Pakistan Haemophilia Patients Welfare Society Rawalpindi 
Haemophilia Treatment Center (HTC)
COVID - 19  Vaccination Guidelines for People  with Inherited Bleeding Disorders 

 Author : Dr Tahira Zafar , Director HTC 
 No contraindication to vaccination in  People with inherited  bleeding disorders. All people including Rare Bleeding Disorders & Platelet  Disorders should be vaccinated.
Patients with Hepatitis C or on treatment for Hepatitis C should also be vaccinated .
All People  with Inherited Bleeding Disorders to be notified to get themselves registered for vaccination per Govt. of Pakistan ,Dept. of health guidelines.
 When the Code No. ,date & vaccination center becomes available ,they should be advised to contact their HTC for guidance .
HTC guidelines are as follows :
1.  The vaccine  will be administered intramuscularly with a syringe with its own needle . Pressure to be applied to the site of injection for atleast 10 minutes to reduce bleeding and swelling
2 .Check the site  2-4 hours  after injection for any swelling .In case of any pain(slight arm discomfort for 1-2 days after injection is normal )accompanied by swelling report to your HTC 
3.If the site of injection has a rash & is itchy, there is shortness of breath, or swelling of the face or tongue (allergic reaction) report to your HTC or nearest hospital emergency immediatly  
4. People with severe /moderate haemophilia & Type 3 von Williebrand Disease will require factor concentrates prior to vaccination . Contact your HTC 
5. Patients on Emicizumab (with or without inhibitors )can be vaccinated without factor concentrate cover 

Reference
WFH COVID Vaccination guidance for people with hemophilia. December 22 ,2020