Covid-19 Vaccine

COVID-19 vaccines are the only available prime belief to get rid of the pandemic. Vaccines break the chain of spread by providing herd immunity. In addition, they are reliable, capable, and lessen the seriousness of the illness caused. The Moderna vaccine and Pfizer vaccine comes under mRNA vaccines, Janssen and AstraZeneca vaccine is a Vector vaccine, and the in-trial Novavax falls in Protein subunit vaccines. Mild side-effects of COVID-19 vaccines include fever, pain at the injection site, fatigue, nausea, and vomiting.

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How to alter my dosage of tablet CellCept before and after the third shot of the COVID vaccine?

Query: Hello doctor, I am taking CellCept 2 g daily for my autoimmune dermatomyositis. I have to take my third shot of the COVID-19 vaccine. So, my doctor advised me to stop the tablet for a week before and after the COVID vaccine. Today is the fourth day of stopping, and I am sweating a lot. Is stoppi...  Read Full »

Dr. Anshul Varshney

Answer: Hi,Welcome to, for getting a shot of the COVID-19 (Coronavirus Disease-2019) vaccine, you have to stop tablet CellCept (Mycophenolate mofetil) one week before and after taking the vaccine. And yes, the sudden withdrawal of the drugs can cause such symptoms. It is essential to check y...  Read Full »

Is there a link between COVID-19 vaccine and tinnitus?

Query: Hi doctor, I have dermatomyositis with ILD. I am doing fine. I take CellCept 2 g once daily. I had completed two doses of the COVID-19 vaccine four months ago. I had all testing, and everything was fine. After the first vaccine, I developed pulsatile tinnitus in both ears. It seems to be gon...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Did the tinnitus worsen after the second dose? If it has not worsened after the second dose and as testing did not show any significant abnormalities (ruling out significant damage to the ear), I would recommend you to go for the third dose as anti...  Read Full »

Who should not take the AstraZeneca COVID-19 vaccine?

Query: Hi doctor, My mother is 54 years old. She had a minor operation a few years ago and was under some medicines, including Paracetamol. She then developed an allergic reaction to Paracetamol that manifested as swelling of the body and lasted for several days. She consulted a doctor and took some medic...  Read Full »

Dr. Sugreev Singh

Answer: Hi, Welcome to Thank you for writing, and I understand your concern. I suggest you repeat the allergic test and then take the COVID-19 Vaccines (Coronavirus Disease-2019). That will be a better idea because if she is sensitive to any other medicine, there might be severe si...  Read Full »

Does hypothyroidism cause joint pain and stiffness along with fatigue?

Query: Hi doctor, My TSH, ultrasensitive is 5.110 ml. Do I have a thyroid? My joints are painful and stiff in the morning. I feel fatigued and tired. I do not have a fever. Please suggest to me how to control it. Also, could I take the first dose of COVID vaccine with this condition? I am attaching my rep...  Read Full »

Dr. Thiyagarajan T

Answer: Hi, Welcome to I looked at your lab work (attachments removed to protect the patient's identity). You have slightly increased TSH (thyroid-stimulating hormone). I suggest you follow it up with repeating TSH and also check FT4 (free T4). You may have low thyroid (mild). You coul...  Read Full »

Is it safe to get a COVID vaccine when the MPV is 0.1 high than the normal value?

Query: Hi doctor, I had not got blood work in quite some time. My BMI is 34.4, and I am Vitamin D deficient 12ng/mL (sufficient should be greater than 30 by this test). All of my values on my CBC were in the normal range with the exception of MPV, which was 12.6 (0.1 higher than the normal range of 7.0 to...  Read Full »

Dr. Parth R Goswami

Answer: Hello, Welcome to Do not worry about borderline MPV (mean platelet volume) value. A high MPV value is significant only when the platelet count is low. Your platelet count is normal as per history. MPV is an indicator of platelet volume or size. So, do not worry about slight borderline...  Read Full »

Is it dangerous to take the COVID-19 vaccine with superficial wounds?

Query: Hi doctor, While I was riding the motorcycle yesterday, the wheels lost adherence at a roundabout, and I fell. Luckily, only my knees made contact with the ground, and now I have a tiny wound on my right knee and a bigger one on my left knee. After going home, the first thing I did was wash the wou...  Read Full »

Dr. Sugreev Singh

Answer: Hi, Welcome to Thank you for writing, and I understand your concern. First of all, this wound does not affect the vaccine, so if you plan to get a vaccine, you can proceed. Secondly, the yellow coating is due to granulation, which is a healing process of the wound. Or else there might...  Read Full »

Is it essential to get a COVID vaccine in a patient with a paralytic attack and asthma?

Query: Hi doctor, A patient with diabetes (ten years), BP (26 years) and 26 years before the paralytic attack in the left side, and dementia (he cannot recollect the person, object, day or night) is not bedridden. He will do his routine based on the repeated commands that are given. For the last three yea...  Read Full »

Dr. Utkarsh Sharma

Answer: Hello, Welcome to I understand your concern and will help you regarding it. I appreciate you for explaining everything in detail. This helps in proper assessment. I will answer the queries you asked in the same sequence. Please share the diagnosis of asthma. There are different severi...  Read Full »

Can a person with a history of allergy related to vaccines get the COVID vaccine?

Query: Hello doctor,I have to take my COVID vaccine tomorrow. But I am afraid of it as I had an allergic reaction to the DTaP vaccine, which I had in my childhood. After that vaccine, I had convulsions and took Phenobarbital for two years to get better.Will the COVID vaccine also have any adverse effects o...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern and explain that there is no cross-reaction between the DTaP (diphtheria-tetanus-pertussis) vaccine and COVID vaccine. So, it is less likely that you will develop an allergic reaction to the COVID vaccine. Anyway, the medical staff ar...  Read Full »

Can a person allergic to alcohol take the COVID-19 vaccine?

Query: Hi doctor,Though I am allergic to wines and alcohol, I have been consuming alcohol for 30 years. Also, I am taking heart medicines and blood thinner. For the last three years, my allergy has worsened. And recently, I found that I am allergic to clove, cinnamon, etc.,How to treat this?Kindly help.  Read Full »

Dr. Sugreev Singh

Answer: Hi, Welcome to Thank you for writing, and I understand your concern. Yes, it can be treated. But once you are allergic to some product or food, the best way to prevent an allergic reaction is to avoid that particular food or product. Allergy is a sign or warning that you should...  Read Full »

When can pregnant women with slightly low blood pressure get the COVID vaccine?

Query: Hello doctor, My daughter-in-law is 36 years old, and she is pregnant. The pregnancy duration is five and a half months. Her other parameters are fine, and she has a 7-year-old boy. Her BP is slightly low. Our main concern is as follows: 1) Can she take a vaccine for COVID? 2) If yes, which is ...  Read Full »

Dr. Reetika Joshi

Answer: Hi, Welcome to 1) Since from the second of this month, based upon the recommendation of the national technical advisory group on immunization (NTAGI), MoHFW (ministry of health and fertility welfare) approved the immunization of pregnant women based on the condition that the risks of ...  Read Full »

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