COVID-19 information for adults with 22q
All individuals with 22q should receive the vaccine - the two doses protect very well against the worst effects of the virus.
All close contacts (e.g., immediate family members) of individuals with 22q should also receive the vaccine, in order to protect the person in the family likely to be most in danger of getting very sick from the virus (that is, the person with 22q).
[NEW] As of October 22nd, 2021, all essential care partners must show their proof of vaccination against COVID-19 when they enter the Toronto General Hospital and other UHN sites.
Disclaimer: The following information pages are provided for educational purposes only. They are not intended to be taken as medical advice. If you have questions or concerns, please discuss them with your doctor or healthcare provider.
Ontario's Vaccination Certificate Plan
Ontarians who are at least 12 years old are required to prove that they are vaccinated (two doses plus 14 days) before entering or using non-essential businesses or services.
You will need:
- Your ID that shows your name and date of birth (photo identification is NOT required), such as:
- Birth certificate
- Citizenship card
- Driver’s licence
- Government (Ontario or other) issued ID card, including health card
- Indian Status Card or Indigenous Membership Card
- Permanent Resident card
- Your vaccination receipts or enhanced vaccination certificate (the QR code)
- You must have received your second dose at least 14 days before you seek access to the business or organization
- You can obtain your vaccination receipts or enhanced vaccination certificate (the QR code) on Ontario’s COVID-19 vaccination website.
- You will need the front and back numbers on your green health card
- The enhanced vaccination certificate (QR code) will be available on the following dates based on the month of the person’s birth:
- January to April: October 15
- May to August: October 16
- September to December: October 17
- As of October 18 at 6:00 a.m., the enhanced vaccine certificates will be available for all vaccinated Ontarians to download.
- If you need help getting your vaccination receipts or enhanced vaccination certificate, please email our Clinic at firstname.lastname@example.org or call us at (416) 340-5145 as soon as possible.
The name and date of birth on your ID and your vaccination receipt (or enhanced vaccination certificate) must match if you wish to enter the following businesses or services:
- Restaurants and bars (excluding outdoor patios, as well as delivery and takeout)
- Nightclubs (including outdoor areas of the establishment)
- Meeting and event spaces, such as banquet halls and conference/convention centres
- Facilities used for sports and fitness activities and personal fitness training, such as gyms, fitness and recreational facilities with the exception of youth recreational sport
- Sporting events
- Casinos, bingo halls and gaming establishments
- Concerts, music festivals, theatres and cinemas
- Strip clubs, bathhouses and sex clubs
- Racing venues (e.g. horse racing)
If you do not have your ID and vaccination receipts, you cannot enter these places. For more information, please visit:
- Government of Ontario’s New Requirement for Proof of Vaccination in Certain Settings: Frequently Asked Questions site
- 680 News article and graphics
Please note that there are very few acceptable medical exemptions to the COVID-19 vaccination. They are:
- an allergist/immunologist-confirmed severe allergy or anaphylactic reaction to a previous dose of a COVID-19 vaccine or to any of its components that cannot be mitigated
- a diagnosed episode of myocarditis/pericarditis after receipt of an mRNA vaccine
At no time will anyone be prevented from accessing necessary medical care, food from grocery store, basic medical supplies or other essentials based on vaccination status.
Booking appointments for vaccination against COVID-19
Our Clinic strongly encourages everyone to be vaccinated against COVID-19 with both doses of the highly effective vaccinations that prevent serious disease and death from this virus, including the delta variant. This is especially important for people with 22q who are a known vulnerable population. And for anyone who is in contact with people with 22q.
For individuals with anxiety or needle phobia, the Centre for Addiction and Mental Health (CAMH) in Toronto offers a vaccination clinic that can accommodate their needs on specific days.
A third dose is now available to individuals who meet certain criteria, including “Individuals with moderate to severe primary immunodeficiency (e.g., DiGeorge syndrome, Wiskott-Aldrich syndrome)”. “DiGeorge syndrome” is an older name for 22q11.2 deletion syndrome (22q). Those who are eligible should receive their third dose 8 weeks after the second dose.
Before you go for the appointment for your third dose, please obtain a referral form or letter from your healthcare provider.
Please note that if you are getting other vaccinations, the COVID-19 vaccine (whether it is your first, second, or third dose) should be obtained 28 days (4 weeks) before, or 14 days after, other vaccines, including the flu vaccine that will be available the end of October. If you have any questions or concerns, please feel free to contact us.
Please visit the websites below for more information and to book an appointment.
If you need help booking a vaccination appointment, please call us at (416) 340-5145 or email us at email@example.com.
Getting a ride to your vaccination appointment in Toronto.
Information about COVID-19 Vaccines
On September 16, 2021, Health Canada formally granted full approval for the two COVID-19 vaccines manufactured by Pfizer-BioNTech and Moderna to be used in individuals aged 12 and above in Canada. AstraZeneca’s COVID-19 vaccine is still authorized under an interim order.
There is also a name change for these three vaccines:
|Old name (name of manufacturer)||New name|
|Pfizer-BioNTech||Comirnaty (pronounced koe-mir’-na-tee)|
= Covid-19 immunity + mRNA + community
The contents of these vaccines did not change, and all three give excellent protection against the COVID-19 disease. None of these contain any live virus. They cannot cause disease. So they are safe for people with immune deficiencies, just as they are for everyone else in the general population. Even for people who don’t make antibodies very well, the vaccine will help protect against the COVID-19 disease.
If you have any concerns, please check with your doctor. You can also call the VaxFacts Clinic of the Scarborough Health Network to book a phone appointment. VaxFacts is an opportunity for a one-to-one, judgement-free phone call with a physician, to address any questions or concerns about the COVID-19 vaccines. They have successfully counselled hundreds of patients in the past couple of months and have now opened up to all of Canada.
COVID-19 vaccine info for individual with 22q
- COVID-19 Series from the International 22q11.2 Foundation
- COVID-19 Update on Vaccines - Video from the Immune Deficiency Foundation (Video by Dr. Kate Sullivan)
COVID-19 Vaccine info for everyone
- Scarborough Health Network
- City of Toronto
- Government of Ontario
- Government of Canada
- New England Journal of Medicine
COVID-19 is a respiratory disease caused by a new coronavirus called SARS-CoV-2.
COVID-19 symptoms and treatment (Government of Canada website)
Self assessment (Government of Ontario website)
How to avoid COVID-19
Although this disease has been spreading quickly around the world, there are a few things you can do to avoid catching it.
- Stay at home as much as possible
- Avoid being very near another person
- “Social distance” means keeping about 6 feet apart (2 metres, or 3 big steps)
- Wash your hands properly and frequently using soap and water
- If soap and water are not available, use an alcohol-based hand sanitizer.
- Wear a mask as an added layer of protection
- Avoid touching your eyes, nose, and mouth with your hands
- Sneeze or cough into your sleeve or a tissue and wash your clothes often
- Disinfect spaces regularly,especially phones, door handles, etc.
- Improve the ventilation of your home
Getting tested for COVID-19 in Ontario
Concerned that you may have been exposed to COVID-19?
Policies on self-isolation and quarantine
- The self isolation policy for vaccinated Ontarians is different from that for unvaccinated individuals
- Isolation rules explained in a flow chart and a CTV News article
- Travelers who are fully vaccinated follow a different set of rules compared to those who are not
- As of September 7th, 2021, fully vaccinated foreign nationals can enter Canada for discretionary travel.
Reliable resources for information on COVID-19
COVID-19 Information for individuals with 22q
- From our Clinic
- International 22q Foundation - COVID-19 Resources
- What is COVID-19?
- Why should we stay home?
- Staying calm during COVID-19
- False information and scams
- Immunodeficiencies and COVID-19
- Heart conditions and COVID-19 [Italian version]
- When can we return to work/school?
- PCR vs. Antibody testing
- Masks: Why, When, and How
- Allergies, Cold, Flu or COVID-19?
- COVID-19 Vaccines
- Are the COVID-19 Vaccines Safe?
COVID-19 Information for individuals with immunodeficiencies
- List of topics (non-forum videos)
- To find out how individuals with immunodeficiencies have been doing when they contract COVID-19, please see the April 10, 2020 video (7 min 55 sec) and the May 8, 2020 video (9 min 11 sec)
COVID-19 Information for everyone
There is a lot of information on the Internet about the current pandemic, but not everything is accurate.
Please visit the following websites for the most up-to-date and reliable information:
- University Health Network (UHN) - COVID-19 Info/Policies – UHN is the organization that runs the Toronto General Hospital.
- UHN’s COVID-19 Resources
- This site offers pamphlets in other languages
- City of Toronto
- Public Health Ontario
- Government of Canada - includes outbreak updates, symptoms, prevention, travel, preparation
What to do for appointments at our Clinic
Please see our section on Clinic operations and hospital restrictions during COVID-19.
Please note that Toronto General Hospital has a Universal Masking Policy.
- Cloth masks are not permitted at UHN.
- Everyone entering UHN must wear a medical mask. If you are wearing a mask from home, screening staff will give you a medical mask to wear instead.
- UHN physicians and Nurse Practitioners are the only two healthcare providers who can approve a patient face mask exemption, and must provide exempt patients with a completed Face Mask Exemption Form. Please contact our Clinic at least 1 week before your appointment if you would like a mask exemption. Even with an exemption, you will be required to wear a face shield while at UHN which will be provided at our screening entrances. You will also receive a ‘mask exemption sticker’.
Support and financial assistance
While there are support services and financial assistance available, we urge you to be very careful about possible scams. Please visit the Government of Canada’s Slam the scam website to learn how to protect yourself.
The Center for Disease Control’s page on Stress and Coping
- Pooran Law’s COVID-19 Resource Centre