the joint committee on vaccination and immunisation (jcvi) recommended that the vaccine was offered first to those at highest risk of getting coronavirus and of suffering serious complications if they get coronavirus. the jcvi has recommended children and young people aged 5 to 15 years old with specific underlying health conditions that put them at higher risk of serious coronavirus, are offered 2 doses of the pfizer/biontech vaccine. if children and young people at higher risk from coronavirus have recently had a confirmed coronavirus infection, they should wait 4 weeks from date of test or first symptoms (whichever is earlier) to get the vaccine. this includes: including those associated with congenital malformations of the organs, metabolic disorders and neoplasms, and conditions such as severe gastro-oesophageal reflux that may predispose to respiratory infection. jcvi also recommends that children and young people aged 5 to 17 who share living accommodation on most days with someone with a weakened immune system should be offered 2 doses of the vaccine, given 8 weeks apart.
the joint committee on vaccination and immunisation (jcvi) recommend that people aged 5 years and over with a severely weakened immune system should be offered a third primary dose of the vaccine. it is recommended that all patients with cancer, including all those receiving systemic anti-cancer therapy (which includes cytotoxics, immunotherapy and targeted therapies), radiotherapy or steroids, should consider getting the coronavirus vaccine. the jcvi consider the pfizer/biontech, oxford/astrazeneca and moderna coronavirus vaccines to be safe for patients with suppressed immune systems. if you’re about to receive planned immunosuppressive therapy, your doctor may advise you to get the vaccine before starting therapy (ideally at least 2 weeks before), when your immune system is able to respond better. to provide maximum benefit, it’s recommended that your second dose is given either 3 or 4 weeks after the first dose.
one of these health conditions which is somewhat of a murky gray area is known severe allergies either to previous vaccines or to the first shot of a covid-19 vaccine and the cdc currently provides guidance on what people with these allergies should do. anaphylaxis, which can also be caused by everything from bee stings to certain foods for some people, is a potentially life-threatening condition if untreated and studies are ongoing at the national institutes of health and other academic centers to identify the cause of these rare allergic reactions to covid-19 vaccines.
so people with known allergies to vaccine components should have a discussion with a physician about their options, but it is not an automatic exemption from getting vaccinated against covid-19 and there will be options to help them get vaccinated safely. “our patients should not get live virus vaccines but that is not an issue with any covid-19 vaccines that are currently approved,” said gwen nichols, md, chief medical officer of the leukemia and lymphoma society (lls). so, there are no definite medical exemptions to vaccination with covid-19 vaccines and the people for which this is a murky gray area likely number only in the thousands in the u.s., a tiny fraction of a percent of the population, not millions of people as some have claimed.
the pfizer and moderna vaccines are strongly recommended as safe and effective at preventing serious illness or death from covid-19. conditions such as: congenital heart disease; hypertension with cardiac complications; chronic heart failure; individuals requiring regular medication and/or routine vaccination: age 19 years or older: 1 dose any influenza vaccine appropriate for age and health status annually. special situations: egg allergy, hives, who should not take the covid vaccine, medical conditions list, medical conditions list, list of underlying conditions for covid vaccine, immunocompromised conditions list.
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