Underlying medical conditions

If your child is aged 12 to 15 and has an underlying medical condition or disability, you should discuss their vaccination with their treating doctor or specialist.

Your doctor or specialist may decide your child requires further review or they may need an appointment at the Paediatric COVID-19 Specialist Immunisation Service at the Women’s and Children’s Hospital.

If this is the case, your doctor will need to complete a referral form and you will be contacted directly by the Women’s and Children’s vaccination clinic for an appointment.

Speak to your child’s treating doctor or specialist if they are on National Disability Insurance Scheme (NDIS) and/or living with disability requiring frequent assistance with activities of daily living, including down syndrome, muscular dystrophy, traumatic brain and spinal cord injury, and severe intellectual disability, or have any of the following medical conditions:

  • Children with a complex chronic disease
  • Cancers and haematological diseases, currently or in the past
    • Haematological diseases or cancers including leukaemia, lymphoma or myeloma resulting in immunocompromise
    • Non-haematological cancers, diagnosed within the past 5 years OR on chemotherapy, radiotherapy, immunotherapy or targeted anti-cancer therapy (active treatment or recently completed) OR with advanced disease regardless of treatment
    • Adult survivors of childhood cancers
  • Transplant recipients
    • Solid organ transplant recipients who are on immune suppressive therapy
    • Bone marrow transplant recipients
    • Chimeric antigen receptor T-cell (CAR-T) therapy recipients
    • People with graft versus host disease
  • Chronic inflammatory Conditions
    • Systemic Lupus Erythematosus
    • Rheumatoid Arthritis
    • Crohn’s disease
    • Ulcerative colitis
    • Similar conditions who are being treated with Disease modifying anti-rheumatic drugs (DMARDs) or immune-suppressive or immunomodulatory therapies
  • Immunodeficiency conditions
    • Primary or acquired immunodeficiency, including congenital causes of immunodeficiency and HIV/AIDS
  • Chronic kidney, liver, lung or neurological conditions or diabetes
    • Chronic renal (kidney) failure, but not including mild to moderate chronic kidney disease
    • Chronic lung disease including Chronic Obstructive Pulmonary Disease, cystic fibrosis, interstitial lung disease, and severe asthma (defined as requiring frequent hospital visits or the use of multiple medications. This doesn’t include mild or moderate asthma
    • Diabetes
    • Chronic liver disease
    • Chronic neurological conditions, including stroke, dementia, multiple sclerosis, motor neurone disease, Parkinson’s disease, cerebral palsy, and epilepsy. This does not include migraine or cluster headaches.
  • Severe obesity
    • Adults: body mass index of 40 or greater
    • Children: body mass index greater than 120% of the 95% percentile for age or body mass index of 35 or greater (whichever is lower).
  • Heart disease and blood pressure disorders
    • Ischaemic heart disease, valvular heart disease, cardiomyopathies and pulmonary hypertension and people with complex congenital heart disease
    • Poorly controlled blood pressure (people taking two or more medicines for blood pressure control, regardless of recent readings)
  • Severe mental health conditions
    • people living with severe mental health conditions, including schizophrenia and bi-polar disorder
  • Pregnant people