SCHC COVID-19 Information

Siletz Clinic Covid Resource Line


Covid Home Test Kits and Masks available to anyone in need at this time. Criteria may change in the future.

There may be additional resources for those who test positive for Covid.

Siletz Area Offices currently have Covid Home Test Kits and masks available to Siletz members and their families.

COVID-19 Testing

Testing is available at the Siletz Clinic by appointment. Please call the Front Desk at 541-444-1030.

Symptoms of COVID-19

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

Emergency Warning Signs* for COVID-19

If someone shows any of these signs, seek emergency medical care immediately:

  • Trouble breathing
  • Persistent pain/pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone

*This list is not all possible symptoms. Please call your medical provider for any other symptoms that are sever of concerning.

The information above was gathered from the CDC.

What to Do if You Test Positive on a Home Test Kit

  • Call the SCHC Covid Resource Line at 541-444-9636
    • Leave your full name
    • Date of birth
    • Date of your positive test
    • Phone number where we can reach you
  • If you are having concerning symptoms or need to talk to someone right away, please call the front desk at 541-444-1030 and ask to speak to a Nurse for Covid triage.

More information about quarantine and isolation can be found on the CDC website.

OHA has created an online resource for individuals who test positive for COVID-19.

Guidelines for a Positive Test or Close Contact

As of March 12, 2022, most people exposed to COVID-19 (i.e., close contacts) no longer need to quarantine (i.e., stay away from other people during the time they are most likely to become infected).  However, close contacts should be aware of their potential to become infected and infect others around them.

Recommendations for the General Population:

  • All confirmed and presumptive cases, including asymptomatic cases, should isolate until they meet criteria for discontinuation of isolation. Cases should stay home and away from other people at least 5 days since their symptom onset, and until 24 hours after fever is gone without use of antipyretics (ibuprofen/Tylenol, aspirin), and other COVID-19 symptoms are improving.
    • Cases should also wear a mask when they are around other people in the 10 days after they become sick or test positive.
    • This includes wearing a well-fitting mask around others at home and in public for 5 additional days (day 6 through day 10) after the end of their 5-day isolation period.
  • Individuals who cannot or do not mask during days 6–10 of their isolation period should stay home for 10 days.
    • Cases should avoid people who are at increased risk for severe disease as well as nursing homes and other high-risk congregate settings for 10 days.
    • If the case is asymptomatic or discrete onset of symptoms cannot be determined, they should stay home for five days following the specimen collection date of their positive test.
    • If an asymptomatic case develops symptoms compatible with COVID-19 (e.g., fever, cough, diarrhea, new loss of taste or smell, or shortness of breath) before the end of their initial isolation period, the five-day isolation and 10-day masking period should be restarted on the date of symptom onset.

All Close Contacts, Regardless of Vaccination Status or Prior Infection With COVID-19 Are Recommended to:

  • Watch for COVID-19 like symptoms for 10 days after their last exposure.
  • Stay home and get tested if symptoms develop.
  • Wear a well-fitting mask around other people for the 10 days following their last exposure.
  • Avoid unnecessary visits with high-risk individuals (e.g., residents of congregate care facilities, persons with immunocompromising conditions, etc.).
  • Consider testing approximately five days after their exposure.
  • Follow guidance for isolation if they test positive or develop COVID-19 symptoms.

If a close contact develops any symptoms associated with COVID-19, regardless of vaccination status, they should isolate for 5 days following the onset of their symptom(s).

COVID-19 Vaccine Information

The Siletz Clinic continues to offer Covid vaccines by appointment. Please contact the front desk at 541-444-1030 to schedule a vaccination appointment. You do not have to be a patient at the clinic to receive a Covid vaccine. See COVID Vaccine and Booster Information below for timelines.

About COVID-19 Vaccines

COVID-19 vaccines available in the United States are effective at protecting people from getting seriously ill, being hospitalized, and dying. As with other vaccine-preventable diseases, you are protected best from COVID-19 when you stay up to date with the recommended vaccinations, including recommended boosters.

Four COVID-19 vaccines are approved or authorized in the United States:

  • Pfizer-BioNTech
  • Moderna
  • Novavax
  • Johnson & Johnson’s Janssen (J&J/Janssen) (CDC recommends that the J&J/Janssen COVID-19 vaccine only be considered in certain situations, due to safety concerns.) To find COVID-19 vaccine locations near you: Search, text your ZIP code to 438829, or call 1-800-232-0233.

COVID-19 Boosters

Updated Boosters

The updated boosters are called “updated” because they protect against both the original virus that causes COVID-19 and the Omicron variant BA.4 and BA.5. Two COVID-19 vaccine manufacturers, Pfizer and Moderna, have developed updated COVID-19 boosters.

Updated COVID-19 boosters became available on:

  • September 2, 2022, for people aged 12 years and older
  • October 12, 2022, for people aged 5–11 years
  • December 9, 2022, for children aged 6 months–4 years who completed the Moderna COVID-19 vaccine primary series

If you have received your updated booster dose, you are currently up to date. There is not a recommendation to get another updated booster dose.

Original Boosters

Previous boosters are called “original” because they were designed to protect against the original virus that causes COVID-19. They also provide some protection against Omicron, but not as much as the updated boosters.

When Are You Up to Date?

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

  • If you have completed your primary series—but are not yet eligible for a booster—you are also considered up to date.
  • If you become ill with COVID-19 after you received all COVID-19 vaccine doses recommended for you, you are also considered up to date. You do not need to be revaccinated or receive an additional booster.

COVID-19 vaccine recommendations are based on three things:

  1. Your age
  2. The vaccine you first received, and
  3. The length of time since your last dose People who are moderately or severely immunocompromised have different recommendations for COVID-19 vaccines.

Getting Vaccines If You Had or Currently Have COVID-19

If you recently had COVID-19, you still need to stay up to date with your vaccines, but you may consider delaying your next vaccine dose (whether a primary dose or booster) by 3 months from:

  • when your symptoms started.
  • Or, if you had no symptoms, when you first received a positive test.

Reinfection is less likely in the weeks to months after infection. However, certain factors could be reasons to get a vaccine sooner rather than later, such as:

Read Stay Up to Date with COVID-19 Vaccines Including Boosters for more information.

Getting your 2nd dose: Talk to your healthcare or vaccine provider about the timing for the 2nd dose in your primary series.

  • People aged 6 months through 64 years, and especially males aged 12 through 39 years, may consider getting the 2nd primary Pfizer-BioNTech, Moderna, or Novavax 8 weeks after the 1st dose.
    • A longer time between the 1st and 2nd primary doses may increase how much protection the vaccines offer, and further minimize the rare risk of myocarditis and pericarditis.
  • Anyone wanting protection due to high levels of community transmission, people aged 65 years and older, or people who are more likely to get very sick from COVID-19, should get the second dose of:
    • Pfizer-BioNTech COVID-19 vaccine 3 weeks (or 21 days) after the first dose.
    • Moderna COVID-19 vaccine 4 weeks (or 28 days) after the first dose.
    • Novavax COVID-19 vaccine 3 weeks (or 21 days) after the first dose.

Novavax booster: You may get a Novavax booster if you are unable or unwilling to receive a Pfizer or Moderna updated COVID-19 booster and you meet the following requirements:

  • You are 18 years of age or older
  • You completed a COVID-19 vaccine primary series at least 6 months ago
  • You have not gotten any other booster dose

One updated booster dose: If you have completed your updated booster dose, you are currently up to date. There is not a recommendation to get another updated booster dose.

Staying up to date: If you have completed your primary series, but are not yet eligible for a booster, you are also considered up to date.

Mixing COVID-19 Vaccine Products

Do Not Mix Primary Series

CDC does not recommend mixing products for your primary series doses. If you received Pfizer-BioNTech, Moderna, or Novavax for the first dose of your primary series, you should get the same product for all following primary series doses.

Mixing Boosters

The following information applies to people who want to get different products for their booster vaccine.

Children aged 6 months–4 years

Children aged 6 months–4 years should get the same product for all their primary series and booster, if eligible.

However, children who only completed 2 doses of Pfizer-BioNTech COVID-19 vaccines should get the Pfizer-BioNTech updated vaccine as the 3rd dose in their primary series.

Children aged 6 months–4 years who completed the 2-dose Moderna primary series should get an updated Moderna booster.

People aged 5 years and older

Children aged 5 who completed the Pfizer-BioNTech primary series should only get the updated Pfizer-BioNTech booster.

Children aged 5 who completed the Moderna primary series can get a different product for their updated booster than they got for their primary series.

People ages 6 years and older can get a different product for their updated booster than they got for their primary series or last booster.

COVID-19 Information Resources

Keeping Everyone Safe During Large Gatherings or Public Events

As we continue to open up to regular scheduled events, we need to recognize that those events are opportunities for spread of disease and illness. Here are a few tips to stay healthy and limit spreading disease during large gatherings.

  1. Make sure you are up to date on COVID-19 vaccinations, including the bivalent booster.
  2. Cover you cough and sneezes with your elbow or tissue.
  3. Wash hands regularly with soap and water or use hand sanitizer.
  4. Clean high-touch surfaces routinely, especially before and after hosting a gathering.
  5. Those who are at high risk of complications from the variety of viruses circulating, should consider wearing a mask when in-doors with people not in their household.
  6. Stay home if you are sick.

Many viruses have symptoms that are same or similar. Take a look at the chart below for more information:

Signs and symptoms in kids COVID-19
(the new coronavirus)
(the flu)
respiratory infections
Seasonal allergies
(hay fever)
Onset of symptoms Varies; typically gradual Sudden Varies; typically starts mild Varies Typically sudden or ongoing
New loss of taste or smell
Sometimes Uncommon Uncommon Uncommon Sometimes
Fever Sometimes*; typically high fever Very common; typically high fever Common Varies Never
Tiredness Severely tired Severely tired Common Varies Sometimes
Cough Very common; typically dry cough Very common; typically dry cough Very common; often a wheezing cough Varies Sometimes
Headache Common Very common Uncommon Varies Uncommon
Loss of appetite or, for babies, difficulty feeding Sometimes Common Common Varies Less common
Muscle and body aches Common Very common Uncommon Common Uncommon
Sore throat Common Common Sometimes Common Sometimes; typically mild
Runny nose/nasal congestion Common Common Very common Common Very common
Nausea or vomiting Sometimes Sometimes Sometimes Less common Uncommon
Chills Sometimes Very common Uncommon Less common Never
Diarrhea Sometimes Sometimes Sometimes Varies Never
Shortness of breath/breathlessness Sometimes Sometimes Very common Uncommon Uncommon
Wheezing or audible breathing Sometimes Sometimes Very common Sometimes Uncommon

It can be challenging to identify the cause of symptoms, especially in younger kids. *Less than half of children diagnosed with COVID-19 will have a fever. Even if your child does not have a fever, it is possible that they could have COVID-19.

We have home test kits for COVID-19. They are available at the SCHC pharmacy or by calling the COVID resource line at 541-444-9636. We have testing available for influenza and RSV at the SCHC. These tests require an office visit with one of our providers. Typically, RSV tests are only done on young kids or elders at high risk for complications. If you are unsure if you or a family member needs to be seen or tested, please call and ask to speak to one of our triage nurses.

If you or a family member test positive for COVID-19 on a home test, we ask you report those results to our COVID resource line. We have medications that can help reduce the risk of COVID-19 related complications if started within 5 days of symptom onset, please call to speak with a triage nurse, as there are criteria for receiving these medications. If you test positive for influenza there are anti-viral medications that may help reduce severity of disease. Treatment for RSV is symptomatic, such as medications to reduce fever and drinking plenty of fluids to stay hydrated. Please call SCHC at 541-444-1030 if you have questions regarding your symptoms or if you should be evaluated and tested.

Centers for Disease Control and Prevention (CDC) Website

Oregon Health Authority Website

This website has information specific to Oregon including tracking COVID-19, statewide requirements and recommendations, and community resources.  You can also maneuver to other parts of their website for other statewide information.

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