Pima County Community Health Worker Martha Ochoa hands a COVID-19 vaccination flyer to a resident while she and team canvas a neighborhood in southwest Tucson.

If youโ€™ve wondered if you can drink alcohol or smoke marijuana after getting the COVID-19 vaccine, you are not alone.

Itโ€™s a โ€œvery commonโ€ question, said Martha Ochoa, a community health worker for the Pima County Health Department.

She goes to neighborhoods to encourage residents to get vaccinated. She knocks on doors, hands out flyers and โ€” perhaps most importantly โ€” she answers all kinds of questions.

The short answer to this particular question is, โ€œyes,โ€ you should get vaccinated even if you plan on drinking alcohol or smoking marijuana. It is safe.

โ€œThereโ€™s no evidence that the vaccine has a negative interaction with either alcohol or marijuana. Thereโ€™s no evidence that it harms people,โ€ said Dr. Elizabeth Connick, who is chief of infectious diseases at the University of Arizona.

In terms of the effectiveness of vaccines in general, however, it may matter how much you drink.

โ€œModerate alcohol use is actually associated with better immune responses than no alcohol use, or heavy alcohol use,โ€ Connick said. โ€œSo a little bit of alcohol if anything is good. A lot is not good.โ€

While this is good news for moderate drinkers, itโ€™s important to remember that moderate drinking is one drink for a woman and two drinks for a man.

In general, data show that people who drink heavily have much more infections and worse immune responses, Connick said. โ€œSo presumably the alcohol is blunting their immune response.โ€

The COVID-19 vaccine helps the body produce antibodies that protect against getting COVID-19, but at this point scientists donโ€™t know how long these antibodies last.

โ€œThe only concern would be: If you drink heavily does it blunt your response to the vaccine? Will you have weaker antibodies? Will they wane over a shorter period of time?โ€ Connick said.

Heavy drinking could also make you feel sick with a hangover while you also deal with the side effects from the vaccine.

There is no data to say if heavy drinking makes side effects worse, Connick said. โ€œBut a reasonable person can know that: How would you distinguish between being hungover and the vaccine side effect? You canโ€™t tell the difference, right? you feel terrible.โ€

People who heavily use alcohol, or marijuana, can still die from COVID-19, just like anyone else. So they should still be encouraged to get vaccinated, Connick said.

People with substance abuse disorders may have higher rates of COVID-19 vaccine hesitancy. In a study published this year, the Addiction Policy Forum interviewed people with substance abuse disorders to gauge their trust in the COVID-19 vaccine. Nearly half, or 48%, of the studyโ€™s participants said they were either unwilling to get the vaccine or uncertain if they would.

Meanwhile, research suggests that people with substance abuse disorders have a higher risk of developing COVID-19.

More data needed on marijuana

Connick could reference data to talk about how alcohol may impact the effectiveness of the COVID-19 vaccine, but there isnโ€™t much for her to reference regarding how marijuana may impact the effectiveness of the vaccine.

โ€œThere are no data on marijuana. I cannot make any statements around it,โ€ She said. โ€œI simply donโ€™t know, but I donโ€™t know that anybody else does either.โ€

โ€œThe vaccines were studied primarily in people who were not heavy marijuana users,โ€ she explained. โ€œBut some of those people probably did use marijuana. (Researchers) donโ€™t have data on it, so we canโ€™t make a recommendation. Use your own good judgment.โ€

Still, itโ€™s important for marijuana smokers to protect themselves against COVID-19 by getting the vaccine, according to the Public Health Association of British Columbia in Canada. Their website references โ€œemerging evidenceโ€ that suggests marijuana smoke can harm a personโ€™s respiratory system and immune competence.

What about partaking before the shot?

As for getting your COVID-19 vaccination while under the influence of marijuana or alcohol, it wonโ€™t react harmfully with the vaccine, but it still may not be a good idea.

โ€œHaving consumed alcohol and marijuana is not a contraindication to vaccination,โ€ said Dr. Joe Gerald, an associate professor with the University of Arizonaโ€™s College of Public Health.

By that he means that it doesnโ€™t make the vaccine risky or prevent you from getting it, in and of itself.

โ€œThere might be reasons why a healthcare provider might decide not to vaccinate someone whoโ€™s impaired . . . But thinking about just strictly speaking the health consequences and the effectiveness of the vaccine, being under the influence is not a contraindication,โ€ he said.

โ€œThere are lots and lots of reasons not to show up at the vaccine site drunk or stoned.โ€


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Contact reporter Alex Devoid at adevoid@tucson.com or 573-4417. On Twitter: @DevoidAlex