Can I Get the Moderna Vaccine After Vitreous Hemorrhage Treatment?

Can individuals with vitreous hemorrhage receive the COVID-19 vaccine?

Hello, doctor.
I have experienced vitreous hemorrhage in my left eye and macular edema in my right eye.
Last month, I underwent intravitreal injection of anti-vascular endothelial growth factor (anti-VEGF) treatment.
Can I receive the Moderna COVID-19 vaccine at this time?

Wawa Cai, 30~39 year old female. Ask Date: 2021/06/09

Dr. Gao Pilin reply Ophthalmology

Hello,
Due to the lack of clinical reports on this matter, it is currently unknown whether vaccination is advisable and what potential side effects may occur.
However, the contraindications listed in the vaccine insert do not mention any issues related to this.

◆ Contraindications for vaccination: Individuals with a history of severe allergic reactions to vaccine components, or those who have experienced severe allergic reactions after a previous dose of this vaccine, should not be vaccinated.

◆ Precautions:
1.
This vaccine should not be used interchangeably with other brands.
If two doses of different brands of COVID-19 vaccines are inadvertently administered, it is not recommended to receive any further doses of either product.

2.
This vaccine should not be administered simultaneously with other vaccines.
It is advised to complete the full COVID-19 vaccination series before receiving other vaccines.
A minimum interval of 14 days is recommended between the COVID-19 vaccine and other vaccines.
If the interval is less than this, no additional doses of the respective vaccines are required.

3.
Individuals with fever or those suffering from acute moderate to severe illnesses should wait until their condition stabilizes before vaccination.

4.
Individuals with compromised immune function, including those receiving immunosuppressive therapy, may have a diminished immune response to the vaccine.
(Data on individuals with compromised immunity or those undergoing immunosuppressive treatment is currently lacking.)
5.
There is currently a lack of clinical trial and safety data regarding COVID-19 vaccination in pregnant women.
Observational studies indicate that pregnant women infected with the SARS-CoV-2 virus may be at a higher risk for severe complications compared to the general population.
Pregnant women who are at high occupational exposure risk for COVID-19 or have chronic conditions that may lead to severe disease should discuss the benefits and risks of vaccination with their physician to assess whether to proceed with vaccination.

6.
Breastfeeding women who are considered at-risk for vaccination (such as healthcare workers) should complete their vaccination.
The safety of COVID-19 vaccination in breastfeeding women, as well as the vaccine's effects on breast milk or nursing infants, has not been fully evaluated, but it is generally believed to pose no related risks.
Breastfeeding can continue after receiving the COVID-19 vaccine.

Responses provided online should only serve as a reference; it is essential to seek medical care at healthcare facilities when necessary.
I hope to have the opportunity to assist you.

Best regards,
Gao Pilin

Reply Date: 2021/06/09

More Info

Yes, you can receive the Moderna vaccine after undergoing treatment for vitreous hemorrhage, provided that you are in stable condition and have no ongoing complications from the treatment. It is important to consider a few factors before proceeding with vaccination.

Firstly, vitreous hemorrhage is a condition where blood leaks into the vitreous humor of the eye, which can lead to vision problems. Treatment often involves injections of medications to inhibit neovascularization (the formation of new blood vessels) and to manage any underlying conditions that may have contributed to the hemorrhage, such as diabetic retinopathy or age-related macular degeneration. If your treatment was successful and your eye doctor has cleared you for normal activities, including vaccinations, then you should be able to receive the vaccine.

The Moderna vaccine, like other COVID-19 vaccines, is generally safe for individuals with a history of eye conditions, as long as there are no active infections or complications that would contraindicate vaccination. It is advisable to wait until you have fully recovered from the procedure and any associated symptoms, such as pain or swelling, have resolved. This ensures that your immune system is functioning optimally and that you can respond effectively to the vaccine.

Additionally, it is important to discuss your vaccination plans with your ophthalmologist or healthcare provider. They can provide personalized advice based on your specific medical history and current health status. They may also recommend a waiting period after your treatment before getting vaccinated, typically around a few weeks, to ensure that your eye condition is stable.

In terms of timing, it is generally recommended to wait at least 14 days after any significant medical procedure before receiving a vaccine. This allows your body to recover and reduces the risk of any potential complications. If you have any concerns about your eye health or the timing of the vaccine, it is best to consult with your healthcare provider.

In summary, if you are stable after your vitreous hemorrhage treatment and have received clearance from your eye doctor, you should be able to receive the Moderna vaccine. It is always best to follow the guidance of your healthcare team, who can provide the most appropriate recommendations based on your individual circumstances. Vaccination is an important step in protecting yourself against COVID-19, especially if you have underlying health conditions.

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