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AMA I am a covid vaccine trained pharmacist AMA

AMA I am a covid vaccine trained pharmacist AMA

BubbleButtBuff

For immuno-compromised people: The Australian Government strongly recommends people who are immunocompromised receive the COVID-19 vaccination.


Anybody_Seen_Me_Keys

Do immunocompromised people need to get a booster? If so how long after?


FMrandom

How do you read doctors handwriting?


BubbleButtBuff

Haha with lots of practise. Basically all drug names are just made up so unless you see them regularly, it's really hard to distinguish a made up name that is not a regular word out of a bunch of scribble. Sometimes younger, usually female, doctors have such beautiful writing they should be used as a font template and we absolutely love those scripts.


veroxii

Aren't most scripts or instructions printed out now? I haven't had a doctor hand me a hand written script in like 20 years.


tiptoe_bites

There are some scripts which *have* to be handwritten.


a1exia_frogs

I had my first Pfizer dose and suffered headaches and fever for a few nights, worst of all my breastmilk tanked, it took 7 days of starving angry baby before I was back to normal. Someone told me the reaction from the second dose of Pfizer is worse, is that true? Should I report my adverse reaction anywhere?


BubbleButtBuff

Statistically, people are having stronger reactions to the 2nd Pfizer dose. That's not to say you WILL get worse reactions though. It may be an idea to pre-pump and save up some breast milk before getting your 2nd dose, but I'm sure you've already thought of that. It is encouraged that every patient reports uncommon adverse events following immunisation (AEFI) to help contribute to the combined knowledge about these vaccines. This will help to provide more and more accurate statistics on reactions to the population, among other research benefits. "Why report an AEFI You can help the TGA [Therapeutic Goods Administration] to assess the possible role of the product in causing the adverse event by providing all relevant information. Reporting an AEFI assists in: - identifying or better understanding the safety issues relating to newly introduced vaccines - monitoring AEFI rates and trends across Australia - identifying problems with manufacture, storage, delivery or administration" Two ways to report are here: Directly via the TGA https://www.tga.gov.au/form/national-adverse-events-following-immunisation-aefi-reporting-form Or call the NPS MedicineWise Adverse Medicine Events line: 1300 134 237 (8am to 8pm 7 days)


a1exia_frogs

Thank you for your detailed reply, I used the 520ml stash I had in the freezer, now I am back to normal trying to pump extra before my next dose just in case. I appreciate the TGA link, thanks


GotPassion

What a great mum you seem to be... 💪


Ralphsnacks

Is that a common side effect? I didn't get it after the first, bit second dose is in 2 weeks and wondering if I should stock up on some breastmilk before I get it?


mgdmw

Did you get a survey from the Government after your first dose? I had no reactions to either, except perhaps a bit of a sore spot where the injection was, but that was it. I have heard a general anecdote that people who will have an adverse reaction have it to the first does of AZ or the second dose of Pfizer but I can't back that up; it's only what someone said to me. However, I had no problem with either Pfizer dose. However, back to your question about reporting, did you get a survey from the Gov? You should report symptoms in that.


a1exia_frogs

No I didn't get a survey from the government, I got the vaccine at a pop up clinic in a rural town, do they post the survey or call?


mgdmw

It was an email, after both the first and second - but I had mine at the Belmont mass vaccination centre. Were you asked to register or provide details at the pop-up centre?


a1exia_frogs

They didn't ask for email address on the form, they didn't even look at Medicare card or ID. I was surprised that my vaccination record was updated a few days later on the Medicare app.


mgdmw

Hmm, this page looks like it may help - https://www.tga.gov.au/reporting-suspected-side-effects-associated-covid-19-vaccine


a1exia_frogs

Thanks for the link, I will definitely report


WillyCat92

Hey! Same boat as you, After the first Pfizer dose I was wrecked and on the couch for three day; minor headache with the second and a sore arm. The nurse who did my second dose said a few people are having big reactions to the first dose but all good with the second. Best of luck.


theSaltySolo

Any information on vaccinating teachers in the Hunter Region? How is that going to happen?


geodetic

I would also like to know this information.


tattisalisations

Me too. My husband is a teacher in Branxton and he’s had his Pfizer vaccine cancelled five times from the local GP in Singleton.


BubbleButtBuff

Not in my scope of knowledge sorry


Dbill32

How do they get the microchips in the syringe?


AimingWang

You ever seen that episode of the Mighty Boosh where they use the shrinking machine to go into Vince's body? They used that machine to shrink a 5G tower small enough


BubbleButtBuff

They dip them in micro salsa


WorkAccount0096

I hope this is a joke my friend


Dbill32

Just tryna “inject” a bit of humour.


WorkAccount0096

All good. Mod team has just had to be on our toes. I've had to ban one shithead in this thread already.


Dbill32

No probs - numbskulls abound.


thevalley007

Did you ever find out? Asking for a friend


Dbill32

Well, my sister’s pen pal knows a guy whose cousin works at KFC whose baby momma has a booty call who showed her a still shot from a gif on the dark web that showed them putting the chips in the oven to shrink them like the chip packets we shrunk as kids. The metadata on the still shot from the gif from the dark web says the oven is in Bill Gates’s house.


thevalley007

This is the confirmation I needed


zdza

You shouldn’t be a mod if you can’t read the obvious sarcasm.


WorkAccount0096

Antivax dipshits are everywhere. This thread had a load of them. I was 95% sure it was a joke, but I have to be sure.


jamieleemotherof2

Is there a link that will take me where to book the Pfizer ? Ive been wanting to get vaccined but have tried twice and somehow still no success - probably my fault I'm shocking with technology 🤦


BubbleButtBuff

"Vaccines Eligibility Checker" https://covid-vaccine.healthdirect.gov.au This is the official site to check your eligibility and find an available appointment near you. Answer a few questions and it will take you through to the booking page where you can find nearby locations. If you're adamant about getting Pfizer and not AZ you will have a harder time finding an appointment fast but keep trying. More stock is coming and appointments will open up once stock is assigned and confirmed. If you'd like AZ you can use the booking page to select any gp or pharmacy or mass clinic nearby you. I can tell you that pharmacies have a lot of stock of AZ and can accommodate walk in appointments. But to make it easier on them, make a booking beforehand even if it's the same day.


jamieleemotherof2

I might have to get az then , my son has an operation in Sydney children's Hospital that I believe Is in a lga hotspot , I am 22 but slighty concerned due to the government at first saying it was not recommended for my age group but I think I have to get over my anxiety of it and bit the bullet thank you so much for the recourses and information


BoxytheBandit

Ive had several friends in their 20's and 30's get AZ the last few weeks with no issues. I got a Pfizer shot because im a carer for NDIS participants and I managed to get an appointment within a week, there seems to be a lot arriving and more appointments becoming available every day. I initially was booked for late October but then found a quicker option. Be vigilant and keep trying as the situation is changing daily but AZ is a good option, the main issue it that the timeframe between shots and full efficacy.


rolling_sloths

I was in the fence and a chat with my gp and this article helped me decide to book for AZ. https://www.sydney.edu.au/infectious-diseases-institute/news-and-events/news/2021/08/05/should-i-wait-for-pfizer-the-case-for-astra-zeneca-now.html


peak-performance-

So this actually doesn’t seem to narrow down finding the Pfizer vaccine in fact it shows me many options near me.. most of which don’t have Pfizer. Also I am pregnant and there is nowhere for me to input that information.


covid9099

Hey, Thanks for doing this, I do have a questiin! I got my AZ two weeks ago and I booked my second jab at the recommended 12 weeks. A lot of people I know are getting it scheduled at 4 weeks now because of the current outbreak. I am undecided as to whether I should wait for the full 12 weeks for greater protection OR get it sooner rather than later so I am protection earlier albiet not as much. I am 38 F in Newcastle. What would you recommend?


BubbleButtBuff

The original recommendation was 12 weeks for maximum longer term protection. This was when things were going smoothly and there were zero or hardly any cases. The minimum interval between AZ doses is 4 weeks. In the delta outbreak situation it was recommended to bring forward your 2nd dose to 6-8 weeks, and now it is even recommended to get the 2nd dose at 4 weeks. If you get your 2nd dose at 4 weeks, you will benefit from having two doses in you and having high shorter term protection against covid. However your longer term protection wouldn't be as good as if you waited the full 12 weeks. In this current outbreak situation I'd be more inclined to go with getting maximum protection as soon as possible. If you make your 2nd appointment for 4 weeks from your first, and between now and then things miraculously calm down, you could always reschedule your appointment for further out. We'll all be getting a booster shot(s) in the future and I have heard it will most likely be Pfizer. So don't put off protecting yourself as much as possible as fast as possible.


covid9099

Thanks, I appreciate your response. I will get it done earlier. Especially if there are going to be boosters down the track! That is great news.


Eagle-Fang-Karate-07

Fantastic information, thank you so much for doing this. My wife and I, both 38, got our first AZ jabs 2 weeks ago and are booked in for second doses in 2 weeks' time. Were going to wait for Pfizer but with the outbreak really wanted to get protected ASAP for the sake of our 1yr old baby son. Not sure if this is out of your scope - any info on falling pregnant soon after AZ vaccination? Or if you could point us in the right direction? Were planning on trying again soon. So much conflicting information out there.


OddityArt

The pharmacist I got mine from recommended 3 weeks if covid is within the local community but 4 to 6 weeks if the outbreak died down.


BubbleButtBuff

This is incorrect. In reference to AZ that the op asked about, the minimum interval between doses is 4 weeks. Only Pfizer is 3 weeks. Can you please let me know which pharmacy recommended this so I can give them a friendly reminder?


SixBeanCelebes

What's the current thinking about getting one AZ and one Pfizer?


llllloooooo

That's a great question! I'd like to know what the thinking is on the effects / interactions of getting 2 doses of both. Please note, I am NOT planning on doing this, and I'm NOT encouraging anyone to do this, I'm just curious about the impact.


BubbleButtBuff

Current Australian government advice is not to mix and match. But my own opinion about this policy is they want to keep things straight forward until there's a surplus supply and then they'll follow suit with other countries. Other countries have been doing research into mixing doses and some have hypothesised that it'll give greater coverage. There's more research to do before we get a solid answer on this. There is talk that the following combinations give different levels of antibody generation from highest to lowest: 2 Pfizer doses AZ followed by Pfizer 2 AZ doses But again there needs to be more research into this. Currently with the situation in NSW I would recommend getting 2 doses of whichever vaccine you can get the fastest. We'll all end up getting booster shots later down the track.


Nobrr

Look , not OP, but a medchemist. I believe the consensus is that 1 of each is not quite equivelant to a double dose, but better than a singular. I think long term it would be super beneficial to get a double dose of a recombinant AND a double dose of the mRNA (AZ + pfizer for example). I cannot find exact specifics on the exact RNA being replicated to form the spike protein, so i cant say if they are slightly different between vaccines. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3874014


GotPassion

I'm intrigued by this, as I'm hearing positive outcomes with the Moderna vaccine which is mRNA, so maybe offers less benefit than an AZ? I guess there is also the v2 options in testing which will potentially change things too, as well as new Moderna product which so far claims the potential for broader targeting for current and future Coronavirus variants. Would be pleased to hear your thoughts as these elements becomes more known...


Nobrr

Personally I'm of the opinion that the more tools we have to combat large scale infection the better. Unfortunate as it may be, sarscov-2 is mutating, and quite rapidly and it may be that certain vaccines are ineffective against certain strains. This is not new, and the influenza virus does this (and we already tailor vaccines to deal with this) Ideally, once you get your first double dose (of whichever) you are able to methodically receive of which ever type shows greatest efficacy against the expressed variant. One season AZ (or other recombinant), the next a tailor made mRNA etc.. Ideally we start making these *in Australia* as well. As for predicting future corona variants, it's a mixed bag. Currently certain mutations reduce activity (as in certain S protein alterations) and some enhance it. Thankfully alterations are commonly point-mutations (ie single amino acid substitutions) and the activity of the overall protein remains mostly the same. We aren't using small molecule drugs that could be affected by this, we are fighting proteins with proteins. I have not read enough about delta to know if the increase in infection rate (and presumed decrease in efficacy of the vaccines) is a direct link or if the delta variant is just *so* much more viral that the vaccines by *comparison* seem worse. I'm in a weird boat medically, and am ineligible for Pfizer. Given my living/working situations, I have the privilege of opting to wait and I would love to receive Moderna, for no other reason than, "shits and giggles". From a uniquely Australian perspective, we could have been done with this. Our current outbreak originated from a single case which could have been snap lockdowned into oblivion. It has now exploded, and now we are on the back foot chasing vaccine targets and aiding in the development of new sarscov-2 variants (which is completely unavoidable). We were so close and there's no-one to blame but current administration.


hard5tyle

How often do you have to deal with anti vaxxers in person? Is it as common as you see them online?


BubbleButtBuff

Almost never. They're probably out there in certain areas of the country and pockets of society. I hear the central coast and Byron Bay have a larger than average % of anti vaxers. But in person they don't really seem to be vocal about their beliefs. I think in the last 5 years I have been vaccinating flu shots, I have had approx 3 people voice their anti vax sentiments and I have simply said that's their opinion and no one is forcing them to get vaccinated. The conversation has never gone further than that. They didn't make a scene or keep going. From what I've seen online, America may be significantly different.


jtblue91

Would you rather have a muffin or banana bread with your morning coffee?


BubbleButtBuff

Banana bread, toasted in the sandwich press, then a smear of butter straight after it comes out 💯


hohospy

This is a God tier answer. The flat sandwich press creates like a hard outer layer that it's the biz-niz.


emz0rmay

Omg yes x


escualpe

Mmmh, with salted butter, the best!


nukathle

Bubblebuttbuff has CrossFit with morning coffee.


Eena-Rin

A banana muffin, but a big one


bob_the_corn_cob

If you have had leptospirosis, is it safe to get vaccinated? I have had leptospirosis (2015), and am fully vaccinated. I didn't think to declare having previously had lepto when I got my jabs. My aunty went in to get vaccinated, and declared that she had leptospirosis in the past (2015). She was told by the vaccinator that it was unsafe for her to get vaccinated because of this.


BubbleButtBuff

This was never mentioned in the training literature as a precaution or contraindication so I would be quite doubtful of what your aunt told you


bob_the_corn_cob

Good to know, thanks mate


puckprospero

If you only have two neurones and they are connected by a spirochete then you should avoid penicillin, not vaccines


CatCuddlersFromMars

I was going to say it just looks as though they don't recommend certain antibiotics for it as they're untested. I think the aunt is confused.


SadSadKangaroo

No question, just thank you and good luck should antivaxxers be forced to get the jab for a reason in their life (job, family member forced them etc) and they end up in your chair.


-TallTree-

Is it true that the 5g microchips in the vaccine will give me better phone reception while at Merewether beach? If so, SIGN ME UP . /s Thankyou for your work and I'm sorry you probably have to deal with morons who believe that garbage.


BubbleButtBuff

If you subscribe to the premium 5G service you get better reception at Merewether and Redhead beaches 😉


LogicalExtension

I got mine a few weeks ago, but I'm concerned they stuffed it up - not only didn't I feel the needle go in, I'm still not getting 5G on my 4+ year old phone. Do I have to wait for the second shot before 5G is enabled, or should I call up Bill Gates? (/s) No but seriously... are the needles being used for the vaccine doses some sort of super-sharp next-gen needles? I genuinely didn't feel mine at all - I turned my head away for the briefest of moments, then the nurse said "we're done, hold here", to my confusion. If I didn't see the empty syringe being put in the sharps bin I'd have thought it was a joke. Other IM injections I've had in the past there was always *some* kind of pinch/jab sensation.


joeyjoeljoel

My guess it's the skill of the person giving the injection? Less muscle trauma when done perfectly? I had to give my wife daily injections after childbirth - some days it was painless, others it was a nightmare for her if I got the angle or pressure wrong :(


BubbleButtBuff

I've seen a few other vaccinators give injections and it's surprising we don't all have the exact same uniform standard technique. Having said that, there are a few one handed or two handed techniques. But I think there should be one ideal preferred technique that is taught. There is a specific area we're supposed to aim for to avoid complications such as hitting a nerve or blood vessel or causing shoulder bursitis, but it's pretty easy to do the right thing. I think you're right in that some people can be a bit rougher or more gentle. Some pinch the muscle like a granny pinching your cheeks, some may not go in at 90 degrees. Some may accidentally not keep the syringe still while injecting. Overall these are minor things and the fact the needle is so small really helps.


Percy271

I hear that the recent batch of vaccines contain a beta version of windows 11. Maybe that's why you aren't getting better 5G reception? /s


gattie1

My nurse said the AZ needle they gave me was sharper than the flu vaccine.


BubbleButtBuff

That's probably true. I have found many flu needles to be more blunt than they should be. Those needles came pre-attached by the manufacturer vs the nice sharp needles we use for our covid shots. These issues have been raised with the flu shot manufacturers by many pharmacists but the manufacturers insist that something the vaccinators are doing is making the needles blunt at the time of the flu vaccination. This is obviously not the case since 100% of my covid shots have been nice and sharp.


BubbleButtBuff

The needles we use are bog standard 25 gauge 25mm long BD brand needles. [Pic here](https://i.imgur.com/UoFX895.jpg) I wouldn't refer to them as "insulin" needles as someone else in the thread has. The great thing is they're sharp and tiny and slide right into your deltoid muscle like a hot knife through butter. I get a LOT of compliments from people about how they either didn't feel it at all or did I even do it yet, or am I sure I put it in or "is that all I was so worried and that was nothing". For a lot of people the build up is the worst part and once it's over they laugh at themselves for being so worked up over nothing. It's actually a really fun part of the job to see people so relieved and happy that it didn't hurt. As for the 5G, have you started your free trial yet? Gotta put in your cc details for it to work.


Imaginary_Winna

It's a fine, fine, ultra sharp insulin needle. Done quickly and in a large enough slab of flesh, there's a very good chance you won't feel anything.


Thenewdazzledentway

Yes it is isn’t it? Compared to the penicillin injections I got as a kid, or the pipes they use to draw blood, etc. (OW!!) the vax needles are the teeniest tiniest thinnest I’ve ever seen. I’m trying to convince my scared SO that it’s the biggest non-event ever. Which it is.


Somebody_Anybody_

Why do the covid vaccines have such bad side effects for some people? I don’t mean the life threatening ones but just wiping people out and leaving them unable to work for a day or two. The only thing people seem to say is that 'every vaccine has side effects' but I don’t think that’s a fair comparison. Apart from a mildly sore/heavy arm the day after a flu shot I've never had any reaction to a vaccine, nor have I ever known anyone who has had a reaction. Tetanus, whooping cough, hep b, measles, chickenpox, hpv, influenza…. Whatever the vaccine is I’ve never in my life heard of someone needing to schedule down time after a shot in case they have side effects so what makes covid vaccines so much worse? NB. I’m not suggesting the other vaccines don’t have side effects just that I personally have never heard of anyone I know experiencing them so they seem much rarer than for covid vax where quite a few people I know have ended up feeling terrible. I’m also booked in for my covid vax so this isn’t putting me off getting it I’m just genuinely curious as to why it’s so different.


yeahbuddy26

I personally so no real perspective chalk it up to how capable your own immune system is, i received both doses of Pfizer early on absolutely no ill effects, my wife had a fever and was unwell for a couple of days following her second shot. My wife is also very prone to getting sick at the best best of times whilst I never seem to catch anything at all and if I do I am over it in a day or so. Given the nature of the virus and our lack of understanding into why it effects some people the way it does I think the vaccine also just mimics that on a smaller scale. Once again anecdotal information and not providing any advice on anything.


joeymathews

It's really interesting, I historically have had 0 reaction to any other vaccines, very rarely get sick and overall have a very strong immune system. I may get the occasional cold omce a year or so but thats it. I recently had my first AZ shot and it totalled me for 2 days. Every joint in my body ached, and a pounding headache. The lethargy was real rough as well. Day 3, it was like nothing happened. I've never been hit as hard and as quick like I was after this shot though. I know plenty of people that were totally fine, its almost a random thing


TheMightyn00b

I had that reaction to my first AZ shot too. I was at my doctors office on Wednesday for my second shot and I asked the nurse specifically about this. She said it's an immune response and a good sign because it indicates a strong immune system.


tattisalisations

Oh that makes me feel better! Got my first AZ yesterday and the chills and joint pain I was getting was intense. I told my husband this must mean I would’ve died if I got COVID - but good to hear it’s the other way around and I’ve got a good immune system!


BubbleButtBuff

Glad you're on the right track with that info now.


GotPassion

I'm not sure that's true. Id like to see evidence.


TheMightyn00b

Then go find some. As I said, this is what the nurse administering my shot told me. Since I am not a trained health professional, who am I to decide that she's wrong.


sonofeevil

>It's really interesting, I historically have had 0 reaction to any other vaccines, very rarely get sick and overall have a very strong immune system. I may get the occasional cold omce a year or so but thats it. This is me, but the night after my first AZ jab I had light nausea and really bad fever.


GotPassion

We are the polar opposite. I had no post vaccination symptoms, wife had 36 hours of mild fever, headaches etc. Normally we both get sick, I stay sick for weeks. I asked my doctor friend and she said there was no studies that suggested response to vaccine was related to immune strength.


yeahbuddy26

Very interesting, I mean I know absolutely nothing about immunology so I'm not shocked to find out im wrong haha.


GotPassion

Yes, I think this is why so much misinformation can get traction. Health is seriously confounding!


petiteaustralienne

Tbf most of the vaccines you're talking about, people get in childhood and adolescence. People may not remember feeling off for a few days as a 10 year old, let alone bring it up in conversation decades later.


BubbleButtBuff

People definitely do react to flu vaccines as well. I have had older patients complain that their doctor didn't tell them they'd get any reactions prior to vaccinating them for flu. I occasionally have to explain to these patients that they can think of this as a good thing because it helps show their body is mounting a strong immune response to the newest flu vaccine. I have also heard anectodal evidence that patients who haven't had the flu shot for a few years report that they get a stronger reaction when they eventually do get a flu shot, perhaps because their body is reacting to a threat that it sees as somewhat new. Comparing this to covid shots - our bodies have never been exposed to covid19 before. So when the vaccine delivers the specific spike protein which our immune system sees as brand new information, this may account for people getting stronger reactions to the vaccine than they are used to with annual flu shots. Having said that, if you don't get any reaction don't feel bad. Your body is still building up a strong reaction as the vaccines are very effective. Here's an ABC news article on the matter: https://www.abc.net.au/news/health/2021-08-18/covid-19-vaccines-how-they-trigger-an-immune-response-body/100381186 "But if feeling rubbish offers some reassurance that the vaccine is working, what does it mean if you don't have symptoms after the jab? Thankfully, it's nothing to worry about: an absence of symptoms is not a sign the vaccine isn't doing its job, according to research published this week in JAMA Internal Medicine. It suggests people who don't experience any side effects from mRNA COVID-19 vaccines still produce a robust antibody response. US researchers measured the antibody levels of almost 1,000 healthcare workers two weeks after their second dose of the Pfizer or Moderna vaccine, and asked them to report any side effects. They found almost 100 per cent of vaccine recipients "mounted a strong antibody response to the spike protein … independent of vaccine-induced reactions". The findings echo what clinical trials show: COVID-19 vaccines are highly effective irrespective of age, sex, or the presence of side effects."


Lillian57

There are other infectious disease vaccines with terrible side effects. I had them back in 1978, and was told I had a classic 7-10 day post vaccine reaction. It was either cholera, yellow fever or typhoid. I’m heavily, heavily pro vax. Any vax, I’ll have it.


LogicalExtension

(I'm not the OP, or a medical professional - take what I'm saying with a grain of salt) Not only is every vaccine different, we're talking about several different vaccines for COVID19 which operate differently. On top of that, everyone's body is different. Some people will have severe reactions, others mild, some (like me with Pfizer) had nothing except the tiniest of bruises. Consider also that this is the largest and most widespread vaccination campaign that's happening all at once (or at least as close to that as we can make it). Everyone that gets the shot is talking about even the mildest of symptoms. I'd wager that if we rolled out massive vaccine campaigns like this every year, that we'd see a lot more reporting of the side effects. The 'dead/sore arm' thing I've heard from colleagues in the past when we've had employer-sponsored flu-vaccine drives.


veroxii

Anecdotally I know a couple of people who won't get the flu vaccine anymore because they come down with flu-like symptoms which knocks them out for a few days afterwards. Personally, I've never had any effects from it.


MissMurder84

If someone already has low platelet levels, is it a major risk to still get the Astra Zeneca vaccine?


BubbleButtBuff

No, definitely not. Here are the questions (and they're very specific questions) that you answer before getting your covid vaccine. Those with a * at the end mean that Pfizer is recommended for you instead. Tomorrow I will also post some info from the training course that lists specific precautions related to blood disorders, as it specifies that other types of clotting issues are fine to proceed. Here are the informed consent questions: Have you had an allergic reaction to a previous dose of a COVID-19 vaccine? Have you had anaphylaxis to another vaccine or medication? Have you had a serious adverse event, that following expert review was attributed to a previous dose of a COVID-19 vaccine? Have you ever had mastocytosis which has caused recurrent anaphylaxis? Have you had COVID-19 before? Do you have a bleeding disorder? Do you take any medicine to thin your blood (an anticoagulant therapy)? Do you have a weakened immune system (immunocompromised)? Are you pregnant?* Have you been sick with a cough, sore throat, fever or are feeling sick in another way? Have you had a COVID-19 vaccination before? Have you received any other vaccination in the last 7 days? Extra questions relevant for those receiving AstraZeneca COVID-19 vaccine: Have you ever been diagnosed with capillary leak syndrome? Have you ever had major venous and/or arterial thrombosis in combination with thrombocytopenia, including diagnosed Thrombotic Thrombocytopenic Syndrome (TTS), following a previous dose of a COVID-19 vaccine? Have you ever had cerebral venous sinus thrombosis? * Have you ever had heparin-induced thrombocytopenia? * Have you ever had blood clots in the abdominal veins (splanchnic veins)? * Have you ever had antiphospholipid syndrome associated with blood clots? * Are you under 60 years of age?* (This has been updated where AZ is okay to get but technically Pfizer is still the preference in an ideal world)


My_bones_are_itchy

Thanks for doing this! Wanted to tack on here and ask what if you answer yes to any of these? I have antiphospholipid syndrome and am on warfarin. Literature seems to indicate not necessarily an increased risk (was a uk paper) but I’m not sure if I should wait for Pfizer. I’m 37 and a courier so I’m really keen to get a vax to protect my community (many of my frequent flyers are elderly or otherwise at increased risk). Can’t get Pfizer any time soon where I am though.


petiteaustralienne

I can't speak to that specific one, but I answered yes to another one (I have anaphylaxis to medication) and the only impact was that I had to wait 30 minutes after my vaccine instead of 15.


My_bones_are_itchy

Awesome, thanks for that


huggley

The pharmacist who did my jab said that side effects should go away in a couple of days, but mum said her arm hurt around the injection site for weeks. Is that concerning, should she have gotten that checked out?


LisaMac44

Hi, I had a similar reaction my arm was actually really sore after the first jab for 6 weeks. Eventually I want to ER to get on checked out before my 2nd shot. I even had an ECG and everything in case it was heart related as my whole arm was sore. Turned out an inflammation of the tendon. Maybe how the needle went in and then my body created an inflammation response. Anyway it’s fine now had the 2nd needle in my other arm and that one was only sore for a day. I would recommend your mum get it checked out. It does give you peace of mind that you’ve made sure it isn’t something serious.


onlyonetruthm8

My friend was off work for about two weeks because of the pain. He kept coming to work at 4am and went home again later. He is ok now.


BubbleButtBuff

This is usually the case that any reactions go away in a few days. Occasionally there can be a hard lump or lingering pain at the site for longer than expected. It is a good idea to follow up with her GP to find out if there's any extra inflammation there such as shoulder bursitis etc. It may be nothing and self limiting or it may need some extra help.


paper_daisey025

Hello OP. Hoping you may be able to answer this question. I've had my first shot of AZ and was wondering if I need to book my second shot at the same place I got the first or can I book my second at another provider? For context I'm under 40 and got my first dose at a GP clinic but would ideally like to book my second at a local pharmacy that's a bit more convenient local wise. TIA !


BubbleButtBuff

You can absolutely book your 2nd dose anywhere you want. It doesn't have to be at the same place. If the first place has already booked your 2nd appt, be kind and cancel rather than no-show. We have to draw up enough doses for our bookings at multiple times of the day since they are only allowed to be kept for 6 hours after preparation. If people don't show up, those drawn up syringes have to be thrown out which wastes doses. That's the one bad thing I've noticed about people being able to be vaccinated at pharmacies. Now that it's so easy and people can book spur of the moment, we're getting a couple of no-shows each day and that wastes doses. If you do get vaccinated at the same place twice, the business (pharmacy/gp) gets a bonus $10. While it's not much, it helps cover costs. The reimbursement the govt provides pharmacies does not even cover the costs of extra staff needed. We're literally losing money by doing this. But we're all truly happy to be playing an important part in vaccinating and securing our local community.


paper_daisey025

Thank you for the information and taking the time to respond 🙌 The GP didn't book me for a second dose they advised I needed to do that myself. Good to know about the bonus! In that case I might try going back to the same place, like you mentioned it's not much but it helps so seems like the right thing to do.


BubbleButtBuff

All good, I believe the GPs actually get paid more than us for the same service!


GitRippedOrDieMirin

How come there’s no bookings until after December? Surely there’s enough Pfizer in the country to open another vaccination hub and get people through


WTF1972

Not according to every single source of information. Supply is the issue, not the ability or capacity to deliver it.


CatCuddlersFromMars

Also the bookings come in blocks once supply is available onsite so it should open up again earlier than that date if they receive more...supposedly.


CatCuddlersFromMars

I have a question about the injection itself. I read that the blood clotting issues were due to the injection hitting a vein, not muscle as it should. Is that true & how do you avoid hitting a vein? Do you use an infrared torch?


BubbleButtBuff

No I'm sorry but that's entirely misinformation. By injecting into the deltoid muscle we have a nice clean muscle area mostly free of large veins and arteries. If you do hit a small vein, you normally end up going straight through it and still inject into the muscle. Once you withdraw the needle there is sometimes a drop or two of blood. You simply apply some momentary pressure and put on the bandaid or cottonball/tape. This is no big deal. I have had this happen to me when I received my first covid dose and one or two flu shots over the years and I haven't had any reaction or ill effect due to that. We don't use any tools to measure the injection site. However there are a few methods to determine where to inject. This process takes about 2 seconds to eyeball or feel for.


CatCuddlersFromMars

Thank you!


Fizzelen

Why is there dihydrogen monoxide (an industrial solvent and oxidising agent) in the injection?


Entropy_1

The joke is that dihydrogen monoxide is another name for water. (Dude, probably bad timing)


mgdmw

Two hydrogen and one oxygen molecule? As in H2O ?


llllloooooo

AKA Hydroxic Acid! It's used in NUCLEAR REACTORS PEOPLE!!! WAKE UP!!! ;-)


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notelguapo

Would the Pfizer vaccine be better for someone with sarcoidosis? or doesn’t it matter?


BubbleButtBuff

I haven't seen that mentioned in the training as a reason for needing to get one vaccine over the other.


notelguapo

I’ve heard that the Pfizer one is better for people with pre existing medical issues like this but was unsure. Thanks for replying 👍


Ozdreamer

Have had sarcoidosis (though it’s not active now - so not on any meds). GP didn’t see any issue. Have had both jabs (AZ). Sarcoidosis UK have addressed it [here](https://www.sarcoidosisuk.org/information-hub/coronavirushome/). Whatever vaccine you can get (AZ, Pfizer, or Moderna) is fine. They also have a [FAQ](https://www.sarcoidosisuk.org/information-hub/coronavirus-vaccines-faq/) about it. No issues unless you’ve had an anaphylactic reaction to a previous covid vaccine dose.


notelguapo

Mate, thankyou so much. I really appreciate your input. That certainly puts my mind at ease.


Ozdreamer

Happy to help. Had the same worry. And thanks for the silver. Good luck with the jab.


_WatchTheBirdie

When can i book in the moderna shots with a pharmacy?


PassingTime82

Any insider gossip on this would be great.... also whether we will even have access in the regions or if it goes straight to Sydney?


BubbleButtBuff

The latest advice I have got is that there will be a limited roll-out in late September and a full roll out some time in October. This may not go to plan and could get pushed back. They will be coming straight to pharmacies first. I just received an email update yesterday to say that the moderna training module is now available to complete. Having said that, if you still haven't been vaccinated, I'd get AZ today and 2nd dose 4 weeks later. Don't put it off.


_WatchTheBirdie

Sounds good. I cant get vaccines till December myself as a precaution so that works


St1kny5

I understand that the Pfizer vaccine needs to be warmed up and extracted from vials into syringes before it is administered. Is this typical for a vaccine?


BubbleButtBuff

Pfizer has the most unique storage requirements I have ever seen for a vaccine. Pharmacies do not currently have access to Pfizer for this reason. There has been some indication that select pharmacies may be able to provide Pfizer down the track. As more information has been gathered about Pfizer storage requirements as time goes on, we have seen the initial crazy strict requirements have been revised and relaxed to match the new evidence. We have to draw up AZ from multi dose vials into single use syringes too. Multi dose vials are not routinely used with vaccines but they were chosen to speed up production times and enable more efficient transportation. Other vaccines have to be reconstituted by adding diluent into a vial and then drawn up into a syringe such as MMR or the chickenpox vaccine. Flu shots and whooping cough shots come in prefilled single use syringes.


St1kny5

Ah I understand so much more now. Thanks!


DeepFriedDave69

What are the effects of the vaccine? (Good and bad)


Nobrr

Not OP. Good - less likely to spread sarscov-2 (the virus) - less likely to get sick / have symptoms - lower hospitalisation and death. Bad - you have to get a needle. - you can feel shitty for a few days - in very extreme cases you can have an allergic response - in more extreme cases you can get blood clotting (AZ). This may be even more exaggerated as a study has found only slightly higher ( 1 in millions) higher incident rates of thromboembolisms compared to the general population (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009607/). It may be more adverse for younger people and so: Speak to your GP about which vaccine is right for you.


Percy271

I'm 31 and had my AV shot about 4 weeks ago (had little to no side affects too!). I was booked in for my 2nd dose 3 months after which I thought was normal, however my young apprentice who's only 19 also booked in for AZ. After his first shot, received the date for his second shot only 1 month after his first. Why are they offering him a 2nd dose so soon after especially considering his age? For clarity I got my shot at some clinic in Raymond terrace and he got his at the vaccination hub in Belmont.


Ravenrose3

Hi not a medical professional but as far as I understand it the gap between AZ shots is thought to be optimal at 12 weeks, ie that is the best time to produce the strongest immune response and the most antibodies. But because of the rising danger of covid they have shifted the advice and the gap between AZ shots to four weeks to get people protected faster. I am hoping that the difference in the immune response is not hugely significant, but am not sure.


joeyjoeljoel

It's the gamble. 12 weeks is the best scenario, but if you're at risk of covid exposure, you want second dose as soon as viable. From a news article: "The study found leaving less than six weeks between the initial shot and the booster gave 55.1% efficacy (protection from symptomatic disease). Leaving 6-8 weeks between shots increased efficacy to 59.9%, and waiting 9-11 weeks, efficacy was 63.7%. However, if the gap was 12 weeks or longer efficacy jumped to 81.3%."


BubbleButtBuff

This is correct and accurate information I've also answered this type of question above in another thread. 👍


Chemical_Start_3339

I'm now considered a health care worker after a starting a new job so I'm required to be vaccinated, I've got a booking for my first Pfizer in 2 weeks. I am seeing my gp beforehand so I will have an opportunity to ask questions specific to my health but I'm interested on hearing your thoughts on immune enhancement. It's probably the only thing I'm a bit nervous about getting the jab so I'm just trying to learn as much as possible to hopefully ease my mind a bit! Thanks so much!


BubbleButtBuff

Could you elaborate on what your question about immune enhancement is?


Chemical_Start_3339

I'm mostly wondering if there were the same difficulties with this vaccine as there were with developing an effective RSV vaccine, in regards to immune enhancement or "vaccine enhancement" or have we found ways around that now? If we haven't, is there anything being done to keep track of enhancement immune responses from people on their second or even third infection? I'm sorry if it's a stupid question, it's just the only thing I'm really worried about. I want to be vaccinated so much but I also want to know I'm not taking something that could negatively affect the rest of my life. Thanks so much for doing this it's brilliant


justanotheredditnerd

My mum got her first Pfizer on the 2nd of July. On the morning of her 2nd she was feeling very unwell so she took a test, stayed home etc. Now there are no appointments to get her her 2nd until the 5th of October. (We live in Greater Sydney). Is this a problem? Obviously not ideal but it'll be over 3 months later.


BubbleButtBuff

It's a minimum of three weeks interval. I'd try ringing and explaining that she did the right thing by staying home and needs a priority rebook. I'm surprised it doesn't operate that way automatically if she did the right thing by staying home and rang to inform them on the day.


justanotheredditnerd

We tried... They said there's nothing they can do :( Thanks for replying


SplatThaCat

Are the booster shots being considered in Australia? I’ve had both shots of Pfizer, but there are reports of declining effectiveness over time - there are indications another shot of another RNA (eg moderna) May be beneficial in maintaining immunity.


BubbleButtBuff

Booster shots are definitely on the way. Orders have already been placed.


SplatThaCat

Thanks for that, it’s something that has been completely ignored by media here. At least there seems to be some sensible decisions being made despite the rhetoric of talking heads state and federal.


GotPassion

Agree. You don't get follow up emails after tetanus, flu vax, anything really. We are getting excellent data from this rollout that is better than typical campaigns.


escualpe

Hi, Thanks a lot for taking the time to answer those questions! I do have one regarding **heart conditions**. I'm 31 and I've been recently diagnosed with a **bicuspid aortic valve** in May. Following the guidelines, I've been pushed towards the Pfizer. I've received the first jab last Thursday. No side effects so far, so I'm glad. But the nurses checked upon a doctor if I was ok to take the Pfizer, after talking about the myocarditis cases, which I was aware of, but again, following Australian recommendations. Also, I asked my cardiologist about it, but I only received a pre-formatted answer from the receptionist stating there are no specific recommendations for the vaccines. **Do we have any data showing heart conditions are more likely** to develop this side effect? Do we know medical conditions of people having side effects? Do we know if this happens more after the second jab? Bicuspid prevalence amongst the population is 1 to 2% and myocarditis side effects are reported to be way lower than that (I don't have the figure in mind). So at first glance at least it seems there's no obvious link, but what are your thoughts? Thanks


BubbleButtBuff

I'm sorry but I don't have this type of information 😔


escualpe

No worries, I can't find it either. But thank you for what you're doing to inform the community ;)


Gorilla-Jiu-Jitsu

I had my first AZ shot 3 days ago, didn’t feel sick or anything, does it mean I’ll get immunity when I get my 2nd shot?


BubbleButtBuff

You'll still be building up a strong immune response after your first and 2nd doses. See my response higher in this post where I linked a good abc article.


Jexp_t

Probably beyond your knowledge (or anyone's knowledge, for that matter) but do you have n expectation of when Moderna may be available?


BubbleButtBuff

Yep answered above


HodgePK

How come you are still able to transmit the disease being immumized, is that the case with all/most vaccinations? I always thought immunisation was producing antibodies to fight the disease and get rid of the disease altogether from your body, not just reducing symptoms?


Chemical_Start_3339

I'm interested to know if there have been the same difficulties developing a coronations vaccine as there were developing an effective RSV vaccine? I guess I'm most worried about getting a lot sicker one day years from now when we have another big outbreak, I had RSV this season and it made me really sick. Is that the sort of thing yearly boosters might help with? I'm sorry if it's a stupid line of questioning, I have bad anxiety about medical procedures and I just don't have enough information to feel confident yet and I want to. My appointment is in two weeks and it's the only thing I can seem to think about at the moment!


Londonloo

Don’t know if this is late - but I had my vaccine a bit over two weeks ago - I had a lump, sore on the spot snd a bit of flakey skin where the vaccine was for almost a week and a half after. Was this a mild allergic reaction ?


a1exia_frogs

I was checking my online medicare account and noticed that a doctor from the GP clinic where I got the vaccine administered by an RN charged medicare two line items $34.10 and $31.30 is this normal, or is he scamming the government?


peak-performance-

I will be breastfeeding my newborn by the time I get the Pfizer vaccine. How long until they get the antibodies and does it protect them from covid even after I stop breastfeeding them? How long should I breastfeed them to make sure they are protected? If I suddenly stop will their antibodies run out? How much milk until they’ve had a full dose?


JGeoKill

https://www.medrxiv.org/content/10.1101/2021.08.24.21262415v1 New studies coming out all the time pharmacy dick. This one is out of Israel, kind of throws your vaccine under the bus.


JGeoKill

And here is another https://www.cdc.gov/mmwr/volumes/70/wr/mm7031e2.htm


lappydappydoda

I’m curious to know how many people have died from the Covid vaccines (pfizer & AZ) VS. Covid deaths in Australia?


timbro2000

Over 450 people died shortly after the jab but only 7 are proven to be vaccine related. Australian numbers.


PassingTime82

Would be good if the site broke down leading cause of death for those 400+ for the antivaxers given how many would be things that cannot even be considered a cover up, like car accidents.


lappydappydoda

Would love to see that data if you have it!


blanket_terror

https://www.tga.gov.au/periodic/covid-19-vaccine-weekly-safety-report-26-08-2021 Need to emphasize that you have to read the whole sentence following and not just the first bit. There have been 476 reports of possible deaths related to AZ, all are reviewed, only 7 were actually found to be vaccine related. Australia's medical bodies are trustworthy, transparent, cautious and capable of telling the government to fuck off if there's a risk to people. There was a recommendation in Australia to wait for Pfizer to be available if you were below 60, but that was before we had a major delta strain outbreak, while we had almost no covid in the country. At that time the odds of catching covid and being hospitalised or dying were about on par with the risk of an adverse reaction to AZ. Therefore the advice was, don't risk it, wait. Now that delta is established in our most populous state, seeded pretty well in the second most populous, the advice is get any vaccine you can. The risk of being hospitalised/dying from the AZ vaccine is trivial compared to covid. That said Pfizer was just offered to pretty much everyone last week, getting a booking to get it can be tough though.


lappydappydoda

If they weren’t related to the vaccine then why are they listed in the TGA? So confusing.


blanket_terror

Each report is a potential case where the vaccine may have caused death. They're reported to be investigated. They are just saying this is how many they investigated, this is how many they found.


lappydappydoda

Ahh I see! Thanks for clarifying :)


BubbleButtBuff

They're called adverse EVENTS following immunisation and they're all recorded. Let's discuss this really far fetched scenario If you get a vaccine then get hit by a car as you're crossing a road, they make a report about this. Because as ridiculous as it sounds, maybe the vaccine made this person more likely to get hit by cars. How? We don't know so let's investigate. Do we have more reports of people getting hit by cars after getting vaccinated? If so, what's causing this? Are they having hearing loss and not hearing the car? What about tunnel vision or blindness? Maybe they're becoming magnetic! Of course this sounds really silly but this is what goes into an investigation as soon as they start to see a trend or a significant deviation in expectations. This type of reporting is called post marketing surveillance. Its aim is to find out more information about effects of a medicine or vaccine as more and more people use it and we have millions more examples to draw evidence from.


am-not

Its on the TGA website…


timbro2000

I am scared of the mRNA tech. Is there a vaccine available or coming that is old tech? Give it to me with a horse needle


Nobrr

> mRNA tech not OP, medchemist. Can I ask why? mRNA is just an altered piece of RNA that tells your cells how to make a protein, and then to fight that protein. It cannot cause DNA damage, it cannot affect fertility, it cannot do anything beside tell your cells to make a protein for a very small amount of time (couple of days max). Astra is "old tech". Its recombinant.


Emotional-Sun-2884

Yes, novavax, supposed to be 51 million arriving end of this year, early next year.


timbro2000

Yeah I think I can overcome my paranoia enough to try that one. I am on a delicate knife edge of extremely bad health and raging paranoia


GotPassion

Look into Imugene, an Australian company doing mRNA vaccines for some cancers, the safety profiles are excellent. This technology is going to become very utilised across medicine.


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Faith92

You literally are using Facebook posts as evidence.


emz0rmay

Wow, a google drive link and Facebook post, must be legit!


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emz0rmay

Google drive is not Google Scholar. When you say “do your own research”, are you reading peer reviewed articles by credible scholars? Are you running controlled double blind studies?


BubbleButtBuff

When you say do your own research what does that actually entail? Sitting on the toilet and reading Facebook?


-TallTree-

Yeah of course you'll probably survive covid. It's the long term damage it causes i.e scarring to your lungs that will inevitably take a good chunk off your life expectancy bud. It's the height of hypocrisy when " enlightened" folks call others sheep for listening to medical professionals. When they are blindly listening to crackpots on social media and aligning with their confirmation bias 🤣🤣 I know where I'd rather get my information. Do yOuR OwN rESEarCh 🥴


CatCuddlersFromMars

That antivaxxers have an unusual number of "modelling" shots ready for their profiles? And that they're uniquely capable, more so than the rest of the population at providing proper headshots when most people's profile pics are awkward off centre travel pics? Btw some of those rashes are side effects of actual Covid infection posted by Drs on that Figure 1 app.


Nobrr

Ah yes "Dr" Young, arrested and jailed and stripped of his medical license. I wonder if he can be trusted? https://www.bbc.com/news/magazine-38650739 Find some primary, ie not facebook or private website, sources. The only trend I see is people desperate to go against the grain for no benefit whatsoever.


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blanket_terror

LNP capsids? So that's how they drive their primary vote it all makes sense now!


Percy271

Such compelling evidence


tattisalisations

I’m seeing a trend that you’re not the sharpest tool in the shed.


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puckprospero

Terrible bad faith questions are terrible