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I think it's a combination of a number of factors, hospitalised and the way you manage it. My brother has been in hospital twice in the recent past but manages with inhalers - so is not priority. I think if you were managing it with oral steroids you would be in a priority group. If in the past you have ended up in hospital and you have been diagnosed with severe asthma (whether or not you actually have it) you would be in a priority group.
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I’ve got severe asthma, been hospitalised a couple of times (though not for about 4 years - currently controlled with inhaled steroids) and attend the asthma clinic at GSTT. I had the vaccine a few weeks ago - though unclear whether they were applying criteria or just working their way down the asthma clinic’s patient list to try and fill gaps as it sounded like there were lots of no shows. I was asked if I wanted a shielding letter ... I declined.
I read/heard somewhere that the key item to bump you up the list was "hospitalised due to asthma", on which I would possibly qualify having had that once in my life (albeit more than 30 years ago, and before my asthma cleared up and I smoked 20+/day for more than 10 years, etc, etc).
As I've said before, I don't need early access to the vaccine, there are millions of people my age or younger who deserve/need the vaccine before I should eventually get it.