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COVID-19 VACCINES

Reader question: When should I get a fourth dose of the Covid-19 vaccine in Austria?

Austria's national vaccination board changed the recommendations for when to get the fourth dose of coronavirus vaccines. Here's what you need to know.

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Austria recommends the fourth vaccine to most of its population - here are the details (Photo by JOSE JORDAN / AFP)

Over this weekend, Austria’s national vaccination board (NIG) released an updated recommendation on Covid-19 immunisation, changing its previous guidance for the fourth dose of the coronavirus vaccination slightly.

According to the NIG, booster vaccinations can be given to persons aged 12 years and older and are recommended for anyone who wants to protect themselves.

READ ALSO: EXPLAINED: How to get the new adapted Covid-19 vaccine in Austria

In particular, the 4th vaccination is advised for persons over 60 years of age, persons at risk of severe disease progression (including pregnant women) and persons with an increased risk of exposure (healthcare workers, people in long-term nursing or care facilities, etc.).

The recommended interval between the third and fourth doses is from six months for people between 12 and 59 years old, NIG said. For those over 60 or risk patients, that interval is from 4 months.

What has changed then?

The main difference is the recommendation for those who have had a Covid-19 infection after their third shot.

“An infection in vaccinated persons usually leads to a booster effect (hybrid immunity), which can affect the optimal timing of the next vaccination.”, NIG said.

However, the board specified that infection could only be “counted” after it was confirmed with a PCR test.

READ ALSO: Austria announces new Covid-19 vaccination campaign

So, if you have had a PCR-confirmed infection after your second or third shot and it was an asymptomatic case, you may follow the regular vaccination scheme. However, you can also postpone your vaccination for up to six months.

If you had a symptomatic case, you may postpone your next dose for up to six months only if you are younger than 60 and not of a risk group.

NIG said: “Persons vaccinated three times who have also had a proven omicron infection show a good booster response and cross-immunity”.

READ ALSO: From inflation to Covid: What to expect from Austria’s winter season

It added: In such cases, especially in persons under 60 years of age, the 4th vaccination within a period of up to 6 months does not achieve any further improvement in immune protection and thus, the 4th vaccination can be postponed accordingly.

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COVID-19 VACCINES

What to know about Austria’s new advice on Covid vaccines

As the coronavirus pandemic progressed, each country developed its own vaccination recommendation, which often changed. Here is the new advice from the Austrian vaccination panel.

What to know about Austria's new advice on Covid vaccines

The Austrian National Vaccination Panel has updated its recommendations on Covid vaccination on several points, the Ministry of Health announced.

“Special attention continues to be paid to the completion of the basic immunisation, which is recommended for all persons five years of age and older, and to the booster vaccination,” according to the Ministry of Health.

The booster shot is generally available to all persons 12 years of age and older and is free of charge, but it is especially recommended for persons 60 years of age and older and those at risk.

READ ALSO: Masks against Covid and flu: What’s ahead for Austria this winter

In Austria, the basic immunisation against Covid-19 consists of three vaccine doses. A fourth dose, also known as a booster shot, is also recommended.

What is new in the recommendation?

Austria is adding a new coronavirus vaccine, from Sanofi (VidPrevtyn Beta), to the list of offers against the virus. The new vaccine is protein-based and has already been approved by the European authorities. 

In Austria, the Sanofi vaccine can be used from the third vaccination onwards on people older than 18. The offer will be available at the vaccination sites in the coming week at the earliest, according to the Ministry. 

READ ALSO: Colds and flu: What to do and say if you get sick in Austria

Another change is that the variant Comirnaty Original/Omicron BA.4-5 from BioNTech/Pfizer will also be used for the third vaccination of children aged 5 to 11 years. 

This vaccine is specially adapted to the virus variants Omicron BA.4 and 5. It is now available for children in a special application shot that should be in vaccination sites starting next week at the earliest. 

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Also included in the recommendations is a clarification specifically on an additional booster vaccination (fifth vaccination). 

People at risk from the age of 18, and those from the age of 60 can receive the additional booster vaccination four months after the fourth vaccination. According to the vaccination panel, no fifth vaccination is necessary for healthy people under 60.

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