Anju Goel, MD, MPH, is a board-certified physician who specializes in public health, communicable disease, diabetes, and health policy.
A vaccine is a major component of preventing COVID-19. In an unprecedented effort to curb the pandemic, scientists from around the world have come together to condense a 10-year research and development timeline into roughly 10 months. There are over 200 vaccines in development, and dozens are in clinical trials. In the United States, three vaccines have received emergency use authorization from the Food and Drug Administration (FDA). Of those three, two—the Pfizer-BioNTech vaccine and the Moderna vaccine—have received full approval from the FDA.
To move at such a rapid pace, researchers explored new vaccine platforms, like mRNA. Manufacturers produced batches of vaccines without waiting for final clinical trial results in order to have them immediately ready if proven safe and effective. In spite of the speed, safeguards like data and safety monitoring boards remained in place throughout the process. A vaccine is only FDA-authorized once it is proven to be safe.
Learn the Basics of Getting Vaccinated
In the U.S., there are currently three available vaccines. The FDA has granted full approval to the Pfizer-BioNtech vaccine, the Moderna vaccine, and emergency use authorization to the Johnson & Johnson vaccine. There are large-scale Phase 3 clinical trials in progress or being planned for two additional COVID-19 vaccines in the U.S.: AstraZeneca’s vaccine and Novavax’s vaccine.
In May of 2022, the FDA scaled back its emergency use authorization for the Johnson & Johnson vaccine because of concerns of blood clot side effects. For most people, Pfizer and Moderna should be the first choice vaccines.
The available COVID-19 vaccines underwent extensive safety and regulatory processes. In order for the vaccines to receive FDA emergency use authorization, each clinical trial was subjected to review from a panel of scientists who are independent of the companies developing the vaccines. These scientists are members of data and safety monitoring boards (DSMB) that review clinical trials of drugs and vaccines. DSMBs have vetted drugs and vaccines for decades.
Everyone 5 and older across the U.S. is now eligible to be vaccinated. Appointments, including walk-in appointments, are now readily available nationwide. The Pfizer vaccine is the only vaccine available to those under the age of 18.
The best place to start is with a healthcare provider. Vaccines are being distributed locally and you may be able to walk in or secure appointments at a local clinic. You can also search for pharmacies and providers that offer vaccination on Vaccines.gov.
Public health officials say to expect largely mild side effects. You may feel pain and redness at the injection site, fatigue, a headache, joint and muscle aches, and/or a fever. Some less common side effects can include swollen lymph nodes (especially in the armpit) and swelling at the injection site. A very rare symptom may include a temporary weakness or paralysis of the facial muscles called Bell’s Palsy. In extremely rare cases, some people who received the Johnson & Johnson vaccine developed a blood clot called cerebral venous sinus thrombosis.
Even if you’ve previously been infected with COVID-19 and recovered, experts recommend getting vaccinated. Your natural immune response may not be strong enough to protect you from future infections. If you were treated for COVID-19 with monoclonal antibodies or convalescent plasma, you should wait 90 days before getting a COVID-19 vaccine, according to the CDC. And if you currently have an active case of COVID-19, wait until after the isolation period is over to make your appointment to prevent spreading the virus at the vaccine site.
Both the CDC and the American College of Obstetricians and Gynecologists (ACOG) recommend that pregnant and breastfeeding individuals get vaccinated. Pregnancy is considered a risk factor for severe COVID-19 illness by the CDC.
Research has increasingly found that the available vaccines still protect against variants of the virus like Delta and Omicron. Moderna, Pfizer, and Johnson & Johnson also all developed booster shots that may help increase immunity against virus variants. Scientists say the virus would have to mutate extensively to escape the vaccine response.
In order to ensure the vaccine is as effective as possible, some experts are recommending against taking over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) before or after you get injected in an effort to prevent or soothe side effects. NSAIDS include well-known pain relievers such as aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve). A recent study found that NSAIDS dampen the production of protective antibodies against the virus. If you can’t tolerate symptoms post-vaccine, experts recommend using acetaminophen (Tylenol) over an NSAID. If you take NSAIDS long-term for chronic conditions, you should continue following your prescription.
While your body likely will build some immunity to the virus shortly after receiving the single-dose COVID-19 vaccine or the first dose of a two-shot regimen, you won’t be fully protected. To reach full protective immunity, current research suggests you will have to wait two weeks after your second dose for the Pfizer and Moderna vaccines or two weeks after your single dose of the Johnson & Johnson vaccine.
CDC guidance says you can safely stop wearing your mask indoors and outdoors. But you’ll still need to wear a mask if it’s mandated by your county, state, workplace, or business you’re entering. You can also expect to stay masked up on public transportation like planes, buses, and trains. If you are immunocompromised, the CDC encourages you to wear a mask, even if you’re fully vaccinated.
Explore interactive models that show how the human body responds to a COVID-19 vaccine, and what the body of a vaccinated person would do if exposed to the SARS-CoV-2 virus.
United States Food and Drug Administration. COVID-19 Vaccines. Updated February 27, 2021.
Pronker ES, Weenen TC, Commandeur H, Claassen EH, Osterhaus AD. Risk in vaccine research and development quantified. PLoS ONE. 2013;8(3):e57755. doi:10.1371/journal.pone.0057755
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