Thanks Scoutce. From my research, people on dialysis seemed to be just as vulnerable as those who had a kidney transplant. Good to hear about your BIL. Can I ask you where you live? I am close to Toronto, in a city known as as a world class organ transplant center, so this is surprising to see the difference in protocol.
I work in healthcare with incredibly vulnerable elderly individuals. I can only tell you what I’ve noticed personally with the caveat that my observations may be a total fluke, correlation does not necessarily equal causation, etc etc etc.
In the long term care setting, the most frequently observed thing when tracing back the origin of an outbreak: patient zero is a dialysis patient. This is true in a majority of outbreaks across well over 100+ facilities. Many months ago, very specific guidelines were issued on how to handle dialysis patients in this setting because the trend was so obvious. Mind you, we do not know WHY this is true. Is it that dialysis patients are more susceptible to symptomatic covid? Is it that dialysis patients by far spend the most time away from the facility, in close quarters with other medically fragile people for their dialysis appointments? Is it that dialysis patients are just more likely to get covid period? We don’t know. But we do see it over and over and over again that they tend to get it first, and they tend to struggle with it more than others once they test positive.
Because of this, and without any real research (because it doesn’t exist), these patients were strongly encouraged to get the vaccine. I’ll be honest though. We are seeing the VAST majority of elderly long term care residents more than eager to be vaccinated, so it really wasn’t a huge issue to get them all vaccinated.
So, did they have any unusual response to the vaccine? From what I’ve witnessed, no. The overwhelming majority of all of the patients I’ve witnessed have very few side effects at all. It is hypothesized by some that I work with that this might indicate that the elderly don’t mount as strong of an immune response to the vaccine. Of course, we don’t really know for sure at this point.
The one particular “type” of patient/person that I’ve noticed seems to have more or more significant side effects seems to be those who have already had covid. This is purely an observation on my part, hardly conclusive, but something I’ve noticed quite a bit so far.
I would personally be far more concerned about contracting covid as a solid organ transplant recipient than I would be about getting the vaccine. Either choice carries a degree of risk, but IMO, the vaccine seems less risky.