COVID-19 vaccination - summary for immunisation providers

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COVID-19 vaccination – summary for
immunisation providers
23 February 2022
The Australian Government Department of Health website now has a dedicated page for Clinical
guidance for COVID-19 vaccine providers. This page has the latest updates from the Australian
Technical Advisory Group on Immunisation (ATAGI), clinical information, COVID-19 vaccines
doses and recommendations, vaccine efficacy and effectiveness, and additional clinical
considerations.
We have provided some additional relevant information below.

Contents
   Latest advice
   Myocarditis and pericarditis
   COVID-19 vaccine safety surveillance
   Variants of concern
   Vaccine ingredients
   Answering patients questions and concerns about COVID-19 vaccines
   Case numbers and statistics
   Other resources

COVID-19 vaccination: summary for immunisation providers | 23 February 2022                     1
Latest advice – as at 23 February 2022

     ATAGI recommendations on the use of Spikevax (Moderna) COVID-19 vaccine in children
     aged 6 to 11 years

     The Australian Technical Advisory Group on Immunisation (ATAGI) has made recommendations for the
     use of the Moderna COVID-19 vaccine in children aged 6 to 11 years.

     Related resource:

     ATAGI recommendations on the use of Spikevax (Moderna) COVID-19 vaccine in children aged 6 to 11
     years

     Recommendations on the use of Comirnaty (Pfizer) in adolescents aged 16 to 17 years

     Recommendations on the use of Comirnaty (Pfizer) in adolescents aged 16 to 17 years have been included
     in the Clinical recommendations for COVID-19 vaccines and resources.

     Related resources:

             Clinical recommendations for COVID-19 vaccines
             COVID-19 vaccine information

     Information on the use of Nuvaxovid (Novavax) COVID-19 vaccine

     Information on the use of Nuvaxovid – the Novavax COVID-19 vaccine has been incorporated into the
     Clinical recommendations for COVID-19 vaccines and resources.

     Related resources:

             Clinical recommendations for COVID-19 vaccines
             COVID-19 vaccine doses and administration
             COVID-19 vaccine contraindications and precautions
             COVID-19 vaccine adverse events

     Recommendations on the timing of booster doses following the primary course

     Recommendations on the timing of booster doses following the primary course have been updated from 4
     months to 3 months.

     Related resource: Booster dose recommendations

Myocarditis and pericarditis
There is a link between mRNA COVID-19 vaccines – such as Comirnaty (Pfizer) and Spikevax (Moderna) – and rare
side effects of myocarditis and pericarditis. These are reported to be seen more commonly in males under 30 years of
age after the second dose of an mRNA vaccine. There is a dedicated Comirnaty (Pfizer), Spikevax (Moderna) and
cardiac inflammation web page that provides information, guidance and detailed resources on these side effects.

The Therapeutic Goods Administration (TGA) details Australian cases of myocarditis and pericarditis associated with
mRNA vaccines in the COVID-19 weekly safety report.

Related resources:

Clinical guidance for COVID-19 vaccine providers

Guidance on myocarditis and pericarditis after mRNA COVID-19 vaccines

COVID-19 vaccination: summary for immunisation providers | 23 February 2022                                           2
COVID-19 vaccine safety surveillance
AusVaxSafety (as at 23 February 2022)
AusVaxSafety is conducting comprehensive active safety monitoring of all COVID-19 vaccines being used in Australia.
The latest safety surveillance data report on adverse events following COVID-19 vaccination for all participants,
including Aboriginal and Torres Strait Islander people. Just over 6 million participants have responded to surveys, with
44.8% reporting an adverse event following COVID-19 vaccination. Most common adverse events include injection site
pain, fatigue, headache and other expected side effects following immunisation.

Related resource: AusVaxSafety COVID-19 vaccine safety surveillance

Therapeutic Goods Administration
The TGA is closely monitoring suspected adverse events following vaccination with COVID-19 vaccines in use in
Australia. The latest weekly safety report of the TGA provides detailed information about the reported side effects for
COVID-19 vaccines, total adverse event reports, reporting rates per 1000 doses by jurisdiction, and most commonly
reported vaccine side effects.

The most frequently reported suspected side effects continue to be events that were seen in the clinical trials and are
commonly experienced with vaccines generally.

Related resource: TGA COVID-19 vaccine safety weekly report

Variants of concern
The World Health Organization (WHO) is tracking SARS-CoV-2 variants

Related resource: WHO Variants of concern

COVID-19 vaccination: summary for immunisation providers | 23 February 2022                                               3
Vaccine ingredients
                  Vaxzevria (COVID- Comirnaty (Pfizer) – Comirnaty (Pfizer) – Spikevax (Moderna)                             NUVAXOVID COVID-19
                  19 Vaccine        12 years and older   5-11 years and older Red cap                                        VACCINE (adjuvanted)
                  AstraZeneca)      Purple cap           Orange cap
                  Red cap
 Ingredients      • Histidine                • ((4-                      • ((4-                    • Heptadecan-9-yl 8-[2-   • Matrix-M adjuvant, which
 (List of         • Histidine                  hydroxybutyl)azanedi        hydroxybutyl)azanedi      hydroxyethyl-(6-oxo-6-   contains:
 excipients)        hydrochloride              yl)bis(hexane-6,1-          yl)bis(hexane-6,1-        undecoxyhexyl)amino]oc     • Quillaja Saponaria
                    monohydrate\               diyl)bis(2-                 diyl)bis(2-               tanoate                       saponins fraction A
                  • Sodium chloride            hexyldecanoate)             hexyldecanoate)         • Cholesterol                • Quillaja Saponaria
                  • Magnesium                  (ALC-0315)                  (ALC-0315)              • Distearoylphosphatidylc       saponins fraction C
                    chloride                 • 2-[(polyethylene          • 2-[(polyethylene          holine                     • cholesterol
                    hexahydrate                glycol)-2000]-N,N-          glycol)-2000]-N,N-      • 1,2-dimyristoyl-rac-       • phosphatidyl choline
                  • Disodium edetate           ditetradecylacetamid        ditetradecylacetamide     glycero-3-                 • monobasic
                    (EDTA)                     e (ALC-0159)                (ALC-0159)                methoxypolyethylene           potassium phosphate
                  • Sucrose                  • Distearoylphosphatid      • Distearoylphosphatid      glycol-2000 (PEG2000-      • potassium chloride
                  • Ethanol absolute           ylcholine (DSPC)            ylcholine (DSPC)          DMG)                     • Dibasic sodium
                  • Polysorbate 80           • Cholesterol               • Cholesterol             • Trometamol                  phosphate
                  • Water for injection      • Potassium chloride        • Trometamol              • Trometamol                  heptahydrate
                                             • Monobasic                 • Trometamol                hydrochloride            • Monobasic sodium
                                               potassium phosphate         hydrochloride           • Acetic acid                 phosphate
                                             • Sodium chloride           • SucroseWater for        • Sodium acetate              monohydrate
                                             • Dibasic sodium              injections                trihydrate               • Sodium chloride
                                               phosphate                                           • Sucrose                  • Polysorbate 80
                                               dihydrate4ehydrate                                  • Water for injection      • Sodium hydroxide (for
                                             • Sucrose                                                                           pH adjustment)
                                             • Water for injections                                                           • Hydrochloric acid (for
                                                                                                                                 pH adjustment)
                                                                                                                              • Water for injections

Related resource: COVID-19 vaccine product information

COVID-19 vaccination: summary for immunisation providers | 23 February 2022                                              4
Answering patients’ questions and concerns about COVID-19 vaccines
NCIRS COVID-19 vaccines: Frequently asked questions

NCIRS COVID-19 and children: Frequently asked questions

Decision aid: Should I get the COVID-19 vaccine?

COVID-19 vaccines – Is it true?

VaxFACTS

Case numbers and statistics
Coronavirus (COVID-19) case numbers and statistics

Other resources

   Discussion guide for medical exemptions
   General COVID-19 vaccine exemptions fact sheet
   Specialist immunisation services

   Accessing the Australian Immunisation Register
   ASCIA Allergy, Immunodeficiency, Autoimmunity and COVID-19 Vaccination Position Statement

   ASCIA Allergy and COVID-19 Vaccination - Guide for health professionals

   ASCIA Immunodeficiency, Autoimmunity and COVID-19 Vaccination - Guide for health professionals
   COVID-19 vaccines and cancer: Health professional guidance

COVID-19 vaccination: summary for immunisation providers | 23 February 2022                          5
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