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Easier access to third dose for people with suppressed immune systems

Together with the medical communities and specialist healthcare service, the Norwegian Institute of Public Health (NIPH) has compiled an overview of the diseases that people who are recommended to take the third dose have, and which medication they use.

Together with the medical communities and specialist healthcare service, the Norwegian Institute of Public Health (NIPH) has compiled an overview of the diseases that people who are recommended to take the third dose have, and which medication they use.


“This overview of diseases and medications is meant to quickly inform the public whether they are recommended a third dose of the COVID-19 vaccine or not,” says Sara Viksmoen Watle, Senior Medical Officer at the NIPH.

Watle encourages people who are on any of the medications mentioned in this list below, to contact their vaccination centre in their respective municipalities. That way, they will get the vaccine as soon as possible.

“Most of the patients affected will be vaccinated in their resident municipality. The municipality determines how this is to be organised, resulting in some being offered drop-in vaccination while others will have to book an appointment,” explains Watle.

Each municipality will inform how they choose to organise this on their website.

Overview of who is recommended vaccination

Group 1, people who have or have undergone:

  • Organ transplantation
  • Bone marrow transplantation in the last 2 years
  • Born with serious or moderate immune deficiency
  • Serious kidney failure (stage 5) or in active dialysis
  • Advanced or untreated HIV infection

Everyone who has a diagnosis according to the list above will have to provide supporting documentation, either through a vaccination letter from the specialist healthcare service, medical records or equivalent documentation.

Group 2

  • Patients undergoing treatment causing considerable suppressed immune system for other reasons.
    • Patients on medication mentioned in the list below can contact the municipality directly. The patient will have to provide supporting documentation, either through a vaccination letter from specialist healthcare service, medical records, a prescription, or medication packaging with the patient’s name on it.
  • Cancer patients who have active or have recently undergone, immunosuppressive treatment.
    • These patients must show a vaccine letter from the specialist healthcare service because they will need individual assessment to receive the best effect possible from the vaccine and avoid unwanted side effects.
  • Patients who, according to their specialist, have a severe suppressed immune system and are not included in the lists above.
    • They will need a vaccine letter from the specialist healthcare service.

Overview of medications:

The specialist healthcare service has developed a list of medications with immunosuppressive effect, that make the user eligible for a third dose of the COVID-19 vaccine (the page is in Norwegian, but click on "Medikamentliste_date.pdf" further down the page):

(NB - This news article was first published in Norwegian in September 2021. It was translated to English on 25th November 2021)