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COVID-19 VACCINES

Reader question: What vaccine should I choose for my third jab in France?

France is offering third 'booster' shot vaccinations to certain groups, but should you be getting the same vaccine as your previous doses? Read on to find out which vaccine to choose and whether you are eligible.

Moderna and Pfizer booster shots are available to certain groups in France
(Photo by Patrick T. FALLON / AFP)

Question: I’ve received an email from Ameli regarding my booster jab. I have been told to make an appointment but there is no information on whether to ask for the same vaccine (in my case AstraZeneca) or to ask for an alternative. What are the official health guidelines in France? 

For third or ‘booster’ vaccinations against Covid-19, France initially offered either Moderna or Pfizer-BioNTech.

However following concerns raised in Scandinavian countries of rare heart problems in young people, the French medical regular has advised against using Moderna for the booster. This temporary change is in place until the European Medicines Agency publishes its own opinion on Moderna as a booster.  

According to French public health guidelines, vaccines can be used interchangeably no matter what shots you had before. The scientific journal, Nature, found that mixing Covid vaccines could even boost immune response. Other studies have suggested that booster shots can significantly reduce the risk of severe illness deriving from Covid-19.

The World Health Organisation (WHO) has said that booster shots should be targeted at vulnerable populations. The WHO has said that there is evidence that a third should could significantly reduce risk – particularly among immunocompromised groups, but has stopped short of recommending boosters as a blanket rule. 

The French Health Minister has stressed that taking a third dose poses no risk. 

READ MORE: France begins administering Covid booster shots for over 65s

In other words, you will not be able to have a third dose of AstraZeneca but it is still probably worth your time to get a booster shot. 

Am I eligible for a third dose? 

To receive a booster dose, you must meet one of the following criteria:

  • Residency in an old-people’s home (Éhpad) or long-term care facility (USLD)
  • Aged 65 and over and living at home (those over 80-years-old will be given priority)
  • Have a chronic illness or comorbidity which places you at higher risk or falling seriously ill with Covid-19
  • Have severe immunodeficiency (in which case you will eventually be eligible for a 4th dose)
  • Be at least six months after your last dose

Where can I get a third dose? 

You can get a third dose at a doctor’s or nurse’s office; in a pharmacy; or at a vaccination centre. 

The easiest way to book a free vaccination appointment is through the Doctolib website. You can find a full list of vaccination centres here

After receiving a third dose, can I forget about the virus? 

French health authorities insist that even those that are fully vaccinated should continue to respect social distancing measures, wearing masks and washing hands. This is particularly important when in contact with people who are at greater risk of falling seriously ill (the elderly and those with comorbidities). 

READ MORE: How can I get my Covid vaccine booster in France? 

You can still get infected with the virus and pass it on even if you are fully vaccinated. The main advantage of vaccination is that it reduces your chance of getting seriously ill from the virus. 8 out of 10 people currently hospitalised with Covid in France are unvaccinated. 

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COVID-19 VACCINES

Italy’s constitutional court upholds Covid vaccine mandate as fines kick in

Judges on Thursday dismissed legal challenges to Italy's vaccine mandate as "inadmissible” and “unfounded”, as 1.9 million people face fines for refusing the jab.

Italy's constitutional court upholds Covid vaccine mandate as fines kick in

Judges were asked this week to determine whether or not vaccine mandates introduced by the previous government during the pandemic – which applied to healthcare and school staff as well as over-50s – breached the fundamental rights set out by Italy’s constitution.

Italy became the first country in Europe to make it obligatory for healthcare workers to be vaccinated, ruling in 2021 that they must have the jab or be transferred to other roles or suspended without pay.

The Constitutional Court upheld the law in a ruling published on Thursday, saying it considered the government’s requirement for healthcare personnel to be vaccinated during the pandemic period neither unreasonable nor disproportionate.

Judges ruled other questions around the issue as inadmissible “for procedural reasons”, according to a court statement published on Thursday.

This was the first time the Italian Constitutional Court had ruled on the issue, after several regional courts previously dismissed challenges to the vaccine obligation on constitutional grounds.

A patient being administered a Covid jab.

Photo by Pascal GUYOT / AFP

One Lazio regional administrative court ruled in March 2022 that the question of constitutional compatibility was “manifestly unfounded”.

Such appeals usually centre on the question of whether the vaccine requirement can be justified in order to protect the ‘right to health’ as enshrined in the Italian Constitution.

READ ALSO: Italy allows suspended anti-vax doctors to return to work

Meanwhile, fines kicked in from Thursday, December 1st, for almost two million people in Italy who were required to get vaccinated under the mandate but refused.

This includes teachers, law enforcement and healthcare workers, and the over 50s, who face fines of 100 euros each under rules introduced in 2021.

Thursday was the deadline to justify non-compliance with the vaccination mandate due to health reasons, such as having contracted Covid during that period.

Italy’s health minister on Friday however appeared to suggest that the new government may choose not to enforce the fines.

“It could cost more for the state to collect the fines” than the resulting income, Health Minister Orazio Schillaci told Radio Rai 1.

He went on to say that it was a matter for the Economy and Finance Ministry, but suggested that the government was drawing up an amendment to the existing law.

READ ALSO: Covid vaccines halved Italy’s death toll, study finds

The League, one of the parties which comprises the new hard-right government, is pushing for fines for over-50s to be postponed until June 30th 2023.

Prime Minister Giorgia Meloni had promised a clear break with her predecessor’s health policies, after her Brothers of Italy party railed against the way Mario Draghi’s government handled the pandemic in 2021 when it was in opposition.

At the end of October, shortly after taking office, the new government allowed doctors, nurses and other healthcare professionals to return to work earlier than planned after being suspended for refusing the Covid vaccine.

There has been uncertainty about the new government’s stance after the deputy health minister in November cast doubt on the efficacy of Covid-19 vaccines, saying he was “not for or against” vaccination.

Italy’s health ministry continues to advise people in at-risk groups to get a booster jab this winter, and this week stressed in social media posts that vaccination against Covid-19 and seasonal flu remained “the most effective way to protect ourselves and our loved ones, especially the elderly and frail”.

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