133 Molesworth
Street
8 June 2021
PO Box 5013
Wellington 6140
New Zealand
T+64 4 496 2000
Ross Francis
By email:
[FYI request #15415 email]
Ref:
H202105506
Dear Ross Francis
Response to your request for official information
Thank you for your request under the Official Information Act 1982 (the Act) to the Ministry of
Health (the Ministry) on 10 May 2021 for COVID-19 vaccine information. Information in
response to each part of your request is as follows.
1. Other than completing an online education course, what information is supplied to
those tasked with administering the COVID-19 vaccine?
2. What new information, if any, has been added to the online education course for
May 2021?
This information is publicly available: www.health.govt.nz/our-work/diseases-and-
conditions/covid-19-novel-coronavirus/covid-19-vaccines-archived/covid-19-vaccine-
information-health-professionals
3. The (April 2021) online education course states that "a slightly increased risk of a
severe allergic response in individuals who have had a previous anaphylaxis-type
reaction needs to be balanced against the risk of SARS-CoV-2 exposure and severe
COVID-19”. Unfortunately, the online course doesn’t specify the risk of the latter. In
May 2021, what is the risk of someone in New Zealand, aged under 50, in excellent
health and with no pre-existing conditions, being exposed to COVID-19?
The risk of someone being exposed to COVID-19 in New Zealand, aged under 50 years, in
excellent health and with no pre-existing conditions, is low risk.
4. In May 2021, what is the risk of someone in New Zealand, aged under 50, in
excellent health and with no pre-existing conditions, dying from COVID-19?
The risk of someone dying from COVID-19 in New Zealand, aged under 50 years, in
excellent health and with no pre-existing conditions, is very low risk.
5. Vaccinators are informed of the following: "To date, clinical studies have not
investigated the mRNA vaccine in pregnancy...It is recommended to delay vaccination
until after delivery". In New Zealand, how many pregnant women, despite being
advised to delay vaccination, have received one or two doses of the Pfizer vaccine?
From the data the Ministry holds, there are 56 women that have a noted in their records the
mention of the words “pregnant” or “pregnancy” (plan to get pregnant, possibly pregnant and
pregnant). All these women delayed or rescheduled their vaccination. Of this group nine of
the women have since received the vaccination. In all cases this was later than the mention
of pregnancy and therefore implies (but cannot be verified with the data available) that
pregnancy was no longer a factor at the time of vaccination.
The Immunisation Handbook 2020 outlines the recommendations for pregnant women and
the COVID-19 vaccine: www.health.govt.nz/our-work/immunisation-handbook-2020/5-
coronavirus-disease-covid-19#23-6.
6. The online course states: "A few groups of people should not get the vaccine, and
some others should consult with their doctor or follow special procedures". Which
groups should not get the vaccine, and who should consult with their doctor or follow
special procedures? What special procedures should be followed?
Advice for specific groups and health conditions is publicly available at:
www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-
vaccines-archived/covid-19-vaccine-advice-specific-groups-and-health-conditions.
7. The online course states: “The safety and efficacy of the mRNA-CV in children and
young adults aged less than 16 years of age have not yet been established". Has
anyone under 16 received one or two doses of the Pfizer vaccine in New Zealand?
Vaccination data is publicly available and is updated regularly: www.health.govt.nz/our-
work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-data-and-statistics/covid-
19-vaccine-data#age
8. To date, what have been the most serious adverse reactions to the Pfizer vaccine,
in New Zealand and overseas?
The side effects, reported adverse events and allergic reactions to the Pfizer vaccine in New
Zealand are publicly available at: www.health.govt.nz/our-work/diseases-and-
conditions/covid-19-novel-coronavirus/covid-19-vaccines/covid-19-vaccine-safety-and-
approval/covid-19-vaccine-side-effects-and-reactions. The Ministry does not hold information
on serious adverse reactions to the Pfizer vaccine overseas therefore, this part of your
request is refused under section 18(g)(i) of the Act.
9. How many people have declined to be vaccinated because the vaccinator was
unable to answer their question(s) about the vaccine?
10. The online course states: "Health professionals who are ambivalent about COVID-
19 vaccination should endeavour to resolve their concerns before being involved in the
community rollout". How many health professionals have expressed concerns about
the COVID-19 vaccine or vaccination? How many health professionals have declined
to be involved in the community rollout and how many have chosen not to be
vaccinated against COVID-19?
The Ministry does not hold this information and there are no grounds for believing this
information is held by another agency subject to the Act. These parts of your request are
therefore refused under section 18(g)(i) of the Act.
11. The online course states: "A trusted health professional recommendation is the key
to vaccine acceptance". Is a trusted health professional recommendation, with respect
to vaccine acceptance, more important than informed consent?
12. Vaccinators are told: "Some [people] may be ambivalent or hesitant about the
COVID-19 vaccine...If the person is clearly against vaccination there is usually little
benefit in time spent arguing." If someone is hesitant about getting the vaccine, could
they be asked to leave (without being vaccinated) because the vaccinator is
uncomfortable answering their questions? How many people have declined to be
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vaccinated because they did not have the information necessary to make an informed
decision?
13. The online course states: "We would expect COVID-19 vaccines to provide
protection for longer than 2 months, although exactly how long for, remains unknown
at this stage". What action, if any, does the Health Ministry intend to take in the event
that the vaccine offers little or no long-term protection?
While the Act enables people to request official information from the Ministry, there is no
obligation to create information in order to respond to requests, nor is the Ministry obliged to
provide an opinion. For this reason, these parts of your request are refused under section
18(g)(i) of the Act, as the information is not held by the Ministry or another agency subject to
the Act.
14. A recent report in The Lancet concluded:
“Publicly available data from the Pfizer-BioNTech and Moderna vaccine trials suggest
an imbalance in the incidence of Bell's palsy following vaccination compared with the
placebo arm of each trial. Combining data from both trials, among nearly 40000
vaccine arm participants, there were seven Bell's palsy cases compared with one
Bell's palsy case among placebo arm participants…the observed incidence of Bell's
palsy in the vaccine arms is between 3ꞏ5-times and 7-times higher than would be
expected in the general population.”
https://scanmail.trustwave.com/?c=15517&d=zcCY4AOKNHKJWTTsCKoJc-OCSzI-
mLcDTVEYLX59Hg&u=https%3a%2f%2fwww%2ethelancet%2ecom%2fjournals%2fla
ninf%2farticle%2fPIIS1473-3099%2821%2900076-1%2ffulltext
Are intended recipients of the vaccine in New Zealand routinely informed of possible
side-effects or adverse reactions, or do intended recipients have to ask for such
information? What information, if any, is being provided to recipients about the
observed incidence of Bell’s palsy in vaccine trials?
Like all medicines, the COVID-19 vaccine may cause side effects in some people. Most side
effects are mild and don’t last long. All individuals receiving the vaccine are informed of the
potential side effects at the time of their vaccination. There is also publicly available
information regarding the potential side effects on the Ministry website:
www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-
vaccines/covid-19-vaccine-safety-and-approval/covid-19-vaccine-side-effects-and-reactions.
Under section 28(3) of the Act you have the right to ask the Ombudsman to review any
decisions made under this request. The Ombudsman may be contacted by email at:
[email address] or by calling 0800 802 602.
Please note that this response, with your personal details removed, may be published on the
Ministry website at: www.health.govt.nz/about-ministry/information-releases/responses-
official-information-act-requests.
Yours sincerely
Joanne Gibbs
National Director
COVID-19 Vaccine and Immunisation Programme
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