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REMEDY : BNSSG referral pathways & Joint Formulary

Vaccination for COVID-19

Checked: 18-06-2021 by Rob.Adams Next Review: 12-02-2022

Mass Vaccination

Please see Teamnet page for Mass Vaccinations for latest advice about COVID-19 vaccination.

Latest patient advice and priority groups for vaccination can also be found on the NHS Coronavirus (COVID-19) Vaccination page.

Vaccine allergy

Up to date information about COVID vaccines including information about adverse reactions and contraindications, can be found in the Green Book (chapter 14a) 

Severe allergic reactions to COVID-19 vaccination are extremely rare.

All vaccinators undergo training on the different vaccines currently being used, which includes information about reactions to the vaccine, and contra-indications for patients who may be more at risk of anaphylaxis.

If a patient has a severe or unexpected allergic reaction then please refer to Immunology and Allergy advice and guidance page. If advice from an allergy specialist is advised then please use the COVID vaccine allergy advice and guidance service. Details on this pathway and information required by the specialist can be found on the Immunology and Allergy advice and guidance page. This is the only route for advice and management of these patients and other referral routes should not be used.

Pregnancy and vaccination

Please see the latest guidance regarding vaccination for pregnant patients considering the vaccine.

The RCOG has also produced a leaflet to help pregnant ladies to make a decision about vaccination . Combined info sheet and decision aid 23.02.2021 (

COVID vaccine for children

There are 2 priority groups where some children, mainly 16-18 year olds can be considered for a COVID vaccine:

  • Priority group 4 that are clinically extremely vulnerable (and)
  • Priority group 6 that are adults aged 16 to 65 in an at risk group

Please see further information about these indications here.

Post-vaccination headache

Please find attached document on Management of headaches v2 (19.04.21) from the BNSSG Clinical Delivery Group. 

It now includes the instruction to inform the patient's GP surgery or OOH service about any lab investigation.

New NICE guidelines 29.7.21

COVID-19 rapid guideline: vaccine-induced immune thrombocytopenia and thrombosis (VITT)


Green Book (chapter 14a)

COVID vaccine information in alternative languages - See the COVID-19 Information for the Public page

A useful comparison guide to the different vaccines can be viewed on the following website: Covid-19 Vaccines: The Ultimate 2021 Guide to Every Vaccine (