Is It Safe to Get the AZ Vaccine with Mediterranean Anemia? - Internal Medicine

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Questions about the administration of the AZ vaccine?


Hello, doctor.
I would like to ask if there are any risks associated with receiving inactivated vaccines like AstraZeneca if there is a family history of Mediterranean anemia (thalassemia) on the paternal side.
Thank you.

Fang, 20~29 year old female. Ask Date: 2021/06/05

Dr. Hong Yuanbin reply Internal Medicine


Hello, Mediterranean anemia is currently not a contraindication for the AZ vaccine, and there is no evidence that it increases risk.
Thank you for your inquiry.

Reply Date: 2021/06/05

More Info


When considering vaccination with the AstraZeneca (AZ) vaccine for individuals with Mediterranean anemia, it is essential to understand both the nature of the condition and the vaccine's safety profile. Mediterranean anemia, also known as thalassemia, is a genetic blood disorder characterized by reduced hemoglobin production, which can lead to anemia and other complications.
According to current medical guidelines and research, Mediterranean anemia is not listed as a contraindication for receiving the AZ vaccine. There is no substantial evidence suggesting that individuals with this condition face increased risks when vaccinated with the AZ vaccine. The vaccine has been shown to be safe for a broad range of individuals, including those with various underlying health conditions, as long as they do not have specific contraindications such as severe allergic reactions to vaccine components or a history of thrombosis with thrombocytopenia syndrome related to previous doses of the vaccine.

It is crucial for individuals with Mediterranean anemia to consult with their healthcare provider before vaccination. This is particularly important because patients with thalassemia may have unique health considerations, including potential complications related to their condition, such as iron overload or other hematological issues. A healthcare provider can assess the individual's overall health status, review their medical history, and determine if there are any specific concerns that need to be addressed prior to vaccination.

In general, the AZ vaccine works by prompting the immune system to recognize and fight the virus that causes COVID-19. The vaccine does not contain live virus, and it does not include non-steroidal anti-inflammatory drugs (NSAIDs) or any components that would directly interact with the mechanisms of Mediterranean anemia. Therefore, the likelihood of adverse effects specific to the condition is minimal.

Moreover, it is important to consider the benefits of vaccination against the risks associated with COVID-19, especially for individuals with underlying health conditions. COVID-19 can lead to severe complications, including respiratory distress, hospitalization, and even death. Vaccination is a critical tool in preventing these outcomes and protecting both the individual and the community.

In conclusion, individuals with Mediterranean anemia can generally receive the AZ vaccine safely, but it is advisable to have a thorough discussion with a healthcare provider to ensure that all health factors are considered. This will help to make an informed decision regarding vaccination, taking into account the potential benefits and any specific health concerns related to their condition.

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