Contraindication to a specific vaccine does not exclude the possibility of administering others.
The Italian Society of General Medicine and Primary Care (Simg) with the contribution of the Higher Institute of Health (Iss) and the Ministry of Health has developed a vademecum that establishes the validity and evaluation criteria for the issue of the vaccination exemption certificate anti covid 19 intended for subjects who, in the presence of specific and documented clinical conditions, cannot receive the administration or complete the vaccination cycle, and to those who have received the Reithera vaccine to obtain the green pass. The document, as explained by the president of Simg, Luigi Spicola “offers doctors the criteria for recognizing clinical cases that determine the permanent or temporary exemption from vaccination. Starting from the established evidence – he continues – that 90 percent of hospitalized patients are unvaccinated patients, giving up the vaccine without scientific motivation has no excuse because it is the most powerful weapon we have to eradicate contagion and disease. More or less serious contingent health episodes, as well as most pathologies, do not prevent vaccination, except for a documented allergic reaction to the ingredients of the virus, which is however very rare. In any case, the contraindication to a specific vaccine does not exclude the possibility that other vaccines recognized by the EMA may be administered ».
The Ministry of Health through two circulars established that until 30 September 2021, unless further provisions are made, the exemption certificates already issued by the regional health services are valid on the national territory. They can be issued by the vaccinating doctors of the vaccination services of the Companies and the bodies of the Regional Health Services, by the Doctor in charge of the trial center where the vaccination was carried out and by general practitioners and pediatricians of free choice who have joined the vaccination campaign. , that is, that they have the credentials to enter data in regional and national systems. In the event that the request comes from the citizen, the documentation for the exemption must be evaluated and decided by the reference specialist. In any case, the certificate must be delivered free of charge.
«Those who refuse the vaccine deny the scientific evidence of its effectiveness, putting themselves and others at risk. News of contraindications to the vaccine in case of pregnancy or breastfeeding, of autoimmune diseases, or in the presence of allergies not related to the vaccine, are false. Hence, a document that would clarify the conditions that represent a reason for postponement, contraindication, precaution and false contraindication to vaccination “finally declares the national councilor of the Simg, Luigi Galvano.
The most common reasons for postponement
Considering the protection already guaranteed by recent infection or by the risks of possible transmission of subjects in quarantine or with symptoms compatible with covid, it is preferable to postpone the vaccination: to patients who have recently contracted the asymptomatic or ascertained infection, if they have not passed at least three months from the first positive swab; to subjects with covid who have received therapy with monoclonal antibodies, if at least three months have not elapsed from treatment; to individuals in quarantine for close contact until the end of the isolation period; to subjects with suspicious symptoms until the swab result; to patients with severe non-deferrable acute disease (such as acute cardiovascular events, acute hepatitis and nephritis, septic state or severe infection of any organ or tissue, major surgical condition and other clinical conditions). These conditions do not require any exemption certification.
Only in the first two cases will you be entitled to the green pass of healing valid for 6 months, while in the following conditions, the evaluation of the vaccination opportunity will take place at the end of the quarantine or the diagnostic process.
Precautions, i.e. conditions that may increase the risk of serious adverse reactions or impair the immune responsiveness of the vaccine. By way of example: in the presence of very rare cases of myocarditis and pericarditis after the administration of mRNA vaccines “.
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