The HSE has opened the portal for the Pfizer Covid-19 vaccine to all children aged five to 11. What do parents need to know?

When and how will these shots be rolled out?

Covid-19 vaccine registration has opened for all children aged five to 11, the HSE announced on Monday.

Hospital Report

The HSE said parents can register their children on its vaccine portal, with appointments expected to be offered soon after registration. The jabs will be given at vaccination centres.

Up until now registration was only opened for children at higher risk. children with underlying conditions, children who live with a younger child with complex medical needs, and children living with a person who is immunocompromised.

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There are an estimated 480,000 children within the five-to-11 age group.

Will they receive the same vaccine as adults have?

The paediatric doses are a third of the quantity of the Pfizer vaccine administered to people aged over 12. Children will need a second dose after three weeks.

Is the vaccine effective for children aged 5 to 11 years?

According to the HSE the clinical trial for the vaccine showed that it was highly effective at preventing Covid-19 in children this age.

Is the vaccine safe for kids?

The European Medicines Agency (EMA) gave approval for the weakened dose for children on November 25th. The National Immunisation Advisory Committee (Niac) made the recommendation to extend it to this age group due to what it described as the “favourable risk profile” of the vaccine.

Kingston Mills, a professor of experimental immunology at Trinity College Dublin, said the vaccines were tested in phase-three clinical trials in that age group and “there wasn’t anything significant” in terms of concerns. He said it is all about weighing up the risks of contracting the virus versus the vaccine.

What are the risks?

There are risks of side effects with every vaccine. These are similar to those that adults have reported such as a sore arm, headache, slight fever and fatigue.

However, Prof Mills also noted the experience of the swine flu vaccine in 2009 and 2010, with which the risk of narcolepsy was not discovered during clinical trials, and was only identified after millions of doses had been administered.

“That’s an unusual thing and it’s very, very rare for that to happen, but it can happen,” he added.

Are children being asked to do something for the sake of society?

There are benefits for children too, particularly given the high incidence of Covid-19 in the age group.

According to the most recent figures from the Health Protection Surveillance Centre (HPSC), children aged five to 12 accounted for 13.4 per cent of new Covid cases in the week up to December 23rd .

Christine Loscher, professor of immunology at Dublin City University, said children are vaccinated against rubella, despite it being “a really mild illness in kids”. “ But we get them vaccinated because if a pregnant women gets it, it’s really, severely damaging for the baby,” she added.

Do children only get a mild illness due to Covid-19?

There is a lot of unpredictably about the disease, Prof Loscher said.

“You can’t really predict what way the illness is going to present in your child. We do know that high percentage of children have a very mild illness, but you’ve no way of telling that beforehand,” she said.

For those that are hospitalised, they can experience “severe respiratory issues” or contract the inflammatory syndrome that is “really quite serious”, she added.

Prof Loscher said vaccination also has the potential to reduce the chance of a child developing long Covid, or from having lingering symptoms “that might have an impact on their lives”.

“They can happen in children who have mild symptoms,” she added.

Given the uncertainty around how future variants may clinically affect people of various age groups, it also acts in a way to “future-proof” children in terms of immunity, Prof Loscher said.

My child has already had Covid-19, can they get the vaccine?

A child can be vaccinated from four weeks after they first developed symptoms or from their positive Covid-19 test. A child who has had Covid-19 will likely have some immunity which may last for approximately nine months, according to the HSE. However, they could still get it again and the vaccine will reduce the risk of getting it.

How and where will the vaccine be given?

The Covid-19 vaccine will be given to children at vaccine centres. It is given as an injection into the upper arm.

More information can be found at the HSE website.