In the process of COVID-19 vaccination, we often encounter some questions, which situations can be beaten and what situations cannot be beaten? For example, can women who are trying to conceive, breastfeed, and menstruate be vaccinated against COVID-19? Can patients with cardiovascular and cerebrovascular diseases, hypertension and diabetes be vaccinated against COVID-19?
In response to these questions, under the guidance of the Sichuan Provincial Health Commission, Professor Liang Zongan, director of the Department of Respiratory and Critical Care Medicine of West China Hospital of Sichuan University, was invited to answer the "Weekly Medical Lecture" column produced by the West China Hospital of Sichuan University, the Sichuan Provincial Center for Disease Control and Prevention, and the Sichuan Provincial Health Education Center. 12 suspensions or non-vaccinations were identified.
According to the press conference held by the joint prevention and control mechanism of the State Council on the 7th, as of September 6, the total number of vaccinated people nationwide reached 1,095 million, covering 77.6% of the total population of the country, and 969.72 million people completed the whole process of vaccination. It is worth noting that the overall vaccination progress of 12-17-year-olds is also relatively smooth, and 162.28 million doses have been given so far.
Authoritative answers to questions
Q: 1. Can women get the COVID-19 vaccine after trying to conceive, breastfeeding, menstruation and abortion? A: Women can be vaccinated during menstruation and pregnancy. Lactating women without contraindications can be vaccinated, such as discomfort after receiving the new crown vaccine, it is recommended to be assessed by the relevant department doctor after seeking medical treatment. After the abortion, if the body recovers well and there is no other discomfort, it can be vaccinated.
Q:2.Can patients with cardiovascular disease, hypertension and diabetes be vaccinated against COVID-19?
A: If the cardiovascular disease is in a stable state, it can be vaccinated without affecting the long-term use of drugs.
Cardiovascular diseases are mostly chronic diseases, such as coronary heart disease, heart failure, arrhythmias, etc., which require long-term treatment and control. If you have recently undergone interventional surgery, recovery after surgery is fast, and the disease condition is stable, it will basically not affect vaccination. Even if stents, pacemakers, sealers, prosthetic valves, etc. are implanted in the body, they can be vaccinated.
Patients with hypertension can be vaccinated if their blood pressure is within systolic blood pressure of 160 mmHg and diastolic blood pressure is less than 100 mmHg. Keep a calm mood during vaccination so that the increase in blood pressure does not affect the vaccination.
Patients with diabetes mellitus can be vaccinated with an empty blood glucose ≤ of 13.9 mmol/L without acute complications (ketoacidosis, hypertonic status, lactic acidosis).
Q: 3. If you have tuberculosis, COPD, and bradycarditis, can I get the COVID-19 vaccine?
A: Patients can be vaccinated after the end of the previous standardized treatment for tuberculosis and have entered the consolidation phase of anti-tuberculosis treatment. COPD is a non-acute episode with no significant cough and wheezing and can be vaccinated.
Q:4.Can patients with malignant tumors be vaccinated against COVID-19? A: Those who are stable with endocrine therapy alone, and those who are stable after 3 months or more after the end of anti-tumor such as radiotherapy and chemotherapy, intravenous targeted drugs, and immune drugs, can be vaccinated;
Patients with stable oral targeted drugs require specialist evaluation of whether they can be vaccinated against COVID-19; chemotherapy, radiotherapy, intravenous targeted drugs, and immunopharmaceuticals are postponed before and after surgery in patients with malignant tumors.
Patients who are terminally staged and do not have antitumor therapy but are in severe condition should not be vaccinated.
What conditions can I get vaccinated? What conditions cannot be vaccinated? Experts authoritatively answered the 58 types of COVID-19 vaccinations
Q: What conditions can I get vaccinated? What conditions cannot be vaccinated? A: Situations where vaccination is possible
1. Known allergies to dust mites, food (eggs, peanuts, seafood, mangoes), pollen, alcohol, penicillin, cephalosporin or other drugs can be vaccinated.
2. Suffering from heart disease, coronary heart disease, coronary atherosclerosis and other diseases, not an acute attack period, can be vaccinated.
3. People with chronic diseases with stable health status and good drug control are not contraindicated to new coronavirus vaccination, and vaccination is recommended.
4. Hypertension drug control is stable, blood pressure is lower than 160/100mmHg, can be vaccinated.
5. Diabetes drug control is stable, fasting blood glucose ≤ 13.9mmol/L, no acute complications (ketoacidosis, hyperosmolarity, lactic acidosis), can be vaccinated.
6. Patients with hypothyroidism take a stable dose of levothyroxine (Yomethylol), which has normal nail function and can be vaccinated.
7. Chronic eczema has no obvious onset and is in the non-treatment stage, which can be vaccinated.
8. The current symptoms of chronic urticaria are not obvious, and they are in the non-treatment stage, and can be vaccinated.
9. Chronic rhinitis, chronic pharyngitis symptoms are not obvious, can be vaccinated.
10. In the non-therapeutic stage of chronic hepatitis, the liver function is normal and can be vaccinated.
11. Tuberculosis is not an active period and can be vaccinated.
12. Acute types such as psoriasis non-pustular type, which are in the non-therapeutic stage, can be vaccinated.
13. Vitiligo is in the non-therapeutic stage and can be vaccinated.
14. Copernic disease non-acute attack period, no obvious cough and asthma, can be vaccinated.
15. Ankylosing spondylitis has no acute pain manifestations, and there is no obvious abnormality in the inflammatory indicators, which can be vaccinated.
16. Depression medication is well controlled, life and work as usual, can be vaccinated.
17. Patients with mental illness, who are in stable condition, can be vaccinated.
18. Various drugs used to treat diabetes (including insulin injections) are not contraindicated to vaccination.
19. The general principle of immune system diseases (systemic lupus erythematosus, rheumatoid arthritis, Sjogren syndrome, etc.) is to vaccinate with caution. In general, covid-19 inactivated vaccines and recombinant subunit vaccines can be given when the condition is stable.
20. More than three years after malignant tumor surgery, no longer undergo radiotherapy and chemotherapy; nephrotic syndrome; eat immunosuppressive drugs after kidney transplantation; AIDS patients and HIV-infected patients, it is recommended to receive inactivated vaccines or recombinant subunit vaccines.
21. Vaginalitis, urethritis and other urinary tract infections, no fever, in the non-therapeutic stage, can be vaccinated.
22. Simple diarrhea, no fever, no more than three times a day, can be vaccinated.
23. Heart disease, stents, bypass, installation of pacemakers, after the operation to return to normal, can be vaccinated.
24. After organ transplantation, good recovery, stable signs, it is recommended to use the new crown inactivated vaccine.
25. Those who have been cured of cerebral infarction, or those who have sequelae (and the condition is stable and the blood pressure control is stable), can be vaccinated.
26. After appendicitis surgery and abortion, the body recovers well, and if there is no other discomfort, it can be vaccinated.
27. Fractures, trauma, no infection and fever, can be vaccinated.
28. During pregnancy and lactation, you can be vaccinated, and you can continue to breastfeed during lactation.
29. There is no problem that men cannot be vaccinated against the new crown virus due to pregnancy.
30. During menstruation, it is possible to inoculate.
31. Dwarfism, can be vaccinated.
Suspension of vaccination
1. Fever (armpit body temperature≥ 37.3 ° C) caused by any cause (cold, wound infection, local inflammation), postpone vaccination.
2. During the acute onset of gout attacks, severe colds, myocardial infarction, cerebral infarction and other diseases, vaccination is suspended.
3. Before and after surgery for patients with malignant tumors, chemotherapy and radiotherapy are being carried out, and vaccination is suspended.
4. Headache, dizziness, nausea, vomiting, chest tightness, stomach discomfort, etc., postpone vaccination, find out the cause and then consider whether to vaccinate.
5. During the onset of urticaria, there are symptoms of skin itching, and vaccination is suspended.
6. Acute diarrhea caused by norovirus or other viruses, vaccination is suspended.
Cases where vaccination is not possible
1. Patients with uncontrolled epilepsy and other serious neurological diseases (such as transverse myelitis, Guillain-Barre syndrome, demyelinating disease, etc.) cannot be vaccinated.
2. Those who have had severe allergic reactions (such as acute allergic reactions, angioedema, dyspnea, etc.) who have been vaccinated in the past cannot be vaccinated.
3. Those who are allergic to vaccine components and excipients cannot be vaccinated, and the inactivated new coronavirus vaccine excipients mainly include: disodium hydrogen phosphate, sodium chloride, sodium dihydrogen phosphate, and aluminum hydroxide.
4. Patients who are feverish, or suffering from acute diseases, or acute onset of chronic diseases, or patients with uncontrolled severe chronic diseases.
5. Pregnant women cannot be vaccinated.
6. Those suffering from thrombocytopenia or bleeding disorders cannot be vaccinated.
Other situations
1. After vaccination, it is found that pregnancy does not need to terminate pregnancy, and it is recommended to do a good job of pregnancy examination and follow-up.
2. For women with pregnancy preparation plans, it is not necessary to delay the pregnancy plan just because of the COVID-19 vaccine.
3. The new crown virus vaccine is not recommended to be given at the same time as other vaccines. The interval between other vaccines and COVID-19 vaccines should be greater than 14 days.
4. In any case, when rabies vaccine, tetanus vaccine, rabies immunoglobulin, tetanus immunoglobulin need to be vaccinated due to animal injury, trauma and other reasons, do not consider the interval, and give priority to the above vaccines and immunoglobulins.
5. If you have received rabies vaccine, tetanus vaccine, rabies immunoglobulin, tetanus immunoglobulin, etc., you need to complete the last dose of the above vaccine first, and you can get the new crown virus vaccine after 14 days.
6. Those who inject human immunoglobulin should receive this vaccine at least 1 month apart so as not to affect the immunization effect of the vaccine.
7. Previously infected with the new crown pneumonia virus (patient or asymptomatic infected person), on the basis of full notification, can receive 1 dose of the new crown virus vaccine after 6 months.
8. There is no need to carry out nucleic acid and antibody testing for the new crown virus before vaccination.
9. After vaccination, it is not recommended to routinely detect antibodies as the basis for the success of immunization.
10. At this stage, it is recommended to complete vaccination with the same vaccine product. If the local vaccine can not continue to supply, or in the special situation of off-site vaccination, etc., it is impossible to complete the vaccination with the same vaccine product, the same kind of vaccine products from other manufacturers can be used to complete the vaccination.
11. The new crown inactivated vaccine needs to be vaccinated with 2 doses, and those who have not completed the immunization procedure are recommended to resuspend as soon as possible. The immunization program does not need to be restarted, and the resupply can be completed in the appropriate dose.
12. The new crown inactivated vaccine is completed in 2 doses in 14-21 days, and there is no need for re-vaccination.
13. Strengthening immunization is not recommended at this stage. The COVID-19 inactivated vaccine is completed in two doses according to the immunization schedule and is no longer reinforced.
14. In other cases, please consult the doctor at the vaccination site.
15. Without upper arm personnel, it can be injected in the anterolateral center of the thigh, intramuscularly.
Source: The Paper
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