Abhijay,
The answers to your questions will largely be driven by the documents provided by Pfizer, FDA, CDC, ACIP and ACOG. There are very few absolute contraindications for receiving the Pfizer (and presumably the Moderna) vaccine. These include allergic reaction to the first dose and allergies to components of the vaccine. There is insufficient data to argue for or against immunizing pregnant or lactating women, therefore the risk of the unknown must be weighed against the risks of more severe disease in pregnancy and potential fetal harm. These are discussions that we are directing the woman to have with their OB or PCP and they will need to make their own decision. Immunocompromise is not a contraindication at all, rather there is some question about the robustness of the immunogenic response, but there is no indication that there is any harm involved in vaccinated these individuals. There is some guidance about delaying vaccination of acutely ill individuals, whether to avoid exposing the vaccinators or to avoid confusion with post-vaccination symptoms.
Stay safe and Stay healthy,
Ron
Ron Teichman, M.D., M.P.H., FACOEM, FACP
Division Medical Director
Banner Occupational Health and Wellness
1300 N. 12th Street, Suite 610
Phoenix, AZ 85006
From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of
dr_abhik via MCOH-EH
Sent: Tuesday, December 15, 2020 6:28 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: dr_abhik <dr_abhik@yahoo.com>
Subject: [EXTERNAL] Re: [MCOH-EH] Informed Consent
Hi Dr. Fanucchi,
Thank you for the form!
A question: what would be your recommendations for vaccinations of employees who answer "yes" to the screening questions?
Which ones of these questions would be "hard stops" against receiving the vaccine (for example, allergies)?
Are you all vaccinating special groups at this time: pregnant employees, employees of immunocompromised employees, etc?
Thanks,
Abhijay
Sent from my Verizon, Samsung Galaxy smartphone
-------- Original message --------
From: Dr Joe Fanucchi <drjoe@meditrax.com>
Date: 12/12/20 3:39 PM (GMT-05:00)
To: "Swift, Melanie D., M.D., M.P.H. via MCOH-EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Informed Consent
On 12/12/2020 7:12 AM, Swift, Melanie D., M.D., M.P.H. via MCOH-EH wrote:
Same here. Usual process for vaccination with no special consent form required.
Good afternoon Melanie,
Just FYI ... several of our MediTrax customers requested that we make a questionnaire/consent form available. This is what we provide (and each facility has the option to modify the questions).
Joe Fanucchi
--
Joe Fanucchi MD FACOEM
President and Medical Director
MediTrax / OHS, Inc.
o:925-820-7758
c:925-368-3367
drjoe@meditrax.com
MediTrax: Everything you need, at a fraction of the cost!