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Vaccination recommendations, precautions, or contraindications for special groups

Is COVID-19 vaccination safe and recommended for people who have a heart condition?

Vaccines are safe, effective and should be provided to people with chronic heart disease (CHD), independent of the cause and the severity of the cardiologic disease. This includes people with coronary heart disease, cerebrovascular disease, peripheral arterial disease, rheumatic heart disease, congenital heart disease, deep vein thrombosis and pulmonary embolism, and heart transplant recipients.

People with CHD have a greater risk of being hospitalized, requiring intensive care, intubation and/or ventilation and of dying from COVID-19. Because of this increased morbidity and mortality, it is important that these individuals, their household contacts and healthcare providers receive COVID-19 vaccination. There is no evidence to suggest that COVID-19 vaccines have any negative impact on a person who has CHD.

Current COVID-19 vaccines continue to exhibit strong protection against severe disease and death across all virus variants seen to date. Therefore, reaching high coverage with the primary vaccination series and additional doses among all eligible people, especially the most vulnerable, remains a priority.

Medically stable patients with CHD should be considered for COVID-19 vaccination without interruption of their treatment.

Patients with CHD will benefit from extended protection against both COVID-19 and influenza disease by co-administration of COVID-19 vaccines and seasonal influenza vaccines, whenever feasible.

Individuals who have had COVID-19 still benefit from vaccination against the disease because a combination of naturally acquired and vaccine-induced immunity is likely to offer greater protection against re-infection.

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Should a person who experienced an allergic reaction to the 1st dose of COVID-19 vaccine receive a second dose?

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Can immunocompromised people be vaccinated?

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Is there a maximum age for vaccination?

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Can approved COVID-19 vaccines be administered to people with coagulant disorders or chronic treatment with anticoagulants?

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Can breastfeeding women be vaccinated?

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When should a woman planning to get pregnant be vaccinated?

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Are there any chronic hematological diseases that would be a contraindication for COVID-19 vaccination?

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I have had a blood clot in the past or I have a family history of blood clotting. Should I still get vaccinated against COVID-19?

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I am using a hormonal contraception method (oral contraceptives, subdermal implant, skin patches or vaginal ring): should I discontinue this treatment before or after receiving AstraZeneca vaccines?

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Is COVID-19 vaccination safe and recommended for people who have a liver condition?

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Is COVID-19 vaccination safe and recommended for people who have chronic liver disease and are immunocompromised (have a weakened immune system)?

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Should a person with liver cirrhosis be vaccinated against COVID-19?

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Should a person who is a candidate for, or who has had, a liver transplant be vaccinated against COVID-19?

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Does getting a COVID-19 vaccine during pregnancy protect the baby from the virus after delivery?

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Does getting a COVID-19 vaccine increase the chance of birth defects?

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Does getting a COVID-19 vaccine make it harder to get pregnant or affect fertility treatments?

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Does getting a COVID-19 vaccine increase the chance of miscarriage?

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Should a woman wait for a certain period to get pregnant after being vaccinated against COVID-19?

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Does getting a COVID-19 vaccine during pregnancy increase the chance of pregnancy-related problems?

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Does getting a COVID-19 vaccine during pregnancy affect the fetus’ future behaviour or learning ability?

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Should a breastfeeding woman be vaccinated against COVID-19?

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Are extra precautions needed while breastfeeding following COVID-19 vaccination?

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Can a person with a thyroid condition be vaccinated against COVID-19?

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Is COVID-19 vaccination safe and recommended for people who have diabetes?

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Is COVID-19 vaccination safe and recommended for people who have intellectual and/or developmental disabilities (such as attention deficit disorder)?

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Is COVID-19 vaccination safe and recommended for people who have a heart condition?

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Is COVID-19 vaccination safe and recommended for people who have chronic disease and are immunocompromised (have a weakened immune system)?

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Should a person who is a candidate for, or who has had, a heart transplant be vaccinated against COVID-19?

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Why are people with diabetes a priority group for COVID-19 vaccination?

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