Patients should not get the COVID-19 vaccine if they:
- have a fever;
- are sick with COVID-19 symptoms;
- currently have COVID-19; or
- have been instructed to self-isolate.
People with a history of severe allergic reactions not related to vaccines or injectable medications—such as food, pet, venom, environmental, or latex allergies— should get vaccinated. People with a history of allergies to oral medications or a family history of severe allergic reactions may also get vaccinated.
Patients who experience a severe immediate allergic reaction after a first dose of an mRNA COVID-19 vaccine should consult with an allergist or another appropriate physician before receiving future doses of an mRNA COVID-19 vaccine.
Future doses of an mRNA COVID-19 vaccine should be received in a controlled setting with someone who is experienced in managing anaphylaxis. The individual should be observed for at least 30 minutes after vaccination. A mass vaccination clinic is not considered a controlled setting.
It is strongly recommended that patients speak with their treating health care provider if they have an autoimmune condition or immunodeficiency condition and are receiving any of the following treatments:
- stem cell therapy
- CAR-T therapy
- immune checkpoint inhibitors
- monoclonal antibodies (e.g., rituximab) and other targeted agents (e.g., CD4/6 inhibitors, PARP inhibitors, etc.)
Patients may choose to consult with their treating health care provider prior to vaccination if they have an autoimmune condition or immunodeficiency condition but are not receiving any of the treatments listed above.
More information can be found from the Provincial guidance for COVID-19 Vaccine Guidance (external PDF).