Everything surrounding AstraZeneca’s coronavirus vaccine has been surrounded by much, much noise. One of the recommendations by the Ministry of Health about the drug was the intake of a dose of one gram of paracetamol before the injection to mitigate the possible mild side effects it caused, but family medicine professionals have just rejected it categorically.
The Spanish Society of Family and Community Medicine (semFYC) in which it highlights 13 practices that should not be done in vaccination. It is a consultation document that aims to serve as a reference for health center professionals in vaccination plans, which will be key especially .
One of these recommendations, and perhaps the most striking, is the one that calls for “not systematically administering paracetamol to prevent possible side effects of vaccines against covid-19.” Although the document speaks in a generic way, the focus points to the doses of AstraZeneca, which have generated these mild side effects such as headaches, local pain, fever or fatigue more generally and with greater intensity.
Referring to a document in The Lancet, the Ministry of Health reported that, preventively, one gram of paracetamol could be administered before the injection and then one gram every six hours for the following 24 hours. The goal was to alleviate these symptoms, but the semFYC denies the need to do so.
Currently, in the Ministry of Health, it is limited to explaining that “headache, malaise, low-grade fever, myalgia, as well as nausea and vomiting, are common after vaccination, and can be treated with paracetamol.”
Along with the recommendation not to take paracetamol, the semFYC has developed another 12 refusals that affect various aspects of vaccination plans that professionals must take into account. Are these:
-Do not exchange the different vaccines against covid-19 to complete the vaccination schedule.
-Do not stop vaccinating if mild post-vaccinal reactions occur.
-Do not stop vaccinating in cases of mild acute illnesses with or without fever or in people taking antibiotics.
-Not restarting the vaccination schedule (that is, giving the first dose again) because more time has passed than it should between the first and second doses.
-Do not administer the vaccine to people in close contact with covid-19 positives, with symptoms of covid-19 or with covid-19 until they finish quarantine.
-Do not systematically request serology before and after vaccination.
-You cannot reject a type of vaccine (you cannot choose which vaccine you want to vaccinate a patient with).
-Do not fail to comply with the protection and safety measures even if you are vaccinated.
-Do not administer vaccines against covid-19 before seven days after receiving another vaccine.
-Do not stop vaccinating patients with cancer or immunosuppression due to lack of information.
-Do not stop getting vaccinated because you have had the disease.
-Do not systematically advise against the vaccine in case of food or drug allergies.
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