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Reader Question: Can I get a third Covid booster shot in France?

After France made second booster doses available to all groups, some wondering whether they could qualify for a third booster, using the new dual-strain vaccines.

Published: 4 October 2022 11:09 CEST

Reader Question: Can I get a third Covid booster shot in France?

A nurse prepares a dose of a Pfizer/BioNTech vaccine against the coronavirus disease Covid-19 on January 12, 2022. (Photo by CLEMENT MAHOUDEAU / AFP)

Question: I’m in my 70s and I had my second booster back in the summer but now I see that the new dual-strain vaccines are available – should I be getting an extra booster with the new type of vaccine?

French health authorities launched the autumn booster campaign on October 3rd includes newly authorised dual-strain vaccines – such as the Pfizer/BioNTech vaccine adapted to BA.1, the Moderna vaccine adapted to BA.1, and the Pfizer/BioNTech vaccine adapted to BA.4/5 – which are designed to combat the Omicron variant.

It was followed by the seasonal flu vaccination campaign in mid October.

As of November 28th, 9.4 percent of the over-80s and 7.2 percent of the 60-79s had received a new injection, representing two million doses distributed since October 3rd, when the fall campaign went into place.

On December 9th, French government officials, such as Minister of Health François Braun announced that the second booster should be available to all groups, not just vulnerable people.

With a significant amount of the eligible population having already received a fourth vaccine, many are wondering whether they will be eligible for a fifth (or third booster), specifically one in the new dual-strain vaccine format.

According to Virginie, a representative from HAS – France’s health authority – the organisation “no longer thinks in terms of doses for high-risk people and immunocompromised patients.”

Specifically, the HAS recommends that a new injection be given – and if possible one of the dual-strain vaccines – “regardless of the number of injections received up to now”.

However, French health authorities specified that the additional booster should “respect the minimum recommended time between two doses.”

“This depends based on your profile – for people aged 80 and over, residents of nursing homes or long-term care units (USLD) and those who are immunocompromised, the wait-time is three months between jabs. For the others, the delay is set at six months.”

For those who have already been infected by Covid-19, the HAS recommends that if you are eligible for a second (or third booster) that the additional dose “is still recommended, with a minimum delay of three months after infection.”

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Essential guide for travelling with allergies in France

Travelling in France can be a bit intimidating for people with food allergies, especially if you do not know how to speak French.

You may find that servers casually place a bowl of peanuts in front of you while sipping a glass of wine at a café, and plenty of French dishes use lots of butter and other dairy products.

Luckily, France is subject to EU rules that requires all restaurants inform customers if the food contains known allergens, such as nuts, milk, or gluten.

If a dish contains any of the 14 common allergens (listed below), then there must be a warning label of some form.

List of allergens, French government website Service-Public

When it comes to gluten products, the rules differ slightly.

The label may say ‘low gluten’ (Faible teneur en gluten) as long as the gluten content does not exceed 100 mg/kg, and the ‘gluten-free’ (Sans gluten) label can only be applied if the gluten content is less than 20 mg/kg.

How will I be informed?

It depends on the product.

Packaged products must indicate the presence of allergens on the packaging. For products bought in bulk (en vrac), such as fruits and vegetables, or cereal and granola, there must be some visible signage close to the product informing the customer of the presence of allergens.

As for prepared dishes – meaning the ones you would get at a restaurant, canteen, bakery or take-out stand – allergens should be clearly indicated near the listing of the products on offer or near where they would be consumed.

In all cases, the information should be very clear and stand out from the rest of the writing, potentially in bold, italics, underlined, or using a different font than the rest of the label.

The specific allergen itself (ie nut products, or produits à base d’arachides) should also be visible, instead of just writing the word ‘allergens’ (allergènes).

Informing restaurant staff

Even though allergy information should be clearly visible, it is still important to make staff aware of your allergy, especially to avoid cross-contamination.

Before ordering, be sure to inform them of your allergy. You may also want to call in advance or send an email.

Here is a sample email;

Bonjour,

Je me permets de vous contacter. Je souhaite visiter votre restaurant mais je souffre d’une grave allergie à ___. J’aimerais vérifier qu’il y a des produits sur votre menu qui ne contiennent pas de traces de ___ …

(Hello, I am reaching out because I am interested in visiting your restaurant but I have a serious allergy to ___. I would like to verify there are items on your menu that do not have any traces of ___.)

Another option would be to write up your own ‘allergy card’ to show to restaurant staff when you visit the restaurant. This may save you some time and trouble trying to explain your allergy in French.

You will need to clearly explain that this is an allergy, not merely a preference or small intolerance.

Factcheck: Do French waiters really tell customers what they can order?

Here are some phrases you might use;

Je souffre d’une allergie alimentaire grave et potentiellement mortelle. – I have a serious and potentially life-threatening food allergy.

Je suis allergique à… – I am allergic to…

Je peux manger… – I can eat…

Il ne s’agit pas d’une intolérance [au gluten/lactose]. – It is not due to an intolerance of (gluten or lactose)

Il ne s’agit pas d’une préférence, mais d’une allergie grave. – It is not a preference, it is a serious allergy.

Je voudrais vérifier que vous ne mélangez pas les produits dans la cuisine. Je suis gravement allergique à… – I would like to verify that you do not mix products in the kitchen. I am seriously allergic to…

You may also want to inform them of affiliated products that you cannot eat. For example, if you are allergic to milk, you may list some other dairy products. Beware that lots of French dishes use dairy products, even soup or other sauces you might not expect.

Je ne peux pas manger de produits laitiers, comme le beurre, la crème, la crème fraîche ou le fromage, par exemple. – I cannot eat dairy products, like butter, cream, sour cream, or cheese, for example.

You would want to do the same for other allergies, especially for nuts. You should be sure to specify which nuts you are allergic to.

Essential allergy phrases and vocabulary

Cereals containing gluten (Céréales contenant du gluten)
Wheat (Blé)
Rye (Seigle)
Barley (Orge)
Oats (Avoine)
Gluten (Gluten)
Crustaceans/shellfish (Crustacés)
Crabs (Crabes)
Prawns (Crevettes)
Lobster (Homard)
Eggs (Œufs)
Fish (Poisson)
Groundnuts (Arachides)
Peanuts (Cacahuètes)
Soy/soybeans (Soja)
Milk (Lait)
Almonds (Amandes)
Hazelnuts (Noisettes)
Walnuts (Noix)
Cashews (Noix de cajou)
Pecans (Noix de pécan)
Pistachio (Pistache)
Celery (Céleri)
Mustard (Moutarde)
Sesame seeds (Sésame)
Sulphur dioxide and sulphites (Anhydride sulfureux et sulfites)
Lupin (Lupin)
Molluscs (Mollusques)
Mussels (Moules)
Oysters (Huitres)
Squid (Calmar)
Snails (Escargots)

What to do in the event of an allergic reaction

If you believe someone is having a serious allergic reaction, you should call emergency services.

If you are having an allergic reaction, you can say…

Aidez-moi ! (Help me!)
Je fais une grave crise d’allergie (I am having an allergic reaction)
Appelez les secours d’urgence (Call for emergency help)
J’ai de l’épinéphrine dans mon sac (I have an epipen in my bag)
Je suis allergique à ___ et j’ai mangé __ (I am allergic to ___ and I ate ___)
Je n’arrive pas à respirer (I cannot breathe)

You can either call 15 to alert the SAMU (service d’aide médicale urgente), this is the number for critical health and medical situations which require urgent medical attention, or you can call 18. This number connects to the fire services (Sapeurs Pompiers) who provide rapid medical intervention and rescue.

Call 112 if in doubt (or 114 for people with hearing and speaking difficulties, who are also able to communicate by text or fax). This is the Universal European Emergency Services who can direct you to the correct line.

The number is available free of charge everywhere in the EU from all phones including mobiles and does not require prepaid credit or a valid SIM card. The operators speak over 40 languages including English.

What if I go to the hospital?

If you end up visiting a French emergency room (urgences), then you may be faced with a bill.

Calls to SAMU are free but you will be billed for their services, with prices for consultations and call outs varying greatly according to department as well as how long you need to stay in hospital and the treatments you receive.

In some areas, the price can be as high as €2,400, anyone registered in the French health system will be reimbursed via social security (at the 70 percent rate) and the remainder covered by their mutuelle, or complementary health insurance scheme, if they have one.

Travellers from within the EU are covered by the European Health Insurance Card (EHIC) in which EU governments basically agree to refund each other for healthcare their nationals receive while visiting other countries.

Brits used to benefit from EHIC but since Brexit, do not. However the UK government does provide a card known as GHIC (Global Health Insurance Card) which, if you are travelling to France, works in basically the same way as EHIC.

The crucial point, however, is that both GHIC and EHIC only reimburse a proportion of the cost – in most cases around 70 percent.

If you do not have either travel insurance or separate health insurance, the remaining cost will come out of your own pocket – and this can easily run into hundreds or thousands if you have a serious illness or accident.

For non-EU travellers, it is highly recommended to pay for supplemental travel insurance to cover the cost of any accidents.

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