Important note: This article is intended for those who understand vaccines as critical to maintaining their health and that of their families. It is intended for those that have history of Anaphylaxis. It is intended for those who hold merits of vaccines and how emergency equipment and training plus observation after vaccination is critical in this forum. It is also NOT intended to foster a discussion of COVID-19.
Dec 10, 2020 by J Riceputo (updates will be added to the bottom of this article as this has many moving parts daily)
Addressed to those within the FA Community, health workers ( earth angels), and all that might have been witness to Anaphylaxis, in its many stages of ones life quality, knowing that nothing is ever without precautions. This crisis has many moving parts and change daily so I will include updates as they take place, here to document and report, since at this time either bad PR is out there, or no response from the large FA organizations yet and I see the community in fear after that news. Most groups do not discuss vaccines it is against their group rules. So I will do my best to myth bust or bring facts here.. so keep checking in as noted above I will add updates that are FACTS to the bottom of this blog until sound guidelines are available.
🚨🚨🚨🚨 ANY PERSON WITH A KNOWN HISTORY/TENDENCY OF ANAPHYLAXIS 🚨🚨🚨🚨
BE PREPARED- ****ASK if they have the proper training/protocol to manage anaphylaxis, and ALL Anaphylaxis emergency medications /staff to treat immediately.**** Observation is 30 minutes, but please make sure to have your emergency plans, try not to be alone and with someone that can assist to those plans who are trained to know the signs, and act quickly.
Some basic awareness :
The difference between an allergic reaction and anaphylaxis is the latter involves the respiratory and/or cardiovascular system
ATTN MEDIA: VERY IMPORTANT TO UNDERSTAND get the proper terminology out there in the press… the first time. If you are a media company please, consult with an expert before you twist the news just by a headline that might say as an example “severe allergic reaction” instead of Anaphylaxis. Want to be safe, just use the term Anaphylaxis. nothing else… Period. Because that is who we need to address, those who have a history/tendency of Anaphylaxis ( severe)
As a grieving mother, my perspective and contributions are very important. I am going to say this as clear and direct as possible “Everyone thinks they have more time during a reaction to debate administering EPI. and getting the additional treatments once administered. Yes, there is more, it is not a life-saving drug in and of itself that once given does not need additional treatment and medical emergency care by ER, it gives you TIME to get to that emergency medical care. PERIOD. ACT QUICKLY. NO, you DO NOT, time is key, act fast with the first sign of reaction” (read here)
As from “Life experience” and much awareness and research and shared experience and life factual events with other grieving parents We ARE a voice that I would not wish on another, and that is why I am here.
My son Joseph, who passed at the age of 7 to Anaphylaxis, being placed on Asthma rescue medications “before” his epinephrine injection as you can read in his story, and in that short period of ” TIME”, it was already too late for Joseph. I will always be standing here in the community as a parent, and holding space with many other parents, collectively.
1- Pfizer had EXCLUDED THOSE with adverse reactions from its vaccine’s ingredients from late-stage trials. Severe allergic reactions have been reported following the Pfizer-BioNTech COVID-19 Vaccine during mass vaccination outside of clinical trials” (SEE PAGE 7) archived link (https://web.archive.org/web/20210602081051/https://www.fda.gov/media/144413/download)
2- Children had not been part of the studies, 15 and younger and should NOT receive the vaccine.
3-The Pfizer- @BioNTech_Group #COVID19 vaccine has not been approved or licensed by the U.S. Food and Drug Administration but has been authorized for emergency use to prevent COVID-19 in individuals 16 & older. See conditions of use: http://cvdvaccine.com
4- The MHRA advised on the day of reactions: “Any person with a history of a significant allergic reaction to a vaccine, medicine or food (such as the previous history of anaphylactoid reaction or those who have been advised to carry an adrenaline autoinjector) should not receive the Pfizer/BioNtech vaccine. This was a “precautionary alert” to discuss with experts. It was shortly followed up by an update “PRECAUTION alert with new guideline: Pfizer COVID-19 vaccine should not be given to people with history of anaphylaxis: MHRA guidance update. archived link https://web.archive.org/web/20210603064341/https://www.biopharma-reporter.com/Article/2020/12/10/Pfizer-COVID-19-vaccine-not-to-be-given-to-people-with-history-of-anaphylaxis-MHRA
5- UPDATE AS OF 12/12/2020 UPDATE : The CDCgov’s Advisory Committee on Immunization Practices (#ACIP) voted today to recommend the use of the Pfizer- @BioNTech_Group #COVID19 mRNA vaccine, in people 16 years of age and older. 15 min observation for all patients, and Observation is 30 mins for ANYONE with ANY form of ANAPHYLAXIS (type is Moot) This is key- emergency equipment and training! Observation after vaccination! **** Observation is 30 mins for ANYONE with ANY HISTORY of ANAPHYLAXIS****
“CDC has voted today and updated that the Appropriate medical treatment used to manage immediate allergic reactions MUST be immediately available in the event an acute anaphylactic reaction occurs after administration of Pfizer Covid- 19 Vaccine… “
Below is a “portion” of the letter I sent, to one, with my concerns.. and again after reading many articles, and contributions that are circulating within the community, and are very much lacking clear informative facts, I am still holding space with the community.
In length, I have read every article out there, internationally, as of the date of this research (12/2020). Since I am an international advocate. Open and honest information is very important, without bias or special interest. We are all going to have a lot of work to do.
One article that was published by Health Matters: Should I Get the COVID Vaccine if I Have Allergies? Dr. George Hwang should be a standing approach having a clean and informative delivery, it is lengthy but offers a well-rounded approach. I had attached it as a reference and again below a portion of the concerns as a community member I have below as well. I have letters to congresspersons, health commissioners, and others, because that is what we do, not remain to wait idly. I am writing this at a time, no other larger FA advocate groups or organization has come out with proper guidelines and the community is just tuning out even the thought of the vaccine, due to the alerts on bad uninformative PR. That’s not healthy or positive facing regarding the science behind this, that will help life quality for many.
There must be levels of people to receive the vaccine, and in the case of those with both Allergies and Anaphylaxis should receive as you said in a setting either with their allergist or in a hospital setting that can treat the onset of adverse reaction within a 24hr period ( rare cases but each individual have history, time is very important for proper treatment to avoid death.
Even Dr. Fauci stated the same ‘It likely is unusual and rare, but we might be cautious about [rolling vaccines out] to VAs or at least be prepared to respond with some type of antidote to the allergic reaction; we might want to be prepared for that and be ready to treat it,’ Dr Fauci said.
That is 1 in 20 Americans of 328.2 million, yes it is a large percentage of the population, that is due to representation in my opinion.
UPDATE ON 12/12/2020 : The CDCgov’s Advisory Committee on Immunization Practices (#ACIP) voted today to recommend the use of the Pfizer- @BioNTech_Group #COVID19 mRNA vaccine, in people 16 years of age and older. “CDC has voted today and updated that the Appropriate medical treatment used to manage immediate allergic reactions MUST be immediately available in the event an acute anaphylactic reaction occurs after administration of Pfizer Covid- 19 Vaccine… “ More: watch time on video 1:10:07 This is the FULL 4 hour vote by CDC. I attached the clip above https://on.pfizer.com/2LwxjfC https://twitter.com/pfizer/status/1337881837843197952?s=20 https://www.pfizer.com/news/press-release/press-release-detail/us-cdc-committee-independent-health-experts-recommends
This is key- emergency equipment and training! Observation after vaccination! You would think that this is already part of the current system. IT IS NOT…. this is going to be huge!!!! Those that are in the medical industry know it is not. That means funding for training, for equipment, must be made available…. and it fills my heart that silver linings will come from this..
- Awareness of Anaphylaxis compared to Allergic Reaction will have to be clear to a larger audience… ( everyone in the community has been waiting for years)
- Precaution guidance to be in the proper facility to receive the vaccine for those with Anaphylaxis history. ( regardless of type)
- stock up on emergency life saving medication to avoid shortages
- training and awareness that has been lacking in the medical facilities on treatment and importance of protocols
**** Observation is 30 mins for ANYONE with ANY HISTORY of ANAPHYLAXIS****
UPDATE 12/14/2020 : **************FINALLY****************