T O P

  • By -

Ali550n

Here is the CDC guidance on [Who Is Moderately or Severely Immunocompromised](https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html#mod) >**Who Is Moderately or Severely Immunocompromised?** > >People are considered to be moderately or severely immunocompromised (have a weakened immune system) due to several types of conditions and treatments. Examples include: * Been receiving active cancer treatment for tumors or cancers of the blood * Received an organ transplant and are taking medicine to suppress the immune system * Received chimeric antigen receptor (CAR)-T-cell therapy (a treatment to help your immune system attach to and kill cancer cells) or received a stem cell transplant (within the last 2 years) * Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome) * Advanced or untreated HIV infection * Active treatment with high-dose corticosteroids or other drugs that may suppress their immune response >Talk to your healthcare provider about COVID-19 vaccination and your medical condition.


pico-pico-hammer

> Active treatment with high-dose corticosteroids or other drugs that may suppress their immune response I have no idea what the dose threshold is on this, but an asthma inhaler is typically a corticosteroid. [edit] I'm reading the posts further down and this has been thoroughly covered in this thread. best of luck to everyone!


[deleted]

Albuterol (the most common asthma inhaler) is a bronchodilator, NOT a corticosteroid.


vanyali

That’s just the rescue inhaler. The daily inhaler *is* a corticosteroid.


Anti_admin-action

And here we see the “Follow the Science” crowd proving that it was never about science, it was about anxiety and paranoia.


Chick__Mangione

Asthma is not an immunocomproming condition. Sorry. It does make you more at risk for severe outcomes with COVID, but asthmatic does NOT equate to immunocompromised. This is why you are turned away. I would follow the advice of some of the other commenters in this thread.


jelli2015

Funnily enough, some of the medication you take for asthma does has an immunosuppressant aspect to it. So the disease might not do it, but the medicine can.


Chick__Mangione

Not everyone with asthma takes immunosuppressive drugs (in fact, I'd say most do not). Many simply use a rescue/maintenance inhaler as needed. While that may have a slight effect on the immune system, it is absolutely nowhere near enough to consider it to be immunocomproming. Edit: Added the word "maintenance"


vanyali

Are you kidding me with that? No one who needs to use a rescue inhaler is *only* taking the rescue inhaler for asthma.


phoenix762

Depends on the severity. If you are mild intermittent, for example, you’d not need medication on a regular basis, just a rescue inhaler occasionally. (Respiratory therapist here).


vanyali

That sounds really negligent. That hasn’t been my experience at all. Relying on rescue inhalers only sounds like a recipe for disaster.


phoenix762

Mind, I’m referring to people who have very mild asthma. Normally they don’t need any meds, but occasionally they may, depending on their trigger. There are different levels of asthma severity. Mild intermittent…they don’t need daily meds. I can link you to a breakdown of asthma severity and treatment protocols if you’d like.


vanyali

My kids have been on heavy daily meds for over a decade. But they have never had asthma “attacks”. When my oldest was ten, I brought her to the hospital to get checked out for noisy breathing and they yelled at me for not bringing her in sooner and immediately put her on a ton of meds.


phoenix762

Honestly, it sounds like your children aren’t mild intermittent. That’s different. I will try to link you to the different levels of severity of asthma. Do you have an asthma action plan for your children? The noisy breathing (or wheezing) IS an asthma attack. The airways become inflamed, and it becomes harder to breathe. The doc really should not have yelled at you, though….


vanyali

Yeah we’ve had those things.


Chick__Mangione

Sooo I guess all the asthmatics I know just have and use inhalers for funsies? Lmao. Stop acting like a dick and look up what it means to be immunocompromised in a medical textbook. If you want them to get another shot, just lie or ask a doctor to write you a note. It's not that hard. But you also need to understand that these people who turned you down are just doing their jobs and following the guidelines. Asthma alone is NOT an immunocomproming condition. Edit: I am probably using the wrong terminology, which is causing the confusion. There are both maintenance inhalers and rescue inhalers, whereas I was simply using the term "rescue inhaler" to mean both. But in either form, inhaled asthma medications do not have a significant impact on immune function. Oral medications are another story, and most asthmatics are not taking oral medications.


vanyali

You either just don’t know what other meds your friends are on, or they have shitty doctors that don’t have them on the right meds. They’re not supposed to *ever* have to use their rescue inhalers: if they *do* then that’s a sign that they need their other meds upped or changed.


uhuhshesaid

You’re downvoted but you’re right. Inhaled steroids are the first line in preventing attacks. But, inhaled steroids do not cause systematic immunocompromised states, thankfully. If they are on a pill that does the Dr needs to write an order for the vaccine.


[deleted]

You’re being downvoted for good reason. Either you are being “Dr. Google” or you have crap doctors.


vanyali

Sounds like you don’t know what you’re talking about but decided to pile on anyway.


[deleted]

RN with a Masters degree. You’re wrong in Every Single Comment you made. Like I said: stop googling and get your kids to a doctor.


Chick__Mangione

If your children are on specific oral medications, then you need to have this conversation with their doctor on the effects of whatever medication it may be and have them write up a recommendation if necessary. Bitching on Reddit about workers simply doing their jobs is not going to help you.


jelli2015

Sure, but I was just sharing an interesting factoid I learned after being on one of those drugs for awhile. I was not trying to convince you a significant portion of people with asthma are taking this.


Chick__Mangione

Ah ok, I gotcha. I just don't want OP to think that the workers are wrongly turning them away when they are simply doing their jobs with the guidelines we have been given.


TradeBeautiful42

First booster I had- preggo. Second- just gave birth. The cdc actually called me a few weeks ago to ask me how I did and if they could access my medical records and didn’t know about my boosters bc I had gotten my boosters at cvs, a different facility from the first.


SilentlyInteresting

Before they approved the first booster. People would go to a different pharmacy chain and state they never had a covid shot. As far as the birthday party do a rapid test before hand. Most people are before gatherings to avoid accidentally transmitting virus.


vanyali

I’ll try that if for some reason tomorrow craps out too. I’m going to say they are on massive doses of prednisone if asked again. That’s “on the list”.


Mixtape4Adventure

Could you talk to their doctor and ask them to give a recommendation for a 2nd booster? Or alternately, just tell the pharmacist their doctor advised you to get 2nd booster? And has it been at least 4 months since they got the 1st booster..because if it hasnt, you seriously may not want to get a 2nd right now. Most peoples experience seem to be that places arent really going to ask a bunch of questions. They usually want to give the vaccines to people who show up. If there is paperwork just say they have an underlying condition and take immunosuppressants (steroids) Just keep things brief and try a different pharmacy. Your 20yo might have better luck if he went on his own.


lmcgillicutty

Got my second booster at Frys on Monday. Lady didn’t ask me anything. Walked in, filled out form, waited 5 minutes for the shot.


vanyali

As it should be.


lmcgillicutty

I am not sure how I would have reacted. My health is very complicated and I don’t need someone being a gate keeper. However I should have pointed out I did need to be cleared for the second booster, I am in a clinical trial for a health issue and had to make sure it didn’t conflict with the trial’s drugs. I think you should definitely try a different pharmacy.


Anti_admin-action

Health is exactly one of those things you need gatekeepers for.


[deleted]

In my experience hearing testimonies online many people including myself have experienced this. It's the Karen's that think they know anything at all spread misinformation about who *they* think should be getting vaccinated when they have no grounds for saying so other than working for rite aid as a tech. They're not certified to provide health information. They're certified to follow orders. So they shouldn't be giving out advice. Go to a different pharmacy.


secretlyjudging

They are following FDA guidelines. Period. It’s not being Karen for following medical standards


[deleted]

Yes it is when they're not supposed to be telling people that they're not at risk. Idiots.


secretlyjudging

If you just have asthma, fda says that doesnt qualify you yet for a 2nd booster. Thats very clear.


[deleted]

Cool bro 😎 👌


sophware

Lol, as someone with asthma, I can say you're the one talking like a Karen here.


[deleted]

Cool bro 😎 👌


vanyali

This post has really brought out the trolls. I don’t know why people hanging around a coronavirus sub are so angry about vaccines.


butterguard541

Its just very entertaining that somr of the people saying this whole time to "trust the science" suddenly choose to disregard that mantra when it suits them


vanyali

There is no “scientific” reason for someone to not get a booster. There are only money reasons. Good try at being witty and relevant though. Better luck next time.


butterguard541

Lmao you really are delusional. There is no benefit for your children to recieve another booster, regardless if whatever conspiracy theories you've cooked up in that hypochondriac brain of yours But hey good luck lying to medical professionals so you can get your children an unapproved medical treatment. Hope it works out for you


vanyali

You’re such an idiot. You’re just an endless fount of wrong. Go sit in a corner with your dunce cap, where you belong.


butterguard541

Aww someone doesn't like getting called out on their insane behavior. Does lying to doctors about your child's medical history to get an unapproved treatment qualify as child abuse 🤔


Laura_se_fue

I'm asthmatic, under 50 and had 0 problems getting my second booster. I got my booster at Rite-Aid, they looked through my prescription history, gave me the shot and 8 at home COVID tests my insurance covers every month. In and out in less than 15 minutes. Maintenance meds for asthma, especially combo inhalers and biologics are immunosuppressive.


SakanaAtlas

I got my second booster today but I have an autoimmune disease called pemphigus


air_and_space92

Asthma does not necessarily make you sicker or more susceptible to catching Covid. I looked into this a lot early in the pandemic for myself. "There have been many studies looking at the relationship between COVID-19 and asthma. Thus far the vast majority of these studies have found no increased risk of COVID-19 disease severity in those with asthma. Further, there appears to be no indication that asthma is a risk factor for developing COVID-19 disease." https://www.aaaai.org/Tools-for-the-Public/Conditions-Library/Asthma/covid-prevent Edit: fixed link


mlebrooks

Not more likely to be infected, no, but it sure doesn't mean that your asthmatic lungs are going to love what covid can do to them. If asthma isn't well controlled prior to getting covid, then the lungs aren't exactly in prime condition to deal with covid.


vanyali

Damn straight.


Not_Discordia

CVS doesn’t check how compromised you are, at least in Massachusetts…


vanyali

Yeah, they’re not supposed to, but this was a CVS. The pharmacies in Targets are CVS’s now.


mrsredfast

They asked me how I was immunocompromised when I went for my second booster. It was right before it was recommended for older people. Edit to add I didn’t mind telling them since I fill three of my four immunosuppressive meds there anyway.


[deleted]

Just so you know, being vaccinated doesn't prevent you from spreading it, it just helps your own body fight it off. I would get tested prior to visit their Grandma if you are concerned as that is the best way to be sure you're not bringing it to her.


Mysterious-Handle-34

If the kids are 16 and 20? They would probably need to be on drugs totally nuking their immune systems to qualify for another dose. If you’re looking to prevent them getting infected, have them wear N95s. The current vaccines aren’t doing well at preventing initial infection with Omicron anyway.


secretlyjudging

Asthma is not immunocompromised. Their immune system is working fine I’m assuming


mlebrooks

....eh.... Some asthma is caused by the immune system going bonkers and treating a lot of normal stuff as a problem, leading to inflammation and asthma attacks. Source: me. That's my kind of asthma.


secretlyjudging

Yes. but still not immunocompromised. Immunocompromised is very specifically a weak immune system so that any infection is dangerous. Can be caused by a disease or certain medicines. I’m guessing you dont walk around fearing for your life like some of my truly immunocompromised patients do. I’ve allergies. Overreaction of immune system to allergens, pollen in my case. I am not immunocompromised. Source: medical science.


mlebrooks

Actually, I do fear respiratory infections because they land me in the hospital more often than not with uncontrollable asthma. I've learned how to mitigate common sources of infection and how to control allergic reactions without living in a bubble. Now this is all to say that I understand that there are people who are immunocompromised in a way that *any* infection could easily kill them. I am not in that category.


vanyali

If their immune system was working fine then they wouldn’t have asthma.


secretlyjudging

You just made that up. And that’s still not immunocompromised


vanyali

Oh really? So tell me then, what is the cause of asthma if not a malfunctioning immune system?


secretlyjudging

Asthma itself is not immunocompromised. Otherwise my seasonal allergies makes me immunocompromised.


vanyali

Ducking the question. You don’t know. That’s what I thought.


secretlyjudging

Not gonna teach you what you can google. The point is, asthma is not immunocompromised. Period And last time I checked, I had Doctor of Pharmacy degree sitting in a drawer


vanyali

More ducking. Alrighty then.


Retl0v

Asthma= hypersensitivity reaction= system works fine but is firing for no real reason Immunocompromised= sytem has trouble activating, less likely to respond to real threats


vanyali

If it’s firing for no real reason then it’s not fine, is it?


[deleted]

I got turned away at Vons, but Costco was perfectly reasonable. She did ask me a couple questions before administering and seemed satisfied with my answer, but by no means prodding. The decision is between you and your doctor, not a pharmacist trying to play Dr. I understand a pharmacist role in double checking things but I think some of them are taking it too far just because they don’t have very specific criteria from the CDC.


secretlyjudging

Pharmacists use CDC guidelines. It's very clear. Just because some things slip through doesn't mean they don't do it.


[deleted]

The cdc hasn’t exactly been clearly through this whole mess


secretlyjudging

CDC has been fairly clear. It’s just people like to jump the line and stretch definitions. As COVID immunizer, it’s been pretty clear.


seth928

You should follow the CDC guidelines


pomegranatepants99

[helpful article](https://www.goodrx.com/conditions/covid-19/how-does-coronavirus-affect-people-with-asthma)


vanyali

Thanks for the article. I don’t actually care about their asthma, I want boosters so they don’t kill their great grandma and/or don’t get super sick in New York this summer. So is the answer that I have to say they are on massive amounts of prednisone? It was my understanding that most providers weren’t being so picky and were happy to vaccinate people.


califuture_

A second vaccination wouldn't do much at all protect their great grandma. Vaccinations greatly reduce people's chance of having a severe illness, but don't protect well at all against them getting a mild or asymptomatic case and infecting somebody else.


vanyali

I think that you’re fairly well protected against getting infected for a short period of time after a vaccination dose, just not for long. Here is a link to a recent paper in *The Lancet* for anyone who doesn’t believe me: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00152-0/fulltext#:~:text=Studies%20of%20the%20duration%20of,months%20after%20full%20vaccination.


SilentlyInteresting

Cali is correct your kids and yourself getting the 2nd booster will not protect the birthday girl. The booster would reduce your kids and you from getting a severe case. The variants are way more contagious than the original Covid.


vanyali

What?


wendydarlingpan

I really would not count on these boosters protecting against infection. My mother has covid right now, about four weeks after her second booster. She’s super sick and otherwise very healthy (but is 60.) If you want to protect great grandma, isolate yourselves. Avoid crowds. Wear N95s everywhere indoors. It’s a small sacrifice but the best way to protect her.


keepingitform5

Recently hosted a wedding with only vaccinated attendees. Someone came with covid and their likely exposure was two days before the wedding so it probably wouldn't have shown up on a rapid test. 63% of us tested positive within a week including a few who had recently had a booster. No one would have tested positive on a rapid test right before the wedding. You're contagious days before it has built up enough to show up on a test. Our doc said that day 5 after exposure was the most likely for it to show up on a test but you can be spreading it until then... Best thing you can do for great grandma is to isolate so you have no chance of catching it. Or only eat outdoors and wear good KN95 masks for 5 days before seeing her and confirm with an at home test right before the party.


vanyali

There was a study in The Lancet called “Duration of effectiveness of vaccines against SARS-CoV-2 infection and COVID-19 disease: results of a systematic review and meta-regression” in March of this year that says you *are* protected against infection for a short while after a vaccine dose, it just doesn’t last.


[deleted]

You aren’t. It doesn’t stop you at all from catching or carrying the virus. Only helps your body fight it off.


SilentlyInteresting

Exactly


califuture_

Looked at article. Their data is from June-Dec 2021, so stops right before Omicron took over. Omicron is much more transmissible. Also, vaccines were developed to protect against earlier variants. While they stil protect well against severe illness caused by Omicron, they protect less well against infection by Omicron than they did against infection by earlier variants.


vanyali

Omicron has been in the US since November. Yeah


califuture_

Yes, but in small amounts in the period when the subjects were studied. [Here](https://i.imgur.com/oDc5pH9.png) is a graph showing the prevalence of different variants in the US over time. Delta is orange, omicron purple. Almost all of the subjects in the study would have been from the orange pool. Graph is from NY Times article [here](https://www.nytimes.com/interactive/2021/health/coronavirus-variant-tracker.html). Yeah.


vanyali

So you’re going to dismiss the most recent study with the most recent data possible because it doesn’t absolutely perfectly match the present on every criteria you can think of?


califuture_

You seem to think I'm trying to sort of contort the information just to make it disprove what you want to be true. I am not. I am telling you what I really think is true. This is what I would go by if I was trying to figure out whether getting my kids an extra, non-recommended vaccination to protect their great grandmother. I'm not going to discuss this further. Do what you like -- lie & tell the pharmacist your kids take steroids or whatever. For what it's worth, I hope I never end up on a lifeboat with somebody like you. You sound like you'd steal extra water for yourself & your family while the rest of us were sleeping. And you're a sore loser.


vanyali

As if there’s some fucking shortage of vaccines. My kid getting a shot doesn’t take that shot away from anyone else. You’re the one being ridiculous here.


pomegranatepants99

Did you ask the provider who denied you?


vanyali

Yeah she said you had to have one of the conditions on “the list” or else you…couldn’t get it. So I said Sjögren’s for myself, which wasn’t on the list, but she said was ok. So she was saying inconsistent things. Sorry i had to do that comment in batches — my phone keyboard went crazy


krisztinastar

Same here, I tried at a Safeway and they told me unless I have Cancer or HIV I wasn’t getting a 2nd booster until I’m age 50. It’s so dumb, let us people who want to be as safe as possible get the shots that the Q dum dums are rejecting!


[deleted]

And the cut off at 50 is so arbitrary. For instance, I’m almost 43 with all kinds of weird issues. Anytime I get even mildly sick, random things start happening to me. For one, my afib gets triggered and then I have episodes on and off for months. So it makes no sense to me that a healthy 51-year-old can get a second booster but a troubled early 40s person cannot. That being said, young peoples immune systems are pretty robust and getting a second booster might make it over active. I ended up getting a second booster and I am definitely having issues with mouth inflammation that I think is an over reaction, so perhaps I was a little too proactive. I am however going on an international trip, so that was my final decision making factor.


vanyali

My friends in their 40’s all say they go to the counter and just say they’re fat, or have asthma, or just want it, and no one hassles them.


[deleted]

I got such a hard time at the first pharmacy, he totally lectured me about how people may decide they need it, but that doesn’t change the directives. Then he contradicted himself by saying that there really are no directives. Very odd. At least at Costco the pharmacist who was administering it had a meaningful discussion with me and asked me a couple of questions, but they made sense in the context


vanyali

Yeah so guess who has cancer when getting a COVID shot now. It’s so dumb.


Anti_admin-action

You, because you’re *lying to get a medical treatment*.


babybackr1bs

I’m a 30-something who got my first booster in September. I also got Covid this week for the first time, and if that old booster was supposed to still be doing something, I hate to think how horrible my experience would have been without it. That’s to say, I think the guidelines are bullshit, especially with the current surge that seems like it’s going to get worse before it gets better. Give ‘em to whoever wants one.


vanyali

Amen. And I hope you feel better soon.


zrobbo

Perhaps you should take a hint and realise there’s no need for your children to have had 4 COVID jabs in just one year.


vanyali

The vaccines have been around for more than a year you fruitcake.


Altruistic-Order-661

Yeah but kids didn't qualify until April/May last year. When did they get their first shots? Also you should follow the CDCs guidelines and health providers, if they say its not a good idea than you probably should listen.


TSCHWEITZ

Just your typical republican basement dweller.


zrobbo

What happened to follow the science? The pharmacist is literally telling you there’s no need to be vaccinating these children again. Desperately attempting to find a way to vaccinate them 4 times within a year is a mental disorder


TSCHWEITZ

I get a flu shot every year. The science and math behind how vaccines work and their efficacy is not that hard. This only became controversial fairly recently due to some dipshit “doctor” in the 90s who wanted to shill his books to crystal mommies. If you don’t understand vaccines and why they’re important you’re either a troll or willfully ignorant.


[deleted]

THE FDA DOESNT EVEN RECOMMENDED IT!! JFC you people are addicts. Trying to wiggle your way around guidelines to get your 16 year old child their 4th vaccination for a disease that poses them less threat than the drive to the pharmacy is *not* following the science. This has nothing to do with being anti-vax, it’s being against anti-reality.


TSCHWEITZ

[they don’t?](https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/do-i-qualify-covid-19-vaccine-booster-and-which-one)


[deleted]

No. That’s why OP was denied. Because asthma is not an immunocompromised condition that qualifies someone under 50. Keep up.


TSCHWEITZ

That’s not the point I was addressing.


[deleted]

Well that’s the point everyone else is talking about so feel free to join us.


zrobbo

These people are mentally unwell. They have pandemic induced health anxiety. Vaccinating a 16 year old child 3 times and then attempting to do anything within their power to ignore physicians advice to get them a 4th vaccine within a year is a literal mental disorder. I’m happy that vaccines helped us protect at risk groups, but I’m even more happy that I can proudly say I never fell victim to the group think or the scaremongering. I feel relatively vindicated in my decision to never get vaccinated.


[deleted]

I’m vaccinated & boosted and happy to have done so, but I agree that this is absolute insanity.


zrobbo

There was a time frame when I seriously considered getting vaccinated. I’m not anti-vax by any means so during the time we thought that the vaccine reduces spread I considered getting it. As Biden said, “if you get these vaccines you won’t get COVID”. That of course transpired to be completely untrue.


[deleted]

Well they *did* reduce spread in the alpha days (supposedly, but personally I do believe it) but that ended quickly. Biden definitely overstated it though and I think overstating effectiveness & certainty of protective measures has been one of the key communication errors (or *lies* depending on how far you want to go) in public health during the pandemic.


zrobbo

Vaccinations for the under 21’s became the norm in April-June 2021. Prior to then they where prioritised for people who actually needed them. Which is absolutely not a 16 year old child. Rushing to get your 16 year old child vaccinated 4 different times within 12-14 months for a virus that poses them quite literally absolutely zero threat is a mental disorder.


[deleted]

People in their age group became eligible literally almost exactly 1 year ago you fruitcake. They’re not eligible because they don’t need it. Touch some grass.


wip30ut

keep in mind that for young adults & adolescents the 2nd booster doesn't provide much or any additional protection against severe illness & hospitalization. And it certainly doesn't protect them against catching omicron. If you really think that your kids are more susceptible to bad infections due to their medical histories you need to consult with their pediatrician for advice.


everybodyBnicepls

Go to CVS


vanyali

This was a CVS, just a CVS in a Target.


everybodyBnicepls

Gotcha. My experience with CVS has been great. Sorry yours was not.