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Illnesses and conditions that very highly expose to severe COVID-19

Vaccination has started for persons belonging to risk group 1 who have turned 12 years and older, and who have illnesses or conditions that very highly expose to severe COVID-19. Check below if you are in the groups now being vaccinated.

People who have turned 70 years are vaccinated based on their age.

How to book an appointment for a corona vaccination

Do I belong to the group of persons being vaccinated due to illnesses or conditions that very highly expose to severe COVID-19?

You belong to the group of persons being vaccinated due to illnesses or conditions that very highly expose to severe COVID-19 if you have one of the following:

  1. had an organ transplant or stem cell transplant,
  2. an actively treated cancer disease,
  3. a severe immunological disorder,
  4. a severe chronic nephropathy,
  5. a severe chronic pulmonary disease,
  6. drug-treated type 2 diabetes or
  7. Down syndrome.

1. Organ transplant or stem cell transplant

You belong to the group of people being vaccinated if 

  • you have had an organ transplant, 
  • you use anti-rejection medication due to stem cell transplant or 
  • you have had a stem cell transplant during the last six months. 

You do not yet belong to the group of people being vaccinated if you have had a stem cell transplant more than six months ago and you do not use anti-rejection medication. 


2. Actively treated cancer disease

You belong to the group of people being vaccinated if 

  • you are receiving cancer treatment (cytostatic treatment, radiation therapy, biological or hormonal therapy) 
  • you are waiting for a cancer operation (queueing) or the start of a cancer treatment  
  • your cancer treatment has ended during the last six months or  
  • you have leukaemia (treated or monitored) 

You do not yet belong to the group of people being vaccinated if 

  • you have basaloid carcinoma (even if the cancer is actively treated), 
  • you have prostate cancer or some other cancer (excluding leukemias) that is monitored without treatment or 
  • you have a treated cancer that is in remission. 

During cytostatic treatment, please contact your named nurse or treatment unit when it’s your turn to be vaccinated.

Coronavirus vaccination is not recommended to persons receiving terminal care. 

3. Severe immunological disorder

You belong to the group of people being vaccinated if you have a diagnosed severe hereditary immunodeficiency or decreased immunity for some other reason. Such illnesses and conditions include the following: 

  • Cyclic neutropenia 
  • Some other or unspecified neutropenia 
  • An immunodeficiency manifested mainly as antibody deficiency 
  • Combined immunodeficiencies 
  • An immunodeficiency related to other severe deficiencies
  • Common variable immunodeficiency 
  • Other immunodeficiencies 
  • APECED syndrome 
  • Congenital asplenia 
  • Acquired absence of some other organ
  • Your spleen has been removed
  • HIV infection if the CD4 helper cell level is less than 0.350 x 109 cells/l. 

 The above-mentioned illnesses are very rare.


You do not belong to the group of people being vaccinated if you have 

  • IgA deficiency  
  • mannose-binding lectin  deficiency or  
  • partial deficiency of complement factor C4. 

4. Severe chronic nephropathy

You belong to the group of people being vaccinated if you have  

  • uraemia requiring dialysis (Kela compensation number 137) 
  • severe anaemia related to renal insufficiency (Kela compensation number 138) 
  • nephropathy caused by hypertension, 
  • heart and kidney disease caused by hypertension,
  • diseases of the Malpighian body, 
  • long-term tubulointerstitial nephritis, 
  • tubulointerstitial and tubular conditions caused by pharmaceuticals and heavy metals 
  • long-term renal insufficiency 
  • unspecified renal insufficiency
  • renal complications of diabetes or  
  • a glomerular filtration rate below 30 due to some other reason (based on repeated measurements). 

You do not belong to the group of people being vaccinated if you have mild or moderate renal insufficiency (GFR at least 30).


5. Severe chronic pulmonary disease

You belong to the group of people being vaccinated, if you have e.g. long-term chronic obstructive pulmonary disease, pulmonary emphysema, bronchiectasis, long-term bronchitis or cystic fibrosis. In addition, the group includes people with significantly impaired lung capacity (for example a missing lung). Illnesses and conditions belonging to this vaccination group include the following: 

  • Asthmas whose diagnosis code starts with J45 (first characters of the ICD classification) or J46 provided that you have used cortocosteroid medication for worsening asthma during the last year in the form of oral tablets 
  • Long-term ordinary or mucopurulent bronchitis 
  • Unspecified long-term bronchitis 
  • Pulmonary emphysema 
  • Other long-term obstructive pulmonary disease (ICD10 codes starting with J44) 
  • Bronchiectasis  or
  • Acquired full or partial absence of a lung 

You do not belong to the group of people being vaccinated even if you have asthma requiring continuous medication if you have not needed corticosteroid medication in the form of oral tablets to treat a worsening of the disease during the last year.


6. Drug-treated type 2 diabetes

You belong to the group of people being vaccinated if you have type 2 diabetes requiring insulin treatment.


You do not belong to the group of people being vaccinated if you do not treat type 2 diabetes with tablets or insulin.


7. Down syndrome (in adults)

You belong to the group of people being vaccinated if you have Down syndrome.


Checking vaccine entitlement

The vaccine entitlement is checked at the vaccination points from the Kanta service or from the City of Helsinki patient information system. If you are not enrolled as a client of the City of Helsinki social services and health care due to your illness or the information of the Kanta service cannot be accessed, the illness or condition very highly exposing you to severe COVID-19 shall be proved otherwise, e.g. with a copy of the patient record.




30.06.2021 15:35