I haven't seen any issues with my clients getting both of these together on the same day or different days. I do suggest IV NAD on the day before and after vaccine. emerageskin dermarolling helps also prevent fine wrinkles and can be applied with enlighten or AERIFY. Best, Dr. Emer.
I am not aware of any interactions between Botox and the Covid vaccine. There should be no issue with you having your second vaccine shot 4 days after having had treatment with Botox.