HEALTH ASSESSMENT ALGORITHM FOR ASTRAZENECA

of the Philippine National COVID-19 Vaccine Deployment and Vaccination Program

as of April 12, 2021

ASSESS THE VACCINE RECIPIENT: Is the patient any of the following?

● Age < 18 years old

● With allergy to polysorbate or any other components of the
NO ASTRAZENECA vaccine (L-Histidine, L-Histidine YES
hydrochloride monohydrate, Magnesium chloride DO NOT VACCINATE
hexahydrate, Polysorbate 80, Ethanol, Sucrose, Sodium
chloride, Disodium edetate dihydrate, Water for injections)
● With severe allergic reaction after the 1st dose of the
ASTRAZENECA vaccine
SPECIAL PRECAUTION
YES OBSERVE FOR 30
NO With allergy to food, egg, medicine, and/or with asthma?
MINS

With history of bleeding disorders or currently taking YES USE GAUGE 23-25.
NO APPLY FIRM
anti-coagulants?
PRESSURE.

NO With SBP>180 and/or DBP>120, and with signs and symptoms of YES
organ damage?
DEFER
REFER TO MD AND
Symptomatic (Fever/ chills, Headache, Cough, Colds, Sore throat, BRING TO ER
Myalgia, Rashes, Fatigue, Weakness, Loss of smell/ taste, Diarrhea, YES
NO
Shortness of breath/difficulty in breathing, Nausea/vomiting) OR With
other symptoms of existing comorbidity REFER TO MD.
RESCHEDULE AFTER
FULL RECOVERY.
VACCINATE

NO Has history of exposure to confirmed or suspected COVID-19 case in YES RESCHEDULE AFTER
the past 14 days? COMPLETION OF
14-DAY QUARANTINE

NO YES RESCHEDULE ONCE

Has had attacks, admissions, or changes in medication for the past 3 months?
STABLE FOR AT LEAST
3 MONTHS

NO Has been vaccinated in the past 14 days or plans to receive another vaccine YES
RESCHEDULE AFTER
14 days following vaccination? 14-DAY INTERVAL FROM
OTHER VACCINE
NO
YES
Has been previously diagnosed for COVID-19 AND is STILL RESCHEDULE AFTER
undergoing treatment/ recovery? RECOVERY OR COMPLETION
OF TREATMENT

NO YES
Has received convalescent plasma or monoclonal antibodies RESCHEDULE
for COVID-19 in the past 90 days? AFTER 90 DAYS

NO YES RESCHEDULE AFTER

Pregnant and in first trimester of pregnancy?
FIRST TRIMESTER

Has been diagnosed with any of the following:

● HIV
● Cancer/Malignancy and currently undergoing chemotherapy,
NO radiotherapy, immunotherapy or other treatment
● Underwent transplant
● Under steroid treatment or medication
● Bed ridden, terminal illness, less than 6 months prognosis YES
GET CLEARANCE FROM
● With autoimmune disease ATTENDING PHYSICIAN
AND was not cleared by attending physician prior to vaccination?
* Vaccine recipients who will receive their dose in treatment hubs, etc. (such as people
living with HIV) may get their clearance from their attending physician on the scheduled
vaccination day prior to being inoculated with the vaccine