Is the Covid-19 vaccine safe for people with HIV?

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The British HIV Association (BHIVA) publishes vaccine advice for people living with HIV.

It is recommended that people living with HIV should get a vaccination, and relevant boosters, for Covid-19, regardless of their CD4 count. None of the currently available vaccines are live so they cannot cause Covid-19.

The patient information leaflets for the Pfizer/BioNTech, AstraZeneca/Oxford Covid-19 and Moderna vaccines all list immunodeficiency under the warnings and precautions for use, with Pfizer using HIV as an example, advising affected patients to tell their doctor, nurse or pharmacist before vaccination.

It is important to state that this is not based on concerns over safety. There is currently no evidence to suggest a higher risk of side effects in people with HIV. The guidance is mainly based on the fact that there is limited data for people with HIV.

It is possible that people with HIV will produce a weaker response to the Covid-19 vaccines, but the vaccines are still expected to be protective, and are recommended.