Who will receive a third dose of the vaccine?
In September 2021, the JCVI announced that people who have severely suppressed immune systems at the time of their first and second doses of the vaccine would be able to get a third dose.
This is not a booster dose, but an additional ‘top-up’ dose to increase protection from COVID-19 for people who may not have not had a good response from the first two doses. It is expected that the JCVI will publish more guidance on a COVID-19 booster vaccination programme this autumn.
Based on the guidance put out by the JCVI, the British Society of Rheumatology (BSR) has recommended that that most people who were taking the following treatments during the time of their first two doses, be offered a third dose of the vaccine:
Conventional DMARDs, such as methotrexate, azathioprine, mycophenolate mofetil.
Anti-TNF biologics, such as infliximab, adalimumab, etanercept, golimumab, certolizumab pegol.
Other biologics, such as rituximab, tocilizumab, abatacept, ustekinumab, secukinumab, belimumab.
JAK inhibitors, such as baricitinib, tofacitinib, upadacitinib, filgotinib.
Prednisolone (steroid tablets) at doses of at least 10mg per day.
This does not include the DMARDs sulfasalazine or hydroxychloroquine.
A third dose is recommended at least 8 weeks after the second dose of the vaccine.
Not all people who have or are currently taking these treatments need to receive a third dose. Your doctor should be able to tell you whether you should receive a third dose based on your medical history.
Rheumatology teams and GPs have been asked to review their patient records and invite people with severely suppressed immune systems to get their third dose of the COVID-19 vaccine. Everyone who is eligible for a third dose of the vaccine should be contacted by either their rheumatology team or GP by 11 October.
If you have not been invited to receive a third dose by 11 October, but you think you should have been, you should contact your GP or rheumatology team.
If the medications you take have changed over time or if you get your prescriptions from different doctors, it might be harder for doctors to correctly identify you as eligible for a third dose. It may be helpful to confirm your status as a severely immunosuppressed person with your GP in order to arrange getting a third COVID-19 vaccine.
This information is from Versus Arthritis.