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Indications and contraindications for vaccination with Moderna vaccine

Published: 23:52 - 08/08/2021 Author: Lê Xuân Hưng 23:59 08/08/2021 Views: 1
🤖 AI Translation Notice: This article was automatically translated by AI from the official Vietnamese publication of the School of Preventive Medicine and Public Health (HMU). For official legal/administrative reference, please consult the original Vietnamese version →.
Moderna COVID-19 vaccine vaccination for special groups:
Indications and contraindications:

Injection strains vaccine xprint phope COVID-19 Moderna for special target groups:

+ Group of people with comorbidities: People with underlying or chronic diseases are at high risk of contracting COVID-19 and need to be vaccinated against the disease. Certain comorbidities have been identified that increase the risk of severe COVID-19 illness and death. Phase 3 clinical trials demonstrated the vaccine is safe and effective in people with various health conditions, including those at high risk of severe COVID-19. Comorbidities studied in the phase 3 clinical trial included chronic lung disease, severe heart disease, severe obesity, diabetes, liver disease, and human immunodeficiency virus (HIV) infection. However, before vaccination, people with comorbidities need to be screened and evaluated by experts and vaccinated when the disease has stabilized, so they should be vaccinated at the hospital.

+ Group of pregnant women: Available data are insufficient to provide information on vaccination of pregnant women. However, vaccination is recommended for pregnant women if the benefits of vaccination outweigh the potential risks of the vaccine. Pregnancy testing before vaccination, delaying pregnancy, or terminating a pregnancy because of vaccination are not recommended.

+ Group sub female for children suck: Vaccinate if subjects belong to risk groups.

There is no need to stop breastfeeding after vaccination.

+ Immunocompromised people: Vaccination can be given if the subject is in a risk group. Information and records on immunodeficiency should be provided to medical staff to advise on benefits and risks as well as to monitor and evaluate post-vaccination..

+ Group people có love png self freen translation: can be vaccinated if the subject does not have contraindications to vaccination.

+ Group of people with HIV: Can be vaccinated if well controlled with antiviral treatment and in the risk group recommended for vaccination...

+ Group people yes money sử sử use resistance body resistance COVID-19 article treatment ago that: Vaccination is recommended at least 90 days after anti-COVID-19 antibody treatment.

Contraindications:

+ History of severe anaphylactic reaction to any ingredient of Moderna COVID-19 vaccine.

+ Subjects who have severe anaphylactic reactions after the 1st dose, do not receive the 2nd dose of Moderna COVID-19 vaccine or any other COVID-19 mRNA vaccine.

Simultaneous vaccination with other vaccines:

+ There is not enough data on the interchangeability of the Moderna COVID-19 vaccine with other COVID-19 vaccines. 2 doses of the same COVID-19 vaccine are recommended.

+ Moderna COVID-19 vaccine should be administered at least 14 days apart from other vaccines.

Conclusion

1) Point concentration tiem vaccines please: When health conditions are met, there are no abnormalities that require postponing the injection or contraindications

+ Shot 1: Vaccination for people 18 years and older.

+ Injection 2: apply injection schedule 1 month (28 days) after injection 1.

2) Vaccination is contraindicated in the following cases:

+ Have a history of severe anaphylactic reaction of grade 2 or higher to any allergen

+ Other contraindications according to the manufacturer's instructions:

  • Subjects who have severe anaphylactic reactions or grade 2 or higher anaphylactic reactions after the 1st dose, do not receive the 2nd dose of Moderna COVID-19 vaccine or any other COVID-19 mRNA vaccine.
  • Severe anaphylactic reaction to the active substance or to any excipient contained in the vaccine.
3) Postpone vaccination

+ People suffering from acute diseases, infectious or chronic progressive diseases.

+ Pregnant women, women who are breastfeeding.

+ People with impaired immune response, end-stage cancer, decompensated cirrhosis.

+ Within the previous 14 days, had high-dose corticosteroid treatment (equivalent to prednisolone ≥ 2 mg/kg/day for ≥ 7 days), or chemotherapy or radiotherapy.

+ Had COVID-19 within the past 6 months.

+ Within the previous 90 days, had immunoglobulin treatment or plasma treatment of COVID-19 patients.

+ History of other vaccinations within the previous 14 days.

4) Subjects who need to be screened and vaccinated in the hospital:

+ People with a history of allergies to other allergens.

+ People with serious underlying diseases or chronic diseases that have not been treated stably.

+ People lose consciousness and ability to act.

+ People with chronic diseases have detected abnormal vital signs:

  • Pulse: < 60 beats/minute or > 100 beats/minute
  • Blood pressure: Minimum blood pressure < 60 mmHg or > 90 mmHg
  • Maximum blood pressure < 90 mmHg or > 140 mmHg
  • Respiratory rate > 25 breaths/minute and/or SpO2 < 94% (if applicable)

+ Subjects with a history of myocarditis and pericarditis.

Source: Covid-19 vaccination practice manual, National Immunization Program

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