COVID-19 Vaccine FAQ
Now that the COVID-19 vaccine is here, we’re all feeling a little more hopeful and less anxious than we have in a long time… and we’re also wondering about this new vaccine and what it means for our families. To help answer some of your questions, we’ve put together an FAQ that we’ll update regularly as more information becomes available. Our providers are also happy to answer any questions you may have related to this vaccine or vaccines, in general.
Read on to learn more about the COVID-19 vaccine and how your family can get protected in the coming months.
For other questions and answers, see our Coronavirus (COVID-19) FAQ.
Q: Is the COVID-19 vaccine FDA-approved?
A: The FDA has issued emergency use authorizations (EUA) for three COVID-19 vaccines: one from Pfizer-BioNTech for people ages 12+, another from Moderna for people ages 18+, and the most recent from Janssen (Johnson & Johnson*) for people ages 18+. This means these vaccines can begin distribution in the United States because they meet the FDA’s strict EUA standards for safety, effectiveness, and manufacturing quality. The vaccines will likely go on to pursue FDA approval after more clinical trials to obtain additional safety and effectiveness data. In the meantime, if any safety concerns arise as the vaccines are administered, the EUA can be changed or revoked.
*Use of the Johnson & Johnson COVID-19 vaccine was temporarily paused April 13-23, 2021, as the CDC and FDA investigated a small number of cases (15 out of nearly 8 million doses) where women developed a rare blood clot after receiving the shot. After careful review, a federal vaccine safety panel determined that the benefits of the vaccine outweigh its risks and recommended lifting the pause. Use of the J&J vaccine has since resumed in the United States, with a warning about this rare potential risk in women. Recipients of the J&J vaccine should be aware of the risk and watch for symptoms of thrombosis-thrombocytopenia syndrome (TTS) within three weeks of vaccination: severe headache, abdominal pain, leg pain, or shortness of breath. Please seek immediate medical attention if you develop any of these symptoms.
12/11/20: FDA Press Release on Pfizer-BioNTech COVID-19 Vaccine EUA
12/18/20: FDA Press Release on Moderna COVID-19 Vaccine EUA
2/27/21: FDA Press Release on Janssen (Johnson & Johnson) COVID-19 Vaccine EUA
4/13/21: FDA/CDC Press Release on Pausing Johnson & Johnson COVID-19 Vaccine
4/23/21: FDA/CDC Press Release on Resuming Johnson & Johnson COVID-19 Vaccine
5/10/21: FDA Press Release on Pfizer COVID-19 Vaccine EUA for Adolescents
Q: Is the COVID-19 vaccine safe and effective?
A: The FDA has determined that the Pfizer-BioNTech (95% efficacy), Moderna (94.1% efficacy), and Johnson & Johnson* (66% efficacy) COVID-19 vaccines are safe and effective at preventing COVID-19. Other countries have also reviewed and evaluated the vaccines by their own regulatory standards and found them safe and effective for use in their populations as well.
*See the information above related to the brief pause on the use of the Johnson & Johnson COVID-19 vaccine.
Q: What are the side effects of the COVID-19 vaccine?
A: Like any vaccine, the COVID-19 vaccine may cause soreness at the injection site, fatigue, headache, and fever. Allergic reactions are also a possibility—a few anaphylaxis reactions have been reported. Additionally, women may develop a rare blood clot after receiving the Johnson & Johnson COVID-19 vaccine. Recipients of the J&J vaccine should be aware of this potential risk and watch for TTS symptoms within three weeks of vaccination: severe headache, abdominal pain, leg pain, or shortness of breath.
We’re keeping a watchful eye on possible safety concerns as the vaccine is administered to people here and abroad. We also want to assure you that the vaccine cannot give you COVID-19. Your body’s immune response to the vaccine may make you feel slightly off for a couple days, but those are symptoms of your body learning to fight the virus (making antibodies), not of infection.
Q: What are the benefits of getting the COVID-19 vaccine?
A: Vaccines are one of the safest, most effective ways to prevent disease. They work so well that many of us will never see the devastating effects of polio or measles firsthand. Like all vaccines, the COVID-19 vaccine will prevent infection or limit the severity of disease should you get it. The benefits of getting immunized also extend beyond the individual recipient. If enough healthy people get immunized, it slows or stops the disease from spreading, protecting those who are too young or unable to be vaccinated due to various health reasons.
Other benefits include low-risk travel, less travel restrictions and requirements, no need to test or quarantine after an exposure (if no symptoms develop and not required to return to work or where you live), and the ability to go mask-free without physical distancing in some public places. Regardless of your vaccination status, Oregon requires everyone to wear masks on public transportation and in healthcare environments, correctional facilities, long-term care facilities, and any businesses that require them. Before discontinuing any personal protective measures, immune compromised people should check with their doctor.
If you are fully vaccinated and experience any COVID-19 symptoms, please mask up and get tested.
Q: When will my family be able to get the vaccine?
A: COVID-19 vaccine appointments are now available at all six Metropolitan Pediatrics locations for anyone 12 or older who’s interested. We also have upcoming drive-thru vaccination events at our Beaverton and Gresham locations. Call today to schedule!
If you’re not a current Metropolitan Pediatrics patient or family, we’d still love to vaccinate you. To schedule an appointment, please call the clinic location that’s most convenient for you to receive your vaccine.
Please note: Metropolitan Pediatrics has a vaccine age limit of 64, and we’re unable to provide vaccines for individuals covered by Medicare or Kaiser HMO.
To help save lives and end this pandemic, we encourage everyone to get vaccinated when they have the opportunity. Community vaccine events are ending soon, but Metropolitan Pediatrics is here and ready to carry on the vaccination effort. We look forward to helping our community get protected!
Vaccine trials are currently underway for younger kids and to expand vaccine options for adolescents. We’ll know more soon, but early results look promising!
As of May 13, 2021, the CDC has updated its guidance to allow COVID-19 vaccines to be administered at the same time as other routine vaccines. This is very exciting news for pediatrics and will make scheduling easier on all of us!
Q: How do mRNA vaccines work?
A: mRNA vaccines are a new type of vaccine, but the research behind them has been going on for decades. Unlike traditional vaccines that introduce a weakened or inactivated germ to our bodies, mRNA vaccines teach our cells how to make a protein. In the case of the COVID-19 vaccine, our bodies will be given instructions to make the spike protein on the surface of the SARS-CoV-2 virus. Our bodies will then develop an immune response to this foreign protein, making antibodies that will protect us if we ever encounter the actual virus.
mRNA vaccines do not contain the live virus that causes COVID-19, so it is impossible to get sick from the vaccine. They also do not affect or interact with our DNA in any way because mRNA never enters the nucleus of a cell, where DNA is kept.
Q: How long does protection from the COVID-19 vaccine last?
A: Vaccines provide different levels of immunity, with some lasting 10 years or more and others requiring an annual booster (like the flu shot). At this point, we are unsure how long protection from the COVID-19 vaccine will last. For initial administration, the Pfizer-BioNTech and Moderna COVID-19 vaccines require two doses given about one month apart. The Johnson & Johnson COVID-19 vaccine is given in one dose.
Q: Do I still have to wear a mask after receiving the COVID-19 vaccine?
A: The CDC says that fully vaccinated people can safely resume most activities they enjoyed before the pandemic without wearing masks or physical distancing! Certain public places will still require everyone to wear masks—on public transportation and in healthcare environments, correctional facilities, long-term care facilities, and any businesses that require them—until more people are vaccinated.
Q: Should I get the COVID-19 vaccine while pregnant or breastfeeding?
A: There is currently no data on the safety of COVID-19 vaccines in pregnant or lactating women. People who are pregnant or breastfeeding and meet criteria to be vaccinated should discuss their options with their health care provider. It’s important to remember that neither choice is without risk; to vaccinate with limited data or choose not to and possibly contract COVID-19. A conversation with your doctor will help you make an informed decision.
Here is the most current guidance on COVID-19 vaccination and breastfeeding:
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- From the Academy of Breastfeeding Medicine: “During lactation, it is unlikely that the vaccine lipid would enter the blood stream and reach breast tissue. If it does, it is even less likely that either the intact nanoparticle or mRNA transfer into milk. In the unlikely event that mRNA is present in milk, it would be expected to be digested by the child and would be unlikely to have any biological effects.”
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- From the American College of Obstetricians and Gynecologists: “ACOG recommends COVID-19 vaccines be offered to lactating individuals similar to non-lactating individuals when they meet criteria for receipt of the vaccine based on prioritization groups outlined by the ACIP. While lactating individuals were not included in most clinical trials, COVID-19 vaccines should not be withheld from lactating individuals who otherwise meet criteria for vaccination. Theoretical concerns regarding the safety of vaccinating lactating individuals do not outweigh the potential benefits of receiving the vaccine. There is no need to avoid initiation or discontinue breastfeeding in patients who receive a COVID-19 vaccine.”
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- From the Society of Maternal-Fetal Medicine: “In general, SMFM strongly recommends that pregnant and lactating people have access to COVID-19 vaccines and that they engage in a discussion about potential benefits and unknown risks together with their healthcare providers regarding receipt of the vaccine. As stated previously, counseling should balance the lack of data on vaccine safety for the fetus, risks to pregnant people from COVID-19 infection, and a person’s individual risk for infection and severe disease.”
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- From the CDC: “There are no data on the safety of COVID-19 vaccines in lactating women or on the effects of mRNA vaccines on the breastfed infant or on milk production/excretion. mRNA vaccines are not thought to be a risk to the breastfeeding infant. People who are breastfeeding and are part of a group recommended to receive a COVID-19 vaccine, such as healthcare personnel, may choose to be vaccinated.”
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- From the FDA: “Data are not available to assess the effects of Pfizer-BioNTech COVID-19 vaccine on the breastfed infant or on milk production/excretion.”
