I have to wait for the clots to dissolve (months - year) before they know how much damage there is and how much of my former lifestyle I will be able to resume. 3. Executive Master of Public Administration, After oil: the challenge and promise of getting the world off fossil fuels, Advanced Clinical Anatomy - Postgraduate Course, Graduate Certificate in Clinical Informatics and Digital Health, All states for online course , Queensland, Committee Member - MNF Research Advisory Committee, PhD Scholarship - Uncle Isaac Brown Indigenous Scholarship. Do I still need to wear a mask after vaccination? COVID-19 Vaccines for People Who Are Moderately or Severely Immunocompromised, Centers for Disease Control and Prevention. Comirnaty is indicated for the prevention of COVID-19 disease in individuals 16 years of age and older. The vaccination is administered intra-muscularly but the smallest gauge needle should be used (25-27 gauge), if possible. At least 2 months after 3rd dose, Moderna or Pfizer-BioNTech Below are some of the questions you may be asked, and an explanation as to why the people administering the vaccine might ask them. If you have questions about getting vaccinated, a conversation with your healthcare provider might help, but is not required. At least 2 months after 3rd dose, children aged 6 months4 years can only get a Moderna updated booster, and children aged 5 years can get a Pfizer-BioNTech or Moderna updated booster. Get the latest news, explore events and connect with Mass General. People who have the factor V Leiden mutation are at somewhat higher than average risk for a type of clot that forms in large Patients that are unsure about getting the vaccine should consult with their hematologist or another physician before proceeding. Okay, so that was what I had found about the rates of thrombosis in COVID patients - that there was a very high correlation in patients who died of COVID (71.4% in that first study), and that other numbers of all patients was somewhere between 7.9% and 25% depending on what subpopulation we were looking at. I hope this is helpful as you do your own research. Hi Jody, I'm in Toronto with Factor V, no vaccine yet. I am hetero Factor V Leiden - 2 weeks after getting the 1st pfizer covid vaccine I developed blood clots in my lungs. It should be noted that, immune tolerance therapy, treatment for hepatitis C, and HIV and other conditions including the use of immunosuppressive agents do not preclude a person from receiving the available vaccines. Its been suggested some form of immune activation, similar to that seen in HIT, might be the cause of what is happening in some vaccinated people. WebSafety and efficacy of COVID-19 vaccines in immunocompromised patients. The factor V Leiden mutation puts people at higher risk for developing blood clots. As you can see, the rates of clotting with COVID are many magnitudes of order higher than those who got the vaccine. People can stay up to datewith COVID-19 vaccination by completing a primary series and receiving the most recent booster dose recommended for them by CDC. Any suggestions? At least 4 weeks after 2nd dose. Staying up to date: If you have completed your primary seriesbut are not yet eligible for a boosteryou are also considered up to date. Have you or are you currently receiving any monoclonal antibody treatments? COVID infection, on the other hand, is strongly linked to abnormal blood clotting, for which you are at higher risk because of your factor V Leiden mutation and your history of a deep vein blood clot. These vaccines were developed very fast. Patient is at higher risk from a COVID infection because of their factor V Leiden mutation and history of a deep vein blood clot. "Aside from COVID-19, I've never seen anything else cause markedly elevated factor V, and I've been doing this for 25 years," study co-author Dr. Elizabeth Van Cott said in a hospital news release. You will be subject to the destination website's privacy policy when you follow the link. Would rather get the J&J with only one. The second is that in your 90s, your ability to metabolize alcohol isnt what it was in your 20s, so a small drink for you now is equivalent to a larger drink for a person much younger than you. Well I have factor v and had the moderna shots.. They studied the levels of these clotting factors and other parameters in a group of 102 consecutive patients with COVID-19, and compared the results with those of current critically ill patients without COVID-19, and with historical controls. Patients receiving emicizumab may be vaccinated by intra-muscular injection at any time without receiving an additional dose of FVIII. Furthermore, the vaccine elicited high levels of neutralizing antibodies demonstrating strong immunogenicity in a subset of adolescents one month after the second dose. The National Blood Clot Alliance Stop the Clot(R) Support Community connects patients, families, friends and caregivers for support and inspiration. 6. My 30 yr old son who is homozygous for Factor V also developed blood clots in both of his lungs 2 weeks after getting the Pfizer vaccine. Copyright 2007-2023. This website is available in Spanish and has a vaccine finder to help you locate sites in your state or territory. Or, if you had no symptoms, when you first received a positive test. We are committed to providing expert caresafely and effectively. Patients with von Willebrand disease or a rare bleeding disorders should consult with their hematologist regarding special precautions prior to receiving the vaccination. Now, as Massachusetts makes vaccines available for residents with two or more COVID risk conditions, many residents are trying to figure out if they qualify. They studied the levels of these clotting factors and other parameters in a group of 102 consecutive patients with COVID-19 and compared the results with those of current critically ill patients without COVID-19, as well as against historical controls. There are also many proteins dissolved in the plasma of blood, which when damage to tissues or blood vessels occurs, launch a series of steps to produce fibrin, an insoluble protein that then combines with platelets and red blood cells to form a clot. Learn about career opportunities, search for positions and apply for a job. Companies like 23andMe now offer direct-to-consumer DNA genetic testing kits that include testing for Factor V Likewise, having a bleeding disorder is not a reason to avoid getting the vaccine. My son really struggled but seems to be on the mend. At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. As a physician, I choose to be very certain that the health harms are significant before I recommend against a behavior that someone has been doing and enjoying for their life. 1. Both types of vaccines only introduce the gene for a single protein from the virus that causes COVID-19 the spike protein. CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Victoria, Advanced Clinical Anatomy - Postgraduate Course The Pfizer-BioNTech COVID-19 Vaccine received emergency use authorization (EUA) on December 11, 2020 for the prevention of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in individuals 16 years of age and older. But when a person is diagnosed with an acute deep vein thrombosis (DVT) or pulmonary embolism (PE), 2. (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/JJUpdate.html). Up to Date: 2 weeks after 3rd primary dose; there is not a recommendation for an updated Pfizer-BioNTech booster for this age group. A recent study from the New York Blood Center published in Science Magazine examined the efficacy of the Pfizer, Janssen Biotech and Moderna vaccines to combat variants of the virus. Im looking for as much information as I can find on this subject. I am hetero Factor V Leiden - 2 weeks after getting the 1st pfizer covid vaccine I developed blood clots in my lungs. WebIn the case of COVID-19 mRNA and adenovirus-based vaccines approved for use in the U.S., the short answer is no. Three COVID-19 vaccines two mRNA vaccines from Pfizer-BioNTech and Moderna and one recombinant, replication-incompetent human adenovirus serotype 26 (Ad26) vector vaccine from Johnson & Johnson/Janssen Biotech, have received emergency use authorization (EUA) in the United States from the Food and Drug Administration and are currently being administered to people in the US. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Of note, more people experienced these side effects after the second dose than after the first dose, so it is important for vaccination providers and recipients to expect that there may be some side effects after either dose, but even more so after the second dose. My drs felt that any vaccine was better than none, as the rate of blood clots if admitted to hospital with COVID goes up dramatically compared to the rate of blood clots linked to the vaccines - based on what I have read. A team at Oxford University is finalizing a report publishing a 537,913 person cohort study regarding cerebral venous thrombosis and portal vein thrombosis, looking at all patients with a diagnsosis of COVID-19 from 1/20/20 to 3/25/21, and matched with patients diagnosed with flu (influenza) or who received a COVID vaccine in the same period, for comparison. There are two potential warnings. Further, that vaccine seems to provide little protection against the omicron variant. Comirnaty contains mRNA, a kind of genetic material. Thrombocytopenia can be inherited, acquired through lifestyle factors over time (such as poor diet combined with alcohol) or brought on by medicines or infections. 2. I am concerned about getting the Covid Vaccine, either Moderna or Pfizer. Receiving emicizumab is not a reason not to receive a vaccine to prevent COVID-19 infection. By the end of March, 79 cases of rare blood clots had been reported in those whod received the AstraZeneca vaccine the UK, with cases occurring more frequently in younger women. I am also hetero factor V leiden. Executive Master of Public Administration But the technology behind the Pfizer/BioNTech and Moderna vaccines is not new. Frequently Asked Questions on Vaccine-induced Immune Thrombotic Thrombocytopenia (VITT) (ASH, Key Things to Know about COVID-19 Vaccines, COVID-19 Vaccine Information for Specific Groups, Pediatric Healthcare Professionals COVID-19 Vaccination Toolkit, Community-Based Organizations COVID-19 Vaccine Toolkit, 7 Penn Plaza Suite 1204, New York, NY 10001, United States. Polyethylene glycol (PEG) is a stabilizer that is used in many medications including plasma derived and recombinant factor products. No vaccinations currently authorized are using AAV vectors or viruses. No adverse pregnancy-related outcomes, including adverse outcomes that affected the infant, were associated with vaccination in these trials. 4. Can you share the research you looked at on risk of clots from Covid vs. vaccine? Dear Dr. Roach: I was diagnosed with the factor V Leiden mutation a few years ago, after having a deep vein thrombosis. The likely mechanism is the other way round, with abnormal clotting leading to low platelet levels. People who are moderately or severely immunocompromised and who received COVID-19 vaccines not available in the United States should either complete or restart the recommended COVID-19 vaccine series, including a booster, in the United States. The most commonly reported side effects, which typically lasted several days, were pain at the injection site, tiredness, headache, muscle pain, chills, joint pain, swollen lymph nodes in the same arm as the injection, nausea and vomiting, and fever. Viral vector technology has been used by Janssen for other vaccine development programs. At least 4 weeks after 1st dose and should be Pfizer-BioNTech or Moderna, Pfizer-BioNTech or Moderna Patients with severe COVID-19 caused by the SARS-CoV-2 virus can develop blood clots in medical lines, such as intravenous lines and catheters, and in arteries, lungs and extremities, including the toes. COVID-19: Mitigation, Treatment, and Vaccines (NHF Webinar). When are people who have weakened immune systems considered up to date with their COVID-19 vaccines? There are several other vaccines that are in development but have not received EUA. You can and should receive a vaccine even if you are taking emicizumab to prevent bleeding. For thosewith pre-existing ITP (even if you dont take medicine for your ITP and even if your platelet count is normal), consult your hematologist and obtain a platelet count prior to vaccination. However, that information will still be included in details such as numbers of replies. WHY HAS NOT THIS BEEN REPORTED NATIONALLY TO WARN OTHERS WITH FACTOR V LEIDEN EITHER TO AVOID THE VACCINATION OR BE READY FOR A POSSIBLE BLOOD CLOT. How safe are the Covid vaccines for someone with Factor V Leiden ? The vaccine contains a nucleoside-modified messenger RNA (modRNA) encoding the viral spike (S) glycoprotein of SARS-CoV-2 formulated in lipid particles. Finally, its important to note that COVID-19 itself has been reported to lead to thrombocytopenia in up to 41% of positive patients, with the figure rising to up to 95% in those with severe disease. And due to not knowing what the risk factors are for CVST, it is also not possible to say what the risk of taking the combined oral contraceptive pill and having the AstraZeneca vaccine might be. Both the FDA and CDC have approved the Moderna COVID-19 vaccine for children ages 5 and younger, and the Pfizer-BioNTech COVID-19 vaccine for those ages 4 and under. Additionally, mRNA vaccines do not interact with a persons DNA or cause genetic changes because the mRNA does not enter the nucleus of the cell, which is where our DNA is kept. For people who are immunocompromised, the third primary dose is the final dose of the primary series of an mRNA COVID-19 vaccine. From what I have read the J&J has a risk for blood clots. UPDATED BOOSTER According to the CDC, key considerations that should inform these conversations include likely exposure to the virus that causes COVID-19; risks of COVID-19 to the pregnant patients and their fetus; and current knowledge about available vaccines including efficacy, known side effects, and the lack of available data in this population. //-->