COVID Vaccination Information for Patients

• Some diseases (including rheumatoid arthritis) are caused by the body’s immune system, which usually protects us from infection. When the immune system is affected by arthritis or medicines to treat the condition, the risk from COVID-19 may be increased.
• If you get vaccinated, you will be less likely to get COVID-19. Even if you do get COVID-19 when vaccinated, it is more likely to be a milder illness. 

There are currently 3 COVID-19 vaccines available for use in Australia.

1. Comirnaty (Pfizer)
2. Spikevax (Moderna)
3. Nuvaxovid (Novavax)

As of 20 November 2023, the TGA has approved the use of the following monovalent Omicron XBB.1.5 vaccine for use as primary and additional doses:

• Pfizer monovalent Omicron XBB.1.5 vaccine 5-<12 years formulation
• Pfizer monovalent Omicron XBB.1.5 vaccine ≥12 years formulation
• Moderna monovalent Omicron XBB.1.5 vaccine, registered for use in people aged ≥12 years. 

The Pfizer and Moderna monovalent Omicron XBB.1.5 vaccines are now the recommended vaccine for use in Australia in those aged 5 years or older.

For more information on vaccines used in Australia, visit: https://www.health.gov.au/our-work/covid-19-vaccines/our-vaccines/how-they-work#covid19-vaccines-in-australia

The number of vaccinations and booster doses you need depends on your age and whether you have a medical condition that increases the risk of severe COVID-19 illness.

This ATAGI poster of recommended COVID-19 vaccines outlines the doses recommended for each age and population group. https://www.health.gov.au/sites/default/files/2023-11/atagi-recommended-covid-19-vaccine-doses.pdf

This ATAGI recommendations outlines the use of a 3^rd primary dose of vaccine in individuals that are severely immunocompromised: https://www.health.gov.au/news/atagi-statement-on-the-use-of-a-3rd-primary-dose-of-covid-19-vaccine-in-individuals-who-are-severely-immunocompromised?language=en

• If you are >18 years and are at risk of severe COVID-19 illness, it is recommended to have at least one booster in 2023.

• If you are > 75 years and it has been > 6 months since your last dose, you should have a booster, even if you have already had one in 2023.
• If you are >65 years and have severe immunocompromise, speak to your rheumatologist or doctor if you should get an additional booster.

• Some people may qualify to receive a vaccination earlier than the recommended 6-month interval. For more information on who should receive an additional dose of COVID-19 vaccine see the ATAGI recommendation: ATAGI Update on the COVID-19 Vaccination Program | Australian Government Department of Health and Aged Care

• Some people who are taking medicines that suppress the immune system may be given advice to continue avoiding exposure to COVID-19 after they have had the vaccine. This is because their medications could mean their immune system doesn't respond as strongly to the vaccine as people who don't take these drugs.
• This does not mean you should stop your treatment, because this can result in a flare of your condition which puts you at greater risk from COVID-19.
• The timing and dosing of some medicines may also need to be individualised, if you are unsure, please speak to your treating rheumatologist for advice.

Yes, the COVID-19 vaccine and the influenza (flu) vaccine can be safely given at the same time.

You do not need to delay your flu vaccine, in fact the COVID-19 vaccine does not protect against the flu, so it is important to still have your annual flu vaccine.

Yes, people who have had COVID-19 should still be vaccinated with a COVID-19 vaccine. This provides extra protection against future infections. Wait for 6 months after COVID infection or previous dose of COVID vaccine before receiving a COVID-19 vaccine booster dose.

• Australian Government COVID vaccine fact checker: https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/is-it-true
• Information about booster vaccinations and how to book a vaccination appointment:  https://www.health.gov.au/resources/publications/stay-protected-with-a-covid-19-booster?language=en
• Information about getting your COVID-19 vaccination: https://www.health.gov.au/our-work/covid-19-vaccines/getting-your-vaccination?language=en
• Additional COVID-19 resources for the general public (includes translated resources): https://www.health.gov.au/resources/collections/novel-coronavirus-2019-ncov-resources?language=und
• National Coronavirus Health Information Line 1800 020 080, operates 24 hours, 7 days a week. If translation or interpreting services are needed, call 131 450.