Questions and answers about the corona vaccination in baden-wuerttemberg

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We have created vaccination centers and mobile vaccination teams throughout Baden-Wurttemberg in order to vaccinate as many people as possible against the Corona virus as quickly as possible. Here is an overview of the most important questions and answers about vaccination and the proofs for vaccinated and recovered persons.

Stay tuned-BW.de you find current vaccination actions with you locally. It’s also worth checking your city or county websites every now and then, as they also announce vaccination activities at immunization centers.

Information about the vaccination in other languages

The most important questions and answers about vaccination in Baden-Wurttemberg (as of: 26. January 2022)

Where is vaccinated?

To the 1. October 2021 the vaccination centers in Baden-Wuerttemberg have closed. After the closure of the vaccination centers in Baden-Wurttemberg, vaccinations against the coronavirus will in the future be carried out mainly by registered physicians.

In addition, 155 mobile vaccination teams are currently being deployed in Baden-Wurttemberg to support physicians in private practice. In addition, the existing vaccination buses in the state will be integrated into the state concept, where desired.

The offer is supplemented by regional vaccination support points in the cities and counties.

Mobile vaccination teams will continue to use part of their capacity for on-site vaccination campaigns. In some municipalities, these will also be carried out by general practitioners, as has been the case up to now. On-site vaccination is an important point of contact for people without a primary care physician, for young people who travel a lot, and for people for whom vaccination has not yet been possible for other reasons.

In addition, company physicians have been required since 7. June 2021 included in the vaccination campaign.

Stay tuned-BW.de you will find current vaccination campaigns at your location. It is also worth taking a look at the websites of your city or district every now and then, as vaccination campaigns are also announced here.

Where special vaccination campaigns take place?

Vaccinations are an essential part of the pandemic response. Physician practices and mobile immunization teams are making more appointments available. On Stay tuned-BW.de you will find current vaccination campaigns at your location. It is also worth taking a look at the websites of your city or district every now and then, in the local press, radio or on their social media channels, as vaccination campaigns are also announced here.

Who can get vaccinated?

Status: 26. January 2022

Since the age of 7. June 2021, all adults, regardless of age, pre-existing conditions or occupation, will be able to make an appointment for vaccination without any other requirements, or drop in for vaccination without making an appointment in advance.

According to the recommendation of the Standing Commission on Vaccination (STIKO) from 24. August 2021, children and adolescents aged 12 and older in Baden-Wurttemberg can also be vaccinated.

Since 17. December 2021, the STIKO also recommends vaccination of children aged 5 to 11 years with pre-existing diseases. These have an increased risk for a severe COVID-19 course.

In addition, vaccination is recommended for 5 to 11 year olds who are at high risk for severe COVID-19, who cannot be vaccinated themselves, or for whom there is a reasonable suspicion that vaccination will not provide adequate protection. Vaccination can also be given to 5- to 11-year-olds without previous illnesses at the individual request of children and parents or legal guardians after a doctor has provided information. The basic immunization is carried out with two vaccine doses of the mRNA vaccine Comirnaty from BioNTech in age-approved formulation.

The final decision on whether to vaccinate in a specific individual case is always up to the vaccinating physician. The vaccination physicians, for example in the regional vaccination centers, are not bound by any directives. You have the medical responsibility for the vaccination.

Since 10. September 2021 there is also a recommendation of the STIKO for pregnant women and nursing mothers.

When will mandatory vaccination in medical and nursing facilities begin??

The so-called facility-based vaccination obligation applies nationwide from 16. March 2022. Employees of clinics, nursing homes, doctors’ offices and emergency services, for example, must then provide their employer with proof of complete vaccination, proof of recovery or a doctor’s certificate stating that they cannot be vaccinated.

For whom is booster vaccination recommended?

Status: 26. January 2022

Since the age of 18. November 2021, the Standing Committee on Vaccination (STIKO) recommends the COVID-19 booster vaccination for all persons 18 years of age and older. Since 13. January 2022, a booster vaccination is also recommended for all 12- to 17-year-olds. However, it is affirmed to offer a booster vaccination to the following groups of persons as a matter of priority: Persons with immunodeficiency, i.e., an immune deficiency, persons aged ≥ 70 years, residents and persons cared for in institutions for the elderly, and personnel in medical and nursing facilities. Even those who have not been vaccinated so far should be vaccinated as a matter of priority.

In any case, the booster vaccination for all groups is not given until at least three months have passed since the second vaccination. The STIKO passed a resolution on 21. December 2021, the recommendation for the interval between booster vaccinations has been reduced from six to three months. A single dose of vaccine is sufficient for booster vaccination.

According to the Paul Ehrlich Institute, the heterologous third vaccination, i.e. booster vaccination with the Moderna vaccine after previous vaccination with the BioNTech vaccine, leads to a significant increase in antibody titers in vaccinated persons. So there is a presumption that by changing the mRNA vaccines in the booster vaccination a stronger immune response and thus a more robust vaccine protection is provoked.

Antibody testing only necessary for immunocompromised persons

In persons with severe immunodeficiency, i.e., immunodeficiency, there is a possibility of a lack of immune response and thus a lack of protection against COVID-19 despite administered vaccines. Therefore, they should be offered serologic testing for specific antibodies to the SARS-CoV-2 spike protein both after the fourth week following the second vaccine dose and after the fourth week following the third vaccine dose. There is no need to wait for the result of the first antibody test before administering a third dose of vaccine. The federal government will consider a provision to fund antibody testing for this group of individuals.

Why was there prioritization in the vaccination campaign and what was the order of vaccine-eligible groups of people prior to the 7. June 2021 off?

At the beginning of the vaccination campaign, vaccination was still given according to prioritization groups due to the shortage of vaccine. People who were at particularly high risk of severe, potentially fatal, COVID-19 disease could thus be protected first.

The classification of population groups prioritized for Corona vaccination was based on the recommendations of the Standing Commission on Vaccination (STIKO) at the Robert Koch Institute on COVID-19 vaccination. This recommendation was included in the Coronavirus Vaccination Ordinance of the Federal Government.

The STIKO has defined a total of six prioritization levels in its recommendation on "Prioritization of COVID-19 Vaccination". The Coronavirus Vaccination Ordinance adopted this concept in an adapted form and established three mandatory prioritization groups – subdivided into the categories "highest priority", "high priority" and "increased priority" – in the order of which citizens were offered vaccination. Prioritization followed the rationale that those who are particularly at risk because of their age, certain pre-existing conditions, or occupation should be vaccinated first.

While vaccination prioritization in doctors’ offices in Baden-Wurttemberg had already begun on 17. May 2021 has been repealed, since 7. June 2021, all persons 12 years of age and older, regardless of health status or occupation, receive a vaccination appointment.

What to consider when vaccinating children and adolescents?

As a rule, the ability to consent to a medical intervention – in this specific case, for example, a vaccination – is given from the age of 16 years onwards. This means that adolescents 16 years of age and older can generally make their own decisions regarding vaccination and consent to it. The prerequisite is that the patient has been informed about the treatment and its risks.

A vaccination is a routine measure of everyday medical life, so that a capacity to give consent in a special individual case is also possible earlier than at the age of 16, but usually not before the age of 14. There may be a need for further data on the safety of the vaccine. The question of the ability to consent is subject to an individual examination by the physician.

In the event that there is no capacity to consent, the consent of the legal guardian is required.

Is there a vaccination recommendation for children?

Status: 26. January 2022

For vaccination of children and adolescents, the COVID-19 vaccines Comirnaty (BioNTech/Pfizer) and Spikevax (COVID-19 Vacczine from Moderna) are licensed in Europe for persons 12 years of age and older. With the approval of the vaccine, the EU Commission confirmed the recommendations of the European Medicines Agency (EMA).

The Standing Committee on Vaccination (STIKO) recommends COVID-19 vaccination for all 12- to 17-year-olds with two doses of the mRNA vaccine Comirnaty at intervals of three to six weeks. In addition, since 13. January 2022 all 12- to 17-year-olds recommended booster vaccination with Comirnaty mRNA vaccine at the age-appropriate dose of 30 micrograms. The third vaccine dose should be administered at a minimum interval of three months from the previous vaccination.

Vaccination requires a doctor’s explanation, taking into account the benefits and risks. The final decision on whether to vaccinate in a specific case always rests with the vaccinating physician. The vaccinating physicians are not bound to instructions, because they carry the medical responsibility for the vaccination.

In consideration of all available data, the STIKO now also recommends the COVID-19 vaccination for children aged 5 to 11 years with various pre-existing diseases. In addition, vaccination is recommended for children who are in contact with persons at high risk for severe COVID-19 and who cannot be protected by vaccination, such as the very elderly and immunosuppressed persons. In addition, 5- to 11-year-old children without preexisting conditions can also be vaccinated against COVID-19 after appropriate medical education, provided that there is an individual wish of the children and parents or guardians. Vaccination is given with two doses of BioNTech’s Comirnaty mRNA vaccine in an age-approved formulation.

The aim of the recommendation is, among other things, to prevent severe COVID-19 courses and deaths in children aged 5 to 11 years. Although the 7-day incidence in the age group is very high, so that it can be assumed that without vaccination a large proportion of 5- to 11-year-olds will be infected in the medium term, most infections are asymptomatic.

Currently, children without preexisting conditions in this age group are at low risk for severe COVID-19 disease, hospitalization, and intensive care. In addition, the risk of rare side effects of the vaccination cannot be assessed at this time due to limited data. Therefore, the STIKO does not currently make a general vaccination recommendation for 5- to 11-year-old children without pre-existing conditions. As soon as further data on the safety of the vaccine in this age group or other relevant findings are available, STIKO will immediately review them and adjust the recommendation if necessary.

Which vaccine can I get in the doctor’s offices??

In the case of vaccinations in doctors’ offices, citizens can be vaccinated in compliance with the respective licensing-relevant and recommended age limits and other medical indications with any available vaccine be vaccinated. In doctors’ offices, appointments are made entirely by the attending physicians, after all, they know their patients best and can decide who needs the vaccination first. At the same time, this allows them more flexibility in organizing vaccinations.

Detailed information on vaccines can be found on the homepage of the Paul Ehrlich Institute:
Paul Ehrlich Institute: COVID-19 vaccines

May I be vaccinated even if I have just received another vaccination?

At the beginning of the COVID-19 vaccination campaign, the STIKO recommended as a precautionary measure that a minimum interval of 14 days be observed between the application of a COVID-19 vaccination and other vaccines in order to be able to clearly assign vaccination reactions to the respective vaccination. Extensive data on the safety and tolerability of COVID-19 vaccines approved in Germany are now available, so there is no longer any need to maintain a minimum interval between the application of COVID-19 vaccines and other inactivated vaccines. If administration of different inactivated vaccines is indicated, they can be given at the same time.

From the point of view of the STIKO, a minimum interval of 14 days should be maintained between the COVID-19 vaccination and other vaccinations with non-inactivated vaccines.

Where can I get medical questions answered about vaccination?

Please discuss medical questions with your general practitioner or specialist. The state government provides the logistics for vaccinations. We cannot and must not answer medical questions. Before the vaccination in a doctor’s office or by a mobile vaccination team, there will be a detailed educational discussion with a doctor. Here you can get expert information on your questions. After the conversation, you are still free to decide whether you want to be vaccinated or not.

Use protected communication channels!

Please do not post personal medical details of yourself or your loved ones publicly on Facebook, Instagram or other social networks. Not are they only visible to everyone here, but such information can also be processed by the operators of the platforms and used by advertisers on the platforms.

Third parties can also use this data for unfair purposes (profiling). Furthermore, it is not clear what else is done with such data. Even if you delete the postings again, they remain in the database of the platforms. Therefore, be careful when publishing sensitive personal data on social networks. Always use protected, non-public communication channels when asking such questions.

Postings on our social media profiles that contain detailed personal medical information or other sensitive data will be deleted immediately by us for your own protection.

Please also note our data protection information on the subject.

What do I need to bring to the vaccination?

Please bring your vaccination certificate and an identification document, for example your identity card, with you to the vaccination.

How often do you need to be vaccinated?

For all vaccines currently used in Germany (Comirnaty from BioNTech, Spikevax from Moderna, Vaxzevria from AstraZeneca and COVID-19 Vaccine Janssen from Janssen-Cilag), two vaccinations are necessary for complete basic immunization. The intervals between the first and second vaccination can vary for different vaccines.

Tables 1 and 2 of the "Epidemiological Bulletin 3/2022 (PDF)" provide an overview.

How do I get an appointment for the second or booster vaccination??

Since 15. November 2021, the state has partnered with counties to create a variety of immunization services, including more mobile immunization teams that travel to immunization clinics in every city and county.

On Dranbleiben-BW.de find current vaccination campaigns in your area. It is also worthwhile to take a look at the websites of your city or district every now and then, as vaccination campaigns are also announced here.

If you do not have a family doctor’s practice, you can use the search mask of the Kassenarztliche Vereinigung Baden-Wurttemberg (Association of Statutory Health Insurance Physicians) to find a family doctor’s practice near you in order to make an appointment for vaccination. When making an appointment, it is important to keep the minimum interval between the first and second vaccination and also for the booster vaccination, and also that you make the appointment with the doctor’s office two weeks before the vaccination is due, if possible. Only in this way can the doctor’s office order the appropriate quantities of vaccine and also group the vaccination appointments together to avoid wasting vaccine.

Who pays for the vaccination?

Vaccination is free of charge for citizens regardless of their insurance status. The cost of the vaccine is covered by the federal government. The state of Baden-Wurttemberg bears the costs of operating the vaccination centers, but these are reimbursed by the federal government at a rate of up to 50 percent in accordance with the Corona vaccination ordinance.

Who determines which vaccine is administered??

Please note: There is no free choice of vaccine.

Currently, four vaccines are approved in Germany: the mRNA vaccines from BioNTech and Moderna, and vector vaccines from AstraZeneca and Johnson& Johnson.

The vector vaccines from Astra Zeneca and Johnson& Johnson are regularly recommended for people aged 60 years and older.

However, after medical education and individual risk acceptance by the patient, vaccination can be given to persons younger than 60 years of age with the Johnson& Johnson or the AstraZeneca vaccine beforehand.

Attention: Due to the change in the recommendation of the Standing Commission on Vaccination (STIKO) from 1. July 2021, people who have received a first dose of AstraZeneca’s vaccine will be eligible to receive an mRNA vaccine from BioNTech or Moderna as a second dose of vaccine, regardless of age.

BioNTech’s mRNA vaccine is not subject to any restrictions and is also approved for children and adolescents 12 years of age and older. Moderna’s mRNA vaccine is administered in accordance with the STIKO recommendation of 18. November 2021 only recommended for persons 30 years and older and not for pregnant persons. Every COVID-19 vaccine goes through an approval process reviewed by the European Medicines Agency (EMA) and the Paul Ehrlich Institute (PEI).

Will I be informed about possible side effects before the vaccination??

Yes, a detailed consultation and medical history takes place. You can also discuss your open questions during the interview.

Who carries out the vaccination?

Vaccination education is provided exclusively by physicians. The vaccination itself can also be delegated to medical assistants.

Do I need to be vaccinated?

No, there is no general obligation to vaccinate. Vaccination is voluntary.

However, Baden-Wurttemberg is lobbying the federal government to make vaccination mandatory in the near future, as vaccination rates remain too low to effectively protect the population from the virus.

However, from the age of 16. March 2022 a facility-based vaccination requirement. Employees of hospitals, nursing homes, doctors’ offices and emergency medical services, for example, must complete a facility-based. March 2022 provide their employer with proof of completed vaccination, proof of recovery, or a doctor’s note that they cannot be vaccinated.

What if I don’t have health insurance?

People who do not have health insurance can also be vaccinated free of charge. Please bring an ID card or other official document showing the date of birth for vaccination.

Are there medical indications that make vaccination not possible?

In case of a febrile infection (over 38.5°C), vaccination should be avoided. In addition, the age limits relevant to licensure and recommended age limits must be observed. Except for the vaccines from BioNTech and Moderna, all other vaccines used in the EU are currently only approved for use by people 18 years of age and older. The risk is also increased in the event of hypersensitivity to a vaccine ingredient. So-called contraindications to vaccination and allergies should be communicated to the doctor during the pre-vaccination consultation.

Do I have to have a COVID-19 test before vaccination??

No, as long as you do not have any symptoms it is not necessary.

Can you get vaccinated if you have already survived a SARS-CoV-2 infection?

Due to the immunity after passed SARS-CoV-2 infection, one vaccine dose is sufficient for basic immunization in immunocompromised persons, as this already allows high levels of antibodies, which would not be further increased by a second vaccine dose. In addition, the Standing Committee on Vaccination (STIKO) recommends that these individuals receive a booster vaccination at an interval of at least 3 months after the previous vaccination.

The single vaccination of convalescents is now possible under certain conditions already four weeks after the underlying SARS-CoV-2 infection (instead of basically three months).

Administration of the single dose of vaccine is possible as early as 4 weeks after the cessation of COVID-19 symptoms, for example, if there is exposure to future viral variants against which a passed SARS-CoV-2 infection no longer confers adequate protection. Therefore, after confirmed asymptomatic SARS-CoV-2 infection, vaccination can begin as early as 4 weeks after laboratory diagnosis.

Can you get vaccinated if you are currently sick with COVID-19?

If you have a known and acute infection, quarantine yourself and refrain from vaccination for the time being. However, vaccine tolerability is not negatively affected by a potentially hidden acute infection.

If you have received a quarantine order or are required to be in isolation or quarantine under the Corona regulation, you must not visit a vaccination base under any circumstances. Vaccination is not a reason to break quarantine/isolation.

May pregnant/breastfeeding women get vaccinated?

The Standing Committee on Vaccination (STIKO) recommends that all still unvaccinated pregnant women from the second trimester onwards be vaccinated against COVID-19 with two doses of BioNTech’s mRNA vaccine (Comirnaty) three to six weeks apart. If pregnancy has been established after the first vaccination has already taken place, the second vaccination should only be carried out from the second trimester onwards.

Unvaccinated breastfeeding mothers are recommended to be vaccinated with two doses of mRNA vaccine three to six weeks apart (Comirnaty) or four to six weeks apart (Spikevax). Breastfeeding women under 30 years of age should be vaccinated with Comirnaty (BioNTech) – see also "Who determines which vaccine is administered??".

As the Epidemiological Bulletin 38/2021 of the Robert Koch Institute (PDF) states, the vaccination produces a very good protective effect against infection and severe COVID-19 courses to the same extent in pregnant women as in non-pregnant women. Available safety data do not show a clustered occurrence of serious adverse drug reactions (ADRs) during pregnancy or an increased risk of serious ADRs during breastfeeding for mother and child.

Is it enough to get vaccinated once??

For all vaccines currently used in Germany (Comirnaty from BioNTech, Spikevax from Moderna, Vaxzevria from AstraZeneca and COVID-19 Vaccine Janssen from Janssen-Cilag) two vaccinations are necessary for a complete basic immunisation.

People who have already received a first dose of AstraZeneca’s vaccine or Janssen-Cilag’s vaccine should receive an mRNA vaccine such as Biontech or Moderna as a second vaccine dose, regardless of age.

By amending the recommendation of the Standing Committee on Vaccination (STIKO) of 1. July 2021 the vaccination intervals were shortened, with the goal of containing the more infectious delta variant.

The STIKO currently indicates the following intervals between the two required vaccine doses as a recommendation:

  • at least three weeks at BioNTech/Pfizer,
  • at least four weeks in moderna,
  • At least four weeks with the combination of AstraZeneca or Janssen-Cilag, respectively, and mRNA vaccine (BioNTech or Moderna).

Tables 1 and 2 of the "Epidemiological Bulletin 3/2022 (PDF)" provide an overview.

Do I have to continue to wear a mask and keep my distance after vaccination??

The vaccination protection takes effect approximately two to three weeks after the second vaccination – and even after that you are still required to follow the AHA+L rules. Despite immunity, you may still be able to transmit the virus – so the rules still apply for now, for everyone’s protection.

May I accompany someone to the vaccination if he or she is dependent on help??

Yes, but only the accompanied person receives a vaccination.

Do I have to stay at the doctor’s office or vaccination center after vaccination and if so, for how long??

Yes, you will remain under medical observation for 15 to 30 minutes after the vaccination in a separate waiting area for safety reasons. So plan accordingly for time at the vaccination appointment.

In the rare case of an allergic reaction to the vaccine, this can be treated directly on site.

What happens if the vaccination center forgets to enter the vaccination in the vaccination certificate?

The obligation to document vaccinations is legally anchored in § 22 of the Infection Protection Act (IfSG). According to the wording of § 22 para. According to IfSG 1, the person authorized to carry out vaccinations must immediately document each vaccination in a vaccination card or, if the vaccination card is not presented, in a vaccination certificate (vaccination documentation).

The person who is responsible for the vaccination is obliged to document the vaccination. This is usually the physician performing the vaccination. Also, the follow-up option contained in paragraph 2, sentence 3, does not release the person responsible for vaccination from the above-mentioned obligation to document vaccination (if necessary, then in a vaccination certificate). If the person responsible for vaccination does not document a vaccination, or does not document it correctly, completely or in time, this constitutes an administrative offense (Section 73 (1a) No. 8 IfSG).

If you need your digital vaccination certificate again due to loss or damage, you can contact the mailbox [email protected], stating your surname, first name, date of birth, day and place of vaccination.bwl.en turn.

If I have been vaccinated with two different vaccines, am I considered to be fully vaccinated in the EU??

The Robert Koch Institute and the office of the Standing Committee on Vaccination (STIKO) issued the following statement on 26 February 2009. April 2021 confirms that people under 60 years of age with a heterologous vaccination series, i.e., a first dose of Astra Zeneca and a second dose of mRNA vaccine, are also considered fully vaccinated in Germany.

On the pages of the European Commission, with regard to recognition, it says: "Member States should issue the vaccination certificates regardless of the type of COVID 19 vaccine.

When Member States accept vaccination certificates to lift certain restrictions for public health reasons, such as mandatory testing or quarantine, they must accept vaccination certificates issued under the EU COVID digital certification system under the same conditions. However, this obligation only applies to vaccines for which an EU-wide license has been issued. However, Member States are free to also recognize certificates for vaccinations with vaccines approved at national level or by the World Health Organization (WHO).

From the 1. February 2022, EU vaccination certificates of basic immunization without booster vaccination after nine months are no longer valid.

What do I do if side effects occur??

As with every vaccination, vaccination reactions and side effects can also occur after the Corona vaccination. Vaccination reactions can usually occur shortly after vaccination or even after a few days.

If health problems occur after the vaccination, you should immediately contact your family doctor or, in urgent cases or outside opening hours, the medical emergency service or the ambulance service on 112. Side effects can be reported to the Paul Ehrlich Institute (PEI) by the person themselves or via their family doctor.

The Paul Ehrlich Institute also provides the SafeVac2 app for monitoring side effects.

In case of more severe side effects or suspected vaccination complications, the attending physician is also obliged to report to the responsible health authority. This is to monitor and ensure the safety of the vaccines used.

What if I test positive after a first vaccine dose?

The Standing Commission on Vaccination (STIKO) recommends that persons who have had a confirmed SARS-CoV-2 infection less than four weeks after the first vaccine dose receive a second vaccine dose three months or more after the infection as part of basic immunization. In the case of serological evidence of infection, the administration of a dose of vaccine is already possible at the interval of four weeks to the laboratory diagnosis. If the infection occurred in an interval of four or more weeks to the previous single vaccination, no further vaccination is necessary for basic immunization.

What are the rules for vaccinated and recovered persons??

Vaccinated and recovered individuals are exempt from mandatory testing in many areas. In addition, vaccinated and recovered individuals are exempt from most restrictions in the warning and alert levels. This may not apply under the 2G+ rule.

The requirements for proof of complete vaccination protection are published on the website of the Paul Ehrlich Institute in accordance with § 2 number 3 of the COVID-19 Protective Measures Exemption Ordinance (SchAusnahmV) of the federal government. An overview is given in tables 1, 2 and 5 of the "Epidemiological Bulletin 3/2022 (PDF)".

Vaccinated persons are all persons who can show that they have been vaccinated for at least 14 days by means of vaccination documentation.

People who need only one vaccine dose for full vaccination protection due to corona infection are considered fully vaccinated immediately after receiving the single vaccine dose.

A recovered person is anyone who has already tested positive themselves, provided they have evidence of infection with coronavirus confirmed by PCR testing. The date of acceptance of the positive test must be at least 28 days and no more than 90 days ago.

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