DEAR DR. ROACH: I am a 74-year-old woman who is in better-than-average shape for my age. I only take blood pressure meds, walk for exercise, and am only slightly overweight.

I have had seven COVID vaccinations from February 2021 to September of this year. I asked my primary doctor if I should get more, and he said “no.” His reasoning is that Paxlovid cures COVID, so we don’t have to get vaccinated anymore. He, himself, is not getting any more shots. I never contracted COVID that I know of. Any thoughts?

• J.A.

ANSWER: Yes, I have a strong opinion about this, and I completely disagree with your doctor. It is fantastic that we have Paxlovid as it absolutely helps people get better faster, and it reduces the risk of severe COVID by about half.

This is most important for people who are at a higher risk of hospitalizations because people who are at a low risk, including most healthy people who are up-to-date with their vaccines, don’t benefit much from Paxlovid. Being 74 and slightly overweight and having high blood pressure puts you at higher-than-average risk for severe COVID — but not as high as a person with lung disease or severe immune system disease.

Without vaccinations, the risk for serious, even life-threatening cases of COVID increases, and Paxlovid is not completely effective. Also, Paxlovid does not help much at preventing persistent symptoms after a COVID infection (“long COVID”).

I have several patients who continue to have long COVID symptoms that are affecting their daily life, despite it being years after their initial infection.

Finally, it is possible that new variants of COVID will arise that are not susceptible to Paxlovid. While I have confidence that new drugs will be developed, it is far better to prevent COVID than it is to treat it.

COVID hasn’t gone away; it is here to stay. There will be additional “waves” of COVID infection, and during these times, it will be wise to once again bring out the surgical masks when in crowded areas, in addition to staying up-to-date with vaccines. I continue to get my COVID vaccines as soon as they are recommended.

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.