Need to decide to get a Covid Shot while I have PMR.

Posted by johnhester @johnhester, Jul 8, 2024

I am conflicted on when or if to get a Covid shot. I see from our group than some have had a very bad reaction withing 2 weeks of getting the Covid shot. If anyone here has had a Covid shot while having PMR, I would love to hear from you. Most comments I read are from people who had a bad reaction. I wish there were statistics for Covid shots and PMR. The CDS says to get the shot anyway because if you get Covid and have not had the vaccine you may have a very bad outcome.
I am 88 years old and in fairly good health otherwise. I am doing fine with my tapering. I am now at 8 mg prednisone, down from 15 mg in 4 months.
So there is my delemma. Any suggestion or advice would be greatly appreciated.

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

I have had PMR since 9/23 (possibly longer, it took a while before they got to that diagnosis), and tapering has been difficult. It's going well now since I finally have a good rheumatologist. I started at 20 mg of Prednisone and am down to 11, supplemented by daily Meloxicam. I got the Pfizer COVID vax in early October with zero issues, not even a sore arm. Many friends, especially those who have traveled, have come down with it. I've been spared. Just one person but a happy story.

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I have PMR and taking Prednisone and hydroxychloroquine daily. I had a Covid vaccine two weeks ago, no reactions, I’m fine!

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I do not remember ever having a reaction to a flu shot. The day after the last Covid booster I was miserable, spent moat of the day in bed.. I am now alternating between 2-3 mg prednisone and having some problems. I am feeling vulnerable to having a flare by getting the covid booster. Getting my markers done tomorrow, the last 2 months were normal. I have not gotten any vaccines yet. Will decide soon.
Also feeling vulnerable to being in the hospital with covid.

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I have PMR and taking Prednisone and hydroxychloroquine daily. I had a Covid vaccine two weeks ago, no reactions, I’m fine!

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You might want to check on covid shots and decrease immunity.
First had knowledge of MD's from Pittsburgh to N. VA. saying many people with diseases like micoplasma pneumonia and not responding like normal.
Blaming covid or vaccine, but no one knows why.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@johnhester, see this related discussion:
- Is it safe to get the Corona Virus (COVID-19) vaccine with PMR?: https://connect.mayoclinic.org/discussion/pmr-and-corona-virus-vaccine/

I also found this information:
EXERPT
Reference: "Can I have the vaccine if I am taking steroids?
It’s fine for you to have the vaccine while you’re taking steroids. There’s no reason to delay the vaccine if you’re taking steroids, or have recently had a steroid injection or finished a course of steroid treatment.

Taking steroids as tablets, liquids, injections or drips might mean that your immune system doesn’t respond as well to the vaccine as someone who isn’t taking these drugs. This means that you may be advised to follow advice on shielding and social distancing guidance after you have had it and if you may need a third dose of the vaccine as part of your initial course. Steroid creams or eye drops should not affect your immune system or response to the vaccine.

Your healthcare team might want to discuss delaying a dose of steroids or a steroid injection with you, especially if there is a high risk of getting COVID-19. It’s important that you don’t stop taking your steroid medication without speaking to a healthcare professional, as this can leave you at risk of having a flare-up, which can increase your risk of COVID-19." Read more here:
-- Vaccines for COVID-19 – your questions answered: https://versusarthritis.org/covid-19-updates/vaccines-for-covid-19-your-questions-answered/

Has your doctor suggested that you get the updated COVID shot?

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@colleenyoung Well, this seems backwards. Stopping prednisone suddenly, or even too quickly, can cause problems that make PMR at its worst look like a walk in the park. Happened to me back in the summer. Lightheadedness, lack of balance, hypotension with rapid heart rate to try (almost but not quite in vain) to raise the flow of blood to my head. I am still dealing with this, and with careful management, I am now at the point where I can SOMETIMES feel almost normal but if I act like I am OK, I pay for it with a couple of days mostly in bed.

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I too was nervous about getting the vaccine(s). I am off of prednisone. I got the flu vaccine last week and was sore but okay. I was having a PMR flare in my left arm, so of course I went for the right arm. It smarted more than I am used to. I decided to get the covid vaccine a few days later because I want to be vaccinated before my husband has unexpected heart surgery on Nov. 3rd. I let the pharmacist know I have PMR and that I had had a pretty big flare when I got the first shingle vaccine (of two) last year. She said that was not unusual, as that one is a bit tougher for those with autoimmune challenges. I told her that I still had soreness in my right arm from the flu shot, and could she aim in a different spot. She said of course and did so, and I did not have a bit of problem. Except, as usual PMR antics are with me, my left arm stared hurting even more the next day. I just chose that the temporary pain was necessary under the circumstances.

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For what it’s worth, I was diagnosed with PMR on 7/31/26. Currently taking 12.5 mg of prednisone daily and have no PMR symptoms. I received vaccines for flu and Covid (Pfizer version) on October 14th. Felt a bit fatigued the following day but no issues since.

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I do understand but I would encourage everyone to re-consider getting vaccines at a time when their body is already in the throes of dealing with a chronic condition. Especially the covid vaccine.

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My PMR started after my second COVID vaccination in 2021, so I will never get another mRNA vaccine. I do think I am more sensitive to it than others may be.

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I was diagnosed with PMR one year ago. I got both covid and flu shots last week. No side effects except a sore arm.

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