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Things to take note when you go for your Covid Vaccination


therock
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https://www.channelnewsasia.com/news/world/netherlands-halts-use-of-astrazeneca-covid-19-vaccine-14407862

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AMSTERDAM: The Netherlands will suspend the use of AstraZeneca's COVID-19 vaccine until at least March 29 as a precaution, the Dutch government said on Sunday (Mar 14).

The move, which follows a similar decision by Ireland earlier in the day, is based on reports from Denmark and Norway of possible serious side effects, the government said.

Three health workers in Norway who had recently received the vaccine were being treated in hospital for bleeding, blood clots and a low count of blood platelets, its health authorities said on Saturday.

No such cases had been found yet in the Netherlands, the Dutch Health ministry said in a statement, adding that there was no proof yet of a direct link between the vaccine and the reports from Denmark and Norway.

The government said it would now wait for an investigation by the European Medicines Agency (EMA).

"We can't allow any doubts about the vaccine," Dutch Health minister Hugo de Jonge said.

"We have to make sure everything is right, so it is wise to pause for now."

Pfizer FTW..

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MOH Update

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Q6 [Updated 13 Mar] Who should not get the mRNA-based COVID-19 vaccines?
The mRNA-based COVID-19 vaccines are not recommended for (1) pregnant women, (2) severely immunocompromised persons, and (3) children under the age of 16 years for Pfizer-BioNTech COVID-19 vaccine and children under the age of 18 years for Moderna COVID-19 vaccine for now, until more efficacy and safety data become available for these subgroups. 

Persons with a history of anaphylaxis to any drugs, vaccines, food, insect stings or unknown triggers SHOULD NOT receive the mRNA-based COVID-19 vaccines. Anaphylaxis is a severe life-threatening reaction with two or more of the following three criteria:
a) Hives or face/eyelid/lip/throat swelling;
b) Difficulty breathing;
c) Dizziness.

A history of having been prescribed an Epi-Pen suggests anaphylaxis risk and such persons SHOULD NOT receive the Pfizer COVID-19 vaccine at this time.

Persons who had history of an allergic reaction to other vaccines may be allergic to specific components of vaccines which could also be present in the COVID-19 vaccine. These persons may require consultation with a specialist to determine if the person is suitable for vaccination with a mRNA-based COVID-19 vaccine. The vaccination sites will be able to provide the referral to the specialist and will be fully subsidised. These individuals SHOULD NOT be vaccinated with the mRNA-vaccines until they have been evaluated on the suitability of the vaccination with mRNA vaccines by the specialist. 

Persons who had history of an allergic reaction to previous dose of the Pfizer COVID-19 vaccine or Moderna COVID-19 vaccine or any of its components SHOULD NOT be vaccinated with the mRNA-vaccines. 

Persons with a history of the following severe drug reactions SHOULD NOT be vaccinated with the mRNA-based vaccines. This includes:
a) Stevens-Johnsons Syndrome (SJS)
b) Toxic Epidermal Necrolysis (TEN)
c) Drug Rash with Eosinophilia and Systemic Symptoms (DRESS)
d) Drug-induced Hypersensitivity Syndrome (DiHS)

Persons with atopy (such as eczema, allergic rhinitis or asthma) can be vaccinated.  

A person with a family history (but NOT a personal history) of anaphylaxis CAN be vaccinated.
 

Q7 [Added 13 Mar] Who are considered severely immunocompromised and should not receive the mRNA-based vaccine?
The following are some examples of severely immunocompromised persons, but there may be other examples not on this list. If in doubt, patients are encouraged to discuss their suitability for COVID-19 vaccination with their doctor. Individuals will also be assessed by the medical personnel at the vaccination sites for their suitability to receive the vaccination before they are vaccinated.
• Transplant within the past 3 months (solid organ or stem cell)
• On cancer chemotherapy, immunotherapy or radiation therapy
• Aggressive immunotherapy (e.g. Rituximab) for non-cancer conditions
• HIV infection with CD4 < 200 cells/mL

Q8 [Added 13 Mar] If a person cannot currently receive the mRNA-based COVID-19 vaccines i.e. is contraindicated against the vaccine, does it mean that the person will not be able to be protected against COVID-19 through vaccination?

Persons for whom the Pfizer-BioNTech COVID-19 Vaccine or Moderna COVID-19 vaccine is contraindicated at this time may be able to get vaccinated with these vaccine(s) if data becomes available that it is safe to vaccinate them. Alternatively, they may be able to get vaccinated with other suitable COVID-19 vaccines, when available.
 

Q9 [Added 13 Mar] Can individuals with a history of NSAIDS-induced angioedema or multiple allergies be vaccinated with the mRNA-based vaccine?

While we previously advised that individuals with history of NSAIDs-induced angioedema or history of multiple allergies defer vaccination with a mRNA-based COVID-19 vaccine, emerging local and international scientific evidence had shown individuals with NSAIDs-induced angioedema CAN be vaccinated with a mRNA-based COVID-19 vaccines, as long as there are no other life-threatening signs and symptoms suggestive of anaphylaxis


Individuals with multiple allergies CAN be vaccinated, as long as the allergies are not life-threatening (i.e. anaphylactic) in nature. It is the severity of the allergy, and not the number of allergies that determines if a person can be vaccinated.

Q10 [Added 13 Mar] Can persons with active cancer be vaccinated?

Persons with active cancer who are NOT on treatment with chemotherapy, radiotherapy or immunotherapy CAN be vaccinated. Based on the experts’ advice, active cancer not on treatment can be defined as:
• Not being on any of the above treatment in the past 3 months AND
• Not having planned treatment of the above in the next 2 months


Persons with a history of cancer, who are in remission, CAN be vaccinated.
 
Persons on active cancer chemotherapy, radiation therapy or immunotherapySHOULD NOT receive the mRNA-based COVID-19 vaccines.
 
Persons on active cancer hormonal therapy CAN be vaccinated.

Q11 [Updated 13 Mar] Can persons with prior COVID-19 infection be vaccinated?
Recovered persons who have not completed COVID-19 vaccination may receive a single dose of vaccine. This applies to recovered persons who are unvaccinated and recovered persons who had received one dose of vaccine before being infected. There is evidence shown that a single dose of vaccine can further boost the immunity against COVID-19 in persons who have recovered from a COVID-19 infection. 

Recovered persons should discuss with their doctors on when to receive the vaccine. The general recommendation is to wait at least 6 months from the date of infection before receiving the vaccine dose. 

No routine testing by PCR or serology is required before getting COVID-19 vaccination to determine eligibility for vaccination.

Q12 [Updated 13 Mar] Can a woman who is breastfeeding receive the mRNA-based COVID-19 Vaccine?
Women who are breastfeeding can be vaccinated.  Out of an abundance of caution, women can consider suspending breastfeeding for 5-7 days after receiving the vaccine.  If a woman feels she is unable to suspend breastfeeding and still wishes to get vaccinated, she can be vaccinated.

 

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Supersonic

Ok, who prefer Moderna ? [laugh]

Spoiler

as long as it's not Sinovac [:p]

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https://www.straitstimes.com/singapore/health/moderna-covid-19-vaccine-to-start-being-administered-at-four-new-vaccination

Moderna Covid-19 vaccine to start being administered at four new vaccination centres

SINGAPORE - The Moderna Covid-19 vaccine will be administered at four new vaccination centres here starting on Wednesday (March 17), the Ministry of Health has announced.

These are: Hong Kah North Community Club, Marsiling Community Club, Punggol 21 Community Club and Radin Mas Community Club.

All other vaccination centres here, as well as polyclinics and selected Public Health Preparedness Clinics (PHPCs), will continue to offer the Pfizer-BioNTech vaccine.

MOH said that the Moderna vaccine will be available at more vaccination centres as more supplies of it arrive.

"Each vaccination centre will stock and administer only one type of vaccine. Individuals must select the same vaccination centre for both their first and second appointments, when booking via the national appointment system," said the ministry on Tuesday.

It also added that as the vaccination capacity of each vaccination centre is not the same, the waiting times for first dose will differ between the vaccination centres.

In addition to the four new centres mentioned earlier, three other vaccination centres will also progressively commence operations from March 17.

They are Nanyang Community Club, Sengkang Community Club and Arena@ Our Tampines Hub .

By mid-April, there will be a total of 40 vaccination centres islandwide.

With the latest centres, those eligible can get their jabs at 31 vaccination centres, on top of the 20 polyclinics and 22 PHPCs across the island.

People are encouraged to book their appointments at the vaccination centres, which have a higher capacity than the polyclinics.

As at March 15, more than 792,000 doses of the vaccine have been administered.

Over 549,000 people have received at least the first dose, of whom about 243,000 have also received their second dose, and hence completed the full vaccination regimen.

 

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Supercharged
On 3/2/2021 at 3:03 PM, Fitvip said:

 

IMG20210301205443.jpg

Don't know why they have to send in all four official languages. Very environment-unfriendly.

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1 hour ago, Kklim said:

Don't know why they have to send in all four official languages. Very environment-unfriendly.

Quite true, but, if they don't, people will complain!

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Supersonic

It's good that now you can choose which vaccine to take, just need to go to the right vaccination centre.

_117550547_optimised-vaccines_by_country

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11 hours ago, therock said:

Tot several deaths reported after sinovac in hk..? It's just logical for medical doctors to make their own professional conclusions. 

Anyone seen ccp leaders go on tv take sinovac ?

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I actually checked with my HKG friend yesterday  - one death so far, and when you scrutinise the cause, it's not directly related.

There is a constant rate of death for the elderly every year, and that must be taken into account too. 

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I've seen some remarks in other forums on why we bought the Sinovac.

At the time of the decisions, I think it was a hard call, and I like our SAF style kiasu approach.. 3 to 1 and overwhelm

So we diversify our efforts, buy different vaccines, because we had to commit whilst we were early in the queue.
If we potter around, we are likely to end up like the EU and we can't steal others' shipment like what they did...

It may mean we have extras of some vaccines, but IMO, I think it's worth the costs.. beside they can come in handy or to donate to other nations..

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29 minutes ago, therock said:

I actually checked with my HKG friend yesterday  - one death so far, and when you scrutinise the cause, it's not directly related.

There is a constant rate of death for the elderly every year, and that must be taken into account too. 

Statistically.. it's significant already. 

https://www.scmp.com/news/hong-kong/article/3126785/hong-kong-logs-10-new-covid-19-cases-10-households-ordered

 

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