As the number of people vaccinated with the new coronavirus vaccine continues to increase
some new questions have arisen among the public:
"Can I get vaccinated in this situation?"
Sometimes it is difficult to determine the vaccinators.
In order to further implement the new coronavirus vaccination work,
provide the public and vaccinators with new coronavirus vaccine in a timely manner
scientific identification and response of vaccination contraindications and precautions,
Heilongjiang Provincial Center for Disease Control and Prevention has formulated
"New Coronavirus Vaccination Contraindications and Precautions Guidelines" (Second Edition )》.
clarified 31 situations in which vaccination is possible,
6 situations in which vaccination is postponed,
6 situations in which vaccination is not allowed,
and 15 other situations.
gave more detailed and clear answers to the common questions of the public about the new coronavirus vaccine.
guidance and suggestions.
Situations where vaccination is possible
1 If you are known to be allergic to dust mites, food (eggs, peanuts, seafood, mango), pollen, alcohol, penicillin, cephalosporins or other drugs, you can be vaccinated.
2, those who suffer from heart disease, coronary heart disease , coronary atherosclerosis and other diseases, are not in acute attack stage, can be vaccinated.
3, People with chronic diseases whose health status is stable and well controlled by medications are not contraindicated for COVID-19 vaccination, and vaccination is recommended.
4, high blood pressure is under stable drug control, blood pressure is lower than 160/100mmHg, can be vaccinated.
5, diabetes are under stable drug control, fasting blood glucose ≤ 13.9mmol/L, and have no acute complications ( ketoacidosis , hyperosmolar state, lactic acidosis), can be vaccinated.
6, hypothyroidism patients take a stable dose of levothyroxine (euthyroxine), has normal thyroid function, can be vaccinated.
7, chronic eczema has no obvious attack and is in the non-treatment stage, can be vaccinated.
8, Chronic urticaria The current symptoms are not obvious and they are in the non-treatment stage, can be vaccinated.
9, chronic rhinitis , chronic pharyngitis symptoms are not obvious, can be vaccinated.
10, chronic hepatitis is not in the treatment stage, and the liver function is normal, can be vaccinated.
11, tuberculosis is not in active stage, can be vaccinated.
12, psoriasis non-pustular type and other acute types are in the non-treatment stage, can be vaccinated.
13, vitiligo are in the non-treatment stage, and can be vaccinated.
14, COPD is in the non-acute attack stage and has no obvious cough and asthma, so can be vaccinated.
15, ankylosing spondylitis without acute pain, and no obvious abnormalities in inflammatory indicators can be vaccinated.
16, depression medication is under good control, life and work are as usual, can be vaccinated.
17, Mental illness patients, whose condition is stable, can be vaccinated.
18. Various drugs used to treat diabetes (including insulin injections) are not contraindications to vaccination.
19, immune system diseases ( systemic lupus erythematosus , rheumatoid arthritis , Sjogren's syndrome , etc.) The general principle is to vaccinate with caution. Under normal circumstances, COVID-19 inactivated vaccine and recombinant subunit vaccine can be vaccinated when the condition is stable.
20, Patients with malignant tumors who have undergone surgery for more than three years should no longer undergo radiotherapy and chemotherapy ; Nephrotic syndrome ; Take immunosuppressive drugs after kidney transplantation ; AIDS patients and HIV-infected patients , are recommended to be vaccinated Live vaccine or recombinant subunit vaccine .
21, vaginitis , urethritis and other urinary system infections without fever, are in the non-treatment stage, can be vaccinated.
22, simple diarrhea, without fever, no more than three times a day, can be vaccinated.
23, heart disease, stent, bypass , pacemaker installation, returned to normal after surgery, can be vaccinated.
24. After organ transplantation, recovered well and his physical signs were stable. recommended the use of the new coronavirus inactivated vaccine.
25, Those who have been cured of cerebral infarction , or those with sequelae (and their condition is stable and their blood pressure is under stable control), can be vaccinated.
26, Appendicitis After surgery, artificial abortion, 's body has recovered well, and there is no other discomfort, can be vaccinated.
27, fractures, trauma, no infection and fever, can be vaccinated.
28 and can be vaccinated with during pregnancy preparation and lactation period, and can continue breastfeeding during lactation period.
29, There is no problem that men cannot get the new coronavirus vaccine because they are preparing for pregnancy.
30, and can be vaccinated during menstrual period.
31, dwarfism can be vaccinated.
situation of postponement of vaccination
1, Fever (axillary body temperature ≥37.3℃) caused by any reason (cold, wound infection, local inflammation), postponement of vaccination.
2, During the acute attack period of gout attacks, severe colds, myocardial infarction, cerebral infarction and other diseases, vaccination is postponed.
3, Vaccination of is postponed for patients with malignant tumors before and after surgery and during chemotherapy and radiotherapy.
4, If you have headache, dizziness, nausea, vomiting, chest tightness, stomach discomfort, etc., postpone vaccination until find out the cause before considering whether to vaccinate.
5, During the onset of urticaria , there are symptoms of skin itching, and vaccination is postponed.
6, Norovirus or other viruses causing acute diarrhea , vaccination is postponed.
Situations that cannot be vaccinated
1, People with uncontrolled epilepsy and other severe neurological diseases (such as transverse myelitis , Guillain-Barré syndrome, demyelinating diseases, etc.), cannot be vaccinated.
2, Those who have experienced severe allergic reactions (such as acute allergic reactions, angioedema, dyspnea, etc.) from previous vaccinations cannot be vaccinated with .
3, People who are allergic to vaccine components and excipients cannot be vaccinated. inactivated new coronavirus vaccine excipients mainly include: disodium hydrogen phosphate , sodium chloride , sodium dihydrogen phosphate , aluminum hydroxide .
4, Those who are having a fever, or are suffering from acute diseases, or acute exacerbations of chronic diseases, or patients with uncontrolled severe chronic diseases.
5, Pregnant women cannot be vaccinated.
6, Those suffering from thrombocytopenia or bleeding disorders cannot be vaccinated.
Other situations
1. If pregnancy is discovered after vaccination, there is no need to terminate the pregnancy . It is recommended to do a pregnancy check-up and follow-up.
2. For women who have plans to prepare for pregnancy, they do not have to delay their pregnancy plans just because of vaccination against the new coronavirus.
3. The new coronavirus vaccine is not recommended to be vaccinated with other vaccines at the same time. The interval between vaccination of other vaccines and the new coronavirus vaccine should be greater than 14 days.
4. In any case, when it is necessary to vaccinate rabies vaccine , tetanus vaccine , rabies immune globulin , tetanus immune globulin due to animal injury, trauma, etc., does not consider the interval and takes priority. Receive kinds of the above vaccines and immune globulin .
5. If you have received rabies vaccine, , tetanus vaccine, rabies immune globulin, tetanus immune globulin, etc., you must first complete the last shot of the above vaccine. You can receive the new coronavirus vaccine after an interval of 14 days.
6. Those who are injected with human immunoglobulin should receive this vaccine at least intervals of more than 1 month to avoid affecting the immune effect of the vaccine.
7, People who have been infected with the new coronavirus (patients or asymptomatic infections ) can receive one dose of the new coronavirus vaccine after 6 months after being fully informed.
8. There is no need to carry out new coronavirus nucleic acid and antibody testing before vaccination.
9. It is not recommended to routinely detect antibodies after vaccination as a basis for successful immunity.
10. At this stage, it is recommended to use the same vaccine product as to complete the vaccination.In the event of special circumstances such as the local vaccine supply being unable to continue, or vaccination in other places, and the vaccination cannot be completed with the same vaccine product, vaccine products from other manufacturers of the same type can be used to complete the vaccination.
11. Two doses of the inactivated COVID-19 vaccine are required. For those who have not completed the vaccination program, it is recommended that be revaccinated as soon as possible. The immunization program does not need to be restarted, just complete the corresponding doses of re-vaccination.
12. If the new coronavirus inactivated vaccine is completed with 2 doses of vaccination in 14-21 days, does not need to be revaccinated.
13. At this stage, it is not recommended to strengthen immunity to for . The inactivated COVID-19 vaccine is administered in two doses according to the immunization schedule and will not be boosted.
14 and do not have upper arm personnel and can be injected intramuscularly in the middle of the anterolateral thigh.
Article source: Basic public health service project publicity platform
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