What should I do if I have a contraindication to vaccination?

In case of contraindication to vaccination, it is possible to ask his doctor for a medical certificate of contraindication. Contraindications to vaccination include the following:

Contraindications in the Summary of Product Characteristics (SPC):

• history of documented allergy (allergist opinion) to any of the vaccine components, especially polyethylene glycols, and risk of polysorbate cross-allergy;
• at least grade 2 anaphylactic reaction (involving at least 2 organs) to a COVID-19 vaccine injection after allergen testing;
• people who have had episodes of capillary leak syndrome (a common contraindication to the Vaxzevria (AstraZeneca) and Janssen vaccines);
• individuals who have experienced thrombotic and thrombocytopenic syndrome (TTS) following vaccination with Vaxzevria (AstraZeneca).

A medical recommendation not to initiate vaccination (first dose):

• pediatric multi-system inflammatory syndrome (PIMS) post-COVID-19 infection;
• myocarditis or myo-pericarditis associated with SARS-CoV2 infection.

A recommendation made after multidisciplinary medical consultation not to give an additional dose of vaccine (second dose or booster dose):

• following the occurrence of an adverse reaction of severe or serious intensity attributed to a previous injection of vaccine reported to the pharmacovigilance system (e.g. myocarditis, Guillain-Barré syndrome, etc.).

Cases of temporary medical contraindications to COVID-19 vaccination:

• Covid-19 monoclonal antibody therapy;
• Myocarditis or pericarditis of aetiology not related to COVID-19 infection that occurred prior to vaccination and is still ongoing.

Patients with rare diseases:

• A patient with a very rare contraindication should approach the following Center of Reference or Rare Disease Competence (CRMR./CCMR.). The completed contraindication form will be forwarded directly by the RMRC/RMCC to the patient's health insurance fund.

What procedure should be followed in case of contraindication?

You must speak to a doctor, who will issue, if necessary, a medical certificate established on the specific form (cerfa n° 16183*01, available on the space dedicated to healthcare professionals: amelipro) attesting to one of the cases of medical contraindication appearing in the list.

All fields in both parts of this form must be completed. A specific application form for the past (vaccination or health according to age) is available to doctors. This should always be used. The document must then be transmitted:

• to the employer if the person is subject to the vaccination obligation;
• the medical service of the home health insurance organization to obtain a pass (health or vaccination according to age).

Your certificate of contraindication to vaccination can be checked by the fund's medical officer. This check takes into account your medical history, the evolution of your medical situation and the reason for the contraindication according to the recommendations made by the health authorities.