Is there a COVID-19 vaccine for immunocompromised patients?

People ages 18 years and older who are moderately or severely immunocompromised and received the 1-dose Johnson & Johnson's Janssen COVID-19 vaccine should get a 2nd dose of either mRNA COVID-19 vaccine (Pfizer-BioNTech or Moderna), plus 2 mRNA COVID-19 vaccine boosters to stay up to date—for a total of 4 doses—based ...
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Should immunocompromised individuals get any additional COVID-19 vaccines?

People who have a moderately or severely weakened immune system should get an additional primary shot and a booster shot. The CDC recommends additional primary shots and booster doses of COVID-19 vaccines in specific instances: Additional primary shot.
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Should you get the Covid vaccine if you have an autoimmune disease?

The American College of Rheumatology COVID-19 Vaccine Clinical Guidance recommends that people with autoimmune and inflammatory rheumatic disease (which includes lupus) get the vaccine unless they have an allergy to an ingredient in the vaccine.
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Can I get the COVID-19 vaccine if I have an underlying condition?

People with underlying medical conditions can receive a COVID-19 vaccine as long as they have not had an immediate or severe allergic reaction to a COVID-19 vaccine or to any of the ingredients in the vaccine. Learn more about vaccination considerations for people with underlying medical conditions. Vaccination is an important consideration for adults of any age with certain underlying medical conditions because they are at increased risk for severe illness from COVID-19.
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Are you at risk of experiencing an autoimmune disease flare-up from COVID-19 vaccine?

There is a risk that flare-ups may occur. That being said, it has been observed that people living with autoimmune and inflammatory conditions are at higher risk of experiencing severe symptoms from a COVID-19 infection.
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334 - COVID-19 Vaccines and Immunocompromised People: Fully Vaccinated And Not Protected



Can COVID-19 cause an autoimmune disease?

Widespread and long-term inflammation during severe COVID-19 may cause the immune system to produce antibodies to pieces of the virus it wouldn't normally recognize. Some of those pieces might resemble human proteins enough to trigger the production of autoantibodies.

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Does having an autoimmune disease make you more vulnerable to complications from COVID-19?

There are instances in which having an autoimmune disease increases vulnerability to COVID-19 complications, and other cases in which having a coronavirus infection may trigger autoimmune or other serious conditions.
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What are some exemptions from the COVID-19 vaccine?


Some people may be at risk for an adverse reaction because of an allergy to one of the vaccine components or a medical condition. This is referred to as a medical exemption. Some people may decline vaccination because of a sincerely held religious belief. This is referred to as a religious exemption.

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Is having a heart condition considered as high risk for COVID-19?

Having heart conditions such as heart failure, coronary artery disease, cardiomyopathies, and possibly high blood pressure (hypertension) can make you more likely to get severely ill from COVID-19.
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What is an immunocompromised condition?


Immunocompromised condition or weakened immune system. Some people are immunocompromised or have a weakened immune system, because of a medical condition and treatment for the condition.

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What are the medical contraindications for the COVID-19 vaccine?


Medical contraindications to COVID-19 vaccination include immediate or severe allergic reaction (e.g., anaphylaxis) after a previous dose or component of a COVID-19 vaccine or known allergy to a component of a COVID-19 vaccine.

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Are people with rheumatoid arthritis more at risk for COVID-19?

If you have rheumatoid arthritis (RA), you're more likely to get certain infections. That means you may have a higher chance of getting COVID-19. If you do get sick, your symptoms could be more serious than someone who doesn't have RA. Some medicines you take might also make infections more likely.
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Can the Moderna COVID-19 vaccine cause allergic reactions?

There is a remote chance that the Moderna COVID-19 Vaccine could cause a severe allergic
reaction. A severe allergic reaction would usually occur within a few minutes to one hour after
getting a dose of the Moderna COVID-19 Vaccine. For this reason, your vaccination provider
may ask you to stay at the place where you received your vaccine for monitoring after
vaccination. Signs of a severe allergic reaction can include:
• Difficulty breathing
• Swelling of your face and throat
• A fast heartbeat
• A bad rash all over your body
• Dizziness and weakness

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Can taking immunosuppressants increase my chances of getting COVID-19?

And medicines called immunosuppressants may make you more likely to have serious complications from the virus, as can your autoimmune disorder itself
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Are moderately or severely immunocompromised people at a higher risk of getting COVID-19?


If you are moderately or severely immunocompromised (have a weakened immune system), you are at increased risk of severe COVID-19 illness and death. Additionally, your immune response to COVID-19 vaccination may not be as strong as in people who are not immunocompromised.

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Do severely immunocompromised people who were vaccinated outside of the United States need to repeat the vaccination?


People who are moderately or severely immunocompromised and who received COVID-19 vaccines not available in the United States should either complete or restart the recommended COVID-19 vaccine series, including a booster dose, in the United States.

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Which groups of people are at increased risks of severe illness from COVID-19?

Among adults, the risk for severe illness from COVID-19 increases with age, with older adults at highest risk. Severe illness means that the person with COVID-19 may require hospitalization, intensive care, or a ventilator to help them breathe, or they may even die. People of any age with certain underlying medical conditions are also at increased risk for severe illness from SARS-CoV-2 infection.
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Who is most at risk for the coronavirus disease?


Older adults are at highest risk of getting very sick from COVID-19. More than 81% of COVID-19 deaths occur in people over age 65. The number of deaths among people over age 65 is 97 times higher than the number of deaths among people ages 18-29 years.

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Who are at higher risk of developing serious illness from COVID-19?

Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.
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Do I qualify for an exception or can I apply for an exception to the COVID-19 vaccine requirement?

Categories of noncitizen, nonimmigrants that meet the criteria for an exception under the proclamation and CDC’s order include: Persons on diplomatic or official foreign government travel Children under 18 years of age Persons with documented medical contraindications to receiving a COVID-19 vaccine Participants in certain COVID-19 vaccine trials Persons issued a humanitarian or emergency exception Persons with valid visas [excluding B-1 (business) or B-2 (tourism) visas] who are citizens of a foreign country with limited COVID-19 vaccine availability. Members of the U.S. Armed Forces or their spouses or children (under 18 years of age). Sea crew members traveling pursuant to a C-1 and D nonimmigrant visa Persons whose entry would be in the national interest, as determined by the Secretary of State, Secretary of Transportation, or Secretary of Homeland Security (or their designees)

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How do you know if you are allergic to the COVID-19 vaccine?

An immediate allergic reaction happens within 4 hours after getting vaccinated and could include symptoms such as hives, swelling, and wheezing (respiratory distress).
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What to do if you get an allergic reaction from the COVID-19 vaccine?

If you get a COVID-19 vaccine and you think you might be having a severe allergic reaction after leaving the vaccination provider site, seek immediate medical care by calling 911.
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Can COVID-19 symptoms be worse because of rheumatoid arthritis?


On the flip side, because of the reduced function of the immune system in rheumatoid arthritis and because some medications used to treat RA affect the immune system, symptoms of COVID-19 may be worse in RA patients.

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Can immunosuppressive drugs increase the risk of serious COVID-19 infection?

According to the study's authors, drug-induced immunosuppression could potentially elevate the risk of severe COVID-19 symptoms and hospitalization if these individuals become infected. Data for the study was gathered from more than 3 million patients with private insurance.
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Should I get the COVID-19 vaccine if i have lupus?


Are the vaccines safe and effective for people with lupus? It is unlikely that many people with lupus were included in the clinical trials for the vaccines. There is no evidence, however, that people with lupus should not receive the vaccine.

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