COVID-19 Vaccine

It is strongly recommended that you get vaccinated. The vaccine will help protect you from getting COVID-19. If you still get infected after you get vaccinated, the vaccine may prevent serious illness. By getting vaccinated, you can also help protect people around you. 

There may be side effects, but they should go away within a few days. Possible side effects include a sore arm, headache, fever, or body aches. This does not mean you have COVID-19. Side effects are signs that the vaccine is working to build immunity. If they don’t go away in a week, or you have more serious symptoms, call your doctor. 

Because vaccines help develop immunity by imitating an infection (immune response), some people experience symptoms of a real infection without being infected. In clinical trials, the COVID-19 vaccines were found to cause side effects like fatigue, chills, fever, muscle and joint pain, and headache (in addition to injection site pain and swelling) in some people. These side effects are temporary and are a normal part of our bodies building immunity against the SARS-CoV-2 virus. 

No. None of the COVID-19 vaccines currently authorized for use or in development in the United States use the live virus that causes COVID-19. However, it typically takes a few weeks for the body to build immunity after vaccination. That means it’s possible you could be infected with the virus that causes COVID-19 just before or just after vaccination and get sick. 

Yes. The CDC recommends that you get vaccinated even if you have already had COVID-19, because you can catch it more than once. While you may have some short-term antibody protection after recovering from COVID-19, we don’t know how long this protection will last. 

No. While you may have some short-term antibody protection after recovering from COVID-19, we don’t know how long this protection lasts. Vaccination is the best protection, and it is safe. People who get COVID-19 can have serious illnesses, and some have debilitating symptoms that persist for months.

Yes. COVID-19 vaccination is especially important for people with underlying health problems like heart disease, lung disease, diabetes, and obesity. People with these conditions are more likely to get very sick from COVID-19.

In most cases, yes. The CDC recommends that people with a history of allergic reactions not related to vaccines or injectable medications – such as food, pet, venom, environmental, or latex allergies – get vaccinated. People with a history of allergies to oral medications or a family history of severe allergic reactions can also get vaccinated. 

People who have had an allergic reaction to other types of vaccines should ask their primary care provider if they can get a COVID-19 vaccine. 

People who are allergic to any vaccine ingredient, including PEG or polysorbate, should not get an mRNA COVID-19 vaccine. Ingredient lists are available for both the Pfizer and Moderna vaccines. 

Yes. The CDC advises that people with autoimmune conditions may receive an mRNA COVID-19 vaccine. However, please be aware that no data are currently available on the safety of mRNA vaccines for this population, though they were eligible for enrollment in clinical trials. 

Yes. Current data suggest that people with weakened immune systems due to illnesses or medication might be at increased risk for severe disease, hospitalization, and death from COVID-19 and should be vaccinated.

However, people with weakened immune systems may have a reduced immune response to the COVID-19 vaccine and should continue practicing other safety precautions, like masking and social distancing.

Yes. The COVID-19 vaccines have been found to be safe for pregnant people. Additionally, the American College of Obstetrics and Gynecologists and the Society for Maternal-Fetal Medicine both strongly recommend that all pregnant people be vaccinated.

According to SolutionHealth’s Maternal-Fetal Medicine specialists, Gary Kaufman, MD, and Bethany Hart, DO, “Vaccination is the best way to reduce the risk of COVID-related complications for both mother and baby.  Vaccination may also help you pass anti-COVID-19 antibodies to your baby thru the umbilical cord and breastmilk.  If you are trying to become pregnant now or want to get pregnant in the future, you should strongly consider a COVID-19 vaccine.  There is currently no evidence that COVID-19 vaccination causes any problems with pregnancy, including the development of the placenta.  So far, more than 139,000 pregnant people have been vaccinated and there have been no increased risks of miscarriage, growth problems or birth defects.  In addition, there is no evidence that female or male fertility problems are a side effect of any vaccine, including COVID-19 vaccines.”

Yes. The Pfizer vaccine has been found to be safe for individuals 12 years of age and older. Research about the safety and efficacy of the vaccines in younger children is ongoing.

On August 23, 2021, the FDA granted the Pfizer-BioNTech COVID-19 vaccine full approval for use in people 16 and older. It remains available under an emergency use authorization (EUA) for individuals ages 12-15.

The Moderna and Janssen/Johnson & Johnson vaccines continue to be available under EUA.

Other vaccines have been approved for use in other countries and there are dozens of other vaccines currently in various stages of development and testing.

Both the Pfizer and Moderna vaccines are mRNA vaccines that are administered in two doses. The Janssen/Johnson & Johnson vaccine is a viral vector vaccine that is administered in one dose.

While the Pfizer vaccine is approved for use in people 12 years of age and older, the Moderna and Janssen/Johnson & Johnson vaccines are approved for people 18 years of age and older.

Clinical trials found that all three vaccines have similar rates of efficacy and have similar side effect profiles.

Vaccines work by tricking our bodies into thinking we have been infected by a virus so our infection-fighting blood cells will produce protective antibodies against the virus without us actually becoming infected.

The Janssen/Johnson & Johnson vaccine is a viral vector vaccine. It uses a modified virus to deliver a gene that instructs our cells to make a protein that triggers the production of antibodies and an immune response. The virus used in the Janssen/Johnson & Johnson vaccine cannot cause illness in humans.

The Pfizer and Moderna vaccines are mRNA vaccines. Instead of using a weakened or inactivated virus to trigger an immune response, mRNA vaccines teach our cells how to make a protein that prompts antibody production and an immune response. The first dose of the vaccine helps our immune system recognize the virus, and the second shot strengthens the immune response. mRNA vaccines do not affect or interact with our DNA in any way.

• As of July 27, 2021, the CDC recommends that everyone in areas of ‘substantial’ or ‘high’ transmission should wear a mask regardless of vaccination status. Check transmission levels in your area here: https://covid.cdc.gov/covid-data-tracker/#county-view
• Wearing a mask is required on planes, buses, trains, and other forms of public transportation moving into, within, and out of the U.S. and while inside U.S. transportation hubs like airports and train stations.
• Fully vaccinated individuals arriving in the U.S. are required to get tested three days before traveling by air or show documentation of recovery from COVID-19 in the past three months.
• Continue to watch out for COVID-19 symptoms and, if you have symptoms, get tested and stay isolated at home.
• People who have a weakened immune system due to a medication or illness should continue to wear a mask, socially distance, and take all other precautions recommended for unvaccinated people until otherwise advised by their healthcare provider.

Though the COVID-19 vaccines were developed rapidly, all steps have been taken to ensure their safety and effectiveness. In the United States, the FDA and CDC continue to monitor vaccine safety to ensure any long-term side effects are identified and appropriate action is taken.

Over 346 million doses of the COVID-19 vaccines have been administered in the United States as of August 2, 2021. The vaccines are safe and effective. They were evaluated in clinical trials and received emergency use authorization after meeting the FDA’s rigorous standards for safety, effectiveness, and manufacturing quality. The vaccines continue to undergo the most intensive safety monitoring in U.S. history.

Serious safety problems are rare. A small number of people have had severe allergic reactions after vaccination. This is rare, treatable, and can occur after any vaccination. Thrombosis and thrombocytopenia syndrome (TTS) – blood clots with low platelets – after the Janssen/Johnson & Johnson vaccine has occurred in some women younger than 50 years old. TTS is rare, occurring in approximately seven per 1 million vaccinated women between 18 and 49 years old. Cases of myocarditis and pericarditis in adolescents and young adults have been reported, but these reports are rare.

Ultimately, the potential benefits of COVID-19 vaccination outweigh the known and potential risks.

Vaccine recipients have the opportunity to enroll in v-safe. This is a smartphone tool you can use to tell the CDC if you have any side effects after getting a COVID-19 vaccine. If you report serious side effects, someone from CDC will call to follow up. You will be provided with enrollment instructions when you receive your first shot. You can also find instructions here.

Individuals can also report any side effects to the Vaccine Adverse Event Reporting System (VAERS).

Under typical circumstances, vaccines undergo many years of laboratory testing, clinical trials, and review before being approved for use by the Food and Drug Administration (FDA). However, due to the urgency and severity of the COVID-19 pandemic, the currently available vaccines were developed in less than a year and received Emergency Use Authorization (EUA) from the FDA. EUA allows vaccines to bypass the multi-year process and be used during public health emergencies like the COVID-19 pandemic.

Though these vaccines were developed and approved on an accelerated timeline, they were still rigorously tested for safety and efficacy. The FDA does not approve vaccines that are not proven safe and effective during clinical trials.

More information about how vaccines are developed and available by EUA can be found here, here, and here.

Your body’s normal, healthy response to the COVID-19 vaccine may involve enlargement of the lymph nodes, particularly in the underarm on the side of the injection. This may be picked up on your screening mammogram and additional testing may be required. To avoid unnecessary stress, Dr. Marina Feldman, a radiologist who specializes in breast imaging and Director of Breast Imaging at the Elliot Breast Health Center, suggests if you are due for a screening mammogram, you should schedule the mammogram prior to vaccination or six weeks after your vaccination is complete. Annual screening mammograms are your best defense against breast cancer and should not be skipped. However, if you need to reschedule your screening mammogram due to your vaccination timeline, call 603.608.3067 (Manchester & Londonderry) or 603.577.2665 (Nashua).

Yes. According to Dr. Marina Feldman of the Elliot Breast Health Center, you should get the vaccination in the arm opposite your surgical side. If both sides were involved, the injection can be administered in your buttocks or thigh.

All COVID-19 vaccines currently authorized in the U.S. are effective against COVID-19, including serious outcomes of severe disease, hospitalization, and death. While vaccinated individuals can still become infected by any variant of the virus, available evidence suggests that the Pfizer and Moderna vaccines are highly effective against hospitalization and death caused by all strains of the virus. In other words, the vaccines are effective against the most severe outcomes of the virus, so, while a vaccinated person may become infected with the virus, they will have a mild case and be less likely to transmit the virus to others.

The Centers for Disease Control (CDC) now recommends a 3rd dose of the COVID-19 vaccine for only those who are moderately to severely immunocompromised and who have already received either the Pfizer or Moderna COVID-19 vaccines.  This 3rd dose is not a booster. It is considered part of the primary vaccine series.

Currently, the CDC is recommending that moderately to severely immunocompromised people receive an additional dose. This includes people who have:

• Been receiving active cancer treatment for tumors or cancers of the blood
• Received an organ transplant and are taking medicine to suppress the immune system
• Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
• Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
• Have advanced or untreated HIV infection
• Are in active treatment with high-dose corticosteroids or other drugs that may suppress your immune response

People should talk to their healthcare provider about their medical condition, and whether getting an additional dose is appropriate for them.  The CDC recommends that you get the same vaccine (Pfizer or Moderna) for your 3rd dose as you did for the first two – if possible. You do not need a doctor’s note to get the 3rd dose. You will need to attest to being immunocompromised.  Please note the 3rd dose should be given at least 28 days after the 2nd dose.

I qualify to receive the 3^rd dose. How do I get the vaccine?

• For qualifying New Hampshire residents, you can find an appointment for a 3^rd dose by clicking this link: COVID-19 Vaccine Schedule for NH Residents | NH Vaccine Strategy
• If you have an Elliot Health System primary care provider and received the Pfizer vaccine, you can you call your doctor’s office for an appointment to receive the vaccine.
• If you have an Elliot Health System primary care provider and received the Moderna vaccine, please click on the link above to schedule at a local pharmacy.
• If you have a Foundation Medical Partners (Southern NH Health) primary care provider, please call 603-402-2080 to make an appointment at Southern NH Health’s West Campus facility in Nashua. Appointments are available on Tuesdays & Thursdays from 10:30am-2:30pm. (Please be prepared to have confirmation of your 1^st 2 doses available)

How can non-immunocompromised people  get a “Booster”

You may have seen news that the CDC may recommend boosters for those who received the Pfizer or Moderna vaccines at some point in the future. Boosters are an extra dose of vaccine meant to boost a patient’s immune system because of decreased immunity over time. Boosters have not yet been formally recommended by the CDC and have also not yet been approved by the Food & Drug Administration (FDA).   As such, we are not offering booster vaccines at this time. We will keep you updated when we learn more about this evolving discussion.