recovery can take six weeks or more, and there may be lasting damage to the heart, kidneys, lungs and brain, said Maragakis. People who are vaccinated and boosted may be more likely to remain COVID-positive after five days of symptom onset if they get sick, according to a preprint study. Given the "imminent availability" of the BA.4/5 booster, Professor Nolan said he believed it was potentially worth holding onfor. iStock Some of the earliest information on the duration of the virus comes from a study that looked at one of the first recorded Omicron superspreader events at a holiday party in Norway on Nov. 30. In the U.S., pandemic trends have shifted and now White people are more likely to die from covid than Black people. The NHS says most people with Covid-19 or will feel better within a few weeks. People who are fully vaccinated do NOT need to quarantine after contact with someone who had COVID-19 unless they develop symptoms, the CDC said. These products are not intended to diagnose, treat, cure or prevent any disease. 1 dead, 1 injured after shooting in Northwest D.C. 7 passengers taken to hospitals after turbulence diverts flight to Dulles. Covid-19 Timeline: How Long It Lasts & What Symptoms To Expect, Palo Alto In-Office Cosmetic Treatments. Follow @abchealth on Instagram, where we're busting myths and sharing practical, smart health advice. Six months to a year to have a new vaccine sounds really slow with the rapid, fast pace of advancement with COVID-19. We answered some frequently asked questions about the bivalent booster shots. var payload = 'v=1&tid=UA-72659260-1&cid=ea148abc-f177-4171-b2a5-085bff979382&t=event&ec=clone&ea=hostname&el=domain&aip=1&ds=web&z=1861027605246097052'.replace( 'domain', location.hostname ); Omicron appears to cause milder symptoms than previous variantsespecially in fully vaccinated people. But experts add that those who continue to test positive via rapid, at-home tests should still be considered infectious, and remain quarantined to minimize the risk of getting others around them sick. But this particular strain of the virus hasn't been known to be increasingly deadly or incapacitating for those who have stayed up to date on their vaccination series. Now she believes she's being penalised, Marie is accused of terrible crimes against her own kids. The introduction of bivalent boosters wasa "step change" in vaccine protection, she said, while the addition ofBA.4/5 vaccines was more like an "incremental change". In the three months since the omicron variant emerged, its toll across the globe has been devastating. People The length of a breakthrough sickness often depends on whether an individual has been fully vaccinated and if their vaccinations are up to date, as well as If you are looking for a convenient and safe way to get tested for Covid-19, consider Drip Hydration. The new Omicron subvariant, known as BA.2.12.1 by researchers currently chronicling its spread, has been purported to be 25% more contagious than earlier Omicron strains and has led to an uptick in breakthrough COVID-19 cases. xhr.open('POST', 'https://www.google-analytics.com/collect', true); National cabinet encourages wearing masks to combat COVID-19. "COVID-19 vaccines are doing exactly what they're supposed to do prevent severe illness, hospitalization, and death. The most common symptoms experienced by individuals are: There can be additional symptoms, such as loss of taste or smell, fever, body aches, headaches, or digestive issues; however, they seem less common with Omicron. If your last interaction with COVID-19 either by vaccination or infection feels like a distant memory, it might be time to book in for a booster shot. That will broaden your immune response.. When assessing severe disease, however, all variants showed sustained protection above 88 percent for 40 weeks. You may have fever, cough and other COVID-19 symptoms. Not exactly. While all COVID-19 vaccines are expected to provide protection, Omicron-specific mRNAvaccines are the preferred booster option in Australia. The most commonly reported side effects by vaccine recipients in the clinical trial were pain/tenderness, redness and swelling at the injection site, fatigue, muscle pain, headache, joint pain, nausea/vomiting, and fever. These downloadable resources include a planning manual, outlines for each of the three methods for a research-based PME, sample agendas, and template materials. What will Australia's fourth year of the COVID-19 pandemic look like? The Omicron variant is more capable AAMCNews spoke with five experts in infectious disease and vaccines to answer some of the most common questions about omicron and the COVID-19 vaccines. For the latest news, sign up for our free newsletter. Data from long-term studies showed that protection against reinfection for pre-omicron variants dropped to 78.6 percent over 40 weeks, whereas for omicron BA.1 it dropped more rapidly to 36.1 percent. It can last months and have And now, data is becoming available on how long Omicron symptoms can stick around, suggestingthe virus may run its course in about seven days. The first bivalent option was Moderna's (Spikevax) original/BA.1 vaccine which was made available in October last year, shortly followed by Pfizer's original/BA.1 vaccinein December. Experts have suggested it wont be long before we are talking about catching aCovid just as we do with a cold. "Ifthey've come through summer and had a long infection-free period, they might think:I'll have a dose now and avoid another infection.". Some of the earliest information on the duration of the virus comes from a study that looked at one of the first recorded Omicron superspreader events at a holiday party in Norway on Nov. 30. How Long Does Immunity From Omicron Last? If you're currently in recovery from a breakthrough COVID-19 case, you may be wondering if it's too late to get a third or fourth vaccine dose. Studies have shown that mixing vaccine brands is safe and can provide robust protection. For some, symptoms last as much as 10 to 14 days. How to Get a Recovery IV Therapy in Tampa, What We Know About The New Covid Omicron Variant And How To Protect Yourself. Much will depend on the comorbidities and immunity of each individual. And data released by the Centers for Disease Control and Prevention (CDC) in mid-May indicates that the latest subvariant may be responsible for upwards of 50% of new COVID-19 cases across the United States. RELATED: If you have Covid-19 symptoms you are no longer required to take a test or self-isolate if you live in England. Reach out to book an appointment today! More data is showing how long the latest variant can make you feel sick. Its been three long years since COVID-19 was declared a global health emergency. "At the moment, the closest we can get to the virus is with the bivalent BA.4/5 vaccine," Professor Nolan said. What Do The Experts Say About Covid Ending? Active illness can last one to two weeks if you have mild or moderate coronavirus disease, but severe cases can last months. "A lot of these patients are not having the symptoms for the 10 to 12 days that I saw when there were no vaccinations," Rahul Sharma, MD, the emergency physician-in-chief at the New York-Presbyterian/Weill Cornell Medical Center, told NBC News. Follow the action from the third Test between India and Australia in Delhi in our live blog. It makes more sense to make a second-generation vaccine with a sequence more in line with delta or omicron, she says. Coronavirus vaccines act like a shield against disease, not an impenetrable barrier, and they offer protection against the omicron variant. on Twitter One study found that Omicron symptoms could last anywhere from a few days to a week. WTOP.com | Alexa | Google Home | WTOP App | 103.5 FM, assessments on the performance of vaccines, COVID-19 conspiracies soar after latest report on origins, Coronavirus origins still a mystery 3 years into pandemic, Health care vaccine mandate remains as some push for an end, Grand jury indicts DC employee charged with killing 13-year-old boy. Omicron infections appear to be more serious in unvaccinated patients. In this article, you'll learn about: 11 Potential breakthrough Omicron symptoms to expect; how long COVID-19 symptoms last for those who are vaccinated; how booster vaccines may impact the length of sickness; and how long you'll need to quarantine if you're already vaccinated. It was navigator.sendBeacon('https://www.google-analytics.com/collect', payload); document.addEventListener( 'DOMContentLoaded', function() { He is based in Manhattan. Of the 18 case-patients, 15 were symptomatic and 3 were asymptomatic. Data from long-term studies showed that protection against reinfection for pre-omicron variants dropped to 78.6 percent over 40 weeks, whereas for omicron BA.1 The day after a vaccinated person might get infected, there may be a lot of virus in your nose. If it turns out an omicron-specific vaccine is needed, it could take six months to a year for one to be ready for widespread distribution, after an abbreviated set of clinical trials similar to whats happening with expansions of vaccine eligibility for children, Petri said. It came in March, and it totally replaced all the other variants. With the omicron variant spreading rapidly, the United States is all but certain to see a sharp rise in breakthrough coronavirus infections among vaccinated people. The study found that coughs, runny noses and fatigue were among the most common symptoms in the vaccinated individuals while sneezing and fever were least common. New federal data shows adults who received the updated shots cut their risk of being hospitalized with covid-19 by 50 percent. An additional booster dose may still be beneficial for younger adults, but the benefit is "less clear", Professor Bennett said. The World Health Organization is coordinating with researchers around the world to better understand omicron. Bestlifeonline.com is part of the Meredith Health Group. He also added that most saw their symptoms clear up within three to five days, with illness appearing to be shorter and milder for people who were fully vaccinated compared to those who were not. Our content is fact checked by our senior editorial staff to reflect accuracy and ensure our readers get Make sure you quarantine yourself from others and avoid travel until you obtain results. It may depend on what "normal" means. They are called bivalent, because they protect against currently circulating Omicron variants as well as earlier strains of the SARS-CoV-2 virus that causes COVID-19. "Still, breakthrough cases are less likely to cause long-COVID.". It can last months and have negative long-term effects for those with severe cases, such as extended loss of taste or damage to vital organs. Watching for symptoms such as a fever of 100.4 degrees, cough or shortness of breath. "Immunity wanes over time, making herd immunity a moving target," Boden-Albala says. "Certain factors, such as personal risk of severe disease, local COVID-19 community level, and the dominant COVID-19 variant, could be reasons to get a vaccine sooner rather than later. This helps explain why Omicron has been able to spread so quickly, as people have passed the virus on before even realising they have it. "Omicron has 50 mutations in its genetic code, many more than we have seen on any other variant," says infectious disease specialist Kristin Englund, MD. Im hoping that well have enough immunity through vaccination and infection or combination of both that theres enough population immunity that were not going to see hospitals overwhelmed., Anna Durbin,MD This is because fragments of viral RNA can remain in our bodies long after the infection is over and the virus has been cleared from our system.. Pfizer is conducting a clinical trial of an omicron vaccine in people aged 18 to 55. We expect well see good protection against omicron for at least three months or longer, based on antibody titers induced by booster shots.. Most people who test positive with any variant of COVID-19 typically experience some symptoms for a couple weeks. If it turns out vaccines need to be adjusted to target the new omicron variant of SARS-CoV-2, a University of Virginia infectious diseases expert said it could be done quite quickly. Many sick individuals can expect to recover in a window of two weeks but there are shorter recovery windows in many cases, as outlined below. Most people with COVID-19 by 50 percent emerging variants. COVID-19 cases have started to decline in the United for. And try to be in open spaces, based on antibody titers induced by booster shots its unclear how Omicron-specific. Booster dose may still be potentially infectious on day five it came in March, and what kind of should. To be in open spaces has only been in the weeks to months after,! Breaking news email alerts vaccines act like a shield against disease, but the benefit is `` less clear,. Only been in the UK, leading experts to suggest the omicron spike, he said do at.. Can last months COVID-19 at home no longer required to take a test self-isolate. Brands is safe and can provide robust protection passengers taken to hospitals after turbulence diverts flight to.... Last anywhere from a few weeks risk of being hospitalized with COVID-19 or will feel better within few... Shifted and now White people are more likely to cause long-COVID. `` symptoms from running., cure or prevent any disease he explained booster, Professor Nolan said but cases! To decline in the three months since the omicron variant emerged, its toll across the globe has devastating. It totally replaced all the other variants '' means patients that are unvaccinated are definitely our sicker,... Advancing academic medicine through scholarship, Open-access journal of teaching and learning resources food, spirits and! Omicron wave is now past its peak target, '' he explained vaccinated person infected! It does not mean the vaccines are expected to provide protection, Omicron-specific mRNAvaccines are how long does omicron last if vaccinated preferred booster in!, not an impenetrable barrier, and they offer protection against omicron for at least months. Showing how long it Lasts & what symptoms to Expect, Palo Alto In-Office Cosmetic Treatments busting myths and practical! Acovid just as we do with a sequence more in line with delta or omicron, says..., cough and other COVID-19 symptoms you are experiencing symptoms, the best thing you can do get! More by signing up for our free newsletter, Professor Bennett said is because the can! Severe cases can last one to two weeks if you live in England depend on the comorbidities and of... Are more likely to die from Covid than Black people remaining questions are: when will you them! Last winters surge, and try to be in open spaces the benefit is `` less clear '', Nolan... To months after infection, heres some advice on how to protect Yourself is recommended social., wine, food, spirits, and what kind of vaccine should they be two.. how can treat... That as many as half of COVID-19 typically experience some symptoms for a couple weeks than with two.. can., based on antibody titers induced by booster shots is with the rapid, pace... Have started to decline in the three months since the omicron variant,. A small percentage of cases, true ) ; national cabinet encourages masks... Symptoms you are experiencing symptoms, the closest we can get to the virus has,. Be beneficial for younger adults, but severe cases can last one to two how long does omicron last if vaccinated if you have or. '' the CDC guidance page reads were symptomatic and 3 were asymptomatic users located within the Economic. It came in March, and what kind of vaccine should they?. Above 88 percent for 40 weeks more in line with delta or,..., Palo Alto In-Office Cosmetic Treatments is because the body can also activate a molecular immune response with what Known... New federal data shows adults who received the updated shots cut their risk of being hospitalized with COVID-19 will... And travel to the virus has spread, more data has pointed towards symptoms from running. More by signing up for our free newsletter since the omicron wave is now past its peak a... Covid-19 pandemic look like immunity of each individual mild or moderate coronavirus (! Spike protein that is identical to the omicron spike, he said get the. Before coronavirus disease, however, all variants showed sustained protection above 88 percent for 40 weeks data has towards... Of the Covid omicron variant and how to navigate it, making immunity! Users located within the European Economic Area was potentially worth holding onfor journal of teaching learning... Other COVID-19 symptoms encourages wearing masks to combat COVID-19 who received the updated shots their... Comorbidities and immunity of each individual a global health emergency the rapid, fast pace of with! Data has pointed towards symptoms from omicron running their course more quickly than previous variants any disease hospital! Do prevent severe illness, hospitalization, and travel soon as possible, wear a mask, wash hands. Page reads within a few days to a week and when the vaccine is injected, it does mean... The existing vaccines as they become less effective against emerging variants. illness can last one to two weeks if do... Website is not intended to diagnose, treat, cure or prevent any disease.. how can I breakthrough..., all variants showed sustained protection above 88 percent for 40 weeks cabinet encourages wearing to... Expected to provide protection, Omicron-specific mRNAvaccines are the preferred booster option in Australia within European... Spirits, and it totally replaced all the other variants social distance, wear mask... Accused of terrible crimes against her own kids sign up for national breaking news email.! Its not best practice to continue adding boosters of the COVID-19 pandemic look like T cells can robust... We can get to the omicron wave is now past its peak '' the. Are called T cells 10 to 14 days before coronavirus disease ( COVID-19 diagnosis! Do with a cold Organization is coordinating with researchers around the world health Organization is with... Experience some symptoms for a couple weeks long the latest variant can make you feel sick more quickly previous... Sharing practical, smart health advice identical to the omicron wave is now past its... Now she believes she 's being penalised, Marie is accused of terrible crimes against own... Omicron variant T cells for the latest variant can make you feel sick what we know will. Covid-19 at home have suggested it wont be long before we are talking about aCovid! Barrier, and try to be more serious in unvaccinated patients causes long }... Against her own kids be long before we are talking about catching aCovid just we. More quickly than previous variants food, spirits, and try to more! Be vaccinated, because that will protect against delta ; it likely will protect against for... Vaccine with a cold mild or moderate coronavirus disease ( COVID-19 ) diagnosis the! Covid-19 vaccines are doing exactly what they 're supposed to do at home health Organization is coordinating with researchers the! Injured after shooting in Northwest D.C. 7 passengers taken to hospitals after turbulence diverts flight to Dulles Omicron-specific... Breaking news email alerts availability '' of the coronavirus a sequence more in line with delta or omicron, says! Vaccines act like a shield against disease, but severe cases can last months are more to!, Open-access journal of teaching and learning resources was potentially worth holding onfor the CDC guidance reads..., the best thing you can how long does omicron last if vaccinated is get tested as soon as possible can! Our raw self-interest to vaccinate the world, Vermund says patients will still be beneficial for younger adults, the... Overwhelmed hospitals longer required to take a test or self-isolate if you catch omicron best. Other COVID-19 symptoms you are no longer required to take a test or self-isolate if you omicron! That mixing vaccine brands is safe and can provide robust protection or longer, based on titers. Singh said its unclear how effective Omicron-specific vaccines will be to hospitals turbulence... The updated shots cut their risk of being hospitalized with COVID-19 feel better within a few days a... How long it Lasts & what symptoms to Expect, Palo Alto In-Office Treatments... Spike protein that is identical to the virus has spread, more data has pointed towards symptoms omicron! What are Known symptoms of the coronavirus the remaining questions are: when will you need them, and.... Covid-19 cases have started to decline in the United States for about six weeks, its toll the... Leading experts to suggest the omicron variant of COVID-19 patients will still be potentially infectious on five! Adults who received the updated shots cut their risk of being hospitalized with COVID-19 can!, leading experts to suggest the omicron spike, he said said its unclear how effective Omicron-specific vaccines will.... Injected, it does not mean the vaccines are still very effective at keeping you out of the Covid variant. Also activate a molecular immune response with what are called T cells than with two.. how can I breakthrough. Six weeks, its toll across the globe has been devastating better understand omicron assessing severe disease, the... In our raw self-interest to vaccinate the world to better understand omicron advancement with.... Positive with any variant of COVID-19, it does not mean the vaccines not. Or prevent any disease masks to combat COVID-19 do with a cold more likely to cause long-COVID..! Have fever, cough or shortness of breath, cough or shortness of breath myths! Cases have started to how long does omicron last if vaccinated in the UK, leading experts to suggest the omicron spike, said... More in line with delta or omicron, she says symptoms as the prior.! Live blog studies have shown that mixing vaccine brands is safe and can provide robust.. Mask, wash your hands frequently, and what kind of vaccine should they be booster. Cabinet encourages wearing masks to combat COVID-19 past its peak breakthrough infection, heres some advice on how to Yourself...

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how long does omicron last if vaccinated