• COVID-19 VACCINE Info.

    2019 AIPO
    Covid Vaccine 2

     

    COVID-19 Vaccines and Allergic Reactions – CDC Update:

    Recommendations on Who Should Not Receive mRNA

    COVID-19 Vaccines

     

    If a person has had a severe allergic reaction to a COVID-19 vaccine

    • If a person has a severe allergic reaction after getting the first dose of an mRNA COVID-19 vaccine, CDC recommends that they should not get the second dose. 
      • An allergic reaction is considered severe when a person needs to be treated with epinephrine or EpiPen©or if they must go to the hospital.
    • If a person has had a severe allergic reaction to any ingredient in an mRNA COVID-19 vaccine, they should not get either of the currently available mRNA COVID-19 vaccines. 
    • Healthcare personnel or health departments in the United States can request a consultation from the Clinical Immunization Safety Assessment COVIDvax (CISA) project for a complex COVID-19 vaccine safety question about an individual patient residing in the United States not readily addressed by CDC guidance.

     

    If a person has had an immediate non-severe allergic reaction to a COVID-19 vaccine

    • CDC has learned of reports that some people have experienced non-severe immediate allergic reactions within 4 hours after getting vaccinated, such as hives, swelling, and wheezing.
      • If a person has had an immediate allergic reaction after getting the first dose of an mRNA COVID-19 vaccine, they should not get the second dose unless they have been evaluated by an allergist-immunologist and it is determined that the person can safely receive the vaccine (e.g., under observation, in a setting with advanced medical care available).
      • Providers should attempt to determine whether reactions reported following vaccination are consistent with immediate allergic reactions versus other types of reactions commonly observed following vaccination, such as a vasovagal reaction or post-vaccination side effects (which are not contraindications to receiving the second vaccine dose).
        • Table (Appendix C) of signs and symptoms may serve as a resource to differentiate between these reactions.
      • If a person has had an immediate allergic reaction—even if it was not severe—to any ingredient in an mRNA COVID-19 vaccine, CDC recommends that they should not get either of the currently available mRNA COVID-19 vaccines. 

     

    If a person has had an allergic reaction to polyethylene glycol (PEG) or polysorbate

    • People who are allergic to PEG or polysorbate should not get an mRNA COVID-19 vaccine.
      • PEG is contained in both mRNA vaccines.
      • Polysorbate is not an ingredient in either mRNA COVID-19 vaccine but is closely related to PEG, which is in the vaccines. 

     

    If a person has had an allergic reaction to other types of vaccines or an injectable therapy

    • If a person has had an immediate allergic reaction—even if it was not severe—to a vaccine or injectable therapy (i.e., intramuscular, intravenous, or subcutaneous vaccines or therapies not related to a component of mRNA COVID-19 vaccines or polysorbate), it is a precaution though not a contraindication to vaccination for both mRNA vaccines.
      • These persons should be counseled about the unknown risks of developing a severe allergic reaction and balance these risks against the benefits of vaccination.
      • Deferral of vaccination and/or consultation with an allergist-immunologist may be considered until further information on the risk of anaphylaxis is available.
      • Certain considerations should be taken into account in deciding whether to give mRNA COVID-19 vaccine to these individuals.

     

    If a person has allergies not related to vaccines

    • CDC recommends that people with a history of severe allergic reactions not related to vaccines or injectable medications—such as food, pet, venom, environmental, or latex allergies—may receive mRNA COVID-19 vaccine.
    • People with a history of allergies to oral medications or a family history of severe allergic reactions may also get vaccinated with mRNA COVID-19 vaccine.
     
    Allergy  

    Sources:

     

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