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COVID-19 Vaccine information for Parents/Carers of Children and Adolescents aged over 12yrs with a bleeding disorder

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COVID-19 Vaccine information for Parents/Carers of Children and Adolescents aged over 12yrs with a bleeding disorder, attending at Children’s Health Ireland (CHI).

The National Immunisation Advisory Committee(NIAC) have recommended that all those aged 12 to 15yrs should be included in the Covid-19 vaccination program and that they should be offered an mRNA vaccine. The names of the two available mRNA vaccines are Pfizer/BioNTech COVID-19 vaccine(Comirnaty®) and COVID-19 Vaccine Moderna (Spikevax®). For patients with bleeding disorders one vaccine is not recommended over another. These vaccines can only be given via intra-muscular route.

A bleeding disorder is not known to cause an increased or decreased risk of COVID-19 infection and is neither an indication or a contraindication for vaccination.

Advice on administration of the COVID-19 vaccine by intra-muscular (IM) injection for people with bleeding disorders.

All patients with a known bleeding disorder are advised to:
- Apply pressure to the IM injection site for 10 minutes after the injection without rubbing the area
- Keep the injection site and limb under observation for signs of bleeding, bruising or an intramuscular bleed for 48 hours following vaccination
- Contact the Haemophilia/Bleeding Disorder Comprehensive Care Centre if concerned about bruising or bleeding following vaccination

In addition, patients are advised:

DiagnosisAdvice
Mild/moderate bleeding disorderNo additional haemostatic cover required pre IM injection
Severe bleeding disorder established on maintenance dose Emicizumab (Hemlibra) prophylaxisNo additional haemostatic cover required pre IM injection
Severe bleeding disorder established on coagulation factor concentrate prophylaxisAdminister factor prophylaxis on the day of vaccination

Idiopathic Thrombocytopenia (ITP) with platelet count <50

Contact your treatment centre for advice prior to vaccination

***This advice only applies to patients with bleeding disorders registered at the Children’s Coagulation Centre, Children’s Health Ireland at Crumlin.