These Bay Area residents have achieved a COVID breakthrough. Here’s what they have to say about the experience

After his stay in New York was over, Robinson returned home to the Bay Area and noticed that his allergies seemed to be working. It tended to happen every time he traveled. So he went on with his business as usual, until a few mornings later he woke up thinking to himself “I had been swimming on my side for a while and my head had filled with water” .

Later that day, Robinson discovered he was one of tens of thousands of now fully vaccinated Californians to suffer a breakthrough COVID infection. He went through all the emotions one would expect – the frustration that this had happened to him, the fear that he would find himself hospitalized, the anger that so many people still refuse to be vaccinated. In the end, like most of those who have dealt with post-vaccine infections, he primarily experienced COVID as a series of cold symptoms – loss of energy and congestion that seemed to come and go – during about a week.

“I think a lot of people have mistakenly assumed – hoped we were sort of getting out of the pandemic,” Robinson said. “And I think we are constantly being shown that it is not yet.”

In California, of more than 21 million fully vaccinated people, the state has had an estimated 41,000 breakthrough infections. That number, below 0.2%, is almost certainly low, says Dr Peter Chin-Hong, infectious disease specialist at UCSF. This does not take into account minor infections that people consider to be colds or infections found in home tests and never reported. Indeed, anecdotally, a growing number of people know at least one friend, family member or colleague who has tested positive despite being fully vaccinated.

What is better known, however, is how few fully vaccinated people have been admitted to the emergency room (1,379 at last count) and how many have died (119). And it’s worth noting that not all hospital admissions or deaths were necessarily due to COVID infection. Also note: more than 99% of COVID-related deaths in California now occur in the unvaccinated population.

All of this taken together, says Chin-Hong, is proof that, so far, the “vaccine has done its job.” The prospect of breakthrough infections can still be disorienting, he says, and “COVID still has a lot of stigma and meaning.” But, for the vaccinated, it is not yet 2020.

“The most important silver lining is that you’re not really going to get sick, in general,” he says. “You’re not going to go to the intensive care unit and have a breathing tube. And you certainly have a very, very low chance of dying. “

Chin-Hong likes to compare being vaccinated to having an umbrella during a thunderstorm – there’s always a risk of getting wet, you just won’t have to change your clothes.

For the most part, JR Miller, 32, says he’s leading a “pretty basic life,” even as Bay Area counties relax their rules. If he doesn’t work in his Oakland home, then he works in outdoor cafes. He goes to the gym a few times a week, but hasn’t gone out to a club in a year. When friends – all vaccinated – came from out of town, they mostly spent their visits hiking or in the wine country.

So two weeks ago when he started to feel sick he was caught off guard. “We had literally started to return to normal life, so the idea that I could be infected was difficult to accept,” he says.

It was like “a bad cold”, which was even worse than he had expected. “I’m double vaxxed and I’m a vegetarian and I go to the gym and drink lots of water,” he says. “I never thought I should go to the hospital, but I was uncomfortable for a few days.”

He has since rebounded and last weekend hiked outside of Redwood City.

According to the ongoing ZOE COVID Symptom Study conducted in collaboration with King’s College London, the top five symptoms of breakthrough COVID infections are headache, runny nose, sore throat, loss of smelling and sneezing, something that was not previously associated with the virus. Essentially, Chin-Hong says, the virus appears to stay localized in the nose and throat of patients. (Those with breakthrough cases can still transmit the virus, and research is underway to determine what percentage of breakthrough cases can lead to long-lasting illness also known as long-term COVID.)