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I’m in Alberta, Canada, and got a full dose of Moderna as my 4th shot on Feb. 27 (5 months after the 3rd shot of Pfizer. I had the strongest reaction yet – a super sore arm, a day in bed with strong chills and muscle aches – all gone within 24 hours after the shot. The most challenging part was getting reliable advice on pausing Mycophenolate Mofetil (Cellcept) for a week. The Canadian Rheumatology association disagreed with the US Rheumatology association that recommended stopping Cellcept for a week after the 4th shot to prevent it from suppressing the immune response to the shot. My neurologist was no help – said to keep taking Cellcept based on Alberta’s politically driven advice, but my family doctor had more current info from the BCCDC (in the province next to us) that supported the US Rheumatology association recommendation based on a wider review of the research. Based on that info, I stopped taking Cellcept by taking half the dose for 2 days before the shot, then zero dose for 7 days, followed by 2 days at half dose before going back to full dose. While I was off Cellcept, I had no difference in my MG symptoms. I’ve been a hermit for 2 yrs but since 2 weeks after the 4th shot, I’ve been going to limited appointments once a week for dental, medical and personal care, booking for first thing in the morning when the air is cleaner, and using either an N95 mask made in North America or an ASTM Level 3 mask which is more breathable, depending on the level of risk of airborne transmission at the location. I worked at home for the past 2 years and retired instead of returning to the office (I’m 67).