COVID-19 FOR EMERGENCY AND HOSPITAL PERSONNEL FOR CHILDREN WITH ADRENAL INSUFFICIENCY
Please refer here for information regarding ER treatment for children. The adult section is currently being updated.
https://www.nadf.us/covid19-er-hospital-children.html
https://www.nadf.us/covid19-er-hospital-children.html
UPDATE ON THE COVID-19 BOOSTER SHOTS FOR THE NADF COMMUNITY
Those who received Pfizer and had 2 shots should now get a booster 6 months after the last shot if they are 65 years of age and older or have adrenal insufficiency. The CDC has updated their guidance on booster shots to include those with underlying conditions, including individuals on glucocorticoids. This additional information is important for our community.
To see Dr. Margulies' guidance on the booster shot, visit https://www.nadf.us/covid-19-vaccine-education.html
To see Dr. Margulies' guidance on the booster shot, visit https://www.nadf.us/covid-19-vaccine-education.html
severe covid-19 risks greatly increased for children with adrenal insufficiency
March 21, 2021
Adrenal insufficiency increases the risk for severe outcomes, including death, 23-fold for children who contract COVID-19, according to a data analysis presented at the ENDO annual meeting.
Read the full article: https://www.healio.com/news/endocrinology/20210321/severe-covid19-risks-greatly-increased-for-children-with-adrenal-insufficiency
Adrenal insufficiency increases the risk for severe outcomes, including death, 23-fold for children who contract COVID-19, according to a data analysis presented at the ENDO annual meeting.
Read the full article: https://www.healio.com/news/endocrinology/20210321/severe-covid19-risks-greatly-increased-for-children-with-adrenal-insufficiency
STATEMENT FROM NADF'S MEDICAL DIRECTOR ABOUT THE johnson & johnson covid-19 vaccine
March 5, 2021
Everyone with adrenal insufficiency should get vaccinated with whichever of these vaccines is available to them. I am not concerned about the reported lower efficacy of the J&J vaccine in reducing the incidence of mild to moderate disease. The real benefit of the J&J vaccine is the astounding 100% prevention of severe disease leading to death. Also, the fact that it is one injection that does not require freezing will make it a lot easier for people in rural areas to be vaccinated. People with adrenal insufficiency in NY State are now eligible. Hopefully, this will be extended to all other states soon.
Everyone with adrenal insufficiency should get vaccinated with whichever of these vaccines is available to them. I am not concerned about the reported lower efficacy of the J&J vaccine in reducing the incidence of mild to moderate disease. The real benefit of the J&J vaccine is the astounding 100% prevention of severe disease leading to death. Also, the fact that it is one injection that does not require freezing will make it a lot easier for people in rural areas to be vaccinated. People with adrenal insufficiency in NY State are now eligible. Hopefully, this will be extended to all other states soon.
from the Centers for disease controL AND PREVENTION (cdc)
VACCINATION CONSIDERATIONS FOR PERSONS WITH UNDERLYING MEDICAL CONDITIONS
Updated December 29, 2020
Adults of any age with certain underlying medical conditions are at increased risk for severe illness from the virus that causes COVID-19. mRNA COVID-19 vaccines may be administered to people with underlying medical conditions provided they have not had a severe allergic reaction to any of the ingredients in the vaccine. The following information aims to help people in the groups listed below make an informed decision about receiving the mRNA COVID-19 vaccine.
Read the full article: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/underlying-conditions.html
Adults of any age with certain underlying medical conditions are at increased risk for severe illness from the virus that causes COVID-19. mRNA COVID-19 vaccines may be administered to people with underlying medical conditions provided they have not had a severe allergic reaction to any of the ingredients in the vaccine. The following information aims to help people in the groups listed below make an informed decision about receiving the mRNA COVID-19 vaccine.
Read the full article: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/underlying-conditions.html
STATEMENT FROM NADF'S MEDICAL DIRECTOR ABOUT THE COVID-19 VACCINE
December 17, 2020
Many are questioning whether the COVID-19 vaccine is safe for those with adrenal insufficiency. After a review, NADF’s Medical Advisor Dr. Margulies provided this statement:
“At this time, I am satisfied that the FDA has done the appropriate review of the Pfizer vaccine, and I am enthusiastic about recommending it to every adult. I plan to take it myself. There is no reason for anyone with adrenal insufficiency, whether primary or secondary, to avoid this vaccine. It is as safe as the influenza vaccine. It has mild side effects, such as sore arm, mild fever and fatigue that last about one day. The Moderna vaccine will be reviewed soon, but so far it looks very similar to the Pfizer product. Unless something surprising is found, I expect it will also be suitable for every adult.”
Additional information:
Many people in the clinical trials had some short-term side effects from taking the COVID-19 vaccine. The side effects are usually not serious -- one of the most common is a sore or achy arm. Some people develop low-grade fevers or chills and feel tired. This is because the vaccine is working and causing a response from the immune system. As always, follow NADF’s stress dosing guidelines to determine if you need additional steroids.
As always, you and your doctor should decide together if the vaccine is right for you and, if so, which one.
Many are questioning whether the COVID-19 vaccine is safe for those with adrenal insufficiency. After a review, NADF’s Medical Advisor Dr. Margulies provided this statement:
“At this time, I am satisfied that the FDA has done the appropriate review of the Pfizer vaccine, and I am enthusiastic about recommending it to every adult. I plan to take it myself. There is no reason for anyone with adrenal insufficiency, whether primary or secondary, to avoid this vaccine. It is as safe as the influenza vaccine. It has mild side effects, such as sore arm, mild fever and fatigue that last about one day. The Moderna vaccine will be reviewed soon, but so far it looks very similar to the Pfizer product. Unless something surprising is found, I expect it will also be suitable for every adult.”
Additional information:
Many people in the clinical trials had some short-term side effects from taking the COVID-19 vaccine. The side effects are usually not serious -- one of the most common is a sore or achy arm. Some people develop low-grade fevers or chills and feel tired. This is because the vaccine is working and causing a response from the immune system. As always, follow NADF’s stress dosing guidelines to determine if you need additional steroids.
- Remember that the Pfizer vaccine is given in two doses three weeks apart. It is more common to have side effects from the second dose than the first. You must receive both doses to get the full benefit from the vaccine.
- The vaccine may not be available to most people until spring or summer of 2021. Because of the limited supply of the vaccines, people at very high risk, such as health care providers and people who live in nursing homes or assisted living facilities, will get a vaccine before people whose risk of illness is lower.
As always, you and your doctor should decide together if the vaccine is right for you and, if so, which one.
