COVID-19 Vaccinations: FAQs for Health and Social Care Staff
Last updated 08/04/2021
Astra Zeneca update
The Joint Committee for Vaccination and Immunisation states “JCVI has weighed the relative balance of benefits and risks and advise that the benefits of prompt vaccination with the AstraZeneca COVID-19 vaccine far outweigh the risk of adverse events for individuals 30 years of age and over and those who have underlying health conditions which put them at higher risk of severe COVID-19 disease.
JCVI currently advises that it is preferable for adults aged under 30 years without underlying health conditions that put them at higher risk of severe COVID-19 disease, to be offered an alternative COVID-19 vaccine, if available. People may make an informed choice to receive the AstraZeneca COVID-19 vaccine to receive earlier protection.”
Information is available on the benefits and risks of the COVID-19 vaccination in relation to blood clotting: https://www.gov.uk/government/publications/covid-19-vaccination-and-blood-clotting
Second dose reminders
We are reminding people to come forward for their second dose of the vaccine when they are contacted or if they have an appointment booked.
People who received their first dose in a hospital hub or through a GP service will be contacted to receive their second dose, if they haven’t already. You do not need to contact the NHS.
People who booked their appointments through the national booking service (online at www.nhs.uk/covidvaccine or by ringing 119) will have booked both their first and second appointments at the same time.
People who rang 119 will have been given details of their second appointment over the phone.
People who booked online can remind themselves of the place and time of their second dose using the ‘manage my appointments’ section on www.nhs.uk/covid-vaccination.
I have heard that some countries have withdrawn the Astra Zeneca due to concerns about blood clots. Should I still have my vaccine?
Geraint Davies, Strategic Vaccination Lead for Bedfordshire, Luton and Milton Keynes said:
“Some of our residents have received letters informing them that their second vaccination has been rescheduled.
We want to give our residents assurance that they will receive the second dose of their vaccination within the recommended 11-week period.
Some residents were booked in to receive their second dose slightly earlier than 11 weeks, so that we could maximise our workforce and vaccinate as many of our residents as possible. With vaccine supplies now being constrained for the next four weeks, we have amended some appointments so that residents will be vaccinated within the 11-week window.
This will allow us to schedule in second doses and continue to deliver first vaccinations to people in the first 9 cohorts.”
If you are concerned about taking the Covid vaccine during Ramadan, please click on the link below to hear the British Islamic Medical Association talking about the myths in various languages.
To hear from some of our local GPs in English and Urdu please click here
Dr Phil Bryan, MHRA Vaccines Safety Lead said,
“Vaccine safety is of paramount importance and we continually monitor the safety of vaccines to ensure that the benefits outweigh any potential risks.
It has not been confirmed that the report of a blood clot, in Denmark, was caused by the COVID-19 Vaccine AstraZeneca.
The Danish, Norwegian and Icelandic authorities’ action to temporarily suspend use of the vaccine is precautionary whilst they investigate.
Blood clots can occur naturally and are not uncommon. More than 11 million doses of the COVID-19 Vaccine AstraZeneca vaccine have now been administered across the UK.
Reports of blood clots received so far are not greater than the number that would have occurred naturally in the vaccinated population.
The safety of the public will always come first. We are keeping this issue under close review but available evidence does not confirm that the vaccine is the cause.
People should still go and get their COVID-19 vaccine when asked to do so.”
Text Messaging from the NHS
The NHS nationally is sending text messages to some people to invite them to book a vaccine appointment.
You can trust your text message is genuine if it comes from ‘NHSvaccine’, includes a link to the NHS.uk website and gives you the option of phoning 119.
FAQs regarding text messaging from the NHS can be found here.
I need to cancel my appointment.
It is vital that every vaccination is completed and all appointments are used. If you need to cancel or change your appointment please do so as early as possible so that it can be offered to someone else.
To change your appointment, please use the original method for booking it. If you booked on the national web booking service log in again, cancel and rebook. If there is not an appointment immediately available, please keep trying. If you booked by calling 119, call them back and they will help you cancel and rebook. If your appointment was through your GP Practice, please call them. They can then use your appointment for somebody else.
It is important that no appointments are wasted.
Second Dose Vaccinations
As we start to move towards an increased schedule of second vaccinations it is important to remember that you must go back to the centre where you received your original vaccine. Always take your ID and the card you were given when you received your first vaccine. This details which vaccine you received so that vaccinators can be sure you are receiving the correct second dose.
I am not registered with a GP practice – how can I book my vaccine?
If you are eligible for the vaccine (currently priority groups 1-6) you can call 119 – a manual record will be completed so that you can access the vaccine (calls to 119 are free of charge, call anytime between 7am and 11pm seven days a week).
You can also register with a GP practice. You will then receive a letter inviting you to book your vaccination. Details of how to do this can be found here: https://www.nhs.uk/nhs-services/gps/how-to-register-with-a-gp-surgery/
Why it’s important to get your COVID-19 vaccination
If you’re a frontline worker in the NHS or social care, you are more likely to be exposed to COVID-19 at work. Health care workers and those working in social care (particularly in care homes) are at much higher risk of repeated exposure to the infection.
Catching COVID-19 can be serious and may lead to long term complications. These are more common in older staff or those with underlying clinical risk factors.
You can have COVID-19 without any symptoms and pass it on to family, friends and residents, many of whom may be at increased risk from coronavirus. Being healthy doesn’t reduce your risk of catching COVID-19 or passing it on.
With high rates of COVID-19, it’s more important than ever to help stop the spread of coronavirus, to avoid pressure on the NHS and to keep the health and social care workforce healthy.
Will the vaccine protect you?
The COVID-19 vaccination will reduce the chance of you suffering from COVID-19 disease. Like all medicines, no vaccine is completely effective and it may take a week or two for your body to build up some protection from the first dose of vaccine. Some people may still get COVID-19 despite having a vaccination, but this should lessen the severity of any infection.
The vaccine has been shown to be effective and no safety concerns were seen in studies of more than 20,000 people.
Will the vaccine protect those you care for?
The evidence on whether COVID-19 vaccination reduces the chance of you passing on the virus is less clear. Most vaccines reduce the overall risk of infection, but some vaccinated people may get mild or asymptomatic infection and therefore be able to pass the virus on.
It is highly likely that any infection in a vaccinated person will be less severe and that viral shedding will be shortened. We therefore expect that vaccinated health and care staff will be less likely to pass infection to their friends and family and to the vulnerable people that they care for.
Like all medicines, vaccines can cause side effects. Most of these are mild and short-term, and not everyone gets them. Even if you do have symptoms after the first dose, you still need to have the second dose. Although you may get some protection from the first dose, having the second dose will give you the best protection against the virus.
Very common side effects include:
- having a painful, heavy feeling and tenderness in the arm where you had your injection. This tends to be worst around 1-2 days after the vaccine
- feeling tired
- general aches, or mild flu like symptoms
Although feeling feverish is not uncommon for 2 to 3 days, a high temperature is unusual and may indicate you have COVID-19 or another infection.
You can take the normal dose of paracetamol (follow the advice in the packaging) and rest to help you feel better. Do not exceed the normal dose.
These symptoms normally last less than a week. If your symptoms seem to get worse or if you are concerned, call NHS 111. If you do seek advice from a doctor or nurse, make sure you tell them about your vaccination (show them the vaccination card) so that they can assess you properly.
You can also report suspected side effects of vaccines and medicines online through the Yellow Card scheme or by downloading the Yellow Card app.
I am a social worker/dentist/optometrist/pharmacist/care worker how do I get my vaccination?
Local networks are being asked to supply lists of staff working in primary care healthcare services, including local authorities, NHS, private and independent providers of services. This information will then be used to match people with the nearest hospital hubs in the East of England.
We are sorry to advise that BLMK CCGs are not able to decide which staff groups or individuals receive their vaccinations over others at this current time and are not responsible for gathering health and social care staff lists as this is being coordinated nationally.
Those who cannot have the vaccine
The vaccines do not contain living organisms, and so are safe for people with disorders of the immune system. These people may not respond so well to the vaccine. A very small number of people who are at risk of COVID-19 cannot have the vaccine – this includes people who have severe allergies.
Pregnant or think you may be
Like all new medicines, the vaccines have not yet been tested in pregnant women. So, we advise that most low risk women should wait until their pregnancy is completed before they are vaccinated. Please speak to your employer about other ways to reduce your risk of COVID-19.
Most women who catch COVID-19 during pregnancy do not suffer a more serious outcome than non-pregnant women and will go on to deliver a healthy baby. As more safety data on the vaccine becomes available, this advice may change. If you are pregnant but believe you are at high risk, you may wish to discuss having the vaccine now with your doctor or nurse.
If you find out that you are pregnant after you’ve had the vaccine, don’t worry. The vaccines do not contain organisms that multiply in the body, so they cannot cause COVID-19 infection in your unborn baby. As we have done for other vaccines, PHE is establishing a monitoring system to follow up women who are vaccinated in pregnancy. We hope this will provide early reassurance for women as time goes on.
Women of childbearing age, those who are pregnant or breastfeeding, please read the detailed information available on GOV.UK.
Can you go back to work after having the vaccine?
You should be able to work as long as you feel well. If your arm is particularly sore, you may find heavy lifting difficult. If you feel unwell or very tired you should rest and avoid operating machinery or driving.
Can you catch COVID-19 from the vaccine?
You cannot catch COVID-19 from the vaccine but it is possible to have caught COVID-19 and not realise you have the symptoms until after your vaccination appointment. Please continue to have the regular screening tests that your employer arranges.
If you have any of the symptoms of COVID-19, stay at home and arrange to have a test. Further information on symptoms is available on NHS.UK.
What to do next
Plan to attend your second appointment. You should have a record card with your next appointment written on it, for an appointment in 3 to 12 weeks time. It is important to have both doses of the same vaccine to give you the best protection.
Keep your record card safe and make sure you keep your next appointment to get your second dose.
What to do if you are not well for your next appointment
If you are unwell, it is better to wait until recovered to have your vaccine, but you should try to have it as soon as possible. You should not attend a vaccine appointment if you are self-isolating, waiting for a COVID-19 test or unsure if you are fit and well.
After you have had the vaccine will you still need to follow all the infection control advice?
The vaccine cannot give you COVID-19 infection, and 2 doses will reduce your chance of becoming seriously ill. No vaccine is completely effective and it will take a few weeks for your body to build up protection.
So, you will still need to follow the guidance in your workplace, including wearing the correct personal protection equipment and taking part in any screening programmes.
To continue to protect yourself, your residents, your family, friends and colleagues you should follow the general advice at work, at home and when you are out and about:
- practice social distancing
- wear a face mask
- wash your hands carefully and frequently
- follow the current guidance
How COVID-19 is spread
COVID-19 is spread through droplets breathed out from the nose or mouth, particularly when speaking or coughing. It can also be picked up by touching your eyes, nose and mouth after contact with contaminated objects and surfaces.
Do you need the COVID-19 vaccine if you’ve had the flu vaccine?
The flu vaccine does not protect you from COVID-19. As you are eligible for both vaccines you should have them both, but normally separated by at least a week.
Register with a GP
GP practices do not need any proof of identity or immigration status from patients wishing to register. Further information is available on how to register with a GP.
Do the ingredients of the COVID-19 vaccine include animal products or egg?
The approved COVID-19 vaccines do not contain any animal products or egg.
What is the advice if you’re of childbearing age, pregnant or breastfeeding?
There’s no evidence the COVID-19 vaccine is unsafe if you’re pregnant. But more evidence is needed before you can be routinely offered the vaccine.
The JCVI has updated its advice to recommend you may be able to have the vaccine if you’re pregnant and:
- at high risk of getting coronavirus because of where you work
- have a health condition that means you’re at high risk of serious complications of coronavirus
You can have the COVID-19 vaccine if you’re breastfeeding. Speak to a healthcare professional before you have the vaccination. They will discuss the benefits and risks of the COVID-19 vaccine with you. You do not need to avoid pregnancy after vaccination. The vaccine cannot give you or your baby COVID-19. Further information is available from Public Health England.
What is the impact of Covid-19 vaccines on fertility?
The Royal College of Obstetricians and Gynaecologists has said: “ We want to reassure women that there is no evidence to suggest that Covid-19 vaccines will affect fertility. Claims of any effect of Covid-19 vaccination on fertility are speculative and not supported by any data.” Further information and more detail on this can be found on their website.
How can I find my NHS number?
You can find your NHS number using the NHS Number Access Service which is available on the NHS website. It requires users to enter their name, DOB and Post Code to receive a copy of their NHS number. You will then receive your number via text assuming all of your details match those registered.
I am a housebound patient and I’m in the criteria of those currently being vaccinated, how will I get my vaccine?
Residents who are housebound will be contacted by their local GP and invited to make an appointment for a local GP or clinician to visit to administer their Covid vaccination at home. The over 80 year olds are the priority for the BLMK CCGs, in line with JCVI guidance. This is to ensure that our most vulnerable patients are given vaccinations, before progressing to vaccinate our over 70s population.