First: this was an enormous task, and so grateful that people put the hours and sweat into reading, debating and considering these questions so thoughtfully! Special thanks to @RADoctor for leading this effort.
2/
Who should be recommended for 💉?Basically everyone vaccines are approved for & not contraindicated bc of an allergy.
Concerns about flares: benefit >> potential risk.
Some immunomod meds may blunt 💉 response. Recs about 💉 ⏰ are more about ensuring efficacy than safety.
3/
“While 💉 would ideally occur in the setting of well-controlled AIIRD, except for those patients with life-threatening illness (e.g., in the ICU...), COVID 💉 should occur ASAP for those for whom it is being recommended, irrespective of disease activity and severity.”
4/
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