{"id":4179,"date":"2021-08-24T00:48:05","date_gmt":"2021-08-23T17:48:05","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/phu-nu-mang-thai-co-nen-tiem-ngua-vac-xin-covid-19-hay-khong\/"},"modified":"2024-03-08T10:19:41","modified_gmt":"2024-03-08T03:19:41","slug":"phu-nu-mang-thai-co-nen-tiem-ngua-vac-xin-covid-19-hay-khong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/phu-nu-mang-thai-co-nen-tiem-ngua-vac-xin-covid-19-hay-khong\/","title":{"rendered":"Ph\u1ee5 n\u1eef mang thai c\u00f3 n\u00ean ti\u00eam ng\u1eeba v\u1eafc xin COVID-19 hay kh\u00f4ng?"},"content":{"rendered":"

T\u00e1c gi\u1ea3:<\/strong> Ph\u1ea1m Thi\u00ean Trang, Nguy\u1ec5n Kh\u1edfi Qu\u00e2n<\/em><\/p>\n

Nhi\u1ec1u b\u1eb1ng ch\u1ee9ng cho th\u1ea5y \u0111\u1ed1i t\u01b0\u1ee3ng ph\u1ee5 n\u1eef c\u00f3 thai n\u1ebfu m\u1eafc COVID-19 c\u00f3 nguy c\u01a1 ti\u1ebfn tri\u1ec3n n\u1eb7ng v\u00e0 ph\u1ea3i nh\u1eadp vi\u1ec7n cao h\u01a1n so v\u1edbi nhi\u1ec1u \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c trong c\u1ed9ng \u0111\u1ed3ng. V\u1eafc xin \u0111\u00e3 ch\u1ee9ng minh c\u00f3 hi\u1ec7u qu\u1ea3 cao gi\u00fap gi\u1ea3m nguy c\u01a1 b\u1ec7nh n\u1eb7ng, nh\u1eadp vi\u1ec7n v\u00e0 t\u1eed vong do COVID-19. Tuy nhi\u00ean, vi\u1ec7c d\u00f9ng v\u1eafc xin COVID-19 \u1edf \u0111\u1ed1i t\u01b0\u1ee3ng ph\u1ee5 n\u1eef c\u00f3 thai<\/a> li\u1ec7u c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n?<\/span><\/i><\/p>\n

V\u1eafc xin ng\u1eeba COVID-19 an to\u00e0n cho ph\u1ee5 n\u1eef mang thai<\/b><\/h2>\n

Ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u qu\u1ed1c t\u1ebf \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 \u0111\u1ec3 x\u00e2y d\u1ef1ng c\u01a1 s\u1edf b\u1eb1ng ch\u1ee9ng v\u1ec1 t\u00ednh an to\u00e0n c\u1ee7a v\u1eafc xin COVID-19 cho ph\u1ee5 n\u1eef mang thai.<\/span><\/p>\n

D\u1eef li\u1ec7u th\u1ef1c t\u1ebf t\u1eeb C\u01a1 quan \u0110\u0103ng k\u00fd v\u1eafc xin V-safe – \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp b\u1edfi Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba d\u1ecbch b\u1ec7nh (CDC), Hoa K\u1ef3 – cho th\u1ea5y \u0111\u00e3 c\u00f3 h\u01a1n 148.000 ph\u1ee5 n\u1eef mang thai t\u1ea1i Hoa K\u1ef3 tham gia ti\u00eam ch\u1ee7ng v\u1edbi c\u00e1c v\u1eafc xin mRNA nh\u01b0 <\/span>Pfizer- BioNTech<\/a> v\u00e0 Moderna<\/a>. Hi\u1ec7n t\u1ea1i ch\u01b0a ghi nh\u1eadn b\u1ea5t k\u1ef3 lo ng\u1ea1i n\u00e0o v\u1ec1 an to\u00e0n li\u00ean quan \u0111\u1ebfn vi\u1ec7c ti\u00eam v\u1eafc xin cho c\u1ea3 m\u1eb9 v\u00e0 b\u00e9<\/span> [1]. \u0110\u00e2y l\u00e0 m\u1ed9t s\u1ed1 li\u1ec7u r\u1ea5t \u0111\u00e1ng tin c\u1eady, \u1ee7ng h\u1ed9 t\u00ednh an to\u00e0n c\u1ee7a v\u1eafc xin v\u1edbi ph\u1ee5 n\u1eef mang thai.<\/span><\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c t\u1eeb NEJM b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 tr\u00ean 35.691 ph\u1ee5 n\u1eef c\u00f3 thai t\u1eeb 16 \u0111\u1ebfn 54 tu\u1ed5i t\u1ea1i Hoa K\u1ef3, s\u1eed d\u1ee5ng c\u01a1 s\u1edf d\u1eef li\u1ec7u c\u1ee7a h\u1ec7 th\u1ed1ng V-safe v\u00e0 H\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a v\u1eafc xin (VAERS). C\u00e1c <\/span>k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch cho th\u1ea5y kh\u00f4ng c\u00f3 g\u00ec \u0111\u00e1ng lo ng\u1ea1i \u1edf ph\u1ee5 n\u1eef c\u00f3 thai \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin COVID-19 mRNA. Kh\u00f4ng c\u00f3 kh\u00e1c bi\u1ec7t n\u00e0o \u0111\u1ed1i v\u1edbi b\u1ea5t l\u1ee3i \u1edf thai k\u1ef3 hay \u1edf d\u1ef1 h\u1eadu tr\u1ebb s\u01a1 sinh khi so s\u00e1nh hai nh\u00f3m (1) thai ph\u1ee5 ti\u00eam v\u1eafc xin v\u00e0 (2) thai ph\u1ee5 kh\u00f4ng ti\u00eam khi \u0111\u1ed1i chi\u1ebfu v\u1edbi y v\u0103n tr\u01b0\u1edbc \u0111\u00e2y <\/span>[1-3]<\/span>.<\/span><\/p>\n

\u0110\u1ea1i h\u1ecdc Y Washington, Hoa K\u1ef3 c\u00e1ch \u0111\u00e2y m\u1ed9t tu\u1ea7n c\u0169ng v\u1eeba c\u00f4ng b\u1ed1 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u tr\u00ean JAMA cho th\u1ea5y v\u1eafc xin ng\u1eeba COVID-19 \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t \u1edf nhi\u1ec1u \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c nhau, t\u1eeb ph\u1ee5 n\u1eef mang thai, ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi d\u1ef1 \u0111\u1ecbnh c\u00f3 thai <\/span>[4]<\/span>.<\/span><\/p>\n

T\u1ea1i Scotland, h\u01a1n 4.000 ph\u1ee5 n\u1eef mang thai \u1edf t\u1ea5t c\u1ea3 c\u00e1c giai \u0111o\u1ea1n kh\u00e1c nhau c\u1ee7a thai k\u1ef3 c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin trong m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c. K\u1ebft qu\u1ea3 v\u1eabn cho th\u1ea5y s\u1ef1 th\u1ed1ng nh\u1ea5t v\u1ec1 t\u00ednh an to\u00e0n v\u1edbi nh\u1eefng b\u1eb1ng ch\u1ee9ng tr\u01b0\u1edbc \u0111\u00f3 <\/span>[5, 6]<\/span>.<\/span><\/p>\n

Khuy\u1ebfn c\u00e1o c\u1ee7a c\u00e1c t\u1ed5 ch\u1ee9c uy t\u00edn<\/b><\/h2>\n

Hi\u1ec7n nay nhi\u1ec1u t\u1ed5 ch\u1ee9c l\u1edbn v\u00e0 uy t\u00edn tr\u00ean th\u1ebf gi\u1edbi nh\u01b0 <\/span>T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), Trung t\u00e2m ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh t\u1eadt Hoa K\u1ef3 (CDC), H\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3 (ACOG), H\u1ed9i S\u1ea3n ph\u1ee5 khoa Ho\u00e0ng gia Anh (RCOG),… <\/span>\u0111\u1ec1u khuy\u1ebfn ngh\u1ecb ph\u1ee5 n\u1eef mang thai n\u00ean ti\u00eam v\u1eafc xin ng\u1eeba COVID-19 \u0111\u1ec3 b\u1ea3o v\u1ec7 b\u1ea3n th\u00e2n v\u00e0 thai nhi tr\u01b0\u1edbc nguy c\u01a1 l\u00e2y nhi\u1ec5m <\/i><\/b>[7-9]<\/span>.<\/span><\/p>\n

H\u1ed9i S\u1ea3n ph\u1ee5 khoa Ho\u00e0ng gia Anh (RCOG) kh\u1eb3ng \u0111\u1ecbnh v\u1eafc xin COVID-19 kh\u00f4ng ch\u1ee9a th\u00e0nh ph\u1ea7n n\u00e0o c\u00f3 h\u1ea1i cho ph\u1ee5 n\u1eef mang thai hay cho thai nhi \u0111ang ph\u00e1t tri\u1ec3n. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt (nh\u1eb1m xem x\u00e9t t\u00e1c \u0111\u1ed9ng c\u1ee7a v\u1eafc xin l\u00ean thai k\u1ef3) c\u0169ng kh\u00f4ng g\u1ee3i \u00fd b\u1ea5t k\u1ef3 b\u1eb1ng ch\u1ee9ng n\u00e0o cho th\u1ea5y v\u1eafc xin c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho thai k\u1ef3 [7].<\/span><\/p>\n

\u1ee6y ban H\u1ed7n h\u1ee3p v\u1ec1 Ti\u00eam ch\u1ee7ng (JCVI) t\u1ea1i Anh \u0111\u00e3 khuy\u1ebfn c\u00e1o r\u1eb1ng \u201c<\/span>Ph\u1ee5 n\u1eef mang thai n\u00ean \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin COVID-19 c\u00f9ng l\u00fac v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u1edf c\u00f9ng \u0111\u1ed9 tu\u1ed5i ho\u1eb7c nh\u00f3m nguy c\u01a1.<\/span><\/i>\u201d\u00a0 [10].<\/span><\/p>\n

\u1ea4n ph\u1ea9m qu\u1ed1c gia ch\u00ednh th\u1ee9c c\u1ee7a Anh ng\u00e0y c\u00f4ng b\u1ed1 v\u00e0o ng\u00e0y 07\/05\/2021 c\u00f3 l\u1eddi khuy\u00ean: \u201c<\/span>V\u1eafc xin Pfizer v\u00e0 Moderna l\u00e0 nh\u1eefng lo\u1ea1i v\u1eafc xin \u01b0u ti\u00ean cho ph\u1ee5 n\u1eef c\u00f3 thai \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, v\u00ec \u0111\u00e3 c\u00f3 nhi\u1ec1u kinh nghi\u1ec7m s\u1eed d\u1ee5ng hai lo\u1ea1i n\u00e0y trong thai k\u1ef3. Tuy nhi\u00ean, n\u1ebfu ph\u1ee5 n\u1eef \u0111ang mang thai \u0111\u00e3 b\u1eaft \u0111\u1ea7u ch\u1ee7ng ng\u1eeba v\u1edbi AstraZeneca, h\u1ecd \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o n\u00ean ho\u00e0n th\u00e0nh v\u1edbi c\u00f9ng m\u1ed9t lo\u1ea1i v\u1eafc xin<\/span><\/i>\u201d. RCOG c\u00f2n nh\u1ea5n m\u1ea1nh th\u00eam: \u201c<\/span>Kh\u00f4ng c\u00f3 b\u00e1o c\u00e1o lo ng\u1ea1i v\u1ec1 v\u1eafc xin AstraZeneca trong thai k\u1ef3, d\u00f9 v\u1eady ch\u00fang ta c\u00f3 \u00edt kinh nghi\u1ec7m trong vi\u1ec7c s\u1eed d\u1ee5ng v\u1eafc xin n\u00e0y \u1edf ph\u1ee5 n\u1eef mang thai h\u01a1n so v\u1edbi v\u1eafc xin Pfizer v\u00e0 Moderna. Do \u0111\u00f3, JCVI \u0111\u1ec1 xu\u1ea5t \u01b0u ti\u00ean s\u1eed d\u1ee5ng Pfizer-BioNTech ho\u1eb7c Moderna.<\/span><\/i>\u201d [7,10,11].<\/span><\/p>\n

Theo CDC\u00a0 Hoa K\u1ef3: \u201c<\/span>Ti\u00eam ph\u00f2ng COVID-19 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean, bao g\u1ed3m c\u1ea3 ph\u1ee5 n\u1eef mang thai. N\u1ebfu b\u1ea1n c\u00f3 thai sau khi ti\u00eam m\u0169i \u0111\u1ea7u ti\u00ean c\u1ee7a v\u1eafc xin COVID-19 m\u00e0 c\u1ea7n \u0111\u1ebfn hai li\u1ec1u m\u1edbi \u0111\u1ee7 hi\u1ec7u l\u1ef1c (c\u1ee5 th\u1ec3 l\u00e0 v\u1eafc xin Pfizer-BioNTech ho\u1eb7c Moderna), b\u1ea1n n\u00ean ti\u00eam m\u0169i th\u1ee9 hai \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao nh\u1ea5t<\/span><\/i>.\u201d [8,12,13]. C\u00e1c khuy\u1ebfn ngh\u1ecb n\u00e0y c\u0169ng ph\u00f9 h\u1ee3p v\u1edbi \u00fd ki\u1ebfn t\u1eeb H\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3 (ACOG) v\u00e0 Hi\u1ec7p h\u1ed9i Y h\u1ecdc b\u00e0 m\u1eb9 thai nhi M\u1ef9 (SMFM)\u00a0 [9,14,15].<\/span><\/p>\n

Khuy\u1ebfn c\u00e1o c\u1ee7a B\u1ed9 Y t\u1ebf<\/b><\/h2>\n

Nh\u1eadn th\u1ea5y s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c ti\u00eam v\u1eafc xin ph\u00f2ng COVID-19 cho thai ph\u1ee5, ng\u00e0y 10\/08\/2021, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh quy\u1ebft \u0111\u1ecbnh 3802\/Q\u0110-BYT k\u00e8m h\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng <\/span>v\u1eafc xin COVID-19<\/span>. Theo quy\u1ebft \u0111\u1ecbnh n\u00e0y ph\u1ee5 n\u1eef mang thai t\u1eeb<\/span> 13 tu\u1ea7n tr\u1edf l\u00ean<\/b> ho\u1eb7c \u0111ang \u0111ang cho con b\u00fa v\u1eabn c\u00f3 th\u1ec3 ti\u00eam c\u00e1c lo\u1ea1i v\u1eafc xin ph\u00f2ng COVID-19 n\u1ebfu \u0111\u1ed3ng \u00fd ti\u00eam ch\u1ee7ng, tr\u1eeb v\u1eafc xin <\/span>Sputnik V<\/b>. \u0110\u00e2y l\u00e0 r\u1ea5t tin m\u1eebng cho h\u00e0ng tri\u1ec7u thai ph\u1ee5 tr\u00ean c\u1ea3 n\u01b0\u1edbc v\u00e0 l\u00e0m y\u00ean \u1ed5n t\u00e2m l\u00fd hoang mang tr\u01b0\u1edbc \u0111\u00f3 [16, 17].<\/span><\/p>\n

Tuy nhi\u00ean, quy tr\u00ecnh ti\u00eam v\u1eafc xin \u1edf ph\u1ee5 n\u1eef mang thai c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 \u0111i\u1ec3m \u0111\u1eb7c bi\u1ec7t h\u01a1n. B\u00ean c\u1ea1nh quy tr\u00ecnh ti\u00eam th\u00f4ng th\u01b0\u1eddng, c\u00e1c thai ph\u1ee5 b\u1eaft bu\u1ed9c ph\u1ea3i kh\u00e1m thai tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n ti\u00eam ng\u1eeba. Kh\u00e2u theo d\u00f5i sau ti\u00eam ch\u1ee7ng \u1edf b\u00e0 m\u1eb9 mang thai c\u0169ng kh\u00e1c th\u00f4ng th\u01b0\u1eddng v\u00ec ph\u1ea3i theo d\u00f5i s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 b\u00e0 m\u1eb9 v\u00e0 thai nhi. Vi\u1ec7c t\u01b0 v\u1ea5n c\u00e1ch x\u1eed l\u00fd nh\u1eefng ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i sau ti\u00eam c\u0169ng r\u1ea5t \u0111\u01b0\u1ee3c \u0111\u1eb7c bi\u1ec7t ch\u00fa tr\u1ecdng.<\/span><\/p>\n

\u0110\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n, ph\u1ee5 n\u1eef mang thai tr\u00ean 13 tu\u1ea7n n\u00ean ti\u00eam v\u1eafc xin COVID-19 \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n c\u00f3 Khoa S\u1ea3n. C\u00e1c c\u01a1 s\u1edf kh\u00e1c v\u1eabn c\u00f3 th\u1ec3 ti\u00eam v\u1eafc xin COVID-19 cho thai ph\u1ee5 n\u1ebfu \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n v\u1ec1 thi\u1ebft b\u1ecb c\u1ea5p c\u1ee9u, c\u00f3 k\u1ef9 n\u0103ng v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n trong c\u00e1c kh\u00e2u, \u0111\u1eb7c bi\u1ec7t l\u00e0 kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam, \u0111\u1ea3m b\u1ea3o ch\u1ec9 \u0111\u1ecbnh ti\u00eam ch\u1ee7ng ch\u00ednh x\u00e1c. C\u00e1c \u0111\u01a1n v\u1ecb ti\u00eam ch\u1ee7ng c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb \u0111\u1ea7y \u0111\u1ee7, s\u1eb5n s\u00e0ng nh\u1eefng ph\u01b0\u01a1ng \u00e1n x\u1eed tr\u00ed c\u1ea5p c\u1ee9u ph\u1ea3n \u1ee9ng sau ti\u00eam theo \u0111\u00fang quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf.<\/span><\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/b><\/h2>\n
    \n
  1. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/safety\/vsafepregnancyregistry.html<\/span><\/a><\/li>\n
  2. https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2104983<\/span><\/a><\/li>\n
  3. https:\/\/theconversation.com\/should-pregnant-women-have-a-covid-vaccine-the-evidence-says-its-safe-and-effective-165192?fbclid=IwAR0QWLM1dqCB2vYE7Lr6r2MWpz6c4SjJktSW9JMXXOL_wBgjuQUNLCIJkZU<\/span><\/a><\/li>\n
  4. https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2783112?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=081721<\/span><\/a><\/li>\n
  5. https:\/\/publichealthscotland.scot\/news\/2021\/july\/covid-19-vaccine-uptake-in-pregnant-women<\/span><\/a><\/li>\n
  6. https:\/\/www.ed.ac.uk\/usher\/research\/projects\/covid-19-pregnancy-scotland<\/span><\/a><\/li>\n
  7. https:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/coronavirus-covid-19-pregnancy-and-womens-health\/covid-19-vaccines-and-pregnancy\/covid-19-vaccines-pregnancy-and-breastfeeding\/<\/span><\/a><\/li>\n
  8. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/recommendations\/pregnancy.html<\/span><\/a><\/li>\n
  9. https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-advisory\/articles\/2020\/12\/covid-19-vaccination-considerations-for-obstetric-gynecologic-care<\/span><\/a><\/li>\n
  10. https:\/\/www.gov.uk\/government\/news\/jcvi-issues-new-advice-on-covid-19-vaccination-for-pregnant-women<\/span><\/a><\/li>\n
  11. https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1007737\/Greenbook_chapter_14a_30July2021.pdf<\/span><\/a><\/li>\n
  12. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/different-vaccines\/Moderna.html<\/span><\/a><\/li>\n
  13. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/different-vaccines\/Pfizer-BioNTech.html<\/span><\/a><\/li>\n
  14. https:\/\/s3.amazonaws.com\/cdn.smfm.org\/media\/3040\/COVID_vaccine__Patients_JULY_29_2021_final.pdf<\/span><\/a><\/li>\n
  15. https:\/\/www.acog.org\/-\/media\/project\/acog\/acogorg\/files\/pdfs\/clinical-guidance\/practice-advisory\/covid-19-vaccination-site-recommendations.pdf<\/span><\/a><\/li>\n
  16. https:\/\/thuvienphapluat.vn\/van-ban\/the-thao-y-te\/quyet-dinh-3802-qd-byt-2021-huong-dan-tam-thoi-kham-sang-loc-truoc-tiem-vac-xin-covid19-484168.aspx?v=d<\/span><\/a><\/li>\n
  17. https:\/\/ncov.moh.gov.vn\/en\/web\/guest\/-\/6851640-83<\/span><\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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