Currently, there are no official guidelines from the American College of Rheumatology (ACR) about COVID-19 vaccination in patients with autoimmune conditions, including those at OrthoNebraska Rheumatology. However, we anticipate that the approved COVID-19 vaccines will be recommended to all patients, including rheumatology patients, in the following weeks.
As the COVID-19 vaccine is not yet available to the general public, please check back for updates when the vaccine is widely available, or be sure to provide your email to our office.
Altered immunocompetence: Immunocompromised persons (including those with HIV or receiving immunosuppressant therapy) may have a diminished immune response to the vaccine (CDC 2020; FDA 2020a; FDA 2020b; Moderna Canadian product monograph; Pfizer-BioNTech Canadian product monograph). Patients with stable HIV infection were included in the clinical trials (FDA 2020a; FDA 2020b). Although data are not currently available to establish vaccine safety and efficacy in immunocompromised persons, the Centers for Disease Control and Prevention (CDC) recommends vaccination of immunocompromised patients if there are no contraindications. Revaccination is not recommended after immune competence is regained for those persons who received vaccination during chemotherapy or other immunosuppressive therapy (CDC 2020).
Autoimmune conditions: Although data are not currently available to establish vaccine safety and efficacy in patients with autoimmune conditions or inflammatory disorders, the CDC recommends vaccination of patients with autoimmune conditions if there are no contraindications (CDC 2020).
Cytoxan, Rituximab, Cellcept, or more than 10mg per day of Prednisone, please consult with your provider before taking he vaccine.
Current contraindications to receiving the COVID-19 vaccine are having a severe allergic reaction to any component of the vaccine. If you have had a severe reaction to vaccines in the past, you should alert your provider prior to receiving this vaccine.
Please note that none of the currently approved COVID-19 vaccinations are live vaccines.