Does COVID-19 Vaccination Worsen Ankylosing Spondylitis Symptoms?
Will getting the COVID-19 vaccine worsen the condition of ankylosing spondylitis? Hello Doctor: My child is a patient with ankylosing spondylitis and has been taking Secukinumab for a year. The inflammatory markers have been under control. On September 27, he received the first d...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) In your clinical experience, how common is it for patients with rheumatic diseases to experience worsening conditions after receiving the COVID-19 vaccine? --> I only have personal experience and no national statist...[Read More] Does COVID-19 Vaccination Worsen Ankylosing Spondylitis Symptoms?
Can You Contract Hepatitis B from a Needle Stick During Pregnancy?
Needle stick injury from a hepatitis B carrier? I am currently 11 weeks pregnant and have antibodies for Hepatitis B. My mother is a carrier of Hepatitis B. After taking my mother's blood sugar test, I was accidentally pricked by the needle used for blood collection. Is ther...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the risk of contracting hepatitis B is low. However, it is still recommended to follow the vaccination schedule and check the hepatitis B markers and liver function at approximately 3, 6, and 12 months. If both are normal, there should be less ca...[Read More] Can You Contract Hepatitis B from a Needle Stick During Pregnancy?
Post-Vaccine Concerns: Understanding Chest Pain After BNT Shot
Questions regarding post-vaccination issues? Hello, I received my second dose of the BNT vaccine on December 6th, and my first dose was the AZ vaccine in September. I experienced a fever after the first dose, but I didn't have any significant reactions after the second dose....
Dr. Hong Yuanbin Reply:
Hello, the chest pain you described due to a change in posture is not typically a symptom of myocarditis; it is usually caused by muscle or bone strain. If it were myocarditis, the chest pain would be persistent and accompanied by shortness of breath. It is advisable to monitor t...[Read More] Post-Vaccine Concerns: Understanding Chest Pain After BNT Shot
Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Issues in Vaccine Administration Assessment I often feel dizzy due to low blood pressure, and sometimes I experience palpitations. Occasionally, the edges of my lips turn cyanotic at night, and I frequently catch colds, which can lead to nosebleeds. Additionally, I have a history...
Dr. Liao Zhongxin Reply:
1. For recommendations and guidelines on vaccination for immunocompromised patients, please refer to the attachment: https://www.cdc.gov.tw/Category/ListPage/g9rqm1jhIt65b8sr5Vap8w2. The classification of immunocompromised individuals is as follows: 1. Primary immunodeficienc...[Read More] Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Understanding Persistent Elevated Body Temperature After Vaccination
Body temperature issues Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (pulling the ear back and inserting the thermometer deeply), which ranges ...
Dr. Hong Yuanbin Reply:
Hello, 1. It is considered slightly elevated, but it does not reach the level of a true fever (38°C). 2. It is recommended to visit the Infectious Diseases outpatient clinic for a detailed fever evaluation. If everything is normal, you can feel more at ease. 3. It is advisable ...[Read More] Understanding Persistent Elevated Body Temperature After Vaccination
Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Elevated body temperature? Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (inserting the thermometer as deeply as possible) and it ranges from ap...
Dr. Liao Zhongxin Reply:
1. Women's body temperature is indeed relatively higher during menstruation, while it tends to be lower at other times. 2. Generally, a person's body temperature can fluctuate throughout the day; for example, it is lowest in the morning upon waking and tends to be highe...[Read More] Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Understanding Tongue Bumps: Causes and When to Seek Medical Advice
Issues with the tongue while eating? Hello doctor, last night while I was eating German sausage and pizza, I suddenly felt a bump on my tongue. When I looked in the mirror, I found a protrusion that looked like a bruise on my tongue. After researching online, it seems to be a blo...
Dr. Hong Yuanbin Reply:
Hello, this is a small blister caused by microvascular bleeding on the surface of the tongue. It is likely due to accidentally biting your tongue or friction from food. Usually, it does not require special treatment and will disappear in a few days. It does not affect vaccine adm...[Read More] Understanding Tongue Bumps: Causes and When to Seek Medical Advice
Understanding Urine Changes After Masturbation and Vaccine Concerns
Question for consultation? I would like to ask the doctor two questions. The first one is that I recently noticed that sometimes after masturbation, my urine feels more yellow and has a stronger odor, somewhat reminiscent of barley tea. However, after a while, the odor diminishes...
Dr. Hong Yuanbin Reply:
Hello, 1. The odor you mentioned is likely a mixture of semen and urine, which should not be a cause for concern. 2. These medications should not significantly affect the efficacy of the vaccine, so it is fine to use them. Thank you for your inquiry.[Read More] Understanding Urine Changes After Masturbation and Vaccine Concerns
Does BNT Vaccine Affect ESR Levels in Patients with Inflammation?
Will the ESR value increase after receiving the BNT vaccine? Hello Doctor! My son is 18 years old and has stiffness. Over the past year, his CRP/ESR levels have been as follows: - 2021/03/31: CRP - 9.6 / ESR - 36 - 2020/12/22: CRP - 11.8 / ESR - 36 - 2020/11/24: CRP - 16.2 / ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Firstly, it is recommended not to monitor CRP and ESR too frequently; generally, checking them every three months is sufficient. These two values naturally fluctuate, and frequent monitoring can lead to difficulties in interpretation and unnece...[Read More] Does BNT Vaccine Affect ESR Levels in Patients with Inflammation?
Post-Vaccine Medication Guidelines: Can You Use Steroids and Alcohol?
Medication issues after vaccination? Hello, doctor. I just received the BNT vaccine. Can I apply eczema steroids (Betamethasone) and mouth ulcer medication (Mondesil) that contains alcohol after getting the BNT vaccine? Thank you. Also, if I experience severe mouth ulcers after t...
Dr. Lin Wufu Reply:
Hello: Generally, topical medications are not significantly absorbed by the body, so their effect on the vaccine's efficacy is minimal (however, oral steroids may weaken the vaccine's effectiveness). Many people experience various side effects after vaccination, and mou...[Read More] Post-Vaccine Medication Guidelines: Can You Use Steroids and Alcohol?
Understanding Abdominal Issues After Vaccination and Trauma
Abdominal issues? A few days ago, I was hit hard in the abdomen by a classmate, and I also received the BNT vaccine that day. The next morning, I experienced excessive flatulence, accompanied by some fecal matter, and I continued to pass gas frequently. I would like to know if th...
Dr. Lin Wuxuan Reply:
Hello: Based on the situation you described, it appears to be a mild abdominal contusion. It is recommended to rest and monitor your symptoms. If there is a trend of worsening symptoms, it is advisable to visit the emergency department to rule out the possibility of internal blee...[Read More] Understanding Abdominal Issues After Vaccination and Trauma
Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Allergy / Dizziness / Lower back pain / Difficulty urinating Hello Doctor, I received the AZ vaccine at the beginning of August, and I did not experience significant side effects during the process. However, in mid-September, I developed an allergic reaction on my palms and the t...
Dr. Lin Wuxuan Reply:
Hello: Based on the symptoms you described, since your discomfort occurred at least 4-5 weeks after the vaccination, it is less likely to be a side effect of the COVID-19 vaccine. The symptoms that began in October are more likely related to a urinary tract infection, so it is re...[Read More] Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Concerns About Unknown Liquid Exposure After Vaccination in Vietnam
Infected with an unknown liquid in the hospital? During my visit to a local hospital in Vietnam for the COVID-19 vaccination, the vaccination process took about 3 hours. After returning home, I noticed an unknown yellow-brown residue on my palms, which resembles either iodine sol...
Dr. Lin Wufu Reply:
Hello: Basically, if there are no wounds on the palm, there is no chance of contracting bloodborne diseases through contact! Of course, it's a good idea to check if there are any effects on the local skin; if there are none, there's no need to worry![Read More] Concerns About Unknown Liquid Exposure After Vaccination in Vietnam
Can COVID-19 Vaccine Be Administered During Syphilis Treatment?
Can a patient with confirmed stage 2 syphilis (under treatment) receive the COVID-19 vaccine? Hello Dr. Hong, I recently tested positive for stage 2 syphilis, with relevant indices showing RPR Test 1:64, RPR(L) 485.4, and TPLA 25565. I have chosen not to receive an injection this...
Dr. Hong Yuanbin Reply:
Hello, the treatment for syphilis does not affect vaccines, so it is safe to receive vaccinations. Thank you for your question.[Read More] Can COVID-19 Vaccine Be Administered During Syphilis Treatment?
Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Discomfort after receiving the BNT vaccine? Hello Dr. Hong, I received my first dose of the BNT vaccine on June 20 at 15:58, and I began experiencing pain under my left clavicle at 16:08. Twelve hours after the first dose, I developed a fever and redness and swelling at the injec...
Dr. Hong Yuanbin Reply:
Hello, muscle and joint pain after vaccination is quite common. However, if you have been experiencing pain for two months and it is getting worse, it may be necessary to consider that it might not be solely caused by the vaccine and that other underlying conditions could be invo...[Read More] Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Can Taking Fever Reducers Affect Vaccine Efficacy? A Patient's Concern
Took antipyretics? Hello doctor, last night I received the AZ vaccine and took a Tylenol beforehand. After taking a shower and doing some work, I went to bed around midnight. Suddenly, around 4 AM, I felt very cold and started shivering. Not long after, at 5 AM, I developed a fev...
Dr. Hong Yuanbin Reply:
Hello, some studies abroad have indeed shown that using antipyretics, such as acetaminophen (Tylenol), may slightly reduce the effectiveness of vaccines, but it does not render the vaccine ineffective. It is recommended that if you have a mild fever or are only slightly uncomfort...[Read More] Can Taking Fever Reducers Affect Vaccine Efficacy? A Patient's Concern
Understanding Vaccine Side Effects: Is Your Discomfort Normal After AZ Shot?
Vaccine side effects Hello Doctor, this morning my family took me to get the AZ vaccine, and there happened to be some leftover doses. After noon, I suddenly felt very cold and then developed a fever. I took a pill and slept until around 5 PM, waking up sweating. My body temperat...
Dr. Hong Yuanbin Reply:
Hello, a low-grade fever and back pain are very common side effects of the AZ vaccine, so there is no need to worry unless the fever or pain becomes unbearable. In that case, you may consider taking acetaminophen. The vitamin supplements will not have any impact, so you can conti...[Read More] Understanding Vaccine Side Effects: Is Your Discomfort Normal After AZ Shot?
Concerns About Virus Exposure Before Vaccination: What You Need to Know
Please ask your question? I apologize for bothering you, Doctor. I went to the ENT specialist this morning because I had an itchy ear and a runny nose. After the examination, I mentioned that I would be getting vaccinated this week, and the doctor prescribed me some antipyretics....
Dr. Hong Yuanbin Reply:
Hello, if you and those around you are all wearing masks and you have not had direct contact, your risk of infection should be very low. It is recommended to drink plenty of water and get ample rest without excessive anxiety. You only need to get tested if you develop cold sympto...[Read More] Concerns About Virus Exposure Before Vaccination: What You Need to Know
Understanding ANA Test Results and Vaccine Concerns in Autoimmune Conditions
Medical consultation Hello, doctor. I would like to ask what an ANA titer of 1:160 represents. Does this indicate an autoimmune disease? I also have anemia and palpitations. A doctor previously informed me that it would be dangerous for me to receive the COVID-19 vaccine; is that...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. I have organized and responded to your inquiries as follows: 1. What does an ANA titer of 1:160 represent? Does it indicate an autoimmune disease? --> This is a screening indicator for autoimmune diseases. A higher titer suggests an increa...[Read More] Understanding ANA Test Results and Vaccine Concerns in Autoimmune Conditions
Can I Get Vaccinated with a Cold? Expert Advice on Vaccine Safety
Pre-vaccination inquiry The doctor would like to ask you a few questions. A few days ago, I had a cold, and I went back for a consultation today. This morning, I was fortunate enough to secure a vaccine appointment for next Friday. I consulted with an ENT specialist today, and he...
Dr. Hong Yuanbin Reply:
Hello, according to current research, as long as there is no fever and no significant discomfort, vaccination is recommended. If you feel well on the day of vaccination, you can inform the administering physician about your condition over the past few days, and the physician will...[Read More] Can I Get Vaccinated with a Cold? Expert Advice on Vaccine Safety