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According to the CDC there are only two contraindications to receiving the COVID vaccine:

  • Severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of the COVID-19 vaccine
  • Immediate allergic reaction of any severity to a previous dose or known (diagnosed) allergy to a component of the vaccine

There are also several "precautions" listed, all of which are likewise related to allergic reactions to vaccines or other injectable therapies.

The same website specifically notes:

People with autoimmune conditions were eligible for enrollment in COVID-19 vaccine clinical trials. No imbalances were observed in the occurrence of symptoms consistent with autoimmune conditions or inflammatory disorders in clinical trial participants who received COVID-19 vaccine compared to placebo. People with autoimmune conditions may receive any FDA-authorized COVID-19 vaccine.

Some studies (e.g., this one) that investigated the risks of vaccination in those with autoimmune conditions found that there is little or no safety risk. For instance the study cited refers to "the widely shared professional understanding that the COVID-19 vaccine is not liable to induce autoimmune disorders or exacerbate existing autoimmune pathologies." This is against the well-documented and severe risk from COVID-19 itself to those with autoimmune conditions.

Despite this, it appears that some people with autoimmune conditions are still hesitant about getting the vaccine, and in fact there are studies of this hesitancy (here and here among others).

Is there any legitimate medical basis for someone with an autoimmune condition to believe that, because of that condition, getting a COVID-19 vaccine is riskier than not getting it?

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