Nurse educating patient on COVID-19 vaccine side effects

Vaccine side effects: What you should know

Some of the potential side effects of a vaccine – fever, chills, headache and fatigue – can seem very similar to the symptoms of the illness it’s meant to prevent.

But if you understand how vaccines work, you’ll know that experiencing a side effect isn’t a sign that something’s gone wrong. It’s a sign that your body is responding just the way it should after a vaccine.

“Any time your immune system encounters a foreign material – or something your body doesn’t recognize – it mounts an immune response to attack that foreign body and get rid of that foreign material,” said Julie Giddens, PharmD, an OSF HealthCare pharmacist who specializes in treating infectious diseases.

That immune response causes your body to create proteins that attack the foreign material, and they can also cause symptoms such as fever, fatigue or a headache.

“Not everyone will have a large immune response, so they may not experience a noticeable fever or fatigue. But those who do, it can be because their immune system is working,” Julie said.

Vaccine vs. disease

Your body’s immune system isn’t necessarily assessing whether something new in your bloodstream is good or bad. It’s only able to distinguish between things that are familiar and things that are foreign – and attack the latter.

Whether it’s targeting a virus or a virus-like particle introduced by a vaccine, your immune system responds in essentially the same way: Eliminate what doesn’t belong.

The difference is a vaccine doesn’t usually pose a risk of making you sick from the virus or bacteria you are being vaccinated against.

“Most vaccines are not a live virus,” Julie said.

Even those vaccines that do contain a live virus use an attenuated (or weakened) version of the virus.

These don’t pose a threat to people with a healthy immune system. However, they are not recommended for those with weakened immune systems.

More often, vaccines contain a subunit (a part of the virus or bacteria) or an inactive (dead) version of the virus.

A new type of vaccine

A relatively new type of vaccine may contain part of a germ’s genetic code called mRNA, which causes your body to produce proteins that resemble a part of the germ itself. Even though these proteins are produced in your body, your immune system will still attack and destroy them.

Because your body will recognize those proteins if you’re ever exposed to the virus or bacteria, your immune system can more quickly and efficiently respond and eliminate it.

This mRNA technology is one of the vaccine types developed against COVID-19.

Managing side effects

The Centers for Disease Control and Prevention (CDC) does not recommend taking medications such as acetaminophen (Tylenol), ibuprofen (Advil) or antihistamines (Benadryl) prior to receiving the vaccine. Taking these medications can mask any existing symptoms you may experience in addition to any allergic reaction you may have following the vaccine.

Usually, side effects after vaccination are mild and do not require medical attention. However, you can take these medications to relieve post-vaccination side effects if you have no other medical reasons that prevent you from taking these medications normally.

If you have pain or discomfort where you got the shot:

  • Apply a clean, cool, wet washcloth or ice pack over the area.
  • Use or exercise your arm.

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To reduce discomfort from fever:

  • Drink plenty of fluids.
  • Dress lightly.
  • Take over-the-counter medicine, such as ibuprofen or acetaminophen, if approved by your doctor.

Call a doctor if:

  • You experience shortness of breath or swelling of the lips or face. This can be a sign of anaphylaxis, a severe allergic reaction. This type of side effect most commonly occurs within the first hour of when the vaccine is given and usually immediately after. This is why some vaccines require a brief observation period after your shot.
  • Redness or tenderness where you got the shot increases after 24 hours.
  • Side effects are worrying you or do not seem to be going away after a few days.

About Author: Laura Nightengale

Laura Nightengale was a writing coordinator for OSF HealthCare. 

She has a bachelor’s degree in journalism from the University of Kansas and worked as a reporter at a daily newspaper for five years before joining OSF HealthCare. 

When she’s not working, Laura loves to travel, read, and spend time with her family, including her sweet and ornery dog.

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Categories: COVID-19