Kozarsky insists the new practice environment is even better for patients and staff now than it was before the pandemic. SEE RELATED: Coronavirus (COVID-19): How eyes may play a role in its spread. "I feel guilty," Myra concedes, "and I think over and over, 'Should I have pushed myself harder to fight my fears? This will reduce the chance of any virus, including cold and flu bugs, from coming into contact with the eyes. Glaucoma. Prednisolone eye drops are a corticosteroid drug suspension applied to the eyes. In the US, the Centers for Disease Control and Prevention said people with a history of vaccine allergies can get the Covid-19 vaccine. All Covered Individuals under the policy must provide proof of receiving the COVID-19 Vaccine Primary Series or, if applicable, submit a request for Exception (based on Medical Exemption . This was screened in an online seminar entitled A 360 degree look at new care models in glaucoma-making virtual clinics work for patients, clinicians and service providers on 15th October 2020, organised and funded by Santen UK Limited. She also couldn't find anyone to drive her, she adds, and didn't want to take public transportation. 2021;11(1):21. doi:10.1186/s12348-021-00251-5, Chen X, Wang B, Li X. Acute-onset Vogt-Koyanagi-Harada like uveitis following Covid-19 inactivated virus vaccination. Int Med Case Rep J. Introduction: It's a condition that can normally be treated with warm compresses and over-the-counter ointments. 2021;69(10):2865-2866. doi:10.4103/ijo.IJO_1477_21, Sonawane NJ, Yadav D, Kota AR, Singh HV. Around the world, measles causes as many as 60,000 cases of blindness each year, according to the American Academy of Ophthalmology (AAO). Glaucoma Surgery and Laser . Researchers reviewed the conditions of only 216 pediatric patients. READ NEXT: The delta variant and your eyes, Page published on Thursday, January 14, 2021. What's an eye test? Opthalmology is among the medical specialties hit hardest by restrictions and fears tied to the coronavirus pandemic. Steroids can reduce some types of irritation, swelling, and redness by decreasing inflammation that's mediated by your immune system. The vaccine should slow the spread of COVID-19 around the world. Keratitis has also been reported as an adverse event following COVID-19 vaccines[35][36][37]. One study showed nearly one-fourth of children treated for COVID-19 at a Chinese hospital in early 2020 had mild eye problems. Unable to load your collection due to an error, Unable to load your delegates due to an error. General side effects: headache, feeling very tired, muscle aches, nausea, fever. "The body's immune response is so robust to this new pathogen, there are protein markers inside of your . Acute Corneal Transplant Rejection After Severe Acute Respiratory Syndrome Coronavirus 2 mRNA-1273 Vaccination. In addition, we found that the cohort of patients most concerned about losing vision is 25% more likely to tick 'yes' when asked if COVID had caused more concern, indicating that the COVID . 2021;24:101200. doi:10.1016/j.ajoc.2021.101200, Lee S, Sankhala KK, Bose S, Gallemore RP. Domains pertaining to safety (Q7) and organizational aspects (Q8) of glaucoma treatment (both related to the perception by the patient of the treatment team) were the areas which patients explicitly identified as areas of concern due to COVID. If you notice any of the symptoms of TTS or Guillain-Barre in the days or weeks after a J&J vaccine, get medical help right away. Results: The common characteristic of all cases was positive PCR test for COVID 19 infection . National Library of Medicine Contact your state health department to find . Discussion: In addition, at least one ophthalmologist Dr. Jorge Arroyo of Bostons Beth Israel Deaconess Medical Center participated in the trial of the Moderna vaccine for COVID-19. 2021 Aug 1;30(8):e364-e366. 2022;386(16):1532-1546. doi:10.1056/NEJMoa2119451, Joshi A, Kaur M, Kaur R, Grover A, Nash D, El-Mohandes A. Predictors of COVID-19 Vaccine Acceptance, Intention, and Hesitancy: A Scoping Review. Jayaram H, Strouthidis NG, Gazzard G. The COVID-19 pandemic will redefine the future delivery of glaucoma care. When side effects occurred among participants, the most common reactions were: Injection-site symptoms, including pain, swelling, and redness. Coordinated by the Foundation for the National Institutes of Health, ACTIV brings together partners from government, industry, academia and non-profit organizations. For the shingles vaccine, common side effects are sore arm, redness and swelling at the injection site, tiredness, muscle pain, headache, shivering, fever, stomach pain and nausea. 2021;40(8):1070-1072. doi:10.1097/ICO.0000000000002761, Molero-Senosiain M, Houben I, Savant S, Savant V. Five Cases of Corneal Graft Rejection After Recent COVID-19 Vaccinations and a Review of the Literature. Rupert R. Bourne. The AAO recommends that people 50 and over get the shingles vaccine to prevent an extremely painful and disfiguring complication called herpes zoster ophthalmicus, which can cause blindness. PMC So, what is glaucoma? Possible side effects arent stopping eye care professionals from receiving their COVID-19 vaccines, and in some cases, even administering them themselves. 2). To report three cases that developed acute angle-closure glaucoma on the background of hyponatremia due to COVID 19 infection. J Ophthalmic Inflamm Infect. These symptoms can be the result of problems like retinal tears and retinal detachments; eye strokes, which occur when a blood clot blocks an artery in the retina; or eye infections all of which can lead to scarring, permanent damage or complete vision loss. It is an inflammatory condition that affects the episcleral tissue between the conjunctiva and the sclera, or white part of the eye. Cornea. There is a remote chance that the Janssen COVID-19 Vaccine could cause a severe allergic reaction. We hope you will find the following tips and information helpful as we all deal with the national and global . Other symptoms such as headache and nausea. MeSH Gastrointestinal Tract Disorders And Their Causes One Should Watch Out For, World Obesity Day 2023: 4 Fitness Guru Tips To Manage Obesity, Janhvi Kapoor's Birthday: Sridevi's Little Girl's Haircare Secrets Revealed, , , Ayushman Card Apply: ? Central retinal vein occlusion post-COVID-19 vaccination. COVID-19 vaccines are widely recommended to the general public for prevention of severe disease courses. It's a journey that Myra, who lives in Monterey, California, is sadly familiar with. New York, March 03, 2023 (GLOBE NEWSWIRE) -- Reportlinker.com announces the release of the report "Glaucoma Clinical Trial Analysis by Trial Phase, Trial Status, Trial Counts, End Points, Status . Covid-19 Vaccine Effectiveness against the Omicron (B.1.1.529) Variant. - A case series. Acute macular neuroretinopathy[39][40][41], central retinal artery occlusion40[42], central retinal vein occlusion[43][44], central serous chorioretinopathy[45], paracentral acute middle maculopathy[46], and retinal hemorrhage[47] have all been reported in the peer-reviewed literature following COVID-19 vaccination. Although some patients had a previous history of uveitis-related diseases that may have predisposed them to this phenomenon, many notably did not[11]. BMJ Case Rep. 2022;15(5):e247159. The Academy uses cookies to analyze performance and provide relevant personalized content to users of our website. The patient was a 64-year-old woman who was hospitalized for COVID-19 on Jan 31. Neufeld says it's difficult to know exactly how delaying treatment impacts longer-term outcomes in eye care: "But in the case of cancers in or around the eyes, it is pretty clear that the longer you wait, the larger the growth and the more advanced the disease becomes" and the more involved the treatment is going to be. The previous . Further studies investigating delays in patient appointments with impacts on visual acuity deterioration as well as true glaucomatous progression will further elucidate the psychological and physiological impacts that COVID has had. This site needs JavaScript to work properly. Methods: 2022;41(5):669-672. doi:10.1097/ICO.0000000000002980, Ryu KJ, Kim DH. Contact an eye doctor if you need medical attention. Then in May, Myra's right eye started to feel "somewhat gummy," and she noticed her night vision was almost gone. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Her family decided not to bring her in for treatment during the shutdown. In addition, at least one ophthalmologist Dr. Jorge Arroyo of Beth Israel Deaconess Medical Center in Boston, United States participated in the trial of the Moderna vaccine for COVID-19. Purpose: To report two cases; bilateral arteritic anterior ischemic optic neuropathy (AAION) and bilateral acute zonal occult outer retinopathy (AZOOR) after COVID-19 mRNA vaccination. Fatigue, headache, muscle pain, chills, fever and/or nausea. Local safety organizations are investigating this among other rare allergic reactions to the coronavirus vaccine produced by Pfizer and BioNTech. The findings of the study are based on a patient in China who developed an acute glaucoma attack soon after recovering from COVID-19. Bilateral uveitis after inoculation with COVID-19 vaccine: A case report. "We've upped our game." Compliance with the COVID-19 vaccine mandate enforced by the Centers for Medicare and Medicaid (CMS) is a requirement for this position. What was claimed. Very rarely, a blood-clotting condition called TTS can occur in the weeks following a Johnson & Johnson vaccination. Characteristics of endothelial corneal transplant rejection following immunisation with SARS-CoV-2 messenger RNA vaccine. 2017;31:7715. Federal law . The study led by Zohar Habot-Wilner was conducted at Rambam Health Care Campus, Galilee Medical Center, Shaare Zedek Medical Three million people in the United States and 80 million people worldwide have glaucoma. Indeed, uncommon but potentially fatal complications such as immune thrombotic thrombocytopenia and cerebral venous sinus thrombosis have been reported following COVID-19 vaccination[7]. Methods: Data of patients with positive PCR result for COVID 19 infection and concurrent findings of acute angle-closure glaucoma were analysed retrospectively. Please enable it to take advantage of the complete set of features! Some patients may have conjunctivitis, which could cause red and watery eyes and irritation. 2022 May-Jun 01;38(3):e67-e70. 2022;45(6):597-602. doi:10.1016/j.jfo.2022.01.006, Malerbi FK, Schoeps VA, T F Matos K. Paracentral acute middle maculopathy in Susac syndrome after dual exposure to SARS-CoV-2 antigen. Combined Central Retinal Artery and Vein Occlusion with Ischemic Optic Neuropathy After COVID-19 Vaccination. Patients identified Q6, Q7 and Q8 to be the aspects that COVID has affected most with 28.8%, 32.1% and 40.2% yes responses, respectively (Fig. People with autoimmune diseases at risk of 'bad outcomes' from COVID-19. This is especially worrying as even before the crisis, glaucoma units were already struggling with a backlog of patients, with some delays resulting in loss of vision [3]. We look on with concern, as the COVID-19 virus pandemic continues to disrupt the delivery of ophthalmic care. Common findings consisted of corneal edema, corneal neovascularization, and keratic precipitates[25][26][31][32][33]. What do the numbers on your eyeglass frames mean? Candidates should have a MD degree and be board certified or board eligible in ophthalmology, fellowship-trained in glaucoma, and be eligible for medical licensure in the state of Texas. This enables the detection of any rare side effects that may emerge once many millions of people are vaccinated. Find an eyecare professional and book online in minutes! The rare nerve condition Guillain-Barre syndrome has also been seen in about 8 in every 1 million adults vaccinated with the J&J vaccine. The questionnaire addresses aspects of outcome (acceptability of treatment, fear of blindness, impact on daily life) and aspects of experience (safety, understanding, organization of care). Common side effects from the chickenpox vaccine include sore arm and mild rash where the shot was injected, temporary joint pain and stiffness, and fever. For health care providers, that means goggles and face shields; for the average person, it is regular handwashing and keeping the hands away from the eyes. ", Tags: Coronavirus, eye problems, eye health, Utah Gov. All cases resolved with steroid and antiviral treatment. The most common sign of glaucoma is high eye pressure that over time damages the optic nerve and leads to a loss of peripheral vision. Tara Haelle. 2006 Dec;16(12):764-7. Fear of side effects, including how it may affect vision, ranks as the primary reason that some Americans remain hesitant to be vaccinated against the virus that causes COVID-19. Visual acuity: Is 20/20 perfect vision? Pfizer-BioNTech and Moderna COVID-19 vaccines are mRNA vaccines. doi: 10.1002/14651858.CD012270.pub2. A case series of 3 cases with orbital inflammation following mRNA vaccines were described and all cases were successfully treated with oral prednisolone. But the patient in the abovementioned study suffered acute angle-closure glaucoma. HHS Vulnerability Disclosure, Help It is a known fact that some anatomical features of the eye make some people vulnerable to acute angle-closure glaucoma. N Engl J Med. The number of vaccine doses you need depends on your age and the type of vaccine you receive. Now when you get sick, the same thing happens and actually a lot of the symptoms from illnesses that we get like influenza and COVID, are actually caused not by . sharing sensitive information, make sure youre on a federal Overall, the results of our study show that patients are more uncertain of their glaucoma care. The iris is a circular, colored structure that sits in front of the lens within the coronal plane towards the front of the eye. One of Murray's patients is a 73-year-old woman who lives in a nursing home. Its worth noting, though, that at least one isolated incident of an eye-related side effect has been reported a health care worker in the United States who experienced eye puffiness after getting a COVID-19 shot. Global OTC Farmacia. In many parts of the world, eye doctors and their staff are being treated as high-priority groups for vaccination. Hyponatremia is the most common electrolyte disorder in COVID 19 infection. Here, the white part of the eye and inside of the eyelid becomes swollen, red and itchy. Epub 2021 Dec 16. Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report. Acute-onset central serous retinopathy after immunization with COVID-19 mRNA vaccine. Vaccines (Basel). Angle-closure glaucoma (ACG) patients underwent examinations including axial length (AL) (IOL Master, Carl Zeiss Meditec, Dublin, CA), and central corneal thickness (SP-2000P . (Heidelberg Engineering, Heidelberg, Germany). Lancet. All About Vision and AllAboutVision.com are registered trademarks of AAV Media, LLC. Rare side effects include short-term seizures and low platelet count. ACUTE MACULAR NEURORETINOPATHY AFTER SARS-COV-2 VACCINATION. Impaired confidence in the glaucoma team may not only cause unnecessary concern but cause issues with compliance that could contribute to disease progression. Where available, these early vaccinations will protect optical staff and their patients by slowing or stopping viral transmission within their practice. Pain, redness and/or swelling in the arm where you got the injection. COVID-19 Recombinant mRNA Vaccines and Serious Ocular Inflammatory Side Effects: Real or Coincidence? Retin Cases Brief Rep. 2022;16(1):5-8. doi:10.1097/ICB.0000000000001195, Book BAJ, Schmidt B, Foerster AMH. Optic neuritis is an inflammation affecting the optic nerve that sends signals from the back of the eye to the brain. Changes in Eye Care During COVID-19. A separate analysis across more than 200 hospitals in 40 states by Strata Decision, a cloud-based analytics platform, showed that patient encounters for cataracts were down 97% during a two-week period in March and April compared with the same period last year. Published literature to date demonstrates very few post-COVID-vaccination cases of optic neuritis[18][19][20][21] and ischemic optic neuropathy[22][23]. Also, pink eye has been reported as a symptom in some COVID-19 patients, which makes implementing rigorous safety protocols an even higher priority for eye care providers. Many of the concerns stem from perceived harms of receiving the vaccination. They include removing furniture in the waiting room to support social distancing, installing plexiglass barriers, performing temperature checks and mandating face masks. It's unclear if her eyesight will ever be back to where it was before the pandemic. Common side effects of the MMR vaccine include fever, mild rash, swollen cheek or neck glands, and temporary joint pain (mostly in teenage and adult females). Copyright 2022 Indiadotcom Digital Private Limited. doi:10.1001/jamaophthalmol.2021.2471, Valenzuela DA, Groth S, Taubenslag KJ, Gangaputra S. Acute macular neuroretinopathy following Pfizer-BioNTech COVID-19 vaccination. . Bilateral Acute Angle Closure Glaucoma After Prone Position Ventilation for COVID-19 Pneumonia. Am J Ophthalmol Case Rep. 2022;26:101404. doi:10.1016/j.ajoc.2022.101404, Mudie LI, Zick JD, Dacey MS, Palestine AG. 2022;70(2):679-683. doi:10.4103/ijo.IJO_2374_21, Leber HM, SantAna L, Konichi da Silva NR, et al. Since states started reopening a start-and-stop process in many places doctors' offices have adopted new protocols to keep patients and staff safe. A new study from the General Hospital of the Central Theater Command in Wuhan, China, published in the journal JAMA Ophthalmology, says that there is strong scientific evidence of the virus affecting the eyes. 2021;428:117607. doi:10.1016/j.jns.2021.117607, Ng XL, Betzler BK, Testi I, et al. While COVID-19 vaccines havent been tied to serious vision issues, researchers have detected eye problems in a number of children with the disease itself. The site is secure. Medicaid: Eligibility and Vision Benefits. Cases of scleritis, episcleritis, and multiple evanescent white dot syndrome, following COVID-19 vaccination have also been reported[9].. Published online December 30, 2020:NEJMoa2035389. Pre-pandemic, many glaucoma units were already managing a backlog of outpatients, associated with heightened anxiety around aspects of glaucoma care [4]. 2022;240:79-98. doi:10.1016/j.ajo.2022.02.011. 1). Williams, for example, was particularly concerned about patients with newly diagnosed, severe or unstable glaucoma. 2000-2023 AAV Media, LLC. CAS Despite the efficacy of COVID-19 vaccines, vaccine hesitancy remains high with a global vaccine acceptance rate ranging from 54% to 86%. Many eye doctors just like dental providers and ear, nose and throat specialists are wearing N95 respirators, goggles or face shields. The findings of the study are based on a patient in China who developed an acute glaucoma attack soon after recovering from COVID-19. This is a serious condition in which pressure in the eyes suddenly rises due to fluid buildup. 2022;269(1):49-54. doi:10.1007/s00415-021-10647-x, Maleki A, Look-Why S, Manhapra A, Foster CS. 2022;41(1):121-124. doi:10.1097/ICO.0000000000002878, Crnej A, Khoueir Z, Cherfan G, Saad A. Antibiotics and corticosteroid treatment were used to resolve symptoms and visual acuity improved to near baseline levels[35][36]. Glaucoma actually refers to a group of progressive eye diseases where the optic nerve slowly dies over time, and is usually related to pressure . Eighteen days later, her symptoms disappeared, and she tested negative for SARS-CoV-2. Hyponatremia may cause an angle-closure attack in patients with shallow anterior chamber angles.Therefore, one should be aware of the possibility of angle-closure glaucoma in patients who develop hyponatremia due to COVID 19 disease. Encounters for glaucoma, which can cause blindness, were down 88%. 2018 Jun 13;6(6):CD012270. The questionnaires were conducted anonymously with no pairing to clinical data or demographics. Early intraocular pressure change after peripheral iridotomy with ultralow fluence pattern scanning laser and Nd:YAG laser in primary angle-closure suspect: Kowloon EastPattern Scanning Laser Study Report No. . ; Johnson & Johnson's Janssen (J&J/Janssen) COVID-19 vaccine is a viral vector vaccine and can be given in some situations. 2022;15:7-14. doi:10.2147/IMCRJ.S328931, Endo B, Bahamon S, Martnez-Pulgarn DF. Experts have reserved judgement about whether this is the result of COVID-19 infection. Use VaxFinder to search for appointments. A number of biopharmaceutical companies have applied for U.S. Food and Drug Administration (FDA) emergency use authorization for a new COVID-19 vaccine and a limited number of vaccines will be available before the end of the year. Ophthalmic Plast Reconstr Surg. Br J Ophthalmol. Her doctors had to perform surgery to treat the condition, and . BMC Ophthalmol. Case report: The first patient was a 79-year-old female was presented to us 35 days after a sudden bilateral loss of vision, which occurred two days after receiving the second recombinant mRNA vaccine (Pfizer . Presented by Vision 20/20 Australia in Emerging data has also shown increased patient anxiety and concern regarding their eye care. I still experience deep inner-ear pain and excruciating headaches. Reshef ER, Freitag SK, Lee NG. Questionnaire responses conducted during the pandemic were compared to those pre-pandemic. Dr. William Culbertson, professor of ophthalmology at the Bascom Palmer Eye Institute in Miami, United States, told Ophthalmology Times that ophthalmologists and staff at the institute started receiving vaccinations Dec. 15, 2020. The coronavirus disease 2019 (COVID-19) pandemic is an ongoing global health crisis that is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). 2019;19:192. Bilateral EK Rejection After COVID-19 Vaccine. Survey results showed that the largest change in terms of percentage of patients who agree or strongly agree occurred in item Q2, Q4, Q7 and Q8, which all showed at least a 1015% decrease in agreement from pre COVID questionnaire (Fig. The vaccines are not safe, because they were developed so fast. A recent multicenter study linked the Pfizer coronavirus (COVID-19) vaccine to uveitis, a form of eye infection that affects the middle layer of tissue in the eye wall that can cause eye redness, pain and blurred vision. Ocular Manifestations after Receiving COVID-19 Vaccine: A Systematic Review. Across most medical specialties, doctors have noted a sharp drop in care during the pandemic, as nonessential visits and procedures were curbed and people feared a medical appointment could lead to coronavirus infection. Indian J Ophthalmol. "These surgeries have to be done in a timely manner," he explains, as the initial cancer removal often "leaves the patient susceptible to infection, scarring and disfigurement.". While the COVID-19 vaccines have, so far, not caused notable side effects related to vision, vaccines for several other conditions have been linked to eye and vision problems. Case Rep Ophthalmol Med. The AAO recommends that people 50 and over get the shingles vaccine to prevent an extremely painful and disfiguring complication called herpes zoster ophthalmicus, which can cause blindness. PMID: 34914035; PMCID: PMC8675299. Tests of those samples turned up evidence that SARS-CoV-2 had invaded the eye tissues. These reported side effects are similar to ocular manifestations reported with the COVID-19 infection, so there may be a common pathway between the immune-mediated response to the vaccine and the virus itself. The CDC has updated its guidance about the COVID-19 vaccine for people with certain pre-existing medical conditions. doi:10.1002/ccr3.5471. 2021;9(12):1404. doi:10.3390/vaccines9121404, Shah AP, Dzhaber D, Kenyon KR, Riaz KM, Ouano DP, Koo EH. One needed surgery after a bad fall, but because the clinic's outpatient surgery center was closed, Neufeld had to take the patient to a local hospital that let him operate. Optic neuritis cases typically resolved after several days of intravenous methylprednisolone therapy to near-baseline visual acuity. While that may be enough in most cases, people caring for someone with COVID-19 at home may want to be extra cautious. Ophthalmologists in the U.S. also are engaged in the fight against COVID-19. Additional primary shot. doi:10.1056/NEJMoa2034577, Voysey M, Clemens SAC, Madhi SA, et al. the name and manufacturer of the vaccine that you received, the date that you received each dose of the vaccine and details of either the identity of . 2022;76(2):146-148. doi:10.5455/medarh.2022.76.146-148, Farrell DA, Deacon S, Mauger T. Marginal keratitis following COVID 19 vaccination. IDCases. Article COVID-19 Vaccination Requirements. SEE RELATED: 5 ways measles can affect eyesight. An official website of the United States government. Symptoms of COVID-19 Infection and Glaucoma. Neuroretinitis after the second injection of a SARS-CoV-2-vaccine: A case report. Results: Consultant Ophthalmologist at the Cornwall Regional Hospital, Dr. Valence Jordan, is urging Jamaicans to get routine screenings for glaucoma, so that the necessary early interventions can be made to preserve vision. While COVID-19 vaccines havent been tied to serious vision issues, researchers have detected eye problems in a number of children with the disease itself. Cornea. ; These vaccines are given as a shot in the muscle of the upper arm or in the . doi: 10.1097/IOP.0000000000002161. Those patients, though, should be told about the unknown risks. The emergency use of these products is only authorized for the duration of the . Keywords: Since the start of the pandemic, over 1 billion doses of vaccines have been given to people in . One study found rare instances of corneal inflammation in children (chickenpox) and adults (shingles) after they received the zoster virus vaccine for both conditions. Data provisional, subject to change, incomplete for some jurisdictions. Cornea. The https:// ensures that you are connecting to the J Fr Ophtalmol. Ophthalmologists in the U.S. also are engaged in the fight against COVID-19. Bilateral Acute Macular Neuroretinopathy After Vaccination Against SARS-CoV-2. 2021;397(10269):99-111. doi:10.1016/S0140-6736(20)32661-1, Andrews N, Stowe J, Kirsebom F, et al. doi:10.1016/j.jfo.2021.06.001, Phylactou M, Li JPO, Larkin DFP. BMJ Case Rep. 2021;14(9):e245792. UVEITIS AFTER THE BNT162b2 mRNA VACCINATION AGAINST SARS-CoV-2 INFECTION: A Possible Association. 2021;40(12):1629-1632. doi:10.1097/ICO.0000000000002844, Patel SN, Yonekawa Y. [17]. COVID-19 vaccines are recommended for everyone ages 6 months and older including people with HIV, regardless of their CD4 count or viral load. But for many patients, the line wasn't clearly marked. These common reactions usually go away within a few days.