In the process of vaccination in COVID-19, we often encounter some questions, which cases can be vaccinated and which cases cannot be vaccinated? For example, can pregnant, lactating and menstruating women be vaccinated with COVID-19 vaccine? Can patients with cardiovascular and cerebrovascular diseases, hypertension and diabetes be vaccinated with COVID-19 vaccine?
In response to these questions, Professor Liang Zongan, director of the Department of Respiratory and Critical Care Medicine of west china hospital, was invited to answer in the column "One Week of Medical Lecture" produced by west china hospital, Sichuan Center for Disease Control and Prevention and Sichuan Health Education Center. 12 cases of suspension or inability to vaccinate were clarified.
According to the information released by the joint prevention and control mechanism of the State Council on the 7th, as of September 6th, the total number of people vaccinated in China reached 1,095 million, covering 77.6% of the total population, and 969.72 million people completed the whole vaccination. It is noteworthy that 12-mdash; The overall vaccination progress of 17-year-old personnel is also relatively smooth, and 162.28 million doses have been vaccinated at present.
Authoritative answer to questions
Q:1. Can women be vaccinated with COVID-19 vaccine during pregnancy, lactation, menstrual period and after induced abortion? A: Women can be vaccinated during menstruation and pregnancy preparation. Breast-feeding women who have no contraindications can be vaccinated. If they feel unwell after being vaccinated with COVID-19 vaccine, it is suggested that doctors in relevant departments should assess whether it is necessary to stop breastfeeding after seeing a doctor. After induced abortion, if the body recovers well and there is no other discomfort, it can be vaccinated.
Q:2. Can patients with cardiovascular diseases, hypertension and diabetes be vaccinated with COVID-19 vaccine?
A: If the cardiovascular disease is in a stable state, it can be vaccinated, and it will not affect taking drugs that have been used for a long time.
Cardiovascular diseases are mostly chronic diseases, such as coronary heart disease, heart failure and arrhythmia, which need long-term treatment and control. If you have recently undergone interventional surgery, recover quickly after surgery, and the disease situation is stable, it will basically not affect vaccination. Even if stents, pacemakers, occluders, artificial valves, etc. are implanted in the body, they can be vaccinated.
Patients with hypertension can be vaccinated if their blood pressure is within 160mmHg systolic blood pressure and 100mmHg diastolic blood pressure. Keep your mood calm during inoculation, so as to avoid the influence of elevated blood pressure on inoculation.
Diabetic patients have fasting blood glucose ≤ 13.9mmol/L, without acute complications (ketoacidosis, hyperosmotic state, lactic acidosis), it can be inoculated.
Q:3. Suffering from tuberculosis, chronic obstructive pulmonary disease and chronic bronchitis, can I get COVID-19 vaccine?
A: Patients can be vaccinated after the standardized treatment of tuberculosis has ended and they have entered the consolidation period of anti-tuberculosis treatment. Chronic obstructive pulmonary disease (COPD) in non-acute attack stage, no obvious cough and asthma, can be vaccinated.
Q:4. Can patients with malignant tumor be vaccinated with COVID-19 vaccine? A: Those who are treated with endocrine therapy alone and whose condition is stable, those who are treated with radiotherapy and chemotherapy, intravenous targeted drugs, immune drugs and other anti-tumor drugs for 3 months or more can be vaccinated;
Patients with stable oral targeted drugs need specialists to evaluate whether they can be vaccinated with COVID-19 vaccine; Before and after operation, patients with malignant tumor were given chemotherapy, radiotherapy, intravenous targeted drugs and immunotherapy, and their vaccination was suspended.
In the terminal stage, those who have not received anti-tumor treatment but are seriously ill cannot be vaccinated.
What conditions can be vaccinated? What conditions can’t be vaccinated? Expert authority answers 58 kinds of COVID-19 vaccines.
Q: What conditions can be vaccinated? What conditions can’t be vaccinated? A: What can be vaccinated?
1. People who are known to be allergic to dust mites, food (eggs, peanuts, seafood, mangoes), pollen, alcohol, penicillin, cephalosporins or other drugs can be vaccinated.
2. Suffering from heart disease, coronary heart disease, coronary atherosclerosis and other diseases, not acute attack, can be vaccinated.
3. People with chronic diseases with stable health and good drug control should not be considered as the taboo population for vaccination in Covid-19, so vaccination is recommended.
4. Hypertension drugs are controlled stably, and the blood pressure is lower than 160/100mmHg, so it can be vaccinated.
5. The drug control of diabetes is stable, and the fasting blood glucose is ≤ 13.9mmol/L, no acute complications (ketoacidosis, hyperosmotic state, lactic acidosis), can be inoculated.
6. Patients with hypothyroidism who take a stable dose of levothyroxine (Youjiale) have normal thyroid function and can be vaccinated.
7. Chronic eczema has no obvious attack and is in the non-treatment stage, so it can be vaccinated.
8. The current symptoms of chronic urticaria are not obvious, and they are in the non-treatment stage, so they can be vaccinated.
9. The symptoms of chronic rhinitis and chronic pharyngitis are not obvious and can be vaccinated.
10. Non-treatment stage of chronic hepatitis, normal liver function, can be vaccinated.
11. Tuberculosis is not active and can be vaccinated.
12. Acute types such as non-pustular psoriasis are in the non-treatment stage and can be vaccinated.
13. Vitiligo is in the non-treatment stage and can be vaccinated.
14. Non-acute exacerbation of chronic obstructive pulmonary disease, no obvious cough and asthma, can be vaccinated.
15. Ankylosing spondylitis has no acute pain, and there is no obvious abnormality in inflammatory indicators, so it can be inoculated.
16. Depression drugs are well controlled, and life and work are as usual, so you can get vaccinated.
17. Patients with mental illness are in stable condition and can be vaccinated.
18. All kinds of drugs used to treat diabetes (including insulin injection) are not taboo for vaccination.
19. The general principle of immune system diseases (systemic lupus erythematosus, rheumatoid arthritis, Sjogren’s syndrome, etc.) is cautious vaccination. In general, COVID-19 inactivated vaccine and recombinant subunit vaccine can be inoculated when the disease is stable.
20 malignant tumor surgery for more than three years, no longer radiotherapy and chemotherapy; Nephrotic syndrome; Take immunosuppressive drugs after kidney transplantation; Aids patients and HIV-infected people are recommended to be vaccinated with inactivated vaccine or recombinant subunit vaccine.
21. Vaginitis, urethritis and other urinary system infections, no fever, in the non-treatment stage, can be vaccinated.
22. Simple diarrhea, no fever, no more than three times a day, can be vaccinated.
23. Heart disease, stent, bypass, installation of a pacemaker, and normal after surgery can be vaccinated.
24. After organ transplantation, the recovery is good and the signs are stable. It is recommended to use inactivated COVID-19 vaccine.
25. Those who are cured of cerebral infarction or have sequelae (and their condition is stable and blood pressure control is stable) can be vaccinated.
26. After appendicitis surgery and induced abortion surgery, the body recovered well, and if there is no other discomfort, it can be vaccinated.
27. Fracture, trauma, no infection and fever can be inoculated.
28. You can be vaccinated during pregnancy and lactation, and you can continue breastfeeding during lactation.
29. There is no problem that men cannot be vaccinated with Covid-19 vaccine because of pregnancy.
30. During the menstrual period, you can be vaccinated.
31. dwarfism can be vaccinated.
Suspension of vaccination
1. Fever caused by any reason (cold, wound infection, local inflammation) (armpit temperature ≥ 37.3℃), suspend inoculation.
2. During the acute attack of gout, bad cold, myocardial infarction, cerebral infarction and other diseases, vaccination shall be suspended.
3. Before and after the operation, patients with malignant tumor are undergoing chemotherapy and radiotherapy, and vaccination is suspended.
4. If you have headache, dizziness, nausea, vomiting, chest tightness, stomach discomfort, etc., suspend vaccination and find out the reasons before considering whether to vaccinate.
5. During the onset of urticaria, there is pruritus, and vaccination is suspended.
6. For acute diarrhea caused by norovirus or other viruses, vaccination shall be suspended.
Non-vaccination situation
1. Patients with uncontrolled epilepsy and other serious nervous system diseases (such as transverse myelitis, Guillain-Barre syndrome, demyelinating diseases, etc.) cannot be vaccinated.
2. Those who have severe allergic reactions (such as acute allergic reactions, angioneurotic edema, dyspnea, etc.) before vaccination cannot be vaccinated.
3. Those who are allergic to vaccine ingredients and accessories cannot be vaccinated. The accessories for inactivated Covid-19 vaccine mainly include disodium hydrogen phosphate, sodium chloride, sodium dihydrogen phosphate and aluminum hydroxide.
4. Those who are suffering from fever, or acute diseases, or acute attacks of chronic diseases, or patients with uncontrolled serious chronic diseases.
5. Pregnant women cannot be vaccinated.
6. Patients with thrombocytopenia or hemorrhagic diseases cannot be vaccinated.
Other cases
1. After vaccination, it is found that pregnancy does not need to be terminated. It is recommended to do a good job in pregnancy examination and follow-up.
2. For women who have a pregnancy preparation plan, it is not necessary to delay the pregnancy plan just because of Covid-19 vaccination.
3. Covid-19 vaccine is not recommended to be inoculated with other vaccines at the same time. The interval between other vaccines and Covid-19 vaccine should be greater than 14 days.
4. In any case, when rabies vaccine, tetanus vaccine, rabies immunoglobulin and tetanus immunoglobulin need to be vaccinated due to animal injury, trauma and other reasons, the above vaccines and immunoglobulins are given priority regardless of the interval.
5. If rabies vaccine, tetanus vaccine, rabies immunoglobulin, tetanus immunoglobulin, etc. are vaccinated first, the last shot of the above vaccines should be completed first, and Covid-19 vaccine can be vaccinated after 14 days.
6. People who inject human immunoglobulin should be vaccinated at least one month apart, so as not to affect the immune effect of the vaccine.
7. Previous COVID-19 virus-infected people (patients or asymptomatic infected people) can be vaccinated with 1 dose of Covid-19 vaccine after 6 months on the basis of full notification.
8. There is no need to carry out Covid-19 nucleic acid and antibody testing before vaccination.
9. Routine antibody detection after vaccination is not recommended as the basis for successful immunization.
10. At this stage, it is recommended to complete vaccination with the same vaccine product. In case of special circumstances, such as the local vaccine can not be supplied any more, or the vaccination can not be completed with the same vaccine product, the vaccination can be completed with the vaccine products of other manufacturers of the same kind.
11. Inactivated vaccine in COVID-19 needs to be inoculated with 2 doses. Those who have not completed the immunization procedure are advised to replant as soon as possible. There is no need to restart the immunization program, just replant and complete the corresponding dose.
12 COVID-19 inactivated vaccine in 14-21 days to complete 2 doses of vaccination, no need to replant.
13. Strengthening immunization is not recommended at this stage. The inactivated vaccine in COVID-19 was completed twice according to the immunization procedure, and it was no longer strengthened.
14. For other information, please consult the doctor at the inoculation point.
15. People without upper arms can be injected intramuscularly in the anterolateral middle part of the thigh.