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COVID-19 Vaccine Booking Instructions

Click Here for COVID-19 Vaccine info in other languages

Astra Zeneca available daily on Hotdoc or Automed booking portal

DRS CHOPRA, KOMZAK, DR WATSON , DRS SPROTT,  Dr CHEONG WILL TAKE THESE APPTS

WE HAVE A LAST MINUTE CALL IN LIST FOR SPARE PFIZER DOSES- TO JOIN THIS LIST , EMAIL  PFIZER@BRISBANECITYDOCTORS.COM.AU AND INCLUDE

  • YOUR NAME DOB AGE AND PH NUMBER,
  • IF YOU WORK IN THE CITY, AND/OR CAN BE IN WITHIN 30 MINS OF A CALL
  • IF YOU ARE A CURRENT PT OR NOT ,
  • ANY CONDITION THAT MAKES YOU A HIGHER PRIORITY
  • AND IF IT WILL BE FIRST OR 2ND APPT

DO NOT CALL TO SEE WHERE YOU ARE ON THE LIST AS ITS GIVEN ON A NEEDS BASIS.

FOLLOW THESE COVID VAX BOOKING INSTRUCTIONS CAREFULLY and read attachments with vaccine information and consent form to bring in (OR DO ONLINE WHEN YOU BOOK)

if you have troubles booking and consenting online and ONLY If you have a problem, message :

nurse@brisbanecitydoctors.com.au and ask them to call you to assist

You need two doses at 12 weeks apart for AZ vaccine so book second appt at time of your first . This can be shortened to 6-8 weeks if any major outbreak but may be lesser immunity if done less than 12 wks. For Pfizer its  3 weeks to 6 wks  apart for second doses (THOUGH FOR PFIZER APPTS THESE WILL AUTOMATICALLY BOOK A SECOND APPT AND TEXT YOU WITH THE APPT).  PFIZER APPTS ARE MADE ONLINE ON AUTOMED BOOKING SYSTEM

Common Side Effects for both Vaccines

  • Possible Headache ,sore arm, tired, fever ,chills, nausea is possible in first 24-48 hrs. Panadol will help fever and aches . Some people get no side effects
  • SERIOUS SIDE EFFECTS For AZ vaccine:
  • The serious clot risks are about
  • Incidence 3/100,000 (very rare)
  • Risks of dying of a clot 1/1,000,000. (ie VERY VERY RARE!)
  • AS A COMPARISON THE RISK OF BEING KILLED IN A CAR ACCIDENT ANNUALLY IS 1/20,000
  • Early recognition and intervention is important. Report any headache, fits, weakness one side, shortness of breath, chest pain, abdo pains, leg or arm pains or swelling, dizziness, blurry vision, fitting, blood spots or bruises under the skin appearing  2-30 days after the vaccine

For Pfizer vaccine:

General  very rare risks of myocarditis / pericarditis (heart inflammation) from recent CDC data with Pfizer 40/1000000 in young men under 30 yrs and 2.4/million over 30 yrs

Females 4/ million under 30 and 1/ million over 30 

Presents as fatigue ,chest pains , palpitations, and possible shortness of breath or faintness so go to hospital immediately. 75% occur Mainly after 2nd dose 4-30 days after but mostly within first 7 days. Mostly mild and recoverable. A drop in platelets can occur rarely and casue bruising so report same after the vaccine

These are the known knowns. There may be unknown unknowns with new vaccines but historically vaccines are rarely associated with long term issues. Most issues show themselves within a month

List of Eligible Medical Conditions

    • The Department of Health's list of underlying medical conditions recognised under phase 1B
    • Conditions    
    • Immunocompromising conditions
    • Solid organ transplant recipients who are on immune suppressive therapy
    • Adult survivors of childhood cancers
    • Bone marrow transplant recipients or those on chimeric antigen receptor T-cell (CAR-T) therapy or those on immune suppressive therapy for graft versus host disease
    • Haematological diseases or cancers including leukaemia, lymphoma or myeloma     Diagnosed within the past five years or on recently completed active treatment including chemotherapy, radiotherapy, immunotherapy or targeted anti-cancer therapy or with advanced disease regardless of treatment
    • Non-haematological cancer-Diagnosed within the past five years or on recently completed active treatment including chemotherapy, radiotherapy, immunotherapy or targeted anti-cancer therapy or with advanced disease regardless of treatment
    • Chronic inflammatory conditions on medical treatments   Including: Systemic Lupus Erythematosus, Rheumatoid Arthritis, Crohn’s disease, ulcerative colitis, and similar who are being treated with Disease modifying anti-rheumatic drugs (DMARDs) or immune-suppressive or immunomodulatory therapies. Generally not inclusive of people living with osteoarthritis, fibromyalgia, myalgic encephalomyelitis/chronic fatigue syndrome or similar non-immunocompromising inflammatory conditions.
    • Primary or acquired immunodeficiency    Including congenital causes of immunodeficiency and HIV/AIDS
    • Those with severe mental health conditions   Including schizophrenia, bi-polar disorder
    • Chronic renal (kidney) failure with a eGFR of <44mL/min Does not include mild-moderate chronic kidney disease
    • Heart disease-Including Ischaemic heart disease, valvular heart disease, cardiomyopathies and pulmonary hypertension
    • Chronic lung disease    Including Chronic Obstructive Pulmonary Disease, cystic fibrosis, interstitial lung disease. Smokers
    • Does not include Mild or moderate asthma
    • Diabetes
    • Severe obesity with a BMI ≥ 40kg/m2
    • Chronic liver disease
    • Some neurological conditions    Including stroke, dementia, multiple sclerosis, motor neurone disease, Parkinson’s disease, cerebral palsy. Generally not inclusive of migraine or cluster headaches
    • Poorly controlled blood pressure (defined as two or more pharmacologic agents for blood pressure control, regardless of recent readings)      
    • Those with Down syndrome, muscular dystrophy, traumatic brain and spinal cord injury
    • Those living with significant disability requiring frequent assistance with activities of daily living – including Down Syndrome, muscular dystrophy, traumatic brain and spinal cord injury, severe intellectual disability.
    • People with disability attending centre-based services such as:
    • day programs
    • respite care
    • supported employment.
    • All workers providing in-home and community disability care, including centre-based care.
    • Workers who regularly have face to face contact with those receiving aged care or those with a disability in phase 1a or 1b, including aged or disability care assessment workforce, those conducting regulatory activities and advocacy services.
    • Carers (paid and unpaid) of:
    • a resident of an aged care facility or residential disability accommodation who is eligible under phase 1a
    • a person over 60s (Astra Zeneca) or under 40 yrs if consent discussion has taken place
    • a person with a specified underlying medical condition who is eligible under phase 1b
    • a child with a specified underlying medical condition who would be eligible in Phase 1b but cannot be vaccinated due to age restrictions.
    • Disability and aged care support volunteers who provide support to people in their homes, respite care, educational, employment, leisure and/or residential settings, including those providing transport and advocacy services.
    • Pregnancy if had prior discussion with your Dr.
    • Visa holders
    • Travel exemption holders with approval for vaccination
    Covid Information in other languages  https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/covid-19-vaccine-information-in-your-language
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Before You Book

  1. For Pfizer > If you are eligible. You can book on line only . (no phone bookings) AS THE PROGRAM WILL RESERVE VACCINE FOR YOU AND THESE ARE BOOKED IN SESSIONS. Go to www.BrisbaneCityDoctors.com.au . Click on book covid booking button. And book through Automed
  2. Ask a friend or relative to help you or see our nurses for assistance if needed.
  3. For Astra Zeneca, go to website and book an appt through Hotdoc. Book online only before 4.30 pm. 
  4. If no Pfizer vaccine is available when you try to book you will be asked to reserve vaccine and we will Sms when it comes in (every 2 weeks), to book an appt at the required time frame for your vaccine
  5. You must have evidence of occupation, medical condition, medicare card to show on the day (we have your medical record and that’s all we need for our patients medical indications for vaccine as long as the condition is on file )
  6. If you are immunosuppressed or have a bleeding tendency , or have treatment for cancer , get advice from your Dr first before booking (bring specialist letter if available as sometimes your medications have to be timed around the vaccine)
  7. If you are frail or have significant health conditions, you must be assessed and cleared for the vaccine by your Dr and get a note in your file to confirm you can have it or make a note in your file for the vaccinator to say you are fit to have the vaccine)
  8. You must have a current Medicare card with you on the day. WE CANNOT VACCINATE ANYONE WITHOUT A MEDICARE CARD THEY HAVE TO GO TO GOVT CENTRES
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You can check your Medicare details:

  • on the MyGov website
  • in the Express Plus Medicare app on your phone or tablet
  • by calling Medicare on 131 011.

Your immunisation information will be uploaded to the Australian Immunisation Register (AIR) and if you have ticked yes to upload AIR information to MHR it will go to your MHR. You can access this via your Express Plus Medicare account , MY Gov or My Health Record for your travel passport and immunisation record.

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You Must Not Book Here if

  1. You are unwell with any cold and flu symptoms on the day. If you have symptoms, you need to be Covid tested negative prior (bring result) and be symptom free for 5 days before coming
  2. You have a history of mod-severe asthma, multiple allergies to anything (mixtures, sprays, creams, drops, vitamins, cosmetics, stings, latex, medications) or anaphylaxis or prescribed an epipen or have an allergy to any component of the vaccine e.g. PEG or polysorb 80 (see product information below) or have a mast cell disease (eg mastocytosis with elevated tryptase), a history of large clots from a Covid vaccine (TTS) or heparin (HIITS), antiphospholipid syndrome, history of leaky capillary syndrome. You MUST go to Resp Clinics eg Southbank Family Practice Respiratory clinic in Grey st) which are set up for higher risk cases. History of an ordinary DVT or pulmonary embolus is not a contraindication to Az vax e.g. a post op clot
  3. You are a fainter or a needle phobic- you MUST go to the Resp clinics as they have adequate beds to cope with this. These locations can be found on Healthdirect website
  4. You can have the vaccine if breastfeeding or pregnant or planning a pregnancy after discussions with your own DR first
  5. You cant book here if you have no current Medicare card. You must go to the Respiratory clinics
  6. You cant book here if you cannot return here for the second vaccine around 6-12 wks (AZ) or 3 -6wks (Pfizer).
  7. You cant book here If you cant prove eligibility, (a letter from employer or work ID tags). Your Medical file with us is enough for medical history )
  8. Don’t book if you need more information before making a decision to be vaccinated , are vaccine hesitant ,as there is small time on the day. Book an appt with your DR prior for more detailed discussion. These vaccine appts are for those people ready to go.
  9. Don’t book if you cannot understand English or understand the information we have given you. Go to the respiratory centres where they have interpreters so you can be properly consented
  10. Don’t book if you have had another vaccine within 1 week. Wait until 1 weeks have passed e.g. after or before a flu vax or allergy shot
  11. Dont book AZ vaccine  if you have a history of cavernous venous thrombosis , portal vein thrombosis, splanchic clots, or heparin induced thrombocytopenia, have antiphospholipid syndrome or capillary leak syndrome or Guillian Barre. Clots are  rare side effect is being investigated that may cause serious clotting in approx  3/100,000 people . It is being successfully treated in most cases with a 1 in a million risk of death. Disablement is possible.
  12.  
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If all the above is ok: 
To book A Covid Vaccine Appointment

  • If eligible, Go to our website , www.BrisbaneCityDoctors.com.au

To book a Pfizer covid vaccine appointment

  1. click the “Register for a Covid vaccine appt” red button at top of the home page , Book on automed option

For Astra Zeneca- book on hotdoc booking option

  1. then read the info on the Covid page before booking
  2. Fill in your details
  3. Pick type of appt first e.g. dose 1 or 2 of Pfizer (if eligible) or AZ dose 1 or 2 then choose Dr (FIRST) and appt time then The Covid vax appts available DR will come up to book an appt

5.Choose see all appts and choose a time slot and vaccine type (do not pick pfizer if you are not eligible- you wont get it)

(If no vaccine available you will be asked to reserve vaccine and will receive an Sms when its in to then book an appt at appropriate time

  • We will send SMS reminders for appts for first and second dose appts. Appts will open up 2 weeks before youre appt is due for Astra Zeneca and you will get a reminder to book or you can book your second appt at your first appt but Pfizer second appts will be booked automatically at first dose . We have reserved vaccine for your second dose
  • Cancel appt if you cannot come so the vaccine wont be wasted for that day(it has to be discarded after 6 hrs)
  • If you need more information before booking for the vaccine, book a telehealth or face to face appt to discuss with your Dr. For telehealth you need to have had a face to face appt within 12 months to get a Medicare rebate

If you are over age 70, frail or have multiple medical conditions , this is advised before booking a vaccine appt to get clearance from your Dr re fitness for the vaccine.

  • The actual vaccine giving appt is bulkbilled if you have a Medicare card on the day

PFIZER  SESSION IS HELD AT SULLIVAN NICOLAIDES ON GROUND FLOOR

ON THE DAY:  A MASK MUST BE WORN FOR SOCIAL DISTANCE PROTECTION

ASTRA ZENECA Vaccinations

We are in a transition period for AZ vaccine and moving from prebooked sessions at Sullivan Nicolaides on ground floor,  to book anytime or walk in downstairs so you may be redirected in the changeover period. If you’ve booked on a Mon Tues Thurs Fri morning- check at Sullivan Nicolaides first on ground floor .They will confirm location. Some walk in and Hotdoc booked appts will need to Check in at reception downstairs

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Location

We are located on the ground floor at Manor Apartments 289 Queen St. Next door to GPO. Come through the clear glass doors of Manor Hotel to the back opaque glass doors and enter Sullivan Nicolaides area. Self Check in kiosk is just inside to the left or see nurse at back counter if issues.

Some Astra Zeneca will be here if booked to a session on Automed booking option on our site and some downstairs (check at reception in Sullivan Nicolaides or downstairs if a walk in appt or appt made on Hotdoc booking option on our site- we are transitioning to downstairs for Astra Zeneca)

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On the Day

  • Depending on your reason for eligibility , bring evidence of your specialist advice ( specialist letter for people with cancer, immunosuppressed, or has blood or bleeding disorders) and if working (employer letter or work ID card. (List of eligible diseases next page )
  • Bring your CURRENT Medicare card
  • Come ready with upper arm exposed without the need to undress/unbutton
  • Have had a meal at your regular time(don’t be hungry)
  • Check yourself in at the self check in kiosk just inside the opaque glass doors on the left at entry to Sullivan Nicolaides. If you have any issues checking in on the computer kiosk just inside the door to the left or need help , see nurse for assistance when you let her know of your arrival. Then sit on timber chairs to wait to be called in
  • DONT come if unwell in any way with cold and flu symptoms of have a fever(get covid test)
  • Ensure you have had all questions answered beforehand if you have any questions or concerns. The clinic is for ready to go patients only and small time for discussion. Be sure if youre under 40 and booking AZ that you have had a prior consent covid info appt before coming
  • After checking in , sit in timber chairs and wait until nurse/Dr takes you through
  • Advise the vaccinator if you are allergic to anything, are needle phobic, a fainter, or have bleeding tendencies/ are on blood thinners or immunosuppressed or could be pregnant or aged over 70yrs or having cancer treatment
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After the Vaccination

  1. After vaccine, sit and wait in the timber chairs a minimum 15 mins. Wipe over chair with antiseptic wipes on leaving. Set your mobile phone alarm to 15 mins and then at 30 mins as we want you to remain close by for 30 mins
  2. There is a 1/100000 risk of allergy to the vaccine . While waiting, report any allergy symptoms immediately e.g. itchy ,rash ,swelling of lips or thickening feeling of tongue or throat, dizziness, trouble breathing, fast heart rate or faintness. It requires urgent treatment

 Do not delay

  • Then stay close by for another 15 mins at a local coffee shop, park across the road or Post Office steps .
  • Allergic reactions can rarely occur up to another few hours or even a day after. If you get any symptoms with itch rash, or swelling lips, tongue, , troubles breathing, Call an ambulance immediately if not near a Drs surgery . You can call us for advice ph 0409783463 or 32213366 if no answer and option 8 to drop to receptionist when options given. If unable to contact call an ambulance
  • If you have an adverse reaction , you must report it. Go to our website and under Patient Info tab go to forms and fill in the Covid reaction report form and email to TGA and notify us also to nurse@brisbanecitydoctors.com.au so we can update your file.

 

Visit here to see what to expect after vaccination

https://www.health.gov.au/sites/default/files/documents/2021/03/covid-19-vaccination-after-your-astrazeneca-vaccine-covid-19-vaccination-after-your-covid-19-astrazeneca-vaccination.docx

Please read COVID-19 Vaccine AstraZeneca Product Information for possible side effects to expect after vaccination( headache, fever, sore arm, tiredness , nausea settling within 48 hrs. Report Any severe or unusual symptoms after 2 days to 30 days eg unusual headaches, blurry vision, abdo pains, chest pains, shortness of breath , chest pains, red spots on your skin, limb pains

https://www.health.gov.au/resources/publications/covid-19-vaccination-after-your-pfizer-comirnaty-vaccine

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