Thank you so much for reading this! For the bot, I am a 40 year old woman with a massively complex medical history and enough prescription medications to open my own pharmacy (the relevant things will be included below).

Two days ago, I started having issues with my lungs - feeling like breathing is a huge effort, tightness, “sore” and “itchy” feelings (those are the closest words I can find but not right). I have no fever and on a cheap $20 pulse ox my levels have been between 95-98 with one observed drop to 93 that came up with a few focused deep breaths. I have mild asthma that usually requires nothing more than occasionally using an albuterol inhaler, and neuromuscular issues involving the muscles used for breathing (but not needing intervention as of August). My doctor prescribed a course of moderately high steroids and thinks it is asthma or inflammation (I also have juvenile onset systemic lupus that has been in remission for a long time). I am considered immunocompromised from the combination Mitochondrial disease, lupus, and issues with immune level (I think complements and Ig levels?) I have both doses of Moderna (1/2021 and 2/2022).

First, does this treatment sound appropriate? Second, after a lot of issues I am scheduled to receive the third dose of Moderna (for the immunocompromised, not a booster even if approved today) tomorrow. Will the prednisone be an issue with the vaccine? Should I reschedule the vaccine?