We have had numerous questions regarding the COVID-19 vaccine, which is now available. Specifically, patients are asking us whether they should receive the vaccine with their individual medications or conditions.
Almost all adults should have the vaccine. That holds true for patients with inflammatory bowel disease (Crohn’s Disease, Ulcerative Colitis) and patients who are on immunosuppression medication (i.e. Azathioprine, Cimzia, Entyvio, Humira, Methotrexate, Prednisone, Remicade, Simponi, Stelara, Xeljanz). Patients with cirrhosis or other chronic illness should also receive the vaccine.
There are a few patients who should NOT have the vaccine. This includes patients with any immediate allergic reaction or anaphylaxis to any component of the COVID-19 mRNA vaccine (including polyethylene glycol). Furthermore, it is recommended that anyone who has had an immediate allergic reaction to polysorbate should not receive the vaccine. For a review of current recommendations and a list of ingredients for currently approved vaccines, please refer to the following website:
https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.html
People who have had a reaction to a component of the vaccine should consult with an allergist to determine whether it is safe to proceed with the vaccine.
Patients with a history of Bell’s Palsy or Guillaine-Barre Syndrome may receive the vaccine; however, it is recommended that pregnant and lactating patients discuss the issue with their obstetrician or pediatrician before receiving the vaccine.
Questions beyond what is covered in this statement will be beyond our experience to answer adequately as this is a new vaccine. Thank you for your interest and thank you for allowing us to participate in your healthcare.
