Novel coronavirus vaccination essential manual update

The novel coronavirus vaccine is definitely one of the most talked topics of the whole country during this period of time! From the meeting of “did you eat it” to “did you get the new vaccine”, we can see that all the big guys of “vaccine fever” are making contributions to the protection of their own and other people’s personal safety

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With the increasing number of vaccinations, the focus of attention has changed, especially the need for the second dose and the interval between vaccinations

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We summarized some common questions to see if there are any vaccination procedures you want to know about ~ 1 novel coronavirus vaccine? A: on March 29, 2021, the National Health Commission issued the “technical guidelines for new coronavirus vaccination (First Edition)”, which recommended that the interval between two doses of basic immunization with inactivated new coronavirus vaccine is 3-8 weeks (21-56 days)

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The three vaccines used in this city are all inactivated vaccines

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The production process is basically the same, and the vaccination procedure is the same

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They are all given 2 injections, with an interval of 3-8 weeks

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Vaccination sites will reasonably arrange the time of the second dose in this interval according to the supply of vaccine and the time of the first dose

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9 after the first injection, there are other symptoms, can you still get the second injection? A: let’s list several cases

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The first is after vaccination, just in time to catch a chronic attack or suffering from a cold, herpes and other acute diseases

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For this kind of situation, we should first control and treat the disease

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When the attack period is over, or the chronic disease control is stable, we can continue to receive the second injection

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The second is the first dose of vaccination after fever, mild rash and other adverse reactions

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From the results of previous clinical trials and information collected during the use of novel coronavirus vaccine, the occurrence of common adverse reactions of novel coronavirus vaccine is basically similar to other vaccines that have been widely used

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The main causes were swelling, induration, pain, fever, fatigue, nausea, headache, muscle soreness, etc

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Usually this kind of reaction will disappear with the passage of time, without special treatment, the second injection can also be inoculated as usual

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Of course, if there are serious allergic reactions after the first dose, such as acute allergic reaction, angioneurotic edema, dyspnea, etc., or other contraindications, the second dose is not recommended

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Vaccination contraindications include: (1) people who are allergic to the active ingredients, any non active ingredients and substances used in the production process of the vaccine, or people who have been allergic to the same kind of vaccine before( 2) Those who have had severe allergic reaction to vaccine in the past (such as acute allergic reaction, angioneurotic edema, dyspnea, etc.)( 3) Patients with uncontrolled epilepsy and other serious nervous system diseases (such as transverse myelitis, Guillain Barre syndrome, demyelinating diseases, etc.)( 4) Patients with fever, acute disease, acute attack of chronic disease, or uncontrolled severe chronic disease( 5) Pregnant women

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Of course, if you don’t think you can be vaccinated, you can tell the doctors at the vaccination site the truth and let them judge

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Why is it rumored that the new vaccine has only a few months’ effect? A: in March last year, some people, as the “vanguard” of the vaccine, had been inoculated with the novel coronavirus inactivated vaccine, which is now on the market

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Vaccine enterprises have carried out clinical monitoring

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Up to now, they have obtained antibody detection data for more than nine months, which shows that the antibody still has a certain level

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In the future, we will continue to strengthen monitoring to further observe the maintenance time of the antibody

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Would you like to call later? A: only when the number of vaccinated individuals reaches a certain proportion can the protection of the group be formed, that is, to form a crowd immune barrier, to protect individual people who cannot be vaccinated due to vaccination taboo and other reasons, as well as a small number of people who have not been protected after vaccination

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If everyone delays vaccination, the immune barrier will never be established

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If you vaccinate quickly, this barrier may come a day earlier

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To get back to normal life as soon as possible, vaccine is the best choice at present

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How to vaccinate the patients with chronic diseases or common cold? Can hypertensive patients be vaccinated? ① Patients with hypertension can be vaccinated if their blood pressure is lower than 140 / 90mmHg through lifestyle adjustment and / or drug treatment

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② Patients with hypertension can be vaccinated if their systolic blood pressure is more than 140 mmHg and / or diastolic blood pressure is more than 90 mmHg, but their systolic blood pressure is less than 160 mmHg and diastolic blood pressure is less than 100 mmHg

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After vaccination, doctors in observation area should strengthen observation

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③ Patients with hypertension were treated with lifestyle adjustment and / or drug therapy, but their systolic blood pressure ≥ 160mmhg and / or diastolic blood pressure ≥ 100mmhg, so the vaccination was postponed

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After adjusting the treatment plan of hypertension, when the blood pressure is controlled at systolic blood pressure < 160mmhg and diastolic blood pressure < 100mmhg, vaccination can be carried out

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Can diabetic patients be vaccinated? ① Patients with diabetes can be vaccinated if their fasting blood glucose is less than or equal to 13.9mmol/l through lifestyle adjustment and / or drug treatment

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② At present, patients with acute complications of diabetes mellitus (ketoacidosis, hypertonic state, lactic acidosis) or diabetes mellitus with the above acute complications cured less than 2 weeks, the vaccination should be postponed

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③ All kinds of drugs used in the treatment of diabetes (including insulin injection) are not contraindicated for vaccination

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Can patients with thyroid diseases be vaccinated? ① Patients with hypothyroidism who have been diagnosed and given a dose of levothyroxine (euthyrox) can be vaccinated

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② Levothyroxine (euthyrox) or antithyroid drugs methimazole (Saizhi, tabazole) and propylthiouracil are not contraindicated for vaccination

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③ TSH > 10 in patients with hypothyroidism μ When T3 and T4 were lower than the normal value, the inoculation was postponed

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④ For patients with uncontrolled hyperthyroidism or hyperthyroid exophthalmos, vaccination should be postponed

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Can chronic gastritis be inoculated? Chronic gastritis is in the non attack stage and can be inoculated

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Patients with acute exacerbations of chronic diseases or uncontrolled severe chronic diseases should not be vaccinated

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Schizophrenic patients, whose condition has been controlled, take the lowest dose of drugs for a long time

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May I have the novel coronavirus vaccine? It can be vaccinated

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Can I get vaccinated against a bad cold? In the acute stage of gout attack, severe cold, myocardial infarction, cerebral infarction and other diseases, vaccination should be postponed

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If fever (axillary temperature ≥ 37.3 ℃) is caused by any reason (cold, wound infection, local inflammation), the vaccination should be postponed

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Can heart disease patients and heart stenters be vaccinated? Heart disease, coronary heart disease, coronary atherosclerosis and other diseases, not acute attack, can be vaccinated

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If it has been done for a long time, and the physical indicators are stable, consult the attending physician and consider vaccination as appropriate

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Have you ever been infected with new coronavirus? Do you need to be vaccinated with new coronavirus? Existing research data show that the incidence of reinfection is rare within 6 months after new coronavirus infection

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Novel coronavirus pneumonia patients (patients or asymptomatic infections) were given 1 doses of antibiotics after 6 months

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How to judge whether to vaccinate other chronic diseases? The chronic patients with stable health and good drug control are not the contraindication population for novel coronavirus vaccination, so vaccination is recommended

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Patients with acute exacerbations of chronic diseases or uncontrolled severe chronic diseases should not be vaccinated

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Such as: chronic eczema no obvious attack, can be vaccinated

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Chronic urticaria current symptoms are not obvious, can be vaccinated

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Chronic rhinitis symptoms are not obvious, can be vaccinated

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Chronic hepatitis need not take medicine treatment, liver function is normal, can vaccinate

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Tuberculosis is not active and can be vaccinated

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Psoriasis non pustular and other acute types can be vaccinated.

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