• S. Loesser

Nordrhein-Westfalen regulates individual case decisions for corona vaccinations

The new regulation should be a pragmatic solution for people with pre-existing diseases who are not mentioned in the Bund's Corona-Impfverordnung – CoronaImpfV – (corona vaccination regulation).


The Ministerium für Arbeit, Gesundheit und Soziales (Ministry of Labour, Health and Social Affairs) has regulated the handling of individual case decisions in the context of corona vaccinations. The application must be submitted to the Kreis (district) or kreisfreien Stadt (independent town) in which the applicant has their main residence or usual place of residence. The basic requirement is the presentation of a qualified medical certificate.


Gesundheitsminister (mister of health) Karl-Josef Laumann explains:

"There are people with pre-existing diseases who are not included in the CoronaImpfV list. With the present regulation, we have created a pragmatic procedure that should help those affected in the best possible way."

He went further to state:

"It is important for me to emphasise that a distinction must be made between individual case decisions and persons with pre-existing diseases. The regulation now laid down clearly refers to individual case decisions. This could be, for example, those who want to have their vaccination eligibility checked due to imminent chemotherapy."

Those eligible for an individual case decision are those cases where, after an individual medical assessment due to the disease’s rarity or its particular severity, no sufficient scientific knowledge about the possible course of a SARS-CoV-2 infection exists, but a high risk of a severe course must be assumed.


The prerequisite for a vaccination eligibility is the presentation of a medical certificate from the attending physicians. The medical certificate must not be dated before 8 February 2021 (date of CoronaImpfV’s entry into force).


Subsequently, a corresponding application including the medical certificate must be submitted to the competent authority. The competent authority is the respective Kreis or the respective kreisfreie Stadt in which the applicant has his or her main residence or usual place of residence.


If there are doubts about the medical assessment, the competent authority can forward the corresponding application to the Deutsche Rentenversicherung Rheinland or Westfalen (German pension insurance fund Rhineland or Westphalia) for assessment.


Important to know: the Deutsche Rentenversicherung Rheinland or Westfalen cannot provide any information on the respective application's processing status.


The respective result will be communicated to the applicant in a timely manner. If the result is positive, a vaccination appointment will be arranged at the respective vaccination centre.


It should be emphasised that: excluded from this procedure are explicitly those chronically ill persons who are already mentioned elsewhere in the Bund CoronaImpfV.


In the cases listed below, there is no need to apply for an individual case decision. Those will receive a separate vaccination offer in March.


In the case of vaccinations with hoher Priorität (high-priority), these are, for example, persons after organ transplantations, persons with dementia or mental disability or with severe psychiatric illness, especially bipolar disorder, schizophrenia or severe depression, persons with chronic kidney disease, and others.


Persons with erhöhter Priorität (increased priority) may be: persons with immunodeficiency or HIV infection, autoimmune diseases or rheumatological diseases, persons with bronchial asthma or chronic inflammatory bowel disease, etc.


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