Ukraine approves list of contraindications for vaccination against Covid-19

Source : 112 Ukraine

There are also contraindications to the injection of certain vaccines; for example, CoronaVac from Sinovac Biotech is contraindicated for pregnant women
12:29, 29 October 2021

Kyiv City State Administration

The Health Ministry of Ukraine has already decided on the list of contraindications for a vaccination with coronavirus vaccines as it is specified.

"Contraindications to vaccination can be established by a family or attending physician and provide an appropriate conclusion on a temporary or permanent contraindication. If necessary, to obtain additional information about the verification of the diagnosis, the course of the disease, the need for additional examinations, the doctor can also refer the patient to a specialized specialist, at the conclusion of which he/she finally decides whether to vaccinate or postpone it until a certain time," the Ministry of Health notes.

If a patient has contraindications to being vaccinated with one of the Covid-19 vaccines, if possible, he should be vaccinated with other types of vaccines.

Contraindications may be:

  1. Absolute – a condition in which there is a clearly defined probability of a serious adverse reaction to a given vaccine to a patient, and the risks of holding of vaccination significantly outweigh the benefits of being vaccinated. Absolute contraindications can be permanent and temporary:
  • Permanent contraindications - contraindications to vaccinations that are permanent for life.
  • Temporary contraindications - contraindications that are temporary in nature and disappear over time

Permanent contraindications for vaccination:

The Ministry of Health notes that the only absolute permanent contraindication to vaccination with a specific vaccine is anaphylactic reaction to the first dose of this vaccine. In this case, the patient will be advised to be vaccinated with another vaccine, if it is available. If a patient is allergic to one of the components of the Covid-19 vaccine, they should also be vaccinated with another vaccine.

Temporary contraindications for vaccination:

  • Acute diseases with a temperature rise above 38.0 degrees. Vaccination can be carried out after recovery and in the absence of signs of acute illness. The certificate is issued for up to two weeks from the onset of the disease.
  • Treatment with monoclonal antibodies or convalescent plasma. Vaccination can be carried out 90 days after the end of the course of therapy. The certificate is valid for 3 months.
  • Injection of vaccines against other infectious diseases. Vaccination against Covid-19 must be carried out 14 days after the introduction of the vaccine against other infectious diseases (with the exception of the inactivated influenza vaccine, which can be administered simultaneously with the anti-slip vaccine in different hands). Between the first and second doses of Covid-19 vaccine, other vaccines may be given at a 14-day interval. The certificate is valid for 14 days.
  • Tuberculin test or blood test for tuberculosis (IGRA). If it is necessary to test with tuberculin or IGRA, it should be carried out and interpreted before vaccination or postponed for at least 4 weeks after vaccination against Covid-19. Vaccination against Covid-19 can be carried out at any time after the completion of all stages of the tuberculin test. The validity of the certificate is until the completion of the sample / IGRA assessment.
  • Covid-19 in past medical history. Vaccination can be delayed by 3 months from the time of the course of Covid-19 or carried out earlier, but not earlier than 28 days from the first day of the onset of symptoms or laboratory confirmation of the diagnosis of Covid-19 by PCR / determination of the antigen of the SARS-CoV-2 virus. If a person becomes ill with Covid after receiving the first dose of the anti-Covid vaccine, the second dose may be given according to the approved vaccination schedules for the specific vaccines, but no earlier than 28 days after the first day of symptom onset or laboratory confirmation of the diagnosis of Covid-19. The certificate is valid for up to 3 months.
  1. Caution (vaccination with caution) – a situation in which the final decision on vaccination is made by the doctor, taking into account the advantages over the risks of vaccination.

Vaccination with caution, or special conditions:

  • Cancer disease. Vaccination against Covid-19 for people with cancer is a priority. In its implementation, one should adhere to the relevant recommendations of NTGEI - ;
  • Autoimmune disease. Patients undergoing treatment with Rituximab should postpone vaccination for at least 4 weeks after the last dose of this drug;
  • Persons with immunodeficiency. The data currently available are insufficient to assess the efficacy and risks of a vaccine for severely immunocompromised individuals. Given that the vaccine is "live" and that immunocompromised individuals have a higher risk of severe illness and death from Covid-19, they may be vaccinated.

Moreover, there are contraindications for the injection of certain vaccines; for example, CoronaVac from Sinovac Biotech is contraindicated in pregnant women. If you have questions about choosing a vaccine, ask your family doctor.

We remind that according to government decree No. 1236, from November 8, civil servants and teachers who have not been vaccinated will not be allowed to work. The presence of an official certificate will allow representatives of these categories of citizens to continue working. It will be possible to receive such certificates in early November.

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