COVID-19 Vaccine Recommendations for Individuals with Asthma - Pulmonology

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Individuals with a history of asthma are advised to receive the COVID-19 vaccine?


Hello Doctor: Eight months ago, I experienced chronic allergic inflammation of the airways, and my asthma flares up during cold weather.
I have been undergoing asthma treatment for the past six months (ongoing), using a bronchodilator twice daily and taking a dose of SINGULAIR before bed.
I have not had any recent flare-ups.
However, due to the severe COVID-19 pandemic, I now have the opportunity to receive the COVID-19 vaccine.
Would you recommend getting vaccinated? If you do recommend vaccination, which type of vaccine would you suggest has the least side effects for someone with a history of asthma?

Ms. Wu, 20~29 year old female. Ask Date: 2021/06/27

Dr. Yang Wenda reply Pulmonology


Hello: Any vaccine has a clear protective effect against severe illness and death.
The current situation in Taiwan may not offer many options.
There are currently not many literature reports available, but if you have the choice, you might want to search online for more information.

Reply Date: 2021/06/27

More Info


When considering COVID-19 vaccination for individuals with asthma, it is essential to understand both the benefits and potential risks associated with vaccination. Asthma is a chronic respiratory condition that can lead to increased susceptibility to respiratory infections, including COVID-19. Therefore, vaccination is generally recommended for individuals with asthma, especially those with moderate to severe asthma or those who have had recent exacerbations.

1. Vaccination Recommendation: The Centers for Disease Control and Prevention (CDC) and other health authorities recommend that individuals with asthma receive the COVID-19 vaccine. Vaccination can help protect against severe illness, hospitalization, and death due to COVID-19. Given that individuals with asthma may have a higher risk of complications from COVID-19, the benefits of vaccination typically outweigh the risks.

2. Choosing the Vaccine: If you have the opportunity to choose between different COVID-19 vaccines, it is important to note that all authorized vaccines have undergone rigorous testing for safety and efficacy. The mRNA vaccines (Pfizer-BioNTech and Moderna) and the viral vector vaccine (Johnson & Johnson) have shown to be effective in preventing COVID-19. For individuals with asthma, there is no specific vaccine that is universally recommended over others based solely on asthma status. However, mRNA vaccines have been associated with fewer severe allergic reactions compared to the Johnson & Johnson vaccine, which may be a consideration if you have a history of allergies or asthma-related reactions.

3. Potential Side Effects: Common side effects of COVID-19 vaccines include pain at the injection site, fatigue, headache, muscle pain, chills, fever, and nausea. These side effects are generally mild to moderate and resolve within a few days. For individuals with asthma, there is no evidence to suggest that the vaccines exacerbate asthma symptoms. However, it is advisable to monitor your asthma and have your rescue inhaler available on the day of vaccination, just in case.

4. Timing of Vaccination: If you are currently experiencing an asthma exacerbation or are ill with a respiratory infection, it is advisable to wait until you are stable before getting vaccinated. Consult with your healthcare provider to determine the best timing for your vaccination based on your current health status.

5. Post-Vaccination Monitoring: After receiving the vaccine, it is recommended to stay at the vaccination site for at least 15 minutes to monitor for any immediate allergic reactions. If you have a history of severe allergic reactions, you may be advised to stay for 30 minutes.

6. Consulting Healthcare Providers: It is always a good idea to discuss your specific health conditions with your healthcare provider before vaccination. They can provide personalized advice based on your asthma management plan and overall health.

In conclusion, individuals with asthma are encouraged to get vaccinated against COVID-19 to protect themselves from severe illness. While there is no specific vaccine that is better for asthma patients, mRNA vaccines may be a preferable option due to their safety profile. Always consult with your healthcare provider for tailored advice and to ensure that your asthma is well-managed before and after vaccination.

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