Updated vaccines: The Committee’s recommendations for the 5th dose – Detailed tables and clarifications

Detailed instructions and recommendations for vaccination with the updated vaccines against Covid 19, issued by the National Vaccination Committee.

The updated bivalent vaccines have recently been approved by the relevant regulatory agencies and are only given as a booster dose. Therefore before the administration of the updated bivalent vaccine completion of basic vaccination is required.

It is recalled that the basic vaccination includes two doses of the monovalent mRNA vaccines or the protein vaccine or one dose of the single-dose Johnson & Johnson vaccine for the general population and 3 doses of the monovalent mRNA vaccines for immunocompromised patients.

A booster dose with the updated bivalent vaccines (BA.1, BA.4/BA.5) against coronavirus is recommended in a period of at least 3 months after the last dose of the vaccine or the illness from coronavirus:

• to all persons aged 60 and over
• in persons aged 12-59 years who belong to increased risk groups (see Tables 1 and 2) according to the instructions of the attending physician
• to residents and workers in aged care facilities or other chronic care facilities
• to health professionals
• in persons living with immunosuppression or other underlying diseases (see Tables 1 and 2)
• to caregivers of people suffering from diseases that increase the risk of complications from coronavirus

See the detailed tables here with the increased risk groups in which a booster dose is recommended

It is clarified that:

-People who have already been vaccinated with the second booster dose of the monovalent vaccines and belong to the above groups can be vaccinated with the updated bivalent vaccines (as long as at least 3 months have passed).

-People who got sick after the administration of the second booster dose of the monovalent vaccines have no contraindications and can be vaccinated with the updated bivalent vaccines with the consent of the attending physician.

– The possibility of vaccination with bivalent updated vaccines for a second booster or third booster dose is provided individually to people aged 30 to 59 who do not belong to the above categories with the consent of the attending physician.

It is emphasized again that the timely vaccination of the above groups with the updated bivalent vaccines is more important than the type of vaccine to be administered.

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