Isolation and Quarantine

Affirmation Forms:

Affirmation of Isolation

Affirmation of Quarantine

Updated Guidance for COVID-19 Isolation and Quarantine 

Adopted from guidance issued on January 4, 2022 from:
New York State Department of Health (NYSDOH) and 
Centers for Disease Control and Prevention (CDC)

Isolation for the General Population 

Isolation keeps someone who is infected/positive with COVID-19 away from others. Anyone who tests positive for COVID-19 regardless of vaccination status must isolate. 

  • Isolate for 5 days (where day 0 is the day symptoms started, or day you test positive if asymptomatic).
  • Seek healthcare as needed as treatment options for COVID-19 may be appropriate. 
  • You can end isolation after 5 days if you have remained symptom-free OR if symptoms are resolving and you are fever-free for 24 hours without the use of fever-reducing medication. (Loss of taste and smell may persist for weeks or months after recovery and should not delay the end of isolation).
  • If your symptoms have not improved after 5 days of isolation you should wait to end your isolation until you are fever-free for 24 hours without the use of fever-reducing medication and your other symptoms have improved
  • Wear a well-fitting mask around others at home during your isolation. At the end of your 5 day isolation period, you must wear a mask when around others and in public for 5 additional days (day 6 through day 10). 
  • Avoid people who are immunocompromised or at high-risk for severe disease and nursing homes or other high-risk settings, until after at least 10 days. 

Isolation for Special Populations and Congregate Settings 

  • If you are moderately to severely immunocompromised, isolate for 10 days.
  • Individuals not able to wear mask (children under 2 years-old) should isolate for 10 days.
  • High-Risk Congregate Settings:
    • Residents must isolate for 10 days. 
    • Staff should follow the isolation guidelines for the general population, but should not return to work until after day 10 (where day 0 is the day of symptom onset or day of positive test if asymptomatic).

Quarantine for the General Population 

Quarantine keeps someone who was exposed to COVID-19 away from others. If you have been in close contact with/exposed to someone with COVID-19, quarantine as follows, where day 0 is the last date of exposure.

  • If not vaccinated OR not up-to-date with COVID-19 vaccinations* OR vaccinated and eligible for a booster but not yet boosted, quarantine for 5 days.
  • If up to date with COVID-19 vaccinations* (with the booster at least 2 weeks before the first date of exposure) or fully vaccinated and not yet eligible for a booster, no quarantine is required.
  • If you have recovered from COVID-19 in the last 90 days, no quarantine is required.

If the positive individual is living in a house with others then the quarantined person (s) will have ongoing exposure until the infected person is no longer contagious. In this situation, quarantine for the uninfected person continues throughout the isolation period of the individual(s) with COVID-19 and 5 days beyond the last day the infected individual(s) are on isolation

Quarantine for Special Populations and Congregate Settings 

  • Individuals not able to wear mask (children under 2 years-old) should quarantine for 10 days.
  • If you are moderately to severely immunocompromised, quarantine for 10 days
  • High-Risk Congregate Settings:
    • Residents must quarantine for 10 days. 
    • Staff should follow the quarantine guidelines for the general population, but should not return to work until after day 10 (where day 0 is the day of symptom onset or day of positive test if asymptomatic).

Regardless of the need to quarantine, anyone who has been exposed to COVID-19 should:

  • Wear a well-fitting mask around others at home and in public for 10 days (where day 0 is the last date of your exposure).
  • If possible, get tested at day 5. If you test positive, isolate according to the guidance above.
  • If symptoms appear, quarantine and seek testing. In this situation, quarantine would end when the test is negative. If testing is not done, isolate according to the guidance above.
  • Avoid people who are immunocompromised or at high-risk for severe disease and nursing homes or other high-risk settings, until after at least 10 days. 

Vaccination Definitions for Quarantine Determinations:

Up-to date/Fully Vaccinated:

  • You are considered fully vaccinated two weeks after your second dose of Pfizer or Moderna vaccine, or two weeks after a single dose of the Johnson & Johnson vaccine AND you are not yet eligible for a booster

Up-to-date/Fully Vaccinated AND Boosted:

  • You are fully vaccinated as defined above, AND you received the booster dose at least 2 weeks before the first date of exposure. 

Additional Dose for Some Immunocompromised People

Some moderately or severely immunocompromised people ages 5+ should get an additional dose of vaccine to be considered fully vaccinated. If you are eligible, you should get this additional dose before you get a booster shot. Consult with your healthcare provider for further guidance.

Vaccine Eligibility By Age Group:

Ages 5-11

Two doses of Pfizer (21 days apart).
These ages are not eligible for a booster.

Ages 12-17

Two doses of Pfizer (21 days apart).
Booster 5 months after second dose.
Additional booster for anyone 50 years of age or older at least 4 months after receiving first booster. 

Ages 18+


 

Two doses of Pfizer (21 days apart).
Booster 5 months after second dose.
Additional booster for:
- anyone 50 years of age and older at least 4 months after receiving first booster.
- anyone 12 years of age and older with certain kinds of immunocompromise at least 4 months after receiving first booster dose of any COVID-19 vaccine. These are people who have undergone solid organ transplantation, or who are living with conditions that are considered to have an equivalents level of immunocompromise. 

Two doses of Moderna (28 days apart). 
Booster 5 months after second dose. 
Additional booster for: 
- anyone 50 years of age and older at least four months after receiving first booster. 
- anyone 18 years of age and older with certain kinds of immunocompromise at least four months after receiving first booster. 

Single dose of Johnson & Johnson; 
Booster 2 months after single dose.
Additional booster is recommended, but must be either Pfizer or Moderna vaccine. Individuals must meet eligibility criteria for an additional booster of either Pfizer or Moderna (see above for more information).