{"id":1576,"date":"2021-09-13T09:16:27","date_gmt":"2021-09-13T13:16:27","guid":{"rendered":"https:\/\/covidqanda.org\/?p=1576"},"modified":"2021-09-13T09:16:27","modified_gmt":"2021-09-13T13:16:27","slug":"aside-from-allergic-reactions-is-there-any-other-medical-reason-for-an-adult-to-not-get-vaccinated","status":"publish","type":"post","link":"https:\/\/covidqanda.org\/?p=1576","title":{"rendered":"Aside from allergic reactions, is there any other medical reason for an adult to not get vaccinated?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Question:<\/span><\/strong>\u00a0Aside from an allergy to an ingredient in the vaccine, is there any other valid medical reason for an adult to not get vaccinated? The back story: My son\u2019s occupational therapist is unvaccinated &#8211; her only explanation is that she\u2019s \u201cunable to get vaccinated\u201d &#8211; and I\u2019m wondering why that would be. Where we live the Governor passed a law that all healthcare workers must be vaccinated to interface with patients, so she is about to lose most of her in-person patients. We adore her, she\u2019s highly educated and seems very well-versed in science, so I can\u2019t imagine she\u2019d be making the decision to remain unvaccinated due to a political belief, but if she were allergic to the vaccine I don\u2019t know why she wouldn\u2019t just say so &#8211; so I\u2019m wondering what else it could be.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Answer:\u00a0<\/span><\/strong>CDC&#8217;s\u00a0<a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/clinical-considerations\/covid-19-vaccines-us.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fcovid-19%2Finfo-by-product%2Fclinical-considerations.html\">Interim Clinical Considerations for Use of COVID-19 Vaccines<\/a>\u00a0is online and updated regularly, as is the relevant\u00a0<a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/downloads\/summary-interim-clinical-considerations.pdf\">summary document<\/a>.\u00a0 The only contraindications (e.g. &#8220;do not use&#8221; conditions) are related to allergies.\u00a0 Contraindications include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Severe allergic reaction (e.g. anaphylaxis) from a previous dose of the COVID-19 vaccine;<\/li><li>Severe allergic reaction a component of the COVID-19 vaccine;&nbsp;<\/li><li>Immediate (within four hours of exposure) allergic reaction of any severity to a previous dose;<\/li><li>Diagnosed allergy to a component of the COVID-19 vaccine.&nbsp;<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">There are a few conditions that would suggest deferral of vaccination.\u00a0 Specifically, if a person received monoclonal antibodies or convalescent plasma to treat COVID, they should defer vaccination for at least 90 days; and if a person has been exposed to COVID-19 and they do not live in a congregant setting, they should wait for vaccination until their quarantine period has ended.\u00a0<strong>(Table)\u00a0\u00a0<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Finally, I know a lot of folks who are pregnant or trying to become pregnant are concerned about vaccine safety.\u00a0 On that front, data continues to accumulate indicating that COVID-19 vaccination is\u00a0<a href=\"https:\/\/www.acog.org\/covid-19\/covid-19-vaccines-and-pregnancy-conversation-guide-for-clinicians\">safe for pregnant women<\/a>, with no known adverse maternal or fetal outcomes.\u00a0 For example, just last week\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2784193\">a case-control study was published in\u00a0<em>JAMA<\/em><\/a>\u00a0that showed COVID-19 vaccination was *no* associated with increased risk of miscarriage.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Table. Summary of CDC Clinical Considerations\u00a0<\/strong>(from\u00a0<a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/downloads\/summary-interim-clinical-considerations-poster.pdf\">CDC<\/a>)<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"723\" height=\"800\" src=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2021\/09\/image-2.png?resize=723%2C800&#038;ssl=1\" alt=\"\" class=\"wp-image-1577\" srcset=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2021\/09\/image-2.png?resize=926%2C1024&amp;ssl=1 926w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2021\/09\/image-2.png?resize=271%2C300&amp;ssl=1 271w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2021\/09\/image-2.png?resize=768%2C849&amp;ssl=1 768w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2021\/09\/image-2.png?w=1347&amp;ssl=1 1347w\" sizes=\"auto, (max-width: 723px) 100vw, 723px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Question:\u00a0Aside from an allergy to an ingredient in the vaccine, is there any other valid medical reason for an adult to not get vaccinated? The back story: My son\u2019s occupational therapist is unvaccinated &#8211; her only explanation is that she\u2019s \u201cunable to get vaccinated\u201d &#8211; and I\u2019m wondering why that would be. Where we live [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[50,64],"tags":[197,119,108],"class_list":["post-1576","post","type-post","status-publish","format-standard","hentry","category-guidelines","category-vaccines","tag-allergic","tag-allergies","tag-pregnancy","has-post-thumbnail","fallback-thumbnail"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1576"}],"version-history":[{"count":1,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1576\/revisions"}],"predecessor-version":[{"id":1578,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1576\/revisions\/1578"}],"wp:attachment":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}