Popular Science | The updated version of COVID-19 Vaccination Essential Manual is coming!
COVID-19 vaccine must be.
One of the most talked-about topics in the whole country during this period!
From the meeting, "Did you eat?"
You can see it when you go to "Did you get the COVID-19 vaccine?"
This share of the national "vaccine fever" everyone
Making contributions to protecting the personal safety of oneself and others.
With the increasing number of people vaccinated, the focus of attention has also changed, especially for the necessity of the second injection, vaccination interval and so on. We have compiled some frequently asked questions to see if there is anything you want to know. If you have any other questions, you can also tell us in the message area, and we will reply you in time.
one
What is the vaccination procedure of COVID-19 vaccine?
A: At present, COVID-19 vaccine produced by Beijing Kexing Zhongwei Biotechnology Co., Ltd. and Wuhan Institute of Biological Products (Wuhan Institute) and Beijing Institute of Biological Products (Beijing Institute) under China Biological Co., Ltd. of Sinopharm Group is used in Shanghai.
The Technical Guide for Vaccination in Covid-19 (First Edition) issued by the National Health and Wellness Committee on March 29th, 2021 recommended that the vaccination interval of 2-needle basic immunization of inactivated vaccine in Covid-19 should be 3-8 weeks (21 days -56 days).
The three kinds of vaccines used in this city are inactivated vaccines, the production process is basically the same, and the vaccination procedures are the same. They are all vaccinated with 2 needles, with an interval of 3-8 weeks. The inoculation point will reasonably arrange the inoculation time of the second dose in this interval according to the supply of vaccine and the inoculation time of the first dose.
nine
After the first injection, there are other symptoms. Can I get a second injection?
A: We list several situations.
The first is that after vaccination, it happens to catch up with the onset of chronic diseases or suffer from acute diseases such as colds and herpes. For this kind of situation, the disease should be controlled and treated first, and the second injection can be continued after the attack period has passed or the control of chronic diseases has stabilized.
The second is the adverse reactions such as fever and slight rash after the first dose of inoculation. From the results of clinical trials of COVID-19 vaccine and the information collected during its use, the common adverse reactions of COVID-19 vaccine are basically similar to those of other vaccines that have been widely used. Mainly for the inoculation site redness, induration, pain, etc., but also fever, fatigue, nausea, headache, muscle pain and so on. Usually, this kind of reaction will disappear by itself with time, without special treatment, and the second injection can be inoculated as usual.
Of course, if there are serious allergic reactions after the first dose, such as acute allergic reactions, angioneurotic edema, dyspnea, etc., or other contraindications to vaccination, the second dose is not recommended.
Inoculation contraindications include:
(1) those who are allergic to the active ingredients of the vaccine, any kind of inactive ingredients, substances used in the production process, or those who have been allergic to similar vaccines before;
(2) Those who have had severe allergic reactions to vaccines in the past (such as acute allergic reactions, angioneurotic edema, dyspnea, etc.);
(3) Patients with uncontrolled epilepsy and other serious nervous system diseases (such as transverse myelitis, guillain-barre syndrome, demyelinating diseases, etc.);
(4) People who are suffering from fever, acute diseases, acute attacks of chronic diseases, or uncontrolled patients with severe chronic diseases;
(5) Pregnant women.
Of course, if you feel unsure whether your condition can be vaccinated, you can tell the doctor at the vaccination site truthfully and let the doctor at the scene judge.
10
Why are there rumors that the COVID-19 vaccine only works for a few months?
A: In March last year, some people, as the "vanguard" of vaccines, were vaccinated with inactivated vaccine from COVID-19, which is now on the market. Vaccine companies have carried out clinical monitoring. Up to now, they have obtained antibody detection data for more than 9 months, which shows that the antibody is still at a certain level, and will continue to strengthen monitoring to further observe the maintenance time of antibodies.
11
Can you call later?
A: Only when the vaccinated individuals reach a certain proportion can the protection of the population be formed, that is, the population immune barrier can be formed to protect individuals who cannot be vaccinated due to vaccination taboos and a few people who have not yet produced protection after vaccination. If everyone delays the vaccination, then the immune barrier will never be established. If everyone vaccinates quickly, this barrier may come one day earlier. To return to normal life as soon as possible, vaccine is the best choice at present.
twelve
How to inoculate COVID-19 vaccine for people with chronic diseases or colds?
A: 1. Can patients with hypertension be vaccinated?
① Patients with hypertension can be vaccinated if their blood pressure is lower than 140/90mmHg through lifestyle adjustment and/or drug treatment.
② Patients with hypertension can be vaccinated if their systolic blood pressure is ≥140mmHg and/or diastolic blood pressure is ≥90mmHg through lifestyle adjustment and/or drug treatment, but their systolic blood pressure is < <160mmHg and diastolic blood pressure is < <100mmHg on that day.
After vaccination, doctors in the observation area need to strengthen observation.
③ Patients with hypertension were given lifestyle adjustment and/or medication, but the systolic blood pressure was ≥160mmHg and/or the diastolic blood pressure was ≥100mmHg, so vaccination was suspended.
After adjusting the treatment plan of hypertension, vaccination can be carried out when the blood pressure is controlled at systolic pressure < <160mmHg and diastolic pressure < <100mmHg.
2. Can diabetics be vaccinated?
① Diabetes patients can be vaccinated if their fasting blood glucose is ≤13.9mmol/L through lifestyle adjustment and/or drug treatment.
② At present, diabetic patients with acute complications of diabetes (ketoacidosis, hyperosmotic state, lactic acidosis) or those who have recovered from the above acute complications for less than 2 weeks are suspended from vaccination.
③ All kinds of drugs (including insulin injection) used to treat diabetes are not taboo for vaccination.
3. Can patients with thyroid diseases be vaccinated?
① Patients with hypothyroidism who have been diagnosed and taken a stable dose of levothyroxine can be vaccinated.
② Taking levothyroxine (Eupatorium) or methimazole (Saizhi, Tabazol) or propylthiouracil, which is used to treat hypothyroidism, is not a taboo for vaccination.
③ When TSH>10μIU/mL, and T3 and T4 are lower than normal, the vaccination should be suspended.
④ Inoculation is suspended for patients with uncontrolled hyperthyroidism or hyperthyroid exophthalmos.
4. Can chronic gastritis be vaccinated?
Chronic gastritis is in the non-attack stage and can be vaccinated.
Patients with acute attack of chronic diseases or serious and uncontrolled chronic diseases cannot be vaccinated.
5, schizophrenia patients, the condition has been controlled, taking the lowest dose of drugs for a long time. Can I get COVID-19 vaccine?
Can be inoculated.
6. Can I get vaccinated if I have a bad cold?
Vaccination will be suspended during acute attack of gout, bad cold, myocardial infarction and cerebral infarction.
For fever (underarm temperature ≥37.3℃) caused by any reason (cold, wound infection and local inflammation), vaccination shall be suspended.
7. Can patients with heart disease and heart stents be vaccinated?
Diseases such as heart disease, coronary heart disease, coronary atherosclerosis, etc. are not acute attacks and can be vaccinated.
If it has been done for a long time and the physical indicators are stable, consider vaccination as appropriate after consulting the attending physician.
8. Do I need to get Covid-19 vaccine if I have been infected with Covid-19?
Existing research data show that reinfection is rare in Covid-19 within 6 months after infection. COVID-19 virus-infected people (patients or asymptomatic infected people) can receive one dose after 6 months on the basis of full notification.
9. How to judge whether to vaccinate other chronic diseases?
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.
Patients with acute attack of chronic diseases or serious and uncontrolled chronic diseases cannot be vaccinated.
Such as:
Chronic eczema has no obvious attack and can be vaccinated.
The current symptoms of chronic urticaria are not obvious and can be vaccinated.
The symptoms of chronic rhinitis are not obvious and can be vaccinated.
Chronic hepatitis does not need medication, and its liver function is normal, so it can be vaccinated.
Tuberculosis is not active and can be vaccinated.
Acute types such as non-pustular psoriasis can be inoculated.
Chronic obstructive pulmonary disease (COPD) in non-acute attack stage, no obvious cough and asthma, can be vaccinated.
Ankylosing spondylitis has no acute pain and can be vaccinated.
Depression drugs are well controlled, life and work are as usual, and you can be vaccinated.
Before and after operation, patients with malignant tumor are undergoing chemotherapy and radiotherapy, and vaccination is suspended.
The general principle of immune system diseases (systemic lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis, Sjogren’s syndrome, etc.) is cautious vaccination. Generally speaking, COVID-19 inactivated vaccine and recombinant subunit vaccine can be vaccinated when the condition is stable.
After more than three years of malignant tumor surgery, radiotherapy and chemotherapy are no longer carried out; Nephrotic syndrome; Take immunosuppressive drugs after kidney transplantation; Aids patients and HIV-infected people are advised to be vaccinated with inactivated vaccine and recombinant subunit vaccine.
13
About drug users, how to get COVID-19 vaccine?
Answer: 1. Can I still take antihypertensive drugs after vaccination?
Sure.
2. How long does it take to take anti-inflammatory drugs to get a vaccine?
Theoretically, it doesn’t affect, but if you take antibiotics and anti-inflammatory drugs, it means that some diseases are in the onset period, so it is recommended to vaccinate after your body recovers.
3. Does it matter if patients with depression take medicine for a long time?
Depression drugs generally do not affect vaccination.
4. Can I be vaccinated when taking drugs with insufficient cerebral blood supply?
Can be inoculated.
5. Can I be vaccinated while taking immunosuppressants?
Consult a doctor about the metabolic cycle of the drug before making a judgment.
6. Symptoms such as colds and tonsillitis appear after vaccination. Can I take medicine?
Symptoms such as colds and tonsillitis appear after vaccination, so you can take the medicine normally according to the doctor’s advice, and you don’t need to worry about the vaccine problem.
Source: prevention community
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Original title: The updated version of Popular Science | COVID-19 Vaccination Manual is coming! 》
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