PMA and Vaccines: How do people tapering from PMA... - PMRGCAuk

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PMA and Vaccines

Montplo profile image
30 Replies

How do people tapering from PMA stand with regard to Covid vaccines? Are there differences between vaccines in respect of their suitability for pred users?

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Montplo profile image
Montplo
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30 Replies
SnazzyD profile image
SnazzyD

I don’t think there will be a choice! It’s quite a feat just to get the one out for mass vaccination. It isn’t a live vaccine so doesn’t have the usual problem associated with immunocompromised people. Any vaccine stimulates the immune system otherwise they won’t work, so that aspect may or may not trigger yours unfavourably. Many forum users happily have the flu jab and pneumococcal jabs every year. As for technical differences between the different companies’ offerings, I don’t think the public are party to that info yet. There are lots of discussions on this topic which you can find by searching this site with words like “Covid vaccine” or “vaccination”.

remission profile image
remission in reply to SnazzyD

my doctor said as long as it's not a live vaccine you can have it

PMRpro profile image
PMRproAmbassador

No-one knows those sort of details yet, But if you have the flu vaccine - there is likely to be no reason why you shouldn't have the Covid vaccine.

When they say that these vaccines will not be given to immunocompromised patients they don't mean us, they mean patients with HIV/AIDS, after solid organ transplants, cancer and renal patients and with congenital immunoglobulin deficiences. Those are all a very different level of immunosuppression.

Ranchero profile image
Ranchero in reply to PMRpro

True - but I would like to know if the coronavirus uses reverse transcriptase as does HIV. I have searched the literature to no avail.

PMRpro profile image
PMRproAmbassador in reply to Ranchero

dw.com/en/whats-the-science...

"HIV, for instance, has a "reverse transcriptase," which copies the viral genetic material back into the genome. But viruses like the coronavirus or influenza don't have that, says Doherty.

"So, we're not going to copy the genetic material back into the human genome. But quite frankly, if you made a RNA vaccine and you gave it to people and it transmitted to other people, that would be a good thing," he says. "But I don't see why it should happen anyway." "

Is that what you mean?

HeronNS profile image
HeronNS in reply to Ranchero

There are several different types of vaccines in the pipeline. I think we are sensible to be wary of the RNA oone as it's new and never been used in humans before. On the other hand we have to trust that no health authority is going to unleash any vaccine on the public without thoroughy studying the data and determining it is safe. No company will want to be responsible for any kind of vaccine-related disaster. I personally will be watching from afar the results of vaccines given to vulnerable populations in other countries while I await my turn in Canada. No haste!

PMRpro profile image
PMRproAmbassador in reply to HeronNS

It has - mRNA vaccines are at advanced stages of clinical trials for HIV.

HeronNS profile image
HeronNS in reply to PMRpro

Same thing then, "advanced clinical trials". Considering the UK only just approved the new vaccine, and other countries haven't yet although working on it, it seems pretty much the same to me.

HeronNS profile image
HeronNS in reply to HeronNS

Don't seem to be able to "edit" today. I guess in many ways the first wave ot vaccination is part of the testing although no one really wants to admit it. I am rather glad I am not over 80 and living in a nursing home just waiting to be a guinea pig. But give me a few months of observation and nothing untoward emerging, I'll be first in line for vaccination. Kind of hope the Canadian one in stage three trials makes it and gets the green light. "Virus-like particles" another experimental type I think?

PMRpro profile image
PMRproAmbassador in reply to HeronNS

It is to be hoped everyone else doesn't do the same ...

HeronNS profile image
HeronNS in reply to PMRpro

i don't think there will be many people in old folks homes passing up the chance to be able to have visitors again, and if said visitors also have to be vaccinated, most of them will be. Thankfully no one in our family is in such a situation. Sorry if that sounds callous. On the other hand I'm not sure I understand why governments are falling over themselves trying to get the least convenient, possibly most expensive version of vaccine rolled out.

PMRpro profile image
PMRproAmbassador in reply to HeronNS

Because it is the first to complete approval, it is in Europe and the Moderna one is already under contract to the USA in vast amounts.

HeronNS profile image
HeronNS in reply to PMRpro

They won the race. It will also be a boon to manufacturers of the special refrigerators, and pretty much useless in huge swathes of the world. Do we know if it's going to turn out to be the best one? I know everyone wants a vaccine yesterday but this scramble is actually making me a bit nervous. I'd rather wait and see how the other types measure up. The mess with the Oxford one where (serendipitously it turns out) the wrong dose was given to some of the trial subjects is concerning. At that level there should have been no mistakes. But perhaps the hand of fate dealt a good hand there?

fmkkm profile image
fmkkm

Hi all, I have read some and am by no means an expert. My understanding is the first vaccines out are mRNA and will work by entering your cell and using your genetic material to make a covid protein. After that it is released then an antibody is created using the hosts immune system. I believe this science is relatively new. I would appreciate any input as this is advanced and different then I expected from a vaccine.

HeronNS profile image
HeronNS in reply to fmkkm

That is sure what it sounds like. modernatx.com/mrna-technolo...

fmkkm profile image
fmkkm in reply to HeronNS

Hi Heron, I just read a NYT article and that is how they described the Pfizer vaccine. RNA is introduced and our cells produce the covid protein and then the antibody against it. Sounds a lot like an autoimmune disease to me.

PMRpro profile image
PMRproAmbassador in reply to fmkkm

That's what long Covid probably is. There must be a possibility that this could be the basis for a way of treating a/i disease. It is in use for cancer therapies.

fmkkm profile image
fmkkm in reply to PMRpro

Is long Covid when people don’t recover? Is this an autoimmune condition? Interesting!

PMRpro profile image
PMRproAmbassador in reply to fmkkm

There is no proof it is autoimmune but a lot of doctors are beginning to think it could be an autoimmune vasculitis of some sort that parallels CFS. One of the positives to come out of long Covid is a lot more empathy for people with the fatigue of a/i disease!

HeronNS profile image
HeronNS in reply to PMRpro

Saw this and thought it interesting. cbc.ca/news/canada/sudbury/...

PMRpro profile image
PMRproAmbassador in reply to HeronNS

Sounds like PMR!!

HeronNS profile image
HeronNS in reply to PMRpro

I don't know. That brain issue where the patient for months felt disconnected from her body. That sounds more like the short-lived sensation I'd get when I bumped my head as a child, not the sort of "what word am I looking for" sensation of addled PMR sufferer.

Ssratha profile image
Ssratha in reply to HeronNS

Is that why I can't find words? I thought it was my ahe

Is this a side effect of prendisolone or PMR?

PMRpro profile image
PMRproAmbassador in reply to HeronNS

Cerebral vasculitis - not necessarily due to giant cells - could cause that. And extension of brain fog - many patients have cognitive problems.

fmkkm profile image
fmkkm in reply to HeronNS

Thanks Heron

Mikb profile image
Mikb in reply to HeronNS

I have a friend that got covid in March and she struggles with walking and fatigue. Thank you for the link to that article. I have forwarded it to her.

Ssratha profile image
Ssratha

Great question and something to think about. Im sure they havent thought it all through to that Point yet.

Susan1705 profile image
Susan1705

Spoke to my rheumatologist on Saturday and asked about vaccine, she said they will to decide which is suitable for those on steroids and so will not be in the first waves, they have been tested on elderly people and so can start vaccinating now

nickm001 profile image
nickm001

Here is the link to an article that describes what to look for in Covid-19 vaccine first trails written in plain language by Alan McGreevy, Instructor in Biology, University of Winnipeg. It may answer some of the questions posted here

alternet.org/2020/12/19-vac...

Chewy21 profile image
Chewy21

I read a while back on the BBC news website that there was a trial going on for people who couldn't have the vaccine which was injecting people with anti bodies directly into the muscle. They are hoping it will give instant protection but may only last a year, it would only be available to people with conditions that cannot have the vaccine because it would cost more.

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