Aspiration before shot does nothing
Dear Dr. Roach: Would it be reasonable for me to ask the tech to aspirate the plunger when I go for a vaccine? I understand that the veins in the shoulder are rarely accessible to an IM needle, but still, I would not mind the extra 5 to 10 seconds of discomfort while the tech looks to see if blood has appeared because the needle is in a vein. And I have heard it is desirable to keep the COVID vaccine in particular spot. If the tech refuses, do I walk away and try elsewhere?
R.A.
Answer: I was taught to aspirate (that is, pull back on the plunger of the syringe for a second) prior to injecting the vaccine. This is no longer recommended, as there aren’t any large veins in the recommended part of the deltoid muscle for a vaccine to be injected. There is essentially no benefit to doing the aspiration, so I would recommend you not worry about it.
However, asking your medical professional to aspirate is fine. It’s not dangerous. You’ll want to find someone who was trained in the old technique.
Dear Dr. Roach: I read in the newspaper that it was discovered that a person’s immunity against COVID-19 wanes over time, and that is why they are suggesting booster shots. What test is being used to measure a person’s immunity, and how can I test my wife for that? She had both Moderna shots over seven months ago. We had an antigen test done on her, and our doctor said it came back negative.
She had her 19th, and last, Rituximab treatment February 2021. We have tried to get my wife revaccinated and were turned down by two pharmacies. We have a note from her neuro-oncologist strongly recommending the vaccine, but that did not help with the pharmacies.
D.S.
Answer: I am surprised to hear it. A note from your wife’s doctor should have been adequate explanation for the vaccine.
Of all the medicines that interfere with a vaccine, rituximab is probably the most significant, which is why it’s best to get the vaccine at least four weeks before starting rituximab if possible. Vaccines given 12 months after completing rituximab were also effective.