It is POSSIBLE to fall into categories of people who are exempt from the vaccine against Covid 19. The Italian Society of General Practice has prepared a handbook to clarify the rules on the exclusion criteria from vaccination to family doctors.
Who has had Covid
Among those who fell ill with coronavirus, asymptomatic positives are excluded for 3 months from the positive swab. On the other hand, symptomatic positives are excluded for 6 months from the negativization. The patient with suspicious symptoms and his close contact are excluded until the result of the antigenic or molecular swab.
Other pathologies
As for people with other pathologies, there are some that can cause exclusion from the vaccine. Among non-communicable, myocardial infarction or an acute cardiovascular event or severe surgery justify it. Among the communicable diseases, in addition to acute hepatitis and nephritis, septic states and serious organ or tissue infections are considered a criterion for exclusion from immunization.
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Medicines
The vaccine may also be temporarily contraindicated for hypersensitivity to excipients, such as peg2000dmg for Pfizer, tromethamine for Moderna, polysorbate for AZ and J&J. It is contraindicated, albeit temporarily, even to those who have had thrombosis and cytopenia after the first administration of viral vector serum or in cases of Guillain Barrè syndrome after the first dose. If the vaccine is changed between the first and second dose, it is better to consult the allergist. There are no contraindications for the pregnant women even if it would be good to wait until the third month.
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The precautions
In the vademecum the Italian Society of General Medicine what are the precautions to be taken in some cases before administration. Medicines such as chemotherapy can inhibit the action and patients in these situations should contact the oncologist who follows them. The advice of the cardiologist is also needed to authorize the second dose of Pfizer vaccine if the first has produced myocarditis or pericarditis. The previous one allergic reaction immediate to another vaccine leads to a consultation with an immunologist or allergist, but is not considered a contraindication. Contraindications are also not considered: breastfeeding, a previous Bell’s palsy, ongoing autoimmune diseases, immunocompromised or cancer patients and the history of previous severe allergic reactions to drugs or substances.
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When the green pass arrives
Finally, the Italian Society of General Medicine clarifies that the exemption certificates are issued by the doctors of the vaccination service, the family doctor and the pediatrician of free choice with credentials to enter the data of the patient in the regional software and the managers of the vaccination center. in case of experimental vaccines. To have the green pass: after the first dose one waits until the 12th day from the first administration of the vaccine, and the latter is valid from the 15th day from the first dose until the inoculation of the second. To receive the green pass after the second dose, the wait is 48 hours and the validity is 270 days from issue. For the single-dose vaccine, the 15th day after inoculation is waited. For the negative test after Covid-19 disease (or positivity), the exemption certificate valid for six months must be issued by the same doctor who issues the end of isolation certificate.
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