“It would have been ridiculous if it was a little later” New Corona Vaccination

“It would have been ridiculous if it was a little later” New Corona Vaccination June 29, 19:05

"Anaphylaxis ... I'm very scared of side reactions."

"I have allergies including eggs, but is it okay to vaccinate ..."

Voices of anxiety from people with allergies such as pollinosis and food are posted one after another on SNS. I have.

Is it okay for people with allergies to get the new coronavirus vaccine?

What should I do if severe allergic symptoms or anaphylaxis occur after inoculation?

I investigated the question.

(Reporter, Network News Department, Ken Memida, Naoya Saito, Shinichiro Kuninaka)

Allergic "summary of my side reactions"

"Summary of my corona vaccine side reactions"

I spoke to a person who posted this on SNS.

A woman in her thirties who has food allergies to cucurbitaceous vegetables and fruits such as pollinosis, house dust, and cucumbers.

A physiotherapist woman living in Miyagi Prefecture is said to have completed two Pfizer vaccinations.

From the day after the second inoculation ...

When asked in detail, in May, after the first inoculation, he felt muscle pain in the injected area.

And in June, after the second inoculation, I didn't feel any pain.

However, the next day, I suffered from strong drowsiness and malaise from the morning.

Woman

"I was so tired that I could hardly move until the evening."

It is said that the dullness disappeared on the third day, and the pain such as muscle pain felt in the injected part disappeared.

I consulted with my doctor before vaccination and asked him to prescribe painkillers and antipyretics, but I never used them.

Woman

"I was worried that if I had allergies, there would be strong side reactions. I searched for vaccinations, but I felt that there were few people with mild symptoms online, and I was scared. I heard that there was a tendency for side reactions to occur, especially after the second vaccination, but in reality I was relieved with milder symptoms than I expected. "

Are allergies prone to side reactions?

Are allergies more likely to cause side reactions?

We asked Professor Tetsuya Matsumoto of the International University of Health and Welfare, who is familiar with infectious diseases.

Professor Tetsuya Matsumoto, International University of Health and Welfare

"I get the impression that many people who have been vaccinated at a university hospital feel uneasy about vaccination if they have allergies. Even if you are allergic to medicines, there is no problem with vaccination.

The Society of Allergists says that even people with the following allergies can be vaccinated.

▽ Asthma, allergic rhinitis, atopic dermatitis,

▽ Specific substances other than vaccines and pharmaceuticals (inoculation), such as food, pets, bee venom, environment (house dust, mites, mold, pollen, etc.), rubber products, etc. "

He also explained the inoculation situation at the university hospital where Professor Matsumoto works.

So far, about 5,000 times have been inoculated to about 3,000 people, but it is said that about 10 people are suspected of having allergic symptoms such as itching and hives.

In addition, a woman in her twenties developed anaphylaxis and had symptoms of rash and dyspnea all over her body, but she was treated on the spot and was able to return home the same day.

According to the Ministry of Health, Labor and Welfare, by June 13, Pfizer's vaccine was an international metric, with 238 cases of anaphylaxis, approximately 1 in 97,700.

The Moderna vaccine has not reported any applicable symptoms by June 13.

Professor Matsumoto

"Even if we make a comprehensive judgment based on information on overseas vaccinations, it is rare for the new corona vaccine to cause anaphylaxis, and even if vaccination causes anaphylaxis, most of them are within 30 minutes. If you

have had severe allergic symptoms such as anaphylaxis in the past, please follow up at the venue for 30 minutes after vaccination. For other people, stay at the vaccination site for 15 minutes. I want you to see how Te.

Although anaphylaxis will require rapid treatment when I got up, at the vaccination site has implemented after having established a system that can properly deal. There is no life threatening if promptly deal However, it is difficult to judge for yourself whether or not it is anaphylaxis, so if you feel that something is wrong at the vaccination site, please let us know immediately. "

The prescribed medicine is ...

Some people said that the initial response to anaphylaxis was unexpectedly delayed and they felt dangerous.

I'm a 24-year-old woman from Gifu prefecture.

A woman who has had minor side reactions such as eczema and fever after being vaccinated against influenza and cervical cancer.

At the end of May, I was vaccinated against the new coronavirus at my welfare facility.

Before the vaccination, he consulted with his doctor about the vaccination and was prescribed a medicine to suppress symptoms such as hives.

"It would have been ridiculous if it was a little later"

A woman who took medicine according to the doctor's instructions and went to the vaccination.

Approximately 15 minutes after the inoculation, when he began to feel itchy in his throat, he gradually became coughing and became dyspnea.

Later, the woman who was taken to the hospital by car was diagnosed with anaphylaxis.

The inoculation at work is said to have been done by a doctor from a local clinic.

The doctor had prepared medicines for anaphylaxis, but the woman's symptoms worsened about 30 minutes after the inoculation.

It was after the doctor left the welfare facility.

A woman posted the situation at that time on SNS.

"I couldn't stop coughing because of itching in my throat, and I had difficulty breathing. When I visited the clinic, I had anaphylaxis. It would have been ridiculous if it was a little later."

Refrain from antihistamines before inoculation

When I asked Professor Matsumoto of the International University of Health and Welfare about this case, he said that it is not preferable to take antihistamines to control allergic symptoms before vaccination like women.

Professor Matsumoto

"At the Society of Allergology, it is not preferable to take a drug that suppresses allergic symptoms before vaccination because it obscures the initial symptoms of anaphylaxis. For this woman, the drug taken in advance is not preferable. I think it may have slowed the onset of symptoms and delayed early detection. "

And he emphasized:

Professor Matsumoto

"Please do not give the second dose to a person who has anaphylaxis after the first dose, such as this woman."

Unexpected opportunity?

Anaphylaxis again

In fact, it is said that this woman had anaphylaxis again two days after the inoculation.

The opportunity was surprising.

When he ate his favorite pudding and cream puffs at home, he suffered from itching and coughing in his throat and difficulty breathing again.

The woman was transported by ambulance and hospitalized for 6 days.

Why did anaphylaxis occur again?

It is said that this woman had allergic symptoms when she ate eggs until she was about three years old.

By the time I was in elementary school, my symptoms had disappeared, and now I'm eating eggs on a daily basis.

The doctor who made the diagnosis said that it was not possible to determine whether the vaccination was the cause, but explained that the body became sensitive for some reason and allergic symptoms appeared in response to the eggs.

However, it is said that it was a very peculiar case.

Woman

"I didn't think I had any food allergies since I became an adult."

Will allergies recur?

Experts

Is it possible for allergies to recur after vaccination?

I asked Professor Matsumoto again.

Professor Matsumoto

"I can't tell if this woman's case is caused by a vaccine, but if you're in a hypersensitive situation, allergies can occur even with weak stimuli that are usually hard to occur, so I think there may be cases like this. People who are allergic to foods or drugs that are not related to the components of the vaccine will not have any problems with vaccination, but I think it is better to refrain from eating foods that are at risk near the time of vaccination. "

On the other hand, Dr. Takahiro Kinoshita, who manages "CoV-Navi", an internet site that provides the latest information on vaccine effects and side reactions, with researchers of the new coronavirus and doctors who treat patients. Points out:

Dr. Takahiro Kinoshita

"The mechanism by which other allergies are exacerbated by vaccination with the new corona vaccine is unknown. Even if you eat the same food, you may or may not have allergies. It's possible that I had allergies after that, but it's hard to say for sure. "

And I explained as follows.

Based on information from the US CDC = Centers for Disease Control and Prevention

▽ People who can be vaccinated ▽ People who

need attention

▽ People who should not be vaccinated

.

As people who should not be vaccinated

▽

People who

have a serious allergic reaction such as anaphylaxis by the first vaccination of the new corona virus

, and ▽ Immediate type with PEG = polyethylene glycol contained in the new corona vaccine Lists people who have had an allergic reaction to.

In addition, it is necessary to be careful

▽ people who have an immediate allergic reaction with vaccines and injections other than the new coronavirus, and

▽

people who

have moderate to severe acute phase diseases such as acute renal failure and acute hepatitis. I will.

People who need to be careful should consult with a specialist in advance about whether or not to inoculate, and even if they do, they need to be followed up for 30 minutes after inoculation.

Dr. Kinoshita emphasized this case and vaccination, saying that this woman falls under the three categories of "people who need attention (yellow)".

Dr. Kinoshita

"The most important thing is that this vaccine is not a special danger for people who are allergic to eggs, etc. Even if anaphylaxis occurs, it will be better to deal with it immediately, so if you are worried, after inoculation, I want you to see the situation for about 30 minutes at the inoculation site. "

"The information we need about vaccination is whether the benefits outweigh the disadvantages. The benefits of vaccination have been confirmed to be about 95% less likely to occur. Infection can be severe and life-threatening. But vaccination can dramatically reduce that chance. I think vaccination is overwhelmingly beneficial. "

Vaccination of the new coronavirus that started in earnest.

People with allergies may feel anxious, but I wanted to be convinced that I was not afraid more than necessary and had a good understanding of the benefits and risks of the vaccine.