@Cathin
Let me see if I understand your questions.
You want to know if there is any problem having the Covid vaccine while using Symbacort? Not as far as anything I have read, and I got my last booster while using it - no problem. Now that the updated vaccine has been released, I will be getting in line at my clinic as soon as they have.

As for using Symbacort and the increased risk of developing MAC, my pulmonologist and I discussed it at length. I stopped antibiotic treatment while still testing positive (MAC knocked down but not out) so I was concerned about it flaring. My asthma was poorly controlled, I was chronically short of breath & had pain on exertion, so it was hard to get the exercise I needed. On a risk/benefit scale, the ability to breathe better, feel better & exercise was a HIGH benefit. The uncertain possibility of reinfection was a LOWER risk. So far, at 20 months, my breathing is better, I use FAR less rescue inhalers and Levalbuterol nebs, have only had 2 mild exacerbations, so I view it as a win. Next lung images due in December, so we'll see if everything has remained stable.

Every individual with bronchiectasis and MAC is different, so the decision must be made by you and your doc based on your situation.

Sue
Sue