My spike test for the 4th vaccine was as follows:
COVID-19 Spike RBD, Ab>250.00 U/mL
<0.80 U/mL
My oncologists says this is a good result, hence he will not give me evulsheld. I read in the NY Times that this and the antiviral pills are going to be slow in coming now due to lack of federal money. Should I insist or go somewhere else? Do you think my response is good enough that I don't need to worry? I am a relapsed patient who recently went off venetoclax, but I am still on umbralisib.
Beanlake14 - Your spike antibodies results (>250 U/ml) is a good initial sign that your 4th shot vaccine is “working”! Would be good to know if your score with a more refined test, such as LabCorp’s antibodies test #164090 - SARS-CoV-2 Semi Quantitative Total Antibody Spike would yield? … would it be >2500 U/ml? that is the refined test high score? or … would it be a score between 251 and 2500 U/ml?
Kinda makes a difference IMO of the test knowledge of your spike antibodies level and answering your posted questions.
The scores don’t predict the level of protection against covid but IMO it’s a gauge of how many spike antibodies you have, helpful that may be towards answering your questions.
So in response to your questions … if it were me, I’d go get a refined test score. If it’s >2500 your doc is gonna have a huge smile (you should too!) .. n he/she no doubt still suggest you not go get Evusheld … n let others who more badly need the limited supply get it.
Now if your score is say in the low hundreds (eg, 251, 351, etc) would you n could you go get Evusheld ? If so, would your doc think you need it and ok/prescribe it? IDK.
Good luck with whatever you decide to do n stay well!
Thank you. I think this test is why I am confused. The first one he did was out of the 2500 and I was a dismal 25 after the first vaccine. This test confused me.
I rered this, and I am going to try to get the test you mentioned. Thank you.
Good luck on the retest, hoping you get a big score.
I had to take an antibody test prior to my Evusheld appointment. It came back positive (IGG + IGM) however not with numbers. My LabCorp was negative. My doctor canceled the appointment, I was sent home and told to get the 4th booster. I had the 4th booster the lab corp came back negative and had to wait for the antibody done at 4 weeks. That came back negative and Monday I have a 1030 appt.
Wow. I am glad you are persistent in tracking this.
Sorry to hear of your problem. Anti-viral pills will not be cut back due to a lack of funding. The US has ordered 20M courses and we have a long way to go before they run out.
Monoclonals will be a different story — if congress doesn’t act soon (and it is unlikely that they will act soon) — most monoclonal treatments are predicted to run out in May if not re-ordered in March. Evusheld is expected to run out in June if not reordered ASAP.
This is a very unfortunate situation and it also means that new vaccines and boosters will run out too. Boosters, if approved for over 65’s will not be available regardless.
For some reason, the powers that be here simply do not want to bother with these things any more. Stupid? Yes. But then again much of the US handling of the pandemic has been stupid. And no, the pandemic is not over.
AGREE!!!!!!!!
Agree as well. What are the millions of immune compromised and vulnerable Americans who have had Evusheld - many of them part of this group - supposed to do when they need their second treatment of Evusheld again as it wears off in 6 months?
Well, we all won't even know if we get Covid - because there will be (already is) no more money for testing.
While yes, it is the lack of widespread governmental assistance - it can be traced to the attitude of many that Covid is over. When the next wave hits people will regret what has not been done - but we (the immunocompromised) will suffer the most by that time.
Yes. Just read something about that too. I can't isolate all the time as I still work, but I haven't seen my siblings inside in two years. Guess it's time to try to barbeque outside!
I think we need a major OP-Ed in the NY Times and other places to speak up for all of the vulnerable. We certainly aren't front and center in this fight. I have had to be the agentic one this entire time; getting my 3 vaccine, then the booster, and then evusheld. No help from my docs in initiating; they were supportive in giving me the prescriptions and documentation but only after I did all the work.
It just should not be this way. I there was an article in the Times last week that it's going to waste in Mississippi!
They never seem to learn from their mistakes. grrr
We all know who is to blame. Without getting too political there are those who have gained power by denying COVID and its mitigation. Those states that didn't encourage vaccination but grabbed antibody treatments last year. It makes me so angry that there are now some states on my personal no fly list.
mayoclinic.org/coronavirus-...
This chart will help you decide which states to avoid. In all states nearly 90% of all 65+ have been vaccinated. This makes sense because they are the most vulnerable.
In the 18-64 age group the averages run from over 50% to 86%.
As of today, Alabama (54.4%), Mississippi (55.1%), and Wyoming (53.3%) have the lowest % of Covid shots in the 18-64 category.
If you are referring to Florida and Texas, in the 18-64 age group, there are 29 states with fewer shot rates than Florida, and 26 states with fewer shot rates than Texas. These states were never against the shot, just freedom of choice. We, the people, are always smart enough to make the right choices...and we did in all states.
At this point, I feel safe traveling to any state following my own safety precautions.
I'm with you E-Lynn And my regular doc won't give me the treatment with out my onocologist signing off. whew.
Your current lab results may be excellent. After my third shot mine were >2500 taken at Labcorps. Acouple of weeks later I was tested at Mayo Clinic and they were >250. When I checked on this out of concern the Mayo said the scores were the same--just different factors of 10 used in their systems.
That makes sense; thank you!
I took it upon myself to get a 4th Moderna last August, against the guidelines at the time and produced no antibodies due to the acalabrutinib. I am fully dosed with Evusheld. My wife got covid three weeks ago and I did not, so I believe it worked for me.
I bet it did; hope so. Thank you
Thank you for your post. I wish all who are skeptical read it and pass it on to those on health boards in countries that are reviewing Evusheld. I am in Canada and am desperately waiting approval of this drug.
I had 50 after Moderna 1; 7000+ after Evushield.
I read this recently about the COVID treatments. There really should be plenty available in the US. There seems to be some supply miscommunication. npr.org/sections/health-sho...
Third vaccine antibody update 
Rare COVID-19 vaccine complication linked to circulating spike protein in blood
Immune Response - how to interpret values? (Evusheld)
Swollen lymph nodes following Covid-19 vaccine
COVID 19 IMMUNITY TEST 
