How long, if at all, should patients be waiting to get here injections (with steroid) if they have got their vaccine? And how long to wait to get vaccine after getting a steroid injection? Thoughts?
Holding steroid 2 weeks before, one week after Pfizer, two weeks after Moderna vaccines looks like the best recommendation at the moment.
I’d follow these guidelines, but would entertain extenuating circumstances.
Summary from Spine Intervention Society:
TIMING OF INJECTIONS PRIOR TO COVID-19 VACCINATION
(NOT BRAND-SPECIFIC):
It may be prudent, based on indirect evidence, to schedule elective corticosteroid injection approximately two weeks before vaccine administration and no later than one week before vaccine administration to avoid potential decrease in immunogenicity of the mRNA vaccines.
TIMING OF INJECTIONS AFTER COVID-19 VACCINATION
(BRAND-SPECIFIC):
Pfizer-BioNTech COVID-19 mRNA Vaccine — Theoretically, it is unlikely for a corticosteroid injection to diminish the immunogenicity expected to be achieved by around day 28 or seven days after dose 2, and we would recommend proceeding with corticosteroid injections after this point in time.
Moderna COVID-19 mRNA Vaccine — Based on the data that are provided in two-week intervals, we would recommend timing corticosteroid injections at around day 42 or 14 days after dose 2.
The entire article:
Corticosteroid Injections and COVID-19 Infection Risk