Fourth Covid Vaccination

[RosalindLorna]

I received my fourth Covid Jab yesterday- Moderna which resulted in Severe Nausea & Vomiting, Chills & slightly raised temperature 37.9 C . Sore arm as expected.

My previous 3 Jabs were Pfizer with minimal reaction.

Is it safe to continue my regular immunosuppressants ?

Mycophenolate 750mgs mane 500mgs nocte

Prednisolone 5mgs OD.

I’m concerned the efficacy of theJab will be reduced.

How long, if recommended, can I omit the above medication or will I be at risk of a “flare” up of my Autoimmune Hepatitis?

I await your response.

Thank you for your advice

Rosalind de Vick

[AyrshireK]

No one on the AIH Support Group Facebook page has mentioned having to come off their immune suppressants at any point during the covid vaccine programme. The very reason you have had a 4th dose is to boost the efficacy of your vaccine in response to you being on that medication.

The fact you've had a reaction means your body is responding to the vaccine so actually it's a good thing that you are getting some of these effects - fingers crossed they won't last you too long and you'll be back to normal a.s.a.p.

Katie

[RosalindLorna in reply to AyrshireK]

Thank you for your advice.Do you suffer with Autoimmune Hepatitis yourself?

If so I wish you well & Happy New Year

[AyrshireK in reply to RosalindLorna]

I don't but my hubby has cirrhosis due to now burned out AIH.

Many thanks for your best wishes, I hope 2022 is good to you too.

Katie

[RosalindLorna in reply to AyrshireK]

Sorry to bother you again Katie , what is “burnt out “Autoimmune Hepatitis? Meds stopped working?

How long has your husband had AIH ?

I’m 75 and diagnosed in 2018 with no previous symptoms. Blood Test revealed raised ALT levels Diagnosis confirmed by Liver Biopsy

I still worked as a staff nurse until first Lockdown !

I get very anxious being a nurse.

A little knowledge is a “dangerous “ thing !!

Sorry to bother you again

Regards Rosalind

[AyrshireK in reply to RosalindLorna]

He has an unusual presentation in that he had advanced cirrhosis before we even knew he had anything going on - never had any earlier symptoms, no ID of AIH at any point and very rarely saw a doctor. By the time his cirrhosis was identified he was decompensated and very poorly with deranged blood results. Two biopsies showed no ongoing liver inflammation but all antibodies proved his illness was auto immune related. His diagnosis is auto immune cirrhosis but with no ongoing inflammation and it's been labelled burned out auto immune hepatatis. He takes 5mg of pred to keep any quiet inflammation in check but isn't on an immune suppressant.

Katie

[RosalindLorna in reply to AyrshireK]

KatieThank you for your information.I wish your husband well.

Regards

Ros

[Positive001]

Hi RL. Have you reported your side effects on the relevent site?Hope you soon feel better.

All the best for 2022

Laura

[Hidden]

Hi Rosalind,

Please do discuss any potential side effects with your own doctors as soon as possible, also we would suggest to only get advice about your immunosuppressant medication from your own medical team who know you and can safely advise.

Best wishes,

[ANU64]

Hi RosalindLorna,I have had AIH since March.I have had 3 pfizer jags and only last Monday 27th Dec got my pfizer booster.Luckily my only side effects were tiredness and a sore arm.I slept beside my husband when he had covid as we were told you are infectious up to 72 hours before you get symptoms. So if I was going to get Covid I think it would probably have been then. I never stopped any of my tablets .I take 2 Azathioprine a day and I am still on 5mg of prednisolone.Hope this helps you a wee bit. Xx