Lymphoedema Ireland has contacted the National Immunisation Advisory Committee (NIAC) to request clarification regarding the site of injection for those with lymphoedema who would be receiving the Covid-19 vaccination.
Their advice is as follows:
There are only two routinely recommended IM sites for administration of vaccines, the vastus lateralis muscle (anterolateral thigh) and the deltoid muscle (upper arm). Do not inject into a limb affected by a lymphatic system problem, such as lymphoedema or mastectomy with lymph node curettage. The opposite arm or the vastus lateralis are alternate sites. Please note the buttocks is not a recommended site for intramuscular injection. If a person has lymphoedema in four limbs, NIAC recommends the vaccine should be given in the least affected limb.