What are the contraindications of new crown vaccination to see these "42 articles"
Yesterday, the official WeChat public account of the Liaoning Provincial Health Commission "Liaoning Health Liao Medical Service Platform" released the standards for grasping contraindications to new crown vaccination and related issues. A total of 42 items clarify some vague understandings of recipients and vaccinators in terms of contraindications.
Allergies to vaccine ingredients can not be vaccinated with penicillin, and some food allergies can be vaccinated
According to reports, the content of these 42 articles has been further sorted out and clarified in accordance with the "Technical Guidelines for New Coronavirus Vaccination (First Edition)" issued by the National Health Commission and the content of informed consent and vaccine instructions.
Allergies can not be vaccinated? The truth is that allergies in general are not contraindicated from vaccination. Of those 42, the first 3 were all related to allergic reactions.
People who have had severe allergic reactions (eg, acute allergic reactions, angioedema, dyspnea, etc.) who have been vaccinated in the past cannot be vaccinated.
Those who are allergic to vaccine components and excipients cannot be vaccinated, and the inactivated new crown vaccine excipients mainly include: disodium hydrogen phosphate, sodium chloride, sodium dihydrogen phosphate, and aluminum hydroxide.
Allergic to dust mites, food (eggs, peanuts, seafood, mangoes), pollen, alcohol, penicillin, cephalosporin, or other drugs can be vaccinated.
Cannot be vaccinated during pregnancy During breastfeeding
Article 27 makes it clear that covid-19 vaccination cannot be given during pregnancy. But then one also made it clear that after vaccination, it was found that pregnancy did not need to terminate pregnancy, and it was recommended to do pregnancy tests and follow-up.
It is worth noting that men do not have the problem of not being able to get the COVID-19 vaccine due to pregnancy; During menstruation, pregnancy, and lactation, you can be vaccinated and continue to breastfeed.
It cannot be vaccinated during the acute onset of chronic diseases
These 42 people with clear, stable health and well-controlled chronic diseases are not contraindicated to COVID-19 vaccination, and vaccination is recommended. However, there are also cases where vaccination is not possible, that is, during the acute onset of chronic diseases, or in patients with uncontrolled severe chronic diseases, they cannot be vaccinated.
In addition, chronic eczema does not have a pronounced onset and can be vaccinated; Chronic urticaria with current symptoms are not pronounced and can be vaccinated; Symptoms of chronic rhinitis are not pronounced and can be vaccinated; Chronic hepatitis does not need to be treated with medicine, the liver function is normal, and it can be vaccinated.
The interval between other vaccines and COVID-19 vaccines should be greater than 14 days
Can the COVID-19 vaccine and other vaccines be given at the same time? The answer to this question is not recommended.
In these 42 articles, it is clear that the new crown 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.
In addition, clear answers are given to questions about prioritization. In any case, when rabies vaccine, tetanus vaccine, rabies immunoglobulin, tetanus immunoglobulin, tetanus immunoglobulin are required for animal injury, trauma and other reasons, the above vaccine and immunoglobulin are given priority regardless of the interval.
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 vaccine after 14 days.
People injecting human immunoglobulin should receive this vaccine at least 1 month apart so as not to affect the immune effect.
It is worth noting that people who have been infected with the new crown pneumonia virus (patients or asymptomatic infected people) can receive 1 dose of the new crown vaccine after 6 months on the basis of adequate notification. The general principle for immune system disorders (systemic lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis, Sjogren syndrome, etc.) is to administer with caution, and in general, inactivated COVID-19 vaccines and recombinant subunit vaccines can be given when the condition is stable.
Strengthening immunization is not recommended at this stage
Article 42 clearly states that at this stage, it is not recommended to strengthen immunization, that is, the inactivated vaccine is completed in accordance with the procedure of completing two doses and will no longer be strengthened. Inactivated vaccine requires 2 doses, and if the procedure is not completed, it is recommended to re-inject as soon as possible. There is no need to start the immunization program again, and the replanting can be completed in 2 doses. Inactivated vaccines are given in 2 doses in 14-21 days without the need for re-vaccination.
In addition, it should be reminded that there is no need to carry out nucleic acid and antibody testing for the new crown virus before vaccination; Routine testing of antibodies after vaccination is also not recommended as a basis for immunization success.
At this stage, it is recommended to complete vaccination with the same vaccine product. If the city's vaccine can not continue to supply, or special circumstances such as off-site vaccination, it is impossible to complete the vaccination with the same vaccine product, the same kind of vaccine products from other production enterprises can be used to complete the vaccination (such as Zhongsheng Beijing Institute, Zhongsheng Wuhan Institute, Kexing Zhongwei Replacement). Liaoshen Evening News reporter Zhang Achun
(Editor-in-Charge: Feng Qingyang)
Source: Liaoshen Evening News