Covid-19 vaccination, how to behave in particular cases and in the presence of contraindications

Covid-19 vaccination, how to behave in particular cases and in the presence of contraindications

The vaccine for Covid-10 is very important, however there may be special cases in which it is not possible to do so. Here are some useful tips

Getting vaccinated against the Sars-CoV-2 virus is of great importance, for your own health and that of others. This is what science says. But there are cases in which the vaccine cannot be administered due to the presence of real contraindications. Similarly, sometimes false contraindications can come into play which instead have no specific meaning and must be known.

Any problem of this type should be discussed with your family doctor, always considering the value of vaccination which really represents an effective weapon to curb the spread of the virus and limit the impact of any infection on the individual. To help health professionals on the choice, also in light of particular situations, on the basis of recent circulars on the composition of vaccines, the Italian Society of General Medicine and Primary Care (Simg) has produced a Document, drawn up in collaboration with the Istituto Superiore di Health and the Ministry of Health, which contains useful information for family doctors and vaccinators.

“It is essential to clarify – underlines Claudio Cricelli, President of Simg – Our goal is to give precise and unequivocal indications to General Practitioners and Vaccinators involved in the vaccination process of the population at this time. Each specific case must be traced back to the respective needs, without giving rise to false news or ambiguities that often leave doubts and perplexities ".

When can the vaccine be postponed?

The document recalls that there are conditions in which it is preferable to postpone vaccination and are related to the protection already guaranteed from the infection: these are Sars-CoV-2 positive patients at least three months after the first positive swab and patients with Covid- 19 who have received monoclonal antibody therapy where at least three months have not elapsed since treatment.

There are also subjects in quarantine for close contact and subjects with suspected symptoms of Covid-19: in these cases, the opportunity for vaccination will take place at the end of the quarantine or subsequently at the end of the diagnostic process. To these are added patients with severe non-deferrable acute disease (such as an acute cardiovascular event, acute hepatitis, acute nephritis, septic state or severe infection of any organ / tissue, major surgical condition, etc.).

When the vaccine is contraindicated and false contraindications

In general terms – it is always necessary to remember the need for a doctor's opinion on a case-by-case basis – a vaccine should not be administered when there is a contraindication such that the risk of adverse reactions is greater than the benefits induced by vaccination. The presence of a contraindication to a specific vaccine does not exclude the possibility that other available vaccines may be administered. As a specific contraindication to one or more of the vaccines currently used in Italy, Simg identifies hypersensitivity to the active ingredient or to any of the excipients, listing a series of vaccine components.

Among the general information, the document recalls that in the event of a severe allergic reaction to the first dose of a Covid-19 vaccine, the possibility of using a different type of vaccine to complete the immunization can be considered. It should also be noted that the anti Covid-19 vaccination is not contraindicated in pregnancy. There are also some false contraindications, which precisely as such do not entitle the holder to the exemption certificate.

Among the most common, breastfeeding is not a contraindication to vaccination; people with a history of Bell's palsy and subjects suffering from autoimmune diseases can receive any vaccine authorized by the European Medicines Agency, as well as immunocompromised patients and oncologists undergoing radio-chemotherapy, except for specific contraindications.

Finally, people with a history of severe allergic reactions unrelated to vaccines or injectable drugs, such as allergies to food, pets, insect venom, the environment or latex, can be vaccinated, as can those with a history of allergies to oral medications or family history of severe allergic reactions, or who may have a milder allergy to vaccines (no anaphylaxis).

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Tag: Coronavirus Vaccines

Category: Health
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