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  • Dr.Mousa

COVID 19 Vaccine Information

Updated: Feb 11, 2021

Hi there. I am so glad that you reached out to me regarding receiving the COVID-19 vaccination. Please note that at this point in time there is not a lot of information regarding long-term side effects. There are risks to receiving the vaccine and there are risks to not receiving the vaccine. I do encourage you to consider getting it. The two vaccines that are currently available Pfizer and Moderna are non- live vaccines. At all costs, avoid any live vaccination that may be available in the future.


New ACR Recommendations for Vaccination:


The current recommendations are to continue your medications if you are on: Plaquenil, Imuran, Arava, Sulfasalazine,Cellcept, Cosentyx, Taltz, Tremfya, Stelara, Enbrel, Humira, Cimzia, Kevzara, Remicade, Simponi, and Actemra.


If you are on Methotrexate: Hold methotrexate 1 week after each vaccine dose.


If you are on Xeljanz, Rinvoq or Olumiant: Hold for 1 week after each vaccine dose.


If you are on Orencia subcutaneous: Hold your Orencia shot 1 week BEFORE and 1 week AFTER the first COVID-19 vaccine dose (only); no interruption around the second dose.


If you are on Orencia IV: First vaccine should occur 4 weeks after your last Orenica infusion and postpone the subsequent Orencia infusion by 1 week. No dosage adjustment for the second vaccine.


For Rituxan IV: First vaccine should be taken 4 weeks prior to next scheduled rituximab cycle; after vaccine, delay rituxan infusion for 2-4 weeks after 2nd vaccine dose.



There have been noted musculoskeletal side effects associated with the vaccines among other side effects. You may have more of a pronounced response depending on how active your inflammatory disease may be. Your symptoms from the vaccine should only last for 4-5 days following vaccination. If your symptoms last longer-7-10 days, please call the office for further assistance.


Please follow us on social media. We aim to post the latest CDC and ACR recommendations and suggestions about COVID and the vaccine.

FaceBook: ArthritisandRheumatologyofSouthwestOhio

Instagram: www.instagram.com/arthritisandrheumatologyswo


Wishing you always good health.


Dr. Soha Mousa

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