Concerns About Infection Risks from Vaccination: What Parents Should Know
Infection issues? Yesterday, I took my baby to get the Moderna vaccine. The situation was quite chaotic at the time, and I didn't pay attention to whether the nurse used a new syringe for the injection. If the nurse forgot to change the syringe, is there a chance that my bab...
Dr. Hong Yuanbin Reply:
Hello, currently, vaccinations are administered using disposable needles. According to the standard operating procedures (SOP), once the vaccination is completed, the needle must be discarded, and the next individual will receive a brand new needle. Therefore, there should be no ...[Read More] Concerns About Infection Risks from Vaccination: What Parents Should Know
Should Individuals with Unexplained Fever and Infections Get Vaccinated?
Please advise on the administration of the COVID-19 vaccine for individuals with this type of constitution? Hello Dr. Gao, I have been experiencing unexplained fevers since 2014, with daily episodes lasting at least 6 hours, usually not exceeding 38.5 degrees Celsius. During seve...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe that if possible, you should continue to follow up at the Rheumatology Department of National Taiwan University to try to identify the cause of the chronic fever. I have a patient who also experienced persistent chronic fever, initiall...[Read More] Should Individuals with Unexplained Fever and Infections Get Vaccinated?
Allergic Rhinitis and Reactions After Novavax COVID-19 Vaccination
Allergic rhinitis and reactions after COVID-19 vaccination? Hello, doctor. I have a history of allergies, including allergic rhinitis and atopic dermatitis. I usually experience a runny nose and nasal congestion upon waking up, which lasts until noon. On August 9th, I received th...
Dr. Hong Yuanbin Reply:
Hello, 1. The runny nose caused by the vaccine typically resolves within 24 hours. Therefore, your condition may be due to an infection or other allergens. It is recommended to first test for COVID-19. If the result is negative, you can proceed with symptomatic treatment. 2. I...[Read More] Allergic Rhinitis and Reactions After Novavax COVID-19 Vaccination
Post-Vaccine Medication Concerns: Can I Use Steroids and Alcohol-Based Treatments?
Medication issues after vaccination? Hello doctor, I just received the BNT vaccine. Can I apply eczema steroid cream (Betamethasone) and mouth ulcer medication (Mundisal) which contains alcohol after getting the BNT vaccine? Thank you. Also, if I experience severe mouth ulcers af...
Dr. Lin Wufu Reply:
Hello, this question may have been asked before. Local steroids or alcohol are not significantly absorbed into the body, so their use is generally not problematic. Developing mouth sores after vaccination is considered a related adverse reaction, but it does not necessarily indic...[Read More] Post-Vaccine Medication Concerns: Can I Use Steroids and Alcohol-Based Treatments?
Shingles Concerns: When to Seek Medical Attention After Vaccination
Shingles Hello, a family member has SLE and developed shingles on the left arm four months after receiving the shingles vaccine. Upon returning to the attending physician, it was found that shingles appeared again in a short period. They have been taking antiviral medication for ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe you can continue taking antiviral medication, drink plenty of water, and monitor the skin rash. If the rash appears in different areas while on an adequate dose of antiviral medication, it is likely not herpes; however, if it is near ...[Read More] Shingles Concerns: When to Seek Medical Attention After Vaccination
Understanding Blood Test Results: Changes in White Blood Cell Counts and Allergies
Inquiry about blood test report values? Hello, Doctor. I had blood tests done on January 8 and July 4 of this year, and overall the values were normal. The only concerning changes were in the white blood cell differential: neutrophils decreased from 52.5% to 37.3%, and lymphocyte...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The COVID-19 vaccine is still relatively new, which may lead to a higher chance of side effects, and there are various symptoms that can occur after vaccination. However, most of these are temporary, so there is no need to worry too much. The ch...[Read More] Understanding Blood Test Results: Changes in White Blood Cell Counts and Allergies
Understanding Delayed Reactions to COVID-19 Vaccines in Elderly Patients
Adverse Reactions Following COVID-19 Vaccination Dear Doctor, My mother is 84 years old and has been taking anticoagulants due to a stroke. On June 20, she received her fourth dose of the vaccine; the first three doses were AstraZeneca, AstraZeneca, and Moderna. She did not expe...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the issue is not a delayed reaction but rather an enlargement of the bruise due to long-term use of anticoagulant medication. Could you please specify which anticoagulant your mother is taking? Most commonly, it is Coumadin (warfari...[Read More] Understanding Delayed Reactions to COVID-19 Vaccines in Elderly Patients
Understanding Thyroid Function and Hair Loss: Key Insights for Patients
Thyroid blood test value consultation? In recent years, I have been troubled by hair loss and have noticed that the new hair growth is finer and not as strong as my original hair. Despite visiting several dermatologists, I have not been able to find the cause of my hair loss (all...
Dr. Li Jian Reply:
Short-term use of high doses of steroids may affect thyroid function. Currently, your blood test results do not indicate any significant thyroid dysfunction. If you believe that steroids are contributing to hair loss, it is advisable to discuss this with your rheumatologist.[Read More] Understanding Thyroid Function and Hair Loss: Key Insights for Patients
Unexplained Itching: Could It Be a Parasite Infection?
Uncertain if there is a parasitic infection? There is no abdominal pain or diarrhea, but there is frequent itching around the anus. Additionally, the eyes and skin often feel itchy, and there are occasional sensations as if insects are crawling, although nothing can be seen or fe...
Dr. Xie Rongyuan Reply:
Hello: To determine if there is a parasitic infection, you can go to the hospital to check for parasite eggs. For skin diseases, you can visit a dermatologist. Thank you for your message![Read More] Unexplained Itching: Could It Be a Parasite Infection?
Persistent Fever After Third COVID Vaccine: When to Seek Medical Advice?
Fever lasting for a week after receiving the third dose of the COVID-19 vaccine, with a history of exposure to a confirmed case? Hello, doctor. I am a sixteen-year-old student. Last Wednesday (June 8), I received my third dose of the BNT vaccine and had contact with a confirmed c...
Dr. Hong Yuanbin Reply:
Hello, theoretically, it is possible to experience some discomfort within a week after vaccination; however, these symptoms, especially fever, rarely last more than a week. If you continue to have a fever in the next few days, it is advisable to take a rapid test to rule out COVI...[Read More] Persistent Fever After Third COVID Vaccine: When to Seek Medical Advice?
Can I Get the BNT Vaccine with a Sore Throat and Phlegm?
Can I receive the BNT vaccine? I have a slight sore throat and phlegm when I swallow. I am scheduled to receive the BNT vaccine this Wednesday. Is it safe for me to get vaccinated?
Dr. Hong Yuanbin Reply:
Hello, it is recommended to first perform a COVID-19 rapid test. If the result is positive, it is advised to wait three months before getting vaccinated. If the result is negative and there is no fever on the same day, vaccination can proceed. Thank you for your inquiry.[Read More] Can I Get the BNT Vaccine with a Sore Throat and Phlegm?
Post-Vaccine Effects on Ankylosing Spondylitis: Recovery Insights
The follow-up effects of vaccines on ankylosing spondylitis? Doctor, for some patients with ankylosing spondylitis who have experienced suspected flare-ups or worsening conditions after vaccination, is it true that the majority of these flare-ups or worsening conditions have retu...
Dr. Zeng Guosen Reply:
There have been cases reported by netizens of ankylosing spondylitis symptoms relapsing or worsening after vaccination, but these are still relatively rare. The vast majority of individuals have returned to normal over time following these relapses or exacerbations. It is recomme...[Read More] Post-Vaccine Effects on Ankylosing Spondylitis: Recovery Insights
Managing Varicocele: Exploring Traditional Chinese Medicine Options
Varicocele Hello Doctor, I received the Moderna vaccine last week and subsequently developed gastroenteritis (with watery diarrhea) two days later. During work, I suddenly noticed some pain when touching my testicles. As I became more anxious, I frequently checked the situation, ...
Dr. Lin Wuxuan Reply:
Please continue to monitor the situation. If there is no improvement in the condition with medication treatment, or if new symptoms arise, it is recommended to return for a consultation with the original treating physician to discuss whether medication adjustments are necessary. ...[Read More] Managing Varicocele: Exploring Traditional Chinese Medicine Options
Could COVID Vaccine Trigger Arthritis Flare-Ups Months Later?
Will the recurrence of the condition after receiving the COVID-19 vaccine occur only three months later? Hello Doctor, I am a patient with ankylosing spondylitis. I suspect that after receiving the first dose of the BNT vaccine, my previously well-controlled ankylosing spondyliti...
Dr. Liao Zhongxin Reply:
Hello: The vaccines currently being administered may cause some patients to experience side effects; please refer to Attachment 1 for details. 2. If there are concerns about discontinuing medication or side effects after vaccination, please consult with your original physician fo...[Read More] Could COVID Vaccine Trigger Arthritis Flare-Ups Months Later?
Understanding Vaccine Side Effects: A Focus on Ankylosing Spondylitis
Side effects of vaccines? Hello Doctor, I am a patient with ankylosing spondylitis. Three months after receiving the vaccine, I started to feel a recurrence of my stiffness. I would like to ask the doctor, is it common for side effects of the influenza vaccine to manifest three m...
Dr. Hong Yuanbin Reply:
Hello, the likelihood of experiencing vaccine side effects occurring three months after vaccination is very low, so it is presumed that it is not related to the vaccine. Thank you for your inquiry.[Read More] Understanding Vaccine Side Effects: A Focus on Ankylosing Spondylitis
Can Vaccination Trigger Flare-Ups in Ankylosing Spondylitis Months Later?
If vaccination can exacerbate ankylosing spondylitis, would the worsening typically begin three months later? Hello Doctor, I have ankylosing spondylitis, and I am currently 19 years old. I have been suffering from this condition for over 2 years. I would like to ask you: 1) Is...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Continuing to take Xarelto should maintain its therapeutic effect; if there are any changes in efficacy, you can schedule an earlier follow-up for evaluation. 2. Most vaccine-related side effects occur within a month; ...[Read More] Can Vaccination Trigger Flare-Ups in Ankylosing Spondylitis Months Later?
Comparing mRNA and Subunit Vaccines: Impact on Ankylosing Spondylitis Flare-Ups
Which vaccine, mRNA vaccines or subunit vaccines, is less likely to cause a relapse or worsening of ankylosing spondylitis? Hello Doctor, currently among the COVID-19 vaccines, we have mRNA vaccines like BNT and Moderna, as well as subunit vaccines like High-End and Novavax. Coul...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Currently, there are no studies comparing the relationship between different vaccines and the exacerbation of rheumatic diseases. 2. The vast majority of rheumatic symptoms that arise after vaccination are temporary, a...[Read More] Comparing mRNA and Subunit Vaccines: Impact on Ankylosing Spondylitis Flare-Ups
Understanding the Link Between Ankylosing Spondylitis and Vaccination
The relationship between ankylosing spondylitis and vaccines? Hello Doctor, I am a 51-year-old male patient with ankylosing spondylitis. I received my first dose of the BNT vaccine in October last year and the second dose in January this year. I would like to ask if the symptoms ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Is my chest pain more likely caused by the vaccine or by smoking? --> Ankylosing spondylitis can also cause chest pain, and the likelihood may be higher than the side effects from the vaccine, so it is unlikely to...[Read More] Understanding the Link Between Ankylosing Spondylitis and Vaccination
Red Spots After Moderna Vaccine: Should You Be Concerned?
Red spots appeared subcutaneously after receiving the Moderna vaccine? Hello Dr. Hong, I received my first dose of the Moderna vaccine on May 14 (Saturday). Since the vaccination until today, May 18 (Wednesday), I have only experienced arm pain and no other side effects. However,...
Dr. Hong Yuanbin Reply:
Hello, based on the photo you provided, it appears to be more like skin inflammation rather than bleeding or a blood clot. It is likely caused by contact with an allergen or friction leading to inflammation. Currently, there is no need for medical attention; observation should su...[Read More] Red Spots After Moderna Vaccine: Should You Be Concerned?
Joint Stiffness and Pain After AZ Vaccine: What to Know
After receiving the AZ vaccine, I experienced joint stiffness and pain? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021; the second and third doses of Moderna on October 3, 2021, and March 14, 2022. I am approximately 50 years old. About 1 to 2...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Currently, among your series of rheumatic disease test results, only the ESR is slightly elevated, and I recommend continuing to monitor it. After receiving this type of new vaccine, there is indeed a higher chance of...[Read More] Joint Stiffness and Pain After AZ Vaccine: What to Know