I've had a fairly low wbc count for as long as I can remember, predominantly down to low neutrophils. My numbers are usually just under 4 for total wbc and 1.9 for the neutrophils. Despite being lower than normal ref ranges they don't cause me to have any additional health issues.
A routine blood test 6 weeks ago showed the numbers had dropped to 3.3 total and 1.3 neutrophils, still feel perfectly healthy however and gp said as I usually sit at around 1.9 the drop was nothing to be concerned about. This drop has happened a few years ago, when my numbers remained around 1.3 for several months
I've now been offered the covid vaccination and didn't know if because my numbers are currently a bit low it would impact vaccine effectiveness. Given neutrophils have nothing to do with viral response im assuming not, however a few articles online seem to suggest those with temporary reductions in wbc counts (ie those undergoing cancer treatment with low neuts) should hold off getting jabbed until numbers are normal
Im wondering if its worth arranging a follow up blood test before i schedule my vaccination. Any doctors care to comment?
Ta
i can't really comment on your specific case, but I've had a few patients with similar WCC and neut results to you.
Each one i've referred to haematology for advice has siply been advised to have annual blood tests, as they all lacked significantly worrying symptoms (extreme lethargy, weight loss , recurrent infections).
They all also had the CV vaccine without any extra concern.
DrP
IANAD - but would suggest you discuss with your GP. I'm surprised that the advice is to hold off getting vaccinated for some patients as I know an Oncology Pharmacist who (as I understand it) has been doing the opposite based on their guidance. The logic being even if the vaccine is less effective, some effectiveness is likely better than none. But, like I say for complex medical questions relating to your specifics I'd talk to the person who has your notes and access to all the facts/advice that might be relevant.
Are you going to a GP led clinic? If so the lead clinician on site will be an experienced doctor who can advise also.
Cheers Dr p. I've had low neuts for at least 13 years and never had any symptoms. Hopefully the temporary further drop won't cause the vaccination to be less effective.
The logic being even if the vaccine is less effective, some effectiveness is likely better than none.
Agreed if it was chronically what it was at last test, however as it's just a temp drop then I didn't know if it was worth delaying the jab if it returns to normal level (for me)
For what it's worth I had a hep b vaccination 6 years ago for travel purposes and my response was excellent, so I'm assuming that at my normal levels my immune response is pretty good.
Are you going to a GP led clinic? If so the lead clinician on site will be an experienced doctor who can advise also.
No idea..it's.just the local vaccination centre