Can Patients with Ankylosing Spondylitis Receive the COVID-19 Vaccine? - Internal Medicine

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Can patients with ankylosing spondylitis receive the COVID-19 vaccine?


Hello Dr.
Gao: I am a patient with ankylosing spondylitis.
I have been treated with a cancer-killing medication for about two years, and my inflammatory markers have now decreased to normal levels.
I have stopped taking the cancer medication for one month and am currently only taking Celecoxib capsules.
Can I receive the COVID-19 vaccine in this situation? Thank you.

Guo Xiansheng, 30~39 year old female. Ask Date: 2021/06/17

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your inquiry.
Based on your current medication status, you are eligible to receive the COVID-19 vaccine.
If you are continuously taking anti-cancer medication, a temporary adjustment to your medication may be necessary.
This message is from the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, expressing our concern for you.

Reply Date: 2021/06/17

More Info


Yes, patients with Ankylosing Spondylitis (AS) can receive the COVID-19 vaccine. It is important for individuals with autoimmune conditions, such as AS, to be vaccinated against COVID-19, as they may be at a higher risk for severe illness if they contract the virus.
In your case, since you have been on treatment for AS and your inflammatory markers have returned to normal after stopping the cancer treatment medication, it is generally safe for you to receive the COVID-19 vaccine. However, there are a few considerations to keep in mind:
1. Consultation with Your Healthcare Provider: Before getting vaccinated, it is crucial to discuss your specific situation with your healthcare provider. They can provide personalized advice based on your medical history, current medications, and overall health status.
2. Timing of Vaccination: If you have recently stopped taking immunosuppressive medications, your immune system may be in a recovery phase. Vaccination during this time can help your body mount a robust immune response. However, your doctor may recommend waiting a certain period after stopping any immunosuppressive therapy before getting vaccinated, depending on your individual circumstances.

3. Monitoring for Side Effects: After receiving the vaccine, it is essential to monitor for any side effects. Common side effects include pain at the injection site, fatigue, headache, and mild fever. These are generally short-lived and resolve within a few days. However, if you experience any unusual or severe symptoms, you should contact your healthcare provider immediately.

4. Potential Flare-Ups: Some patients with AS may experience flare-ups of their condition after vaccination. While this is not common, it is a possibility. If you notice an increase in your symptoms after vaccination, it is advisable to reach out to your healthcare provider for guidance on managing these symptoms.

5. Importance of Vaccination: Vaccination not only protects you from COVID-19 but also contributes to community immunity, helping to protect those who are more vulnerable. Given the potential severity of COVID-19 in individuals with underlying health conditions, vaccination is a key preventive measure.

6. Follow-Up Care: After vaccination, continue to follow up with your healthcare provider regarding your AS management. This includes regular monitoring of your condition and any necessary adjustments to your treatment plan.

In summary, as a patient with Ankylosing Spondylitis who has recently stopped certain medications, you are likely eligible to receive the COVID-19 vaccine. It is crucial to have a thorough discussion with your healthcare provider to ensure that you are making the best decision for your health. Vaccination is an important step in protecting yourself and others from COVID-19, especially for individuals with autoimmune conditions.

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