Skip to main content

Who is at high risk from coronavirus (COVID-19)

Coronavirus (COVID-19) can make anyone seriously ill. But for some people, the risk is higher.

Clinically extremely vulnerable

People are no longer being called clinically extremely vulnerable.

Some people who were previously considered clinically extremely vulnerable are still considered at high risk from COVID-19.

Read the guidance for people previously considered clinically extremely vulnerable on GOV.UK

People at high risk

You're considered at high risk from COVID-19 if:

  • your doctor or specialist advises you're at high risk due to a condition or treatment
  • you're having targeted cancer treatments that can affect the immune system (such as protein kinase inhibitors or PARP inhibitors)
  • you have blood or bone marrow cancer (such as leukaemia, lymphoma or myeloma)
  • you've had a bone marrow or stem cell transplant in the past 6 months, or are still taking immunosuppressant medicine
  • you've been told by a doctor you have a severe lung condition (such as cystic fibrosis, severe asthma or severe COPD)
  • you have a condition that means you have a very high risk of getting infections (such as SCID or sickle cell)
  • you're taking medicine that makes you much more likely to get infections (such as high doses of steroids or immunosuppressant medicine)
  • you have a serious heart condition and are pregnant
  • you have a problem with your spleen or your spleen has been removed (splenectomy)
  • you're an adult with Down's syndrome
  • you're an adult who is having dialysis or has severe (stage 5) long-term kidney disease


This list may not include everyone who is at high risk from COVID-19 and may change as we learn more about the virus.

Advice if you're at high risk

People at high risk from COVID-19 are advised to follow the same guidance as everyone else.

You are no longer advised to stay at home (shield). But there are still things you can do to help keep yourself safe.

Read more about advice for people at high risk from COVID-19


If you have not yet had a vaccination, you're still eligible and can book your appointments anytime.

Book your COVID-19 vaccination appointments

Page last reviewed: 14 October 2021
Next review due: 28 October 2021