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> Also, immunocompromised people often can't take vaccines. Nope. Immunocompromised people need extra doses of the vaccine, and even then it doesn't work as we

> Also, immunocompromised people often can't take vaccines. Nope. Immunocompromised people need extra doses of the vaccine, and even then it doesn't work as well. This is one of those false talking points that antivaxxers love to spread.

Msw242 5y ago
With over 300mm Americans, there is no one treatment plan for the entire country. Not every physician is recommending every single one of their patients get this or any other vaccine. There are public policy implications for serving those people.
mlyle 5y ago
It's just conflating/confused: * Immunocompromised people have poor efficacy with the vaccine even with boosters, like my dad who has SLL. * Other people who have autoimmune and inflammatory conditions are often immunocompromised (because of taking low dose chemotherapy, etc, to manage their conditions). Also, recommending a vaccine for these people is complicated, because vaccines can kick up immune and inflammatory responses and make their conditions worse. Most are still better off with the vaccine but I can understand both providers and patients being hesitant.
- CydeWeys 5y ago
  In all these cases, though, the immunocompromised person who is not greatly benefiting from the vaccine is at much greater risk of dying from COVID. The sane response for them is to be very very careful about any potential exposure, NOT to get exempted from the vaccine requirement and then go do insanely risky face-to-face activities that otherwise would have a vaccine mandate. My friend is immunocompromised from chemotherapy, has had (I believe) at least 4 COVID shots by now, and just had to go to the hospital for monoclonal antibodies after catching COVID. Not getting vaccinated, then getting a vaccine waiver instead of the vaccine, then going and doing in-person stuff that would've otherwise required the vaccine would've been practically suicidal for her.
  - mlyle 5y ago
    > In all these cases, In the second case, the person choosing the vaccine has a high risk of, say, a debilitating RA flareup and an uncertain amount of protection given their immunocompromised status. I can totally understand why some in this position choose not to. They probably should, but this is not as clear-cut of a decision as for those of us with normal immune capability. No one knows the exact efficacy they can expect nor the amount of risk of side effect they are shouldering. > NOT to get exempted from the vaccine requirement and then go do insanely risky face-to-face activities that otherwise would have a vaccine mandate. Yah, I don't think anyone advocated for quite that-- just some middle ground where they can choose to assume some risk. A lot of us hoped that perhaps population immunity could do the work of shielding these people, but it looks like that ship has sailed.
    - johnisgood 5y ago
      > because vaccines can kick up immune and inflammatory responses and make their conditions worse This is what I am really worried about. If my immune system is poked even so slightly, I get symptoms although not as bad as I imagine I would get after the vaccines. I already have mobility issues. I do not want to be wheelchair-bound, even though that is a very likely outcome anyways.
johnisgood 5y ago
Being immunocompromised is a contraindication around here. That said, only as so far as you are, for example you are on a corticosteroid therapy.

Msw242 5y ago

With over 300mm Americans, there is no one treatment plan for the entire country. Not every physician is recommending every single one of their patients get this or any other vaccine. There are public policy implications for serving those people.

mlyle 5y ago

It's just conflating/confused: * Immunocompromised people have poor efficacy with the vaccine even with boosters, like my dad who has SLL. * Other people who have autoimmune and inflammatory conditions are often immunocompromised (because of taking low dose chemotherapy, etc, to manage their conditions). Also, recommending a vaccine for these people is complicated, because vaccines can kick up immune and inflammatory responses and make their conditions worse. Most are still better off with the vaccine but I can understand both providers and patients being hesitant.

CydeWeys 5y ago
In all these cases, though, the immunocompromised person who is not greatly benefiting from the vaccine is at much greater risk of dying from COVID. The sane response for them is to be very very careful about any potential exposure, NOT to get exempted from the vaccine requirement and then go do insanely risky face-to-face activities that otherwise would have a vaccine mandate. My friend is immunocompromised from chemotherapy, has had (I believe) at least 4 COVID shots by now, and just had to go to the hospital for monoclonal antibodies after catching COVID. Not getting vaccinated, then getting a vaccine waiver instead of the vaccine, then going and doing in-person stuff that would've otherwise required the vaccine would've been practically suicidal for her.
- mlyle 5y ago
  > In all these cases, In the second case, the person choosing the vaccine has a high risk of, say, a debilitating RA flareup and an uncertain amount of protection given their immunocompromised status. I can totally understand why some in this position choose not to. They probably should, but this is not as clear-cut of a decision as for those of us with normal immune capability. No one knows the exact efficacy they can expect nor the amount of risk of side effect they are shouldering. > NOT to get exempted from the vaccine requirement and then go do insanely risky face-to-face activities that otherwise would have a vaccine mandate. Yah, I don't think anyone advocated for quite that-- just some middle ground where they can choose to assume some risk. A lot of us hoped that perhaps population immunity could do the work of shielding these people, but it looks like that ship has sailed.
  - johnisgood 5y ago
    > because vaccines can kick up immune and inflammatory responses and make their conditions worse This is what I am really worried about. If my immune system is poked even so slightly, I get symptoms although not as bad as I imagine I would get after the vaccines. I already have mobility issues. I do not want to be wheelchair-bound, even though that is a very likely outcome anyways.

johnisgood 5y ago

Being immunocompromised is a contraindication around here. That said, only as so far as you are, for example you are on a corticosteroid therapy.