Following the advice given on this thread, I contacted my PCT directly. I was sent this email soon after:
"Firstly, I fully appreciate how apprehensive you must be, especially at such a late stage in your pregnancy. I therefore hope that this email will help allay these concerns.
Your GP surgery may not be due to receive the Pandemrix vaccine until today, which may explain why you have not heard from them yet. I will contact them myself ? please can you confirm the full surgery name for me?
I understand that the use of adjuvant in the Pandemrix vaccine is causing concern to pregnant women. It is normally used to enhance the immune response to the vaccine. The use of an adjuvant can also reduce the amount of antigen (an antigen is the active substance that causes your immune system to produce antibodies) that is needed to produce a satisfactory immune response, which in turn, makes the vaccine safer. It contains a fish oil (squalene) and vitamin E - both naturally occurring products that we have in our bodies. There is also a substance called Polysorbate 80 that is a food additive and is in many medicines.
Other pregnant women are also asking why they can?t choose between the two vaccines. If choice is neutral there is no reason why people cannot choose what they want. However, when the choice is not neutral we have to advise people to have what we believe to be the best protection. We know that in healthy adults one dose of Pandemrix protects almost everybody with very high levels of antibodies. With Celvapan, the proportion of people who will be protected after one dose is considerably fewer. For this reason, the European Commission still recommends two doses of Celvapan. At a time when H1N1 viruses are circulating it has to be better for everybody to be protected after one dose than fewer and with lower antibodies. Pregnant women are advised to receive the adjuvanted vaccine Pandemrix as this vaccine appears to give adequate levels of antibodies after a single dose which provides protection more rapidly than would be offered by Celvapan. As pregnant women are at increased risk of severe disease and hospitalisation, it is vital that they are protected as soon as possible from swine flu infection.
You also mention that other pregnant women you know are accessing Celvapan elsewhere in the country. I am not actually aware of this, and unfortunately, cannot comment on what other PCTs decide to do. However, across the southeast coast health authority area (which consists of Kent, Surrey and Sussex) our policy is to only offer Celvapan those patients who have severe egg anaphylaxis. Unless you fall into this category, I am afraid that WK PCT will be unable you to offer this. However, please let me assure you that the Department of Health has fully licensed Pandemrix for use in all pregnant women."
Don't knwo what to do now...
(Oh and I got my appointment letter from my surgery today too...)