tetanus booster and Covid vaccine

[Mozart150]

Hello I had a tetanus booster yesterday and I asked my GP if it was ok to get Covid vaccine next Thursday. He said he didn’t know and to check with primary care. When I saw the nurse she said it’s fine as both are inactivated. Does anyone know about this ? I tried finding out but haven’t managed to get through to primary care yet Thank you

[Jillyanne]

have you tried your Rhuemy nurse? I’m know they are difficult to get hold of or try 111 for advice

[Mozart150 in reply to Jillyanne]

Thanks -seeing her Monday -they never seem to want to get involved re vaccines but we’ll see xx

[junemac]

had both together. No problem

[oldtimer2]

I've copied below the advice from the 'Green Book' which is the advice guide for the UK for vaccines. It's online so you can always use it yourself. I find it's always best to look things up myself, rather than rely on people whose memory may be about as good as mine (not always reliable). Inactivated vaccines can be given at any interval!

"Doses of different inactivated vaccines can be administered at any time before, after, or at

the same time as each other. Doses of inactivated vaccines can also be given at any interval

before, after, or at the same time as a live vaccine and vice versa.

A minimum four-week interval is normally recommended between successive doses of the

same vaccine - for example between each of the three doses of DTaP-containing vaccine in

the primary schedule. A better response is made to some vaccines (e.g. PCV) when an

eight-week interval is observed between infant doses. Although shorter intervals may be

advised to achieve more rapid protection, e.g. for travel or during an outbreak, this may

lead to a lower immune response, particularly in infants, and may therefore provide less

durable protection. If one of the infant primary immunisation DTaP-containing vaccine

doses is inadvertently or deliberately given up to a week early (e.g. for travel) however, the

impact on the final response is minimal. If more than one dose in the three-dose schedule

is given early, or one of the doses is given at less than a three week interval, then that dose

should be repeated at least four weeks after the final dose. Where infant doses of PCV or

MenB are inadvertently given at an interval of less than eight weeks, an additional dose

should be administered four weeks after the second dose to ensure adequate protection

whilst still at a vulnerable age.

For other multiple dose schedules with inactivated vaccines e.g. HPV and hepatitis B, giving

subsequent doses at a slightly shorter than the recommended interval is unlikely to be

highly detrimental to the overall immune response. However, early vaccination should be

avoided unless necessary to ensure rapid protection or to improve compliance, and

additional doses may be recommended to ensure longer term protection.

[Mozart150 in reply to oldtimer2]

Thank you so much OldTimer2 for this detailed advice ! The nurse at GP surgery said the same about it didn’t matter when you have inactivated vaccines. Still not sure whether to get Covid vaccine done this week (week after Tetanus booster and 2 weeks after flu jab). I don’t really want to put it off as Covid ‘s about and if it clinically doesn’t matter-I probably will have it. Thanks again for the info !

[Stills in reply to oldtimer2]

May I ask how to find the green book online please?

[bpeal1 in reply to Stills]

gov.uk/government/collectio...

[Stills in reply to bpeal1]

Many thanks

[Mozart150 in reply to oldtimer2]

Hi oldtimer 2 -I tried to find the bit you had copied and pasted in the green book -but couldn’t find it 😂 Are you able to let me know what chapter it was from please ?

[oldtimer2]

Chapter 11 as far as my notes go.

[Mozart150 in reply to oldtimer2]

Thank you ! You were right chapter 11. I saw the rheumy nurse today and she said it was ok to get the Covid vaccine this week but wanted to read it myself ! Thanks so much for your help !