Contraindications to COVID-19 vaccination include: Severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of the COVID-19 vaccine. Known diagnosed allergy to a component of the COVID-19 vaccine (see Appendix C for a list of vaccine components).
Vaccines Are Widely Available for Everyone 5 Years and Older Staying up to date means getting all recommended COVID-19 vaccines, including a booster shot when eligible.
People who are moderately or severely immunocompromised have specific COVID-19 vaccine recommendations, which include an additional third dose to complete their primary series, as well as a booster shot for those eligible.
Categories of noncitizen, nonimmigrants that meet the criteria for an exception under the proclamation and CDC’s order include: Persons on diplomatic or official foreign government travel Children under 18 years of age Persons with documented medical contraindications to receiving a COVID-19 vaccine Participants in certain COVID-19 vaccine trials Persons issued a humanitarian or emergency exception Persons with valid visas [excluding B-1 (business) or B-2 (tourism) visas] who are citizens of a foreign country with limited COVID-19 vaccine availability. Members of the U.S. Armed Forces or their spouses or children (under 18 years of age). Sea crew members traveling pursuant to a C-1 and D nonimmigrant visa Persons whose entry would be in the national interest, as determined by the Secretary of State, Secretary of Transportation, or Secretary of Homeland Security (or their designees)
COVID-19 Vaccine is Provided at 100% No Cost to Recipients
According to the Food and Drug Administration, “if you are taking blood thinners or have a bleeding disorder, you should mention it to the provider who is giving you your COVID-19 vaccination” (sources – Moderna, Pfizer , and Johnson and Johnson FDA fact sheets). Like with any injection, there is a risk of bleeding and bruising at the injection site, but there are currently no known serious effects related to getting the vaccine while taking a blood thinner. You may be recommended to apply firm pressure to the injection site for at least 5 minutes to reduce bruising. To learn more, visit the Food and Drug Administration (source – FDA) (last updated 3/26/2021)
The Centers for Disease Control and Prevention, along with a number of professional societies, endorse SARS-CoV-2 vaccination for the immunocompromised population. Current Centers for Disease Control and Prevention guidelines also recommend a third dose of an mRNA vaccine for severely immunocompromised patients.
Patients with chronic liver disease can receive the COVID-19 vaccine as soon as it is available to them. Although the immunogenicity of vaccines has not been fully described in this population, vaccination has been associated with lower risk of COVID-19 in patients with cirrhosis.