Many Concerns have are being voiced on Social media as regards COVID vaccination .
Although yet being offered only for Health Care Workers, any undue adverse publicity by them would be magnified & do more Harm than Good to Society & Citizens. It could be derailing Govt of India World’s largest drive of CoVaccination which is being appreciated globally.
Presenting my Views which are Personal besides inputs from other specialists.
Covid vaccination is a component of Virus or it’s an inactive /dead form intended to make the Host’s body believe that a Viral infection has occurred & it mounts it’s Defence System called Antibodies to Neutralise the Virus. With a Second Booster, the Defence gets more powerful thereby making the individual’s defence system more robust. It’s a perfect example of Mock drill carried by Armed forces, Fire-Fighters, Hospitals & Hotels.
So if exposed to the true COVID-19 Virus later, the chances of recovery are much higher, symptoms and complications would be lesser, faster recovery & low mortality.
However, COVaccine could mimic covid like symptoms of inflammation and thrombosis. Fortunately, these are very mild, transient. Looking fit and Healthy apparently doesn’t mean that you are not in the pro-inflammatory and pro-thrombotic stage especially if Elderly and have Risk Factors & Co-Morbidities.
1.Age, especially beyond 60 years.
3. Diabetes .
4. Heart Disease.
5. Immunocompromised .
Seek the advice of your doctor if need be to Prevent, Minimise Co-Vaccine related Side effects.
Control your co- morbidities. Blood pressure and Diabetes must be Optimally managed, avoid Alcohol excess and Tobacco usage in any form.
If you get a message for vaccination then you should have your recent tests in hand. This is only for those vulnerable AND IS NOT INTENDED FOR EVERY INDIVIDUAL
1.Six min walk test.
2. For Patients with Heart Disease a recent Stress Test which was done anyway as a routine Periodic Test or more Specifically a Stress-Echo would be handy. ( Those few cases of mortality post Vaccination were Elderly with existing Heart Disease and presumably, the Inflammation might have made the existing Coronary Plaque Vulnerable). One could increase the dose of Statins for a week, which I recommend such as RosuvaStatin 40 mg daily or Atorvastatin 80 mg daily for 5-7 days.
3.CRP, better HsCRP(It should be consistently <1mg/L. Consistently higher CRP shows you are prone to CVA Cardiovascular accidents. (Jupiter trial pts with hsCRP>2 are at increased risk of coronary artery disease CAD especially with high cholesterol).
4.CBC (Complete Blood Count).
6.Fasting Blood Sugar & HbA1c (Average Sugar of last 3 months)
7.SGOT, SGPT ( Monitors Liver Function)8.S Creatinine
Day of Vaccination 1)Tab Monteleukast+ Levocetirizine/ Avil/ Allegra who have any h/o allergy or to prevent vaccine-induced allergy. Anti-histaminics like Avil could cause drowsiness so caution while driving/ at work. Tab Colchicine 0.5 mg who are at very high risk, who have.
1.Colchicine doesn’t suppress the immunogenicity of the vaccine, rather potentiates it
2.Paracetamol if you have fever > 100F and /or Bodyache.
3.Adequate fluids. Avoid overactivity/ Strenuous exercise.
Next-Day: In the morning only if needed 1)Montaire LC in allergic pts or to all to avoid vaccine-associated allergies.2)Tab Pantoprazole 40 mg or Ranitidine 150 1BD
3)For high-risk pts(CRP>1)Colchicine 0.5 mg OD.Colchicine to be continued till CRP doesn’t come to baseline .
Aspirin water-soluble +/Meftal ( Mefenamic Acid) 500 1 SOS is better anti-inflammatory and antipyretic than PCM, though both suppress immunogenicity. Covid and vaccine induced fever responds only to Mefenamic acid or Indomethacin as they check IL-1beta by suppressing NLRP 3 pathway of inflammation.
Beyond this, if symptomatic, Teleconsult/ Visit your Physician. The chances are very remote. Pts on steroids/ Immunosuppressants can take the vaccine, though immunogenicity is suppressed, so lesser surge of antibody.
THESE BLOOD TESTS ARE GUIDELINES FOR ACADEMIC AND RESEARCH PURPOSE AS WE ARE DEALING WITH A NEW PANDEMIC AND IT’S UNKNOWN SHORT & LONG RESPONSE TO VACCINE & TREATMENT. WE STRONGLY SUPPORT VACCINATION DRIVE.
For more Information, Contact Vijan Hospital, Nashik.