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Covid 19 vaccines contraindications


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I wish I had copied the best rant I have ever seen about vaccine avoidance on Reddit this morning. Someone got on a tear with someone they knew about whether their Google skills were better than an organization full of research scientists with a 9.5 billion dollar budget. 

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I have a patient with some type of autoimmune ds

 

after prior vaccines she has become anemic to the point of hospital admissions and multiple transfusions - repeatedly

She has a specialist in a major metropolitan area -= whom has advised against vaccination

 

 

Co-worker breastfeeding - no vaccine yet

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I really cannot find many good contraindications to COVID vaccines. As in - maybe ONE PERSON in a 1000 who should truly NOT get a COVID vaccine.

Mostly I see folks making stuff up and exaggerating historical issues.

Anyone brings up - well, my friend got sick for a day or two - I jump in and say - YES, then it works, that IS the expected response to this vaccine to prepare your body for exposure to COVID 19. 

Our hospital is surging again and more inpatients - 99.8% UNVACCINATED. Duh, get the vaccine.

My community is a horrid disappointment of naysayers and political hacks who are going to shut us down again.

Asshats

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Just to play devils advocate here.  Aside from the sizeable fringe element, do you suppose that at least some of the unvaccinated remain so because it hasn't been sold to them right?

Take a step back from the craziness and walk with me here.  Here's a scary virus, hundreds of thousands have died, we see nurses sobbing on TV- then, almost overnight, poof.   A vaccine.  Now, you and I know what goes into drug research and development.  But for the average person- and remember, we aren't talking about the willfully stupid here- the average person's science understanding is barely above knowing how a light turns on.  

Stick with me here.  In the past, it would take years- years- for a drug to get made.  Now we have one in months.  Our government doesn't have a good track record with health-and now everyone! is told to get it.  No side effects at all!  Its close to magic!  

So - again, talking about the average, not the stupid- do you think people would benefit from a calm, nonfrenzied explanation of basic science?  remember, although the patients nod their heads, they do NOT understand. 

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3 minutes ago, thinkertdm said:

Just to play devils advocate here.  Aside from the sizeable fringe element, do you suppose that at least some of the unvaccinated remain so because it hasn't been sold to them right?

Take a step back from the craziness and walk with me here.  Here's a scary virus, hundreds of thousands have died, we see nurses sobbing on TV- then, almost overnight, poof.   A vaccine.  Now, you and I know what goes into drug research and development.  But for the average person- and remember, we aren't talking about the willfully stupid here- the average person's science understanding is barely above knowing how a light turns on.  

Stick with me here.  In the past, it would take years- years- for a drug to get made.  Now we have one in months.  Our government doesn't have a good track record with health-and now everyone! is told to get it.  No side effects at all!  Its close to magic!  

So - again, talking about the average, not the stupid- do you think people would benefit from a calm, nonfrenzied explanation of basic science?  remember, although the patients nod their heads, they do NOT understand. 

nope

 

Just had a IVDA and another whom smokes weed daily say they are not getting vaccinated "Cause who knows what is in that vaccine"    no cure for stupid....

 

 

lacatation - I am unclear rather the vaccines are approved for lactating mothers??? 

 

from FDA 

Common question

Can you get the COVID-19 vaccine if you are breastfeeding?

While there have been no specific studies in these groups, there is no contraindication to receipt of the vaccine for pregnant or breastfeeding women. Pregnant or breastfeeding women should discuss their options with their healthcare providers.

 

 

Sorry no studies means I can't recommend it, or recommend against it...

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On 8/2/2021 at 11:24 PM, Rose66 said:

Hi PA's what are contraindications of getting covid 19 vaccine?

Give us the hypothetical H&P and we'll bite. Medicine is complicated and no simple list of contraindications can replace a complete assessment and shared decision making.

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45 minutes ago, CAdamsPAC said:

Excuse vs a reason...........there is a difference.

I actually do not agree

 

FDA has clearly stated there is no studies in this group.  EBM is the gold standard and in this case we have none.  Think HRT and AMI increase, or vioxx or other 180 degree about faces we have had

 

I am not against vaccine for breast feeding and pregnancy, but if we do not have any evidence of safety how do we really know.  I think the best answer is honestly and letting patients decide after a good conversation about the actual risks of covid versus the theoretical risks of vaccination.  I will not state that the vaccine is safe in preg and breastfeeding as we do not know. But I will state that it is recommended by the experts.

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5 hours ago, thinkertdm said:

Just to play devils advocate here.  Aside from the sizeable fringe element, do you suppose that at least some of the unvaccinated remain so because it hasn't been sold to them right?

I've said before, the best thing the current administration could to to increase vaccine uptake among the hesitant would be to say "Trump's warp speed plan worked".  Because a) it's become political whether any of us like it or not, and b) that would in fact be a true statement--within the caveat that any chief executive gets credit for what gets started on their watch.

I think Trump gets too much hate for trying to calm the American populace while authorizing furious work on the vaccines; sad to say, we can't seem to praise anything done by The Other Guy, even if it would help bring unity.

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Further crediting Trump with warp speed may increase vaccine hesitancy among the many demographics that he dedicated his presidency to antagonizing through violence of uncertainty and promotion of both structural and overt racism. Furthermore, many of the individuals who enjoy hearing him credited with warp speed are already aware of this claim. I doubt repeating it to them will benefit anyone, but if you want to perform a secret handshake in your office with a wink wink nudge nudge trumpy trump to get people vaccinated, so be it.

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21 hours ago, ventana said:

I actually do not agree

 

FDA has clearly stated there is no studies in this group.  EBM is the gold standard and in this case we have none.  Think HRT and AMI increase, or vioxx or other 180 degree about faces we have had

 

I am not against vaccine for breast feeding and pregnancy, but if we do not have any evidence of safety how do we really know.  I think the best answer is honestly and letting patients decide after a good conversation about the actual risks of covid versus the theoretical risks of vaccination.  I will not state that the vaccine is safe in preg and breastfeeding as we do not know. But I will state that it is recommended by the experts.

I can't imagine that it is recommended that a mother with COVID have a baby be inches from her face several times per day while breastfeeding.  If I were lactating, I would take my chances with the vaccine long before I would put a baby at risk of contracting COVID.

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2 hours ago, CAAdmission said:

And yet some people express concerns about potential long-term effects of the vaccine and are ridiculed. In the absence of EBM. 

Any potential long term effects of the vaccine are of little consequence if one is dead from the COVID virus and the effects of the vaccine could not equivocate with the Long Haul of COVID with pulmonary scarring, oxygen dependency and other issues.

Taking the vaccines vs getting COVID and potentially dying or exposing my loved ones - risk/benefit analysis is in favor of the vaccines.

Hard times - hard choices - but avoiding death - count me in

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12 minutes ago, Reality Check 2 said:

Any potential long term effects of the vaccine are of little consequence if one is dead from the COVID virus and the effects of the vaccine could not equivocate with the Long Haul of COVID with pulmonary scarring, oxygen dependency and other issues.

Taking the vaccines vs getting COVID and potentially dying or exposing my loved ones - risk/benefit analysis is in favor of the vaccines.

Hard times - hard choices - but avoiding death - count me in

One thing that factors in: there has never been a bad reaction to any vaccine ever that happened more than 2 months out.  We've seen that with both the cardiac inflammation and clotting issues: it may have taken a bit of time to find them because they were so rare, but each of the events happened within close temporal proximity (2m or less) to the vaccine administration.  We now have MILLIONS of doses for up to 8 months of follow-up, and that's all we've been able to find despite looking really, really hard.

I mean, getting a vaccine now COULD also conceivably result in the Tooth Fairy finding me and paying me, with interest, for the extracted wisdom teeth I was never compensated for as an 18 year old...

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At this point all anyone can do is develop the best answers with the information we have.

I'm getting to the point where I think fine.... don't want to take a vaccine because of personal choice? I agree...you have that right. However as a matter of public safety you can't go to the store, ride a bus, fly on a plane etc etc. This is getting too serious again to keep indulging crackpots.

I'm not talking about thoughtful resistance. I'm more after the "it alters your DNA" crowd.

One of my favorite expressions is "choice...have you met consequence?" Make the choice....get the consequence.

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3 hours ago, sas5814 said:

However as a matter of public safety you can't go to the store, ride a bus, fly on a plane etc etc.

If everyone else who needs shots has shots, why is that such a severe issue? 

 

3 hours ago, sas5814 said:

One of my favorite expressions is "choice...have you met consequence?"

One of my favorites is similar: "My body, my choice!"  🤣

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