Covid19 Vaccine VA, DC, MD
COVID-19 Vaccine Exceptions:
Getting the Covid-19 vaccine while you are sick:
Acute illness does not automatically disqualify you from receiving covid19 vaccine. However, in abundance of caution, vaccination is typically delayed until you feel better.
Being on antibiotics does not automatically disqualify you from covid19 either.
However, if you are still recovering from current SARS-CoV-2 infection and are in isolation, we shall delay the vaccine until you recover fully and are out of isolation.
And this applies even to second dose of vaccine as well (in case you get infection between the first and second doses of covid19 vaccine).
Have you ever received a dose of COVID-19 vaccine?
COVID-19 vaccines are NOT interchangeable. Currently authorized COVID-19 vaccines require two doses. Both doses of the series should be completed with the same product. Product dosing schedules vary. Those who received a trial vaccine should consult with the trial sponsors to determine if it is feasible to receive additional doses
Have you received another vaccine in the last 14 days?:
The COVID-19 vaccine series should be administered alone, with a minimum interval of 14 days before or after administration of other vaccines. This recommendation is based on the lack of data on the safety and efficacy of mRNA COVID-19 vaccines administered simultaneously with other vaccines.
Have you had a positive test for COVID-19 or has a doctor ever told you that you had COVID-19?
COVID Vaccination is open to people with prior symptomatic / asymptomatic SARS-CoV-2 infection. Important to note that, if SARS-CoV-2 infection is still active, then covid-19 vaccine is delayed at least until clinical recovery and discontinuation of isolation. Moreover, since re-infection during the first 90 days post-acute documented Covid infection is unlikely, vaccine may be delayed for another 90 days if desired.
Have you received passive antibody therapy as treatment for COVID-19?
Also, because of estimated time it takes for monoclonal COVID19 antibodies or convalescent plasma to clear out of your system, vaccine is deferred for at least 90 days after such treatments in order to prevent interaction of with vaccine-induced immune responses.
Do you take immunosuppressants or have disorder of immune system?
HIV, Cancer, being immunosuppressive therapy, may increase your risk for severe COVID-19. On the other hand, mRNA vaccine safety profile is unknown in populations with severe underlying disease. Moreover, effectiveness of vaccine in immunocompromised patients is unknown, and there is a potentially a need to continue to protective measures such as wearing a mask, social distancing and washing hands frequently.
Do you have a bleeding disorder or are you taking a blood thinner?
COVID-19 vaccine may be given to you given that a physician familiar with the your bleeding risk determines that the vaccine can be administered intramuscularly with reasonable safety. ACIP recommends the a fine-gauge needle (23-gauge or smaller), followed by firm pressure at the site of administration for at least 2 minutes.
Are you pregnant or breastfeeding?
If pregnant person needs to receive a COVID-19 vaccine (e.g., active healthcare personnel) she may choose to be vaccinated. However, before making that decision pregnant women seeking vaccination should consider the level of COVID-19 community transmission, their own personal risk of contracting COVID-19, the risks of COVID-19 to the patient and potential risks to the fetus, the efficacy of the vaccine, the side effects of the vaccine, and the lack of data about use of the vaccine during pregnancy. There are no data on the safety of COVID-19 vaccines in lactating people or the effects of mRNA COVID-19 vaccines on the breastfed infant or milk production/excretion.