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COVID-19 vaccination in the Republic of Ireland

From Wikipedia, the free encyclopedia
Immunisation plan against COVID-19

COVID-19 vaccination in the Republic of Ireland
Large vaccination centres were put in place nationwide to administer COVID-19 vaccines
Date29 December 2020 – present (4 years, 9 months ago)
LocationRepublic of IrelandIreland
CauseCOVID-19 pandemic
Organised byHealth Service Executive (HSE)
Participants
  • 12,744,694[1] (doses administered)
  • 4,107,865[1] (at least one dose)
  • 3,819,227[1] (second dose)
  • 4,817,602[1] (boosters)
Outcome

85% of the Irish eligible population (5+) are fully vaccinated[1]

  


77.1% of the Irish adult population (18+) have received afirst booster dose[2]

  


27.7% of the Irish adult population (18+) have received asecond booster dose[2]

  


8.5% of the Irish adult population (18+) have received athird booster dose[2]

  

Websitegov.ie
As of February 2023[update]
Part ofa series on the
COVID-19 pandemic
Scientifically accurate atomic model of the external structure of SARS-CoV-2. Each "ball" is an atom.
Scientifically accurate atomic model of the external structure of SARS-CoV-2. Each "ball" is an atom.
virus iconCOVID-19 portal

TheCOVID-19 vaccination programme in the Republic of Ireland is an ongoing massimmunisation campaign that began on 29 December 2020 in response to theCOVID-19 pandemic in Ireland.[3][4] Ireland's vaccination rollout has been praised as one of the most successful rollouts in the world and was ranked number one in theEuropean Union in terms of its percentage of adult population fully vaccinated,[5] and was also ranked number one in the EU for the number of booster vaccines administered.[6]

As of 20 February 2023, 12,744,694 vaccine doses have been administered, of which 4,107,865 people have received at least one dose, 3,819,227 have received their second dose and 4,817,602 have received a booster dose.[1]

Background

[edit]

Preparations

[edit]

On 1 December 2020, theGovernment of Ireland approved an advance purchase agreement for 875,000 doses of theModerna COVID-19 vaccine.[7][8][9]

On 15 December,Minister for HealthStephen Donnelly announced the Government's National COVID-19 Vaccination Strategy, which outlined the country's high-level plan for safe, effective and efficient vaccination of theRepublic of Ireland, while safeguarding continued provision of health and social care services.[10][11][12]

On 17 January 2021, theGovernment requested early deliveries of theOxford–AstraZeneca COVID-19 vaccine as discussions to secure early delivery of the vaccine got underway.[13][14][15]

Vaccines on order

[edit]
VaccineApprovalDeployment
Pfizer–BioNTech 21 December 2020[16] 29 December 2020[17]
Moderna 6 January 2021[18] 16 January 2021[19]
Oxford–AstraZeneca 29 January 2021[20] 8 February 2021[21]
Janssen 11 March 2021[22] 6 May 2021[23]
Novavax 20 December 2021[24] 29 January 2022[25]

COVID-19 booster campaign

[edit]

TheHealth Service Executive (HSE) announced on 24 September that immunocompromised people aged over 12 would be notified of an appointment for athird dose of COVID-19 vaccine from Wednesday 29 September, as Ireland's COVID-19 booster vaccination campaign would commence.[26] In addition, theNational Immunisation Advisory Committee recommended additional vaccines be given to elderly people aged over 80 and to anyone over 65 in a long-term care facility.[27]

On 19 October, theNational Immunisation Advisory Committee (NIAC) approved vaccine boosters for people aged 60 and over.[28]

On 1 November, following new advice from NIAC,Minister for HealthStephen Donnelly authorised the use of booster vaccines for healthcare staff,[29] while boosters were extended to people aged 50 to 59, those aged 16 to 59 with an underlying condition and all long-term healthcare facility residents on 16 November.[30] On 26 November, Minister for Health Stephen Donnelly announced that booster vaccines would be offered to everyone aged 16 and over, starting with pregnant women aged over 16, those aged 40 to 49 and those aged 16 to 39, following new recommendations from NIAC.[31]

On 13 December, the NIAC recommended that people would be able to receive a booster dose three months after their second dose.[32]

On 19 December, the booster vaccination programme began for people aged 40 to 49.[33] On 23 December, Minister for Health Stephen Donnelly announced that booster vaccines would be offered to everyone aged 30 and over from 29 December,[34] and announced on New Year's Eve that booster vaccines would be offered to all remaining age groups from 2 January 2022, eight days earlier than planned.[35]

On 21 February 2022,Minister for HealthStephen Donnelly accepted recommendations from NIAC that booster vaccines be offered to children aged 12 to 15 years.[36]

On 6 April, the NIAC recommended a fourth COVID-19 vaccine dose for everyone aged 65 and older, and for those aged 12 and older who are immunocompromised.[37] On 21 April, the HSE announced that people aged 65 years and older could book online for their second COVID-19 booster vaccine appointment at vaccination centres.[38]

On 23 July, Minister for Health Stephen Donnelly accepted new recommendations from the NIAC over Ireland's autumn COVID-19 vaccination programme, which would see a first, second or third booster vaccine given to certain age groups.[39][40]

On 29 December, the HSE announced that people aged 18 to 49 would be offered their second booster dose and a first vaccine for infants and children aged six months to four years was also authorised amid concerns about a rise in cases of COVID-19, influenza and other respiratory illness.[41]

Timeline

[edit]

December 2020

[edit]

Annie Lynch, a 79-year-old woman, became the first person in the Republic of Ireland to receive the Pfizer–BioNTech vaccine atSt. James's Hospital,Dublin on 29 December 2020,[17][42] and received the second dose three weeks later on Tuesday 19 January 2021.[43]

OnSaint Stephen's Day, 26 December, the first shipment of 10,000Pfizer–BioNTech vaccines arrived in the country.[44][45]

Maura Byrne, a 95-year-old woman, became the first nursing home resident in the Republic of Ireland to receive the Pfizer–BioNTech vaccine on 5 January 2021,[46] while Dr Eavan Muldoon, an infectious diseases consultant, became the first healthcare worker in theMater University Hospital to receive the vaccine.[47] On the same day,TaoiseachMicheál Martin announced that up to 135,000 people would be vaccinated nationwide by the end of February 2021.[48]

January 2021

[edit]

Following the approval of theModerna COVID-19 vaccine by theEuropean Medicines Agency on 6 January 2021,TánaisteLeo Varadkar announced that the vaccine would allow 10,000 more people in Ireland to be vaccinated per week.[49]

The rollout of the Pfizer–BioNTech vaccine in private and voluntary nursing homes began nationwide on 7 January, with 22 nursing homes of 3,000 residents and staff to be vaccinated.[50]

The first shipment of the Moderna COVID-19 vaccine arrived in the Republic of Ireland on 12 January.[51]

Around 1,800 healthcare workers received the Moderna vaccine at three mass vaccination centres that opened inDublin,Galway andPortlaoise on 16 January.[19]

February 2021

[edit]

The first shipment of 21,600 AstraZeneca vaccines arrived in the country on 6 February.[52]

On 24 February,Minister for HealthStephen Donnelly announced that Ireland had ordered enough vaccines to vaccinate 10.3 million people with 18.5 million doses ofCOVID-19 vaccines ordered.[53]

March 2021

[edit]

On 6 March,TaoiseachMicheál Martin announced that Ireland had reached the milestone of half a million COVID-19 vaccines administered.[54]

On 10 March, Taoiseach Micheál Martin confirmed that Ireland was to receive a further 46,500 doses of the Pfizer–BioNTech COVID-19 vaccine before the end of March.[55]

On 22 March, it was announced thatPresidentMichael D. Higgins and his wifeSabina Higgins received their first doses of a COVID-19 vaccine on 19 March.[56]

April 2021

[edit]

On 8 April, theCEO of theHealth Service Executive (HSE)Paul Reid announced that Ireland had reached the milestone of one million COVID-19 vaccines administered.[57]

On 15 April, over 26,000 people registered for a COVID-19 vaccination after the online portal for 69-year-olds went live.[58]

On 25 April, Taoiseach Micheál Martin announced that Ireland had reached the milestone of one million first doses of COVID-19 vaccines administered.[59]

May 2021

[edit]

On 9 May, Taoiseach Micheál Martin received his first dose of a COVID-19 vaccine inCork City Hall and urged people to get vaccinated to protect themselves, while a record 52,278 doses were administered on Friday 7 May.[60]

On 17 May, theNational Immunisation Advisory Committee (NIAC) confirmed that people in their 40s would be given a choice to accept the Johnson & Johnson or AstraZeneca COVID-19 vaccine or opt to wait for another vaccine.[61]

June 2021

[edit]

On 2 June, NIAC advised that the gap between two doses of the AstraZeneca vaccine could be reduced from 12 weeks to 8 weeks.[62]

On 5 June, Minister for Health Stephen Donnelly received his first dose of a COVID-19 vaccine inGreystones,County Wicklow.[63]

July 2021

[edit]

On 2 July, following recommendations from NIAC, Minister for Health Stephen Donnelly announced an expansion of the vaccination rollout programme to younger people with 750 pharmacies to begin administering the Janssen vaccine to people in the 18 to 34 age group who opted in for earlier vaccination from 5 July, while vaccination centres would begin administering the AstraZeneca vaccine to the group from 12 July.[64] On 5 July, over 500 pharmacies around the country began administering the Johnson & Johnson vaccine to people aged 18 to 34 who opted-in to receive it.[65]

On 27 July, after the COVID-19 vaccine registration portal opened to people aged 16 and 17 for the Pfizer or Moderna vaccines, the Government agreed to extend the vaccination programme to those aged 12 to 15 following recommendations from the National Immunisation Advisory Committee.[66] On the evening of 11 August, the COVID-19 vaccine registration portal opened to people aged 12 to 15 for the Pfizer or Moderna vaccines.[67] On 12 August, the Chief Executive of the HSEPaul Reid said the vaccination programme was in "the final leg" after more than 50,000 people aged 12 to 15 registered to receive the COVID-19 vaccine, with 90% of adults partially vaccinated and 80% fully vaccinated.[68]

August 2021

[edit]

On 3 August,TaoiseachMicheál Martin announced that a deal had been completed to secure 700,000 Pfizer COVID-19 vaccines fromRomania.[69]

On 18 August, Ireland received its largest ever weekly shipment of COVID-19 vaccines, with over 540,000 doses delivered to the HSE, including the first batch of unwanted vaccines from the Romanian Government.[70]

September 2021

[edit]

On 1 September, under changes to the COVID-19 vaccination programme, the National Immunisation Advisory Committee recommended that pregnant women could be offered an mRNA COVID-19 vaccine at any stage of pregnancy and that immunocompromised individuals aged 12 and older could receive a third additional vaccine dose.[71]

On 8 September,Minister for HealthStephen Donnelly announced an update to Ireland's COVID-19 vaccination programme, with residents aged 65 years and older living in long term residential care facilities and people aged 80 years and older living in the community to receive a booster dose of an mRNA COVID-19 vaccine.[72] Two days later on 10 September, latest figures showed that 90% of adults in Ireland were fully vaccinated against COVID-19, while the seven-millionth dose was administered.[73] This is one of the highest levels of vaccination in the European Union.[74]

November 2021

[edit]

On 25 November, the HSE began preliminary planning for offering COVID-19 vaccines to children aged 5 to 11.[75] after theEuropean Medicines Agency (EMA) gave its approval.[76]

December 2021

[edit]

On 8 December, the NIAC recommended that COVID-19 vaccinations be offered to children aged five to 11 years.[77]

January 2022

[edit]

On 3 January 2022, vaccine registration began for all children aged 5 to 11,[78] and vaccinations for this age group began on 8 January.[79]

Vaccination certificates

[edit]
A COVID-19 Vaccination Record Card issued by theHSE in August 2021.
A COVID-19 Vaccine Booster Record Card issued by the HSE in January 2022.

TheHealth Service Executive (HSE) issues avaccine record card to those receiving a COVID-19 vaccine in Ireland that provides reminders for a follow-up appointment. The card contains the recipient's name, the dates on which the two doses were administered, the name of the vaccine, and its batch number.[80] The vaccine record card, along with theEU Digital COVID Certificate, were used as proofs of vaccination in restaurants, hotels and bars to gain access to indoor hospitality,[81][82] as well as in nightclubs, indoor live entertainment, cinemas, theatres and gyms.[83] Requirements on the use of vaccine certificates were scrapped in January 2022.[84]

Vaccine rollout and distribution

[edit]

Vaccine priority groups

[edit]

The COVID-19 Vaccine Allocation Strategy currently includes 9 priority groups for the vaccine rollout in Ireland.[85]

On 23 February, following the publication of theGovernment's new revisedLiving with COVID-19 plan called"The Path Ahead",Minister for HealthStephen Donnelly announced an update to the COVID-19 Vaccine Allocation Strategy with people aged between 16 and 69 who are at very high risk of developing severe COVID-19 moved up the priority list, after theNational Public Health Emergency Team endorsed recommendations by the National Immunisation Advisory Committee.[86][87]

On 30 March, Minister for Health Stephen Donnelly announced an update to the COVID-19 Vaccine Allocation Strategy with priority groups being changed to an age-based system after vulnerable people with underlying conditions were vaccinated.[88][89]

Ireland's COVID-19 vaccination programme(January–July 2021)[90]
January–MarchApril–MayMay–July
1.2.3.
  • People aged over 80
  • Frontline healthcare workers
  • People aged over 65 in long-term care facilities
  • People aged 65–79
  • People at high or very high risk
  • Key vaccination workers
  • Other vulnerable groups
  • Everyone aged 18–64
OrderPriority group
1People aged 65 years and older who are residents of long-term care facilities
2Frontline healthcare workers
3People aged 70 and older
4People aged 16–69 whose medical condition puts them at very high risk of severe disease and death
5People aged 65–69 whose underlying condition puts them at a high risk of severe disease and death
6Other people aged 65–69, other healthcare workers not in direct patient contact, and key workers
7People aged 16–64 whose underlying condition puts them at high risk of severe disease and death
8Residents of long-term care facilities aged 18–64
9People aged 64 years and younger, and people aged 16–64 living or working in crowded settings
55–64 years
45–54 years
35–44 years
25–34 years
16–24 years
10
12–15 years
5–11 years

"People who have an underlying condition that puts them at high risk of severe disease and death" is defined as:[91]

Organisations involved

[edit]

AHigh-Level Task Force on COVID-19 Vaccination was established on 11 November 2020 to oversee the roll-out of COVID-19 vaccines in the country once they were approved by the statutory authorities,[92] and to support theDepartment of Health andHealth Service Executive (HSE) to deliver a COVID-19 immunisation programme that meets best practice and provides good governance.[93] The first full meeting of the task force took place on 23 November 2020 and was chaired by ProfessorBrian MacCraith.[94]

Members of the High-Level Task Force on COVID-19 Vaccination are made up of senior representatives from the Department of Health, the Health Service Executive, theHealth Products Regulatory Authority, the Office of the GovernmentChief Information Officer, the Office ofGovernment Procurement,IDA Ireland, theDublin Airport Authority, theDepartment of Enterprise, Trade and Employment and theDepartment of the Taoiseach.[95][96][97]

TheNational Immunisation Advisory Committee (an independent body outside of theHSE) provides expert, evidence-based and impartial guidance about the COVID-19 vaccines to theChief Medical Officer in theDepartment of Health.[98][99]

Progress to date

[edit]
Total doses administered by vaccine type as of 21 February 2023
  1. Pfizer–BioNTech (6,013,524) (74.6%)
  2. Oxford–AstraZeneca (1,217,512) (15.1%)
  3. Moderna (585,177) (7.26%)
  4. Janssen J&J (241,233) (2.99%)
  5. Novavax (450) (0.00%)
This graph was using thelegacy Graph extension, which is no longer supported. It needs to be converted to thenew Chart extension.
Total eligible population vaccinated
  At least one dose
  Second dose
  Booster dose
Uptake by age group[100]
Age groupThird boosterSecond boosterFirst boosterPrimary courseAt least one doseNot vaccinated
80+ years
49.1%
90.1%
100%
100%
100%
0%
60+ years
31.6%
74.2%
100%
100%
100%
0%
50–59 years
0.5%
34.4%
87.9%
99%
100%
0%
25–49 years
0.1%
5.1%
65.1%
90%
91%
9%
18–24 years
0%
1.6%
53.7%
88.8%
90.1%
9.9%
<18 years
0%
0.1%
8%
32.9%
34.1%
65.9%

Vaccination centres

[edit]

Up to 40 large vaccination centres were put in place across the country to administer COVID-19 vaccines.[101]

Major facilities were put in place inCork,Dublin,Waterford,Sligo,Galway,Limerick andAthlone, with smaller centres inMullingar,Longford,Ennis,Nenagh,Bantry andTralee.[102][103] ThreeGP-run vaccination centres were also put in place across the country, withThe Helix atDublin City University the first to be established, vaccinating 5,000 people a day.[104][105]Cork City Hall,Páirc Uí ChaoimhGAA grounds andMunster Technological University's Bishopstown campus were transformed into mass vaccination centres, administering 10,000 shots a day.[106][107]

Large venues such assports stadia,GAA clubs,hotels,conference centres andarenas were used as mass vaccination centres across allcounties in Ireland.[108][109]

Aviva Stadium vaccination centre.
Waterford IT Arena vaccination centre.
Cork City Hall vaccination centre.

Locations

[edit]

On 15 February,Minister for HealthStephen Donnelly confirmed locations for 37 vaccination centres across allcounties as part of the country's COVID-19 vaccination programme.[110][111]

On 20 February, nearly 1,000 patients over the age of 85 received their first dose of a COVID-19 vaccine at the country's first mass vaccination centre atThe Helix inDublin City University.[112][113]

On 28 July, it was announced that some of the vaccination centres would allow walk-in vaccinations on certain days and times without an appointment.[114]

Vaccination centre locations in the Republic of Ireland
Location of vaccination centres in the Republic of Ireland
CentreCounty
Carlow ITCarlow
Kilmore HotelCavan
West County Hotel,EnnisClare
Bantry Primary Care CentreCork
City Hall, CorkCork
Páirc Uí ChaoimhCork
Clonakilty GAA ClubCork
MTU Cork,BishopstownCork
Mallow GAA ClubCork
Letterkenny ITDonegal
Aviva StadiumDublin
Citywest Convention CentreDublin
Croke ParkDublin
The Helix,DCU(until July 2021)Dublin
National Show Centre,Swords(from July 2021)
Ballybrit RacecourseGalway
MTU Kerry,TraleeKerry
Killarney Sports & Leisure CentreKerry
Punchestown RacecourseKildare
Cillin Hill Conference CentreKilkenny
Midlands Park Hotel,PortlaoiseLaois
Primary Care Unit,Carrick-on-ShannonLeitrim
Radisson Hotel(until July 2021)Limerick
Limerick Racecourse(from July 2021)
Clonguish GAA Club,NewtownforbesLongford
Fairways Hotel,DundalkLouth
Simonstown Gaels GAA Club,NavanMeath
Breaffy House Resort,CastlebarMayo
Hillgrove HotelMonaghan
Tullamore Court HotelOffaly
Abbey HotelRoscommon
Sligo ITSligo
Abbeycourt Hotel,NenaghTipperary
Clonmel Park HotelTipperary
Waterford IT ArenaWaterford
Athlone IT Arena(until September 2021)Westmeath
Moate Community Centre(from September 2021)
Bloomfield House Hotel,Mullingar(until September 2021)Westmeath
Riverside Hotel,Enniscorthy(until July 2021)Wexford
Astro Active Centre, Enniscorthy(from July 2021)
Kilanerin Community Centre,Gorey(from June 2021)Wexford
Arklow Bay Hotel(until June 2021)Wicklow
Shoreline Leisure Centre,GreystonesWicklow

Issues and controversies

[edit]

Adverse events

[edit]
Further information:Vaccine adverse event

On 14 March 2021, the administration of the AstraZeneca COVID-19 vaccine was suspended in Ireland by theNational Immunisation Advisory Committee (NIAC) as a precautionary measure following concerns over seriousblood clots inNorway.[115][116] On 19 March, the NIAC recommended that the AstraZeneca COVID-19 vaccine could continue to be used in Ireland following approval from theEuropean Medicines Agency (EMA) on 18 March.[117][118]

On 8 April, theHealth Products Regulatory Authority (HPRA) began an investigation after the first case of avery rare blood clot in the brain of a person after vaccination with theAstraZeneca vaccine was confirmed in a 40-year-old Dublin woman.[119][120]

On 12 April, following a lengthy meeting, the National Immunisation Advisory Committee (NIAC) recommend that only people over 60 years of age should get the AstraZeneca COVID-19 vaccine and that a second dose of the vaccine should not be given to anyone who developed unusual blood clots with low platelets after the first dose.[121][122]

On 17 August, a 23-year-old man fromWaterford died five days after receiving theJanssen COVID-19 vaccine.[123] In September 2024, an inquest into his death was told that he had suffered convulsions at home and was rushed to hospital where he was put on alife support machine. He died after a largehaematoma in his brain caused a catastrophicintercranial bleed. The inquest heard he was a "perfectly healthy young man before the vaccine" who was a "keen soccer player" forWaterford F.C. and a "natural leader".[124] Medics at Janssen gave evidence at the inquest and concluded there was "insufficient evidence” to link the haemorrhage to the vaccine.[125]

Hospitals

[edit]

On 26 March 2021, theLabour Party leaderAlan Kelly called for the chief executive of theBeacon Hospital to resign after it gave 20 leftover COVID-19 vaccines to a number of teachers and staff at aprivate secondary school inBray, County Wicklow on 23 March.[126][127] One day later on 27 March,Minister for HealthStephen Donnelly requested theHealth Service Executive (HSE) to suspend vaccine operations at the Beacon Hospital following the controversy.[128] On 19 July, four months after the controversy, an independent report found that the decision by the hospital to provide vaccines to 20 teachers at the Bray school was incorrect, but was made in good faith.[129]

On 1 April, an independent review of the COVID-19 vaccination programme at theCoombe Hospital found that a consultant brought two leftover vaccine doses home to administer them to two family members.[130][131]

Opposition to age-based overhaul of vaccines

[edit]

On 30 March 2021, a decision by theGovernment to overhaul the allocation of COVID-19 vaccines to an age-based system sparked anger and concern amongteachers' unions andkey workers.[132] The new change meant that key workers in essential jobs and theeducation sector who couldn't avoid a high risk of exposure to the virus would lose vaccine prioritisation.[133] Ireland's largest teaching union, theIrish National Teachers' Organisation (INTO), strongly criticised moves to change the vaccination rollout plan stating it was "extremely concerned" by the news, while theTeachers' Union of Ireland (TUI) echoed concerns and called for urgent engagement with theDepartment of Education.[134] TheAssociation of Secondary Teachers, Ireland (ASTI) stated it was "shocked and dismayed" by the changes and claimed the decision was "totally at odds" with the objective tokeep schools open, while the president of theGarda Representative Association (GRA) described the change as "a sucker punch" to their members, and that the decision "downgraded" the work of Gardaí and disregarded the risks they took whilepolicing the pandemic.[135] On 7 April, the three teacher unions voted for an emergency motion backingindustrial action, up to and includingstrike action, if they were not prioritised for vaccination.[136][137]

Health Service Executive ransomware attack

[edit]

On 14 May 2021, the COVID-19 vaccination registration portal was made offline after theHealth Service Executive (HSE)shut down all of its IT systems after a major ransomware attack, but was later restored in the evening.[138][139]

Anti-vaccine protests

[edit]
A protest against COVID-19 vaccination inDublin

On 24 July 2021, around 1,500 protestors gathered in Dublin city centre to protest against vaccines, new legislation allowing for the reopening of indoor dining and theEU Digital COVID Certificate.[140]

On 27 November, thousands of people attended a protest against COVID-19 restrictions and vaccine passports at theGPO on Dublin'sO'Connell Street.[141]

See also

[edit]

References

[edit]
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