27 May 2021
• The heterogeneous nature of special populations is acknowledged with respect to the effectiveness of COVID-19 vaccination, COVID-19 infection risk and risk of severe COVID-19 disease, and this is part of the decision-making process. [...] Counselling for pregnant individuals can include: (1) a review of the risks and benefits of receiving the vaccine, (2) a review of the potential risks /consequences associated with a COVID-19 infection during pregnancy, (3) a review of the local epidemiology and the risk of acquiring a COVID-19 infection during pregnancy and (4) an acknowledgment of the limited evidence for the use of current COVI. [...] Allergies Recommendation • Individuals who have had a severe allergic reaction or anaphylaxis to a previous dose of a COVID-19 vaccine or to any of its components should not receive the COVID-19 vaccine in a general vaccine clinic. [...] Individuals who have had an allergic reaction within 4 hours of receiving a previous dose of a COVID-19 vaccine or any components of the COVID-19 vaccine should not receive a COVID-19 vaccine unless they have been evaluated by an allergist/immunologist* and it is determined that the person can safely receive the vaccine. [...] o * Documentation of the discussion with the allergist/immunologist must be provided to the clinic and include a vaccination care plan (including what types of parameters the clinic should meet to provide safe vaccination administration, e.g., availability of advanced medical care), details/severity of the previous allergic episode(s), confirm that appropriate counselling on the safe administratio.