When A False Positive Covid Test Ruins Your Trip & Lessons Learned For International Travel
This is a guest post from one of our readers, Mary Graves. She reached out after our recent podcast episode talking about how we need more women writers in the space. She offered to write about her dive trip to Barbados but that trip quickly went off the rails. So she ended up writing about when a false positive Covid test ruins your trip and offers some much needed tips for the different testing requirements. She also shares how different entry requirements can be depending on where you are going and how things are rapidly changing.
When A Positive Covid Test Ruins A Well Planned Trip
This was not the article I expected to write. I was supposed to be in Barbados, scuba diving and posting really cool pictures. So, when the nurse called and said, “You tested positive for COVID.” I almost dropped the phone. I thought I had become a pro at taking COVID tests, expertise hard won through trial and error. Yet here was an epic fail. I received my positive test results a mere 16 hours before our flight was to depart.
I retested a few days later and it came back negative, a false positive had ended our trip before it even started.
Making Adjustments On The Fly – Flexible Bookings Is Key
In the immediate aftermath of my shock, I told my husband (who’s results from the same test came back negative) and we began to disassemble the trip we had so artfully created just five weeks earlier. Luckily, our flights were award flights on American Airlines so those miles re-deposited as soon as I canceled them.
The part that really stung though was giving up our accommodations. Back in May when I saw that Barbados was re-opening, I found a penthouse one-bedroom at The Crane with its own private pool and garden that could be booked with our Hilton Grand Vacation Club points. What made it even worse was we were unable to use our time share points much at all in 2020. There was a silver lining though, because we were canceling the reservation before July 1, 2021, we were able to have all the points re-deposited into our HGVC account.
Our other main expenses – a dive package and the rental car – were charged to our Chase Sapphire Reserve card. We received full refunds for both, but if we had not, we could have utilized travel protection through the card. While it was extremely disappointing having to cancel such a trip at the very last minute, it did not hurt us financially. Easy come, easy go.
How This Test Requirement Was Different From Previous Trips
I had been administered a molecular PCR (rRT-qPCR) test three days prior to my departure for Barbados. I was very careful to read the official Visit Barbados site to clarify which test was required. I cannot stress enough how important it is to research the specific requirements of the destination you are planning to visit. There are at least 300 different COVID tests out there and it can be confusing both to the patient AND the health care provider.
Alaska Mishap Costs Us An Additional $500
For example, we traveled to Alaska in September 2020. I researched on the official Alaska travel site and knew we needed to take a NAAT PCR test (this was last fall and the requirements have changed – which is why it is crucial to always check) 72 hours prior to travel. I found a local testing facility, explained what I needed and why, and scheduled the test. The nurse administering the test said that yes – she had already tested several people traveling to Alaska and that THIS was the right test. Results (negative) were received in time to download to the required app and when we landed in Fairbanks, I felt confident.
Unfortunately, the test we had taken days earlier in Huntsville, Alabama was the SARS Antigen Fluorescent Immunoassay test. This would not meet Alaska’s requirement so my husband and I each had to take a second test at the airport at $250 a piece before we could leave the airport. And even then, we were required to go straight to our lodging and self-quarantine until we were contacted with the results of our tests (which were both negative and this was communicated via phone within 24 hours).
Alaska has since dropped their testing requirements.
Why Testing Requirements Can Be So Dang Confusing
So why did our original test not pass? Well, it was an antigen test – not a PCR test. Here’s a VERY basic explanation: There are three main types of tests for COVID:
- NAAT PCR – Nucleic Acid Amplification Test Polymerase Chain Reaction – The NAAT PCR is considered a gold standard for COVID testing because it uses PCR to determine whether nucleic acid (like DNA and RNA) – also referred to as genetic material – from the virus is present in the sample taken from the nasal swabs.
- Antigen – This test is also administered via nasal swabs but determines to detect outer protein fragments of the virus. It can be done as a rapid test.
- Antibodies – this is generally done after an infected patient has recovered.
Both the PCR and Antigen are considered “molecular” so they may get confused even by the facility providing the test. It is very important to follow the official travel guidelines of your destination when addressing COVID testing, vaccination, etc.
The Test Names Can Get Very Confusing – Hawaii Example
In April we visited the Big Island of Hawaii. We followed the official Hawaii travel website which was very helpful not only in listing specific tests but also test providers – like Walgreens, CVS, and American Family Care. Yet, even when we went to an approved testing site (in our case, American Family Care), there was confusion as to what test to administer. I insisted that we needed a “rapid NAAT PCR” test while not realizing there was no such beast. In the end, Hawaii’s specification was for a “molecular test” given 72 hours prior to departing the mainland for Hawaii.
For us, leaving from Alabama with an overnight leg in San Jose, this meant a rapid molecular test. Results were downloaded into an app that ultimately provided a QR code required for both boarding the plane and exiting the Kona International Airport.
Hawaii has now dropped the required test for fully vaccinated visitors at least 15 days post final vaccination dose. Prior to departing the mainland, the visitor must download proof of vaccination, either the CDC vaccination card, VAMS printout or DOD Form DD 2766C. The physical copy of this proof must also be brought with you and presented upon arrival for verification.
When A False Positive Covid Test Ruins Your Trip – Final Thoughts
Three trips all had very different COVID processes with outcomes across the spectrum. What did I learn from these experiences?
- Educate yourself on COVID terminology.
- If you’ve read this article – you can check this box!
- Treat every trip as its own entity and do your research.
- Always, always referring to the official travel website for your destination. Make screen shots or printouts of your travel requirements in case of later confusion. Follow ALL the steps required, including downloading apps, filling out questionnaires, producing QR codes (green codes are good – red codes are generally bad). Most countries have switched from “72 hour” language to “3 day” wording which gives the traveler crossing multiple time zones more flexibility.
- Have a back up plan.
- Know the cancellation policies of every piece of your travel puzzle. Airlines award miles have been easy for us to cancel and re-deposit. If you’re using hotel points for accommodations, be aware that different hotels in the same chain can have different cancellation policies. Take screen shots when booking! Use a credit card that offers travel insurance.
- Take a COVID test with you if you are traveling out of country and want to simplify things.
- You will need it for US re-entry.
Hopefully this helps you in your future travels. Things may take a little longer and the process may be a little strenuous but just be as prepared as you can be and be ready to adjust on the fly if you need to.
A big thanks again to Mary for putting this together for us! While we all would have loved seeing some amazing dive pictures this is some information that will come in handy for everyone as well!