CORONAVIRUS FAQs
This page contains FAQs about COVID-19, from a sarcoidosis patient perspective. If you think there is a question missing, please fill in the form at the bottom of the page.
SarcoidosisUK Vaccine Statement
SarcoidosisUK strongly supports sarcoidosis patients receiving the Pfizer/BioNTech, Oxford/AstraZeneca or Moderna coronavirus vaccines. The vaccines have met strict standards of safety, quality and efficacy.
The COVID-19 vaccines are not live vaccines and there is no risk of infection from the vaccine. We have no reason to believe that they are unsuitable for sarcoidosis patients. The approved COVID-19 vaccines are also suitable for immunosuppressed patients.
We always consult with experts but we are not your doctor and this statement should not be regarded as a replacement for personal medical advice.
Section 1: Medication
What is immunosuppressive medication?
Immunosuppressive drugs are a class of drugs that suppress, or reduce, the strength of the body’s immune system. Some immunosuppressive drugs are used to treat autoimmune disorders such as sarcoidosis. This helps to reduce the impact of the symptoms of sarcoidosis.
Immunosuppressant medication includes prednisolone and the following treatments:
Conventional immunosuppressant medications such as: azathioprine, leflunomide, methotrexate, mycophenolate (mycophenolate mofetil or mycophenolic acid), ciclosporin,cyclophosphamide, tacrolimus, sirolimus.
Biologic and targeted synthetic medications include: rituximab (within the last 12 months); or anti-TNF drugs (etanercept, adalimumab, infliximab, golimumab, certolizumab); tocilizumab; abatacept; belimumab; anakinra; secukinumab; Ixekizumab; ustekinumab; sarilumumab; canakinumab, apremilast, baracitinib, tofacitinib, or any biologic biosimilars.
Reference: The Leeds Hospital Teaching Trust.
Should I stop taking my immunosuppressant medication to reduce my risk of catching coronavirus?
No. Do not change your medication without consulting your doctor.
Although taking immunosuppressant medication can make your more at risk of catching an infection, you have been given medication to manage your sarcoidosis. It is important you continue to take that medication to ensure you are as healthy as possible.
Should I take Vitamin D?
Anyone with sarcoidosis should speak to their doctor before taking any supplements.
If you have sarcoidosis there is an increased chance you would experience side effects from taking vitamin D supplements. It is essential that you have your vitamin D level measured before you start any supplements, and that these levels are monitored whilst you remain on therapy (usually with a blood test two months after starting therapy).
Find more information on sarcoidosis and vitamin D here.
Section 2: Contracting COVID-19 and Precautions
How can I prepare, in case I do contract coronavirus?
We advise that you ensure you have all your medical information to hand – either on your phone or printed and in a folder. This should include your medical history, contact details of your GP and specialists, and details of any medication you are taking.
If you are eligible for COVID-19 treatments, make sure you have a supply of LFD tests at home so that you can test yourself quickly if you develop symptoms of COVID-19.
As of the 6th of November 2023, free rapid lateral flow tests are no longer available to order through GOV.UK or 119. If you are eligible for COVID-19 treatment, you now need to collect your lateral flow tests from a local pharmacy. It is a walk-in service where eligible patients, or their representatives, can collect a box of five lateral flow tests from a participating local pharmacy. The pharmacy may ask you about your medical history to confirm you’re eligible for free tests. Find out more here.
What should I do if I contract coronavirus?
If you contract, or suspect you have contracted, the virus, you can seek advice from NHS 111 online.
If you are eligible for COVID-19 treatments and you have symptoms, you should take an LFD test immediately, even if your symptoms are mild. If your test is positive, call your GP surgery, NHS 111 or hospital specialist as soon as possible. If your test is negative, but you still have symptoms, you need to do a total of 3 rapid lateral flow tests over 3 days. If any of those tests are positive, you can stop testing and call your GP, hospital specialist or NHS 111.
Find out more here.
Section 3: Vaccines
Are the vaccines suitable for sarcoidosis patients?
We have no reason to believe that the approved COVID-19 vaccines are unsuitable for sarcoidosis patients. They are not live vaccines and there is no risk of infection from the vaccine. The approved vaccines are also suitable for immunosuppressed patients.
The Joint Committee on Vaccination and Immunisation (JCVI) has advised that the vaccines are suitable for people with long-term conditions and that people who are at high-risk should be prioritised to get the vaccines first.
Will I be able to choose which of the vaccines I get?
You will not be able to choose which of the vaccines you have, but you can be assured that all of the approved vaccines are highly effective.
Should I stop taking my medication before having the vaccine?
You should continue to take your medication. Do not change your medication without consulting your doctor.
How will I know when it’s my turn to get the vaccine?
You will be contacted by the NHS when it is your turn to be vaccinated.
How do I get a booster/seasonal COVID-19 vaccine?
Your specialist will assess whether you need additional vaccines. They will make a referral and advise on the best timing for vaccination around your planned treatment. Speak to your specialist for more information. Find out more on the NHS website.
The Joint Committee on Vaccination and Immunisation (JCVI) has updated its advice for the autumn 2025 COVID-19 vaccination programme. Not everyone with sarcoidosis will be eligible for the latest COVID boosters as they have tightened restrictions. Please check with your GP and pharmacist prior to booking a vaccine to avoid being turned away when you get there.
For autumn 2025, COVID-19 vaccination will be offered to:
- adults aged 75 years and over
- residents in care homes for older adults
- individuals who are immunosuppressed aged 6 months and over
This represents a change from the autumn 2024 programme, which also included adults aged 65 to 74 and all those aged 6 months and over in a clinical risk group.
Having a weakened immune system (immunosuppression) is a lot less straight forward than the other criteria. People might see themselves (and be considered by others) as immunosuppressed but might not fit the immunosuppression criteria for vaccination. Some of these groups are:
- Organ, bone marrow or stem cell transplant patients
- Those being treated with systemic steroids for more than a month
- Those living with HIV
- Those receiving immunosuppressive or immunomodulating biological therapy, including children who are about to receive therapy
- Those undergoing chemotherapy or radiotherapy
- Those requiring long-term treatment for immunosuppression
- Those with a history of haematological malignancy including chronic leukaemia, lymphomas, and leukaemia
- Those with genetic disorders affecting the immune system
What are the potential side effects of the vaccines?
Most side effects of the COVID-19 vaccine are mild and should not last longer than a week, such as:
- a sore arm where the needle went in
- feeling tired
- a headache
- feeling achy
- feeling or being sick
You can take painkillers, such as paracetamol, if you need to.
Who should not have the coronavirus vaccine?
You shouldn’t have the vaccines if you have had a serious allergic reaction to a previous dose of the same COVID-19 vaccine.
Tell healthcare staff before you are vaccinated if you’ve ever had a serious allergic reaction (anaphylaxis).
For advice specific to your own condition, you should speak to your GP who will have access to your medical history and be able to advise you.
If you have had a confirmed case of COVID-19, wait at least 4 weeks (after your symptoms end or after a positive test if you are asymptomatic) before having the vaccine.
Will the vaccines be effective for BAME people?
The vaccines have been assessed in different racial groups and there is no biological reason that the COVID-19 vaccines would behave differently according to ethnicity or race.
Should I have the vaccine if I have already had COVID-19?
The Medicines and Healthcare products Regulatory Agency (MHRA) has advised that having a vaccine is as important for people who have had coronavirus as it is for people who have not. However, if you have had COVID-19, you should wait until at least 4 weeks after you had symptoms, or 4 weeks since your positive test if you didn’t have any symptoms, before having the vaccine.
I am pregnant can I have the vaccine?
The Joint Committee on Vaccination and Immunisation (JCVI) has advised that pregnant women should be offered COVID-19 vaccines at the same time as people of the same age or risk group.
Anyone who has already started vaccination and is offered a second dose whilst pregnant, should have a second dose with the same vaccine unless they had a serious side effect after the first dose.
You can find more advice on COVID-19 vaccination and pregnancy here.
Are there plans to test immunosuppressed patients for antibodies/response to vaccines?
Not outside clinical trials.
Section 4: Treatment
What treatments are available for people at highest risk from COVID-19?
The NHS is offering treatments to those people with COVID-19 who are at highest risk of becoming seriously ill and who are aged 12 years or above. Not all treatments are suitable for people aged 12 to 17 years.
Treatments include:
• neutralising monoclonal antibodies (nMABS) – infusions that help fight infection
• Antivirals, taken at home, which prevent the virus from multiplying in the body
The list of eligible people who are offered these treatments is regularly reviewed and currently includes some people who have:
- Down’s syndrome, or another chromosomal disorder that affects their immune system
- certain types of cancer or have received treatment for certain types of cancer
- sickle cell disease
- certain conditions affecting their blood
- chronic kidney disease (CKD) stage 4 or 5
- severe liver disease
- an organ transplant
- certain autoimmune or inflammatory conditions (such as rheumatoid arthritis or inflammatory bowel disease)
- HIV or AIDS who have a weakened immune system
- inherited or acquired conditions affecting their immune system
- rare neurological conditions: multiple sclerosis, motor neurone disease, Huntington’s disease or myasthenia gravis
You may have been made aware that you are potentially eligible for COVID-19 treatments by a letter or email from NHS England or from your consultant. If you have not been contacted and you think you should have been, your consultant will be able to confirm if you are eligible for COVID-19 treatments.
How can I access COVID-19 treatments?
In June 2023, the responsibility for the delivery of COVID-19 post-exposure treatments was passed to Integrated Care Boards (ICBs) so local arrangements may vary. If you were identified as being eligible for assessment for COVID-19 treatments, you should have been contacted by the NHS to make you aware of this. If you are unsure, you should call 119 or contact your GP.
Find out more here.
If you think you are eligible to access COVID-19 treatment, the NHS recommends you follow these steps to be considered for a referral:
- Keep rapid lateral flow tests at home
If you’re eligible for COVID-19 treatment, you should keep rapid lateral flow tests at home.
You may be able to pick up free rapid lateral flow test kits from your local pharmacy if you’re eligible for COVID-19 treatment.
Your local integrated care board (ICB) may be able to give you more information on where you can collect free tests.
- Take a rapid lateral flow test if you get symptoms
If you have any symptoms of COVID-19, take a rapid lateral flow test as soon as possible, even if your symptoms are mild. Only take a test if you have symptoms.
You can also use tests you’ve paid for, for example, a test you’ve bought from a supermarket or pharmacy.
- If your test is positive, call your GP surgery, NHS 111 or hospital specialist
Call your GP surgery, NHS 111 or hospital specialist as soon as possible if your test result is positive.
They’ll decide if you need a referral for an assessment for COVID-19 treatment or may carry out the assessment themselves.
As part of the assessment, you may be asked what other medicines you take or receive, including any vitamins and minerals, so it’s important to have a list of these ready.
If you’re eligible for treatment, it’s important to start the treatment as soon as you can. Treatments for COVID-19 need to be given quickly after your symptoms start to be effective.
- If your test is negative, do a total of 3 tests over 3 days
If your test result is negative, but you still have symptoms of COVID-19, you need to do a total of 3 rapid lateral flow tests over 3 days.
For example, if you did your first test today, you should do a 2nd test tomorrow and a 3rd test the day after.
If any test result is positive, you can stop testing and call your GP surgery, NHS 111 or hospital specialist as soon as possible
I have had COVID-19 recently and been given one of the new treatments. If I caught it again, would I need the treatment again?
Yes. The new treatments are antiviral medications so they should be used for every COVID infection. In theory it should be unlikely for you to have another infection in the next 3 months though.
Section 5: Support
What support is available?
You should continue to seek support from the NHS for your existing health conditions. You can access a range of NHS services from home, including ordering repeat prescriptions or contacting your health professional through an online consultation. To find out more visit NHS services, or download the NHS App. If you have an urgent medical need, call NHS 111 or, for a medical emergency, dial 999.
Where can I get support relating to my sarcoidosis?
SarcoidosisUK run a Nurse Helpline offering advice and guidance on sarcoidosis. For more information and to sign up for a call please visit our Helpline webpage.
SarcoidosisUK operate a network of support groups across the UK. To find your local group, please visit our Support Group webpage.
SarcoidosisUK host a Facebook group offering peer support for anyone affected by sarcoidosis. You can request to join the Facebook group here.
Where can I get further information?
For the latest information from SarcoidosisUK, you can:
For the latest information from the NHS see here.
For the latest information from the Government see here.
If your question is not answered by these FAQs, please submit it using the form below. If your query is urgent, please get in touch with SarcoidosisUK.
This information is subject to our disclaimer.
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