Post-Accident Health Concerns: Vaccine Eligibility and Recovery Insights

Post-accident condition and vaccine issues?

I would like to ask about the injuries I sustained from a car accident two years ago, which resulted in liver and spleen lacerations.
I did not undergo invasive treatment, but I fractured five ribs and my sternum.
Occasionally, I still experience a sensation in the center of my chest that feels similar to nerve pulling, roughly in the area where I had pain from the sternum fracture.
Is this considered normal after two years? Additionally, I have an 8 cm sutured wound below my knee that still hurts when I kneel or bump it; is this also normal?
Furthermore, due to the accident, I have optic nerve atrophy.
I noticed on the health insurance app that during a blood test last year when I had a steel pin inserted, my white blood cell count was 11.5, hematocrit 34.5%, hemoglobin 10.9, MCH 24.0, MCV 75.8, platelets 409, and RDW 17.8.
These values are highlighted in red.
Given my liver, gallbladder, and eye conditions, would it be appropriate for me to receive the AZ vaccine? Or should I first consult a family physician for further blood tests? Thank you.

chi chi, 30~39 year old female. Ask Date: 2021/07/24

Dr. Hong Yuanbin reply Internal Medicine

Hello, the process of healing at the fracture site and the wound around the knee may lead to fibrosis, which could result in the pulling sensation or pain you mentioned.
Theoretically, this should gradually diminish.
However, if the pain increases, it is advisable to consult your original orthopedic or trauma specialist.
Regarding the trauma you mentioned and your blood test results, unless you currently have a fever or any acute illness, they should not affect the administration of the AZ vaccine.
Thank you for your inquiry.

Reply Date: 2021/07/24

More Info

It's understandable to have concerns about your health, especially after experiencing significant injuries from an accident. Let's break down your questions regarding your recovery and vaccine eligibility.

Post-Accident Recovery
1. Chest Pain and Sensations: After a traumatic injury like a car accident, it's not uncommon to experience lingering discomfort or sensations in the affected areas, especially if there were fractures involved. The chest pain you describe, particularly in the area where your sternum was fractured, could be related to nerve irritation or scar tissue formation. Nerve-related pain can sometimes persist long after the initial injury has healed. However, if this pain is new, worsening, or accompanied by other symptoms (like shortness of breath or significant changes in your health), it would be wise to consult a healthcare provider for a thorough evaluation.

2. Knee Pain: The pain you experience in your knee, particularly around the area of the 8 cm surgical scar, can also be attributed to several factors. Scar tissue can be sensitive, and the area may remain tender for an extended period. Additionally, if the knee was immobilized during healing, it might have led to stiffness or weakness in the surrounding muscles. It's important to monitor this pain; if it interferes with your daily activities or worsens, consider seeking medical advice.

3. Vision Issues: Vision problems, such as those resulting from optic nerve damage, can be complex. If you notice any changes in your vision or if the existing issues worsen, it is crucial to follow up with an eye specialist. They can provide insights into your condition and recommend appropriate management strategies.

Blood Test Results
Your blood test results indicate some abnormalities, particularly with your hemoglobin and hematocrit levels, which suggest anemia. Anemia can result from various factors, including nutritional deficiencies, chronic disease, or blood loss. The elevated white blood cell count may indicate an inflammatory response or infection, but it can also be a normal response to stress or injury.
Given your history of significant trauma and current symptoms, it would be prudent to discuss these results with your healthcare provider. They may recommend further testing or treatment options to address the anemia and any underlying issues.

Vaccine Eligibility
Regarding vaccination, particularly with the AZ vaccine, there are a few considerations:
- General Health Status: If you are generally stable and your healthcare provider has cleared you for vaccination, you may be eligible for the vaccine. However, it’s essential to discuss your specific health concerns, including your recent blood test results and any ongoing symptoms, with your doctor.

- Liver and Spleen Health: Since you mentioned previous injuries to your liver and spleen, it’s crucial to ensure these organs are functioning well before receiving a vaccine. Your doctor may recommend liver function tests or imaging studies to assess your current condition.

- Consultation: It’s advisable to have a thorough discussion with your primary care physician or a specialist who understands your medical history. They can provide personalized recommendations based on your recovery progress and overall health status.

In conclusion, while some lingering symptoms can be normal after significant injuries, it’s essential to remain vigilant and consult healthcare professionals when in doubt. They can provide the best guidance on managing your recovery and determining your eligibility for vaccination based on your unique health profile.

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