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| Boilerpipe Text | Key Takeaways
Most side effects from COVID-19 vaccines are mild and go away in 1 to 3 days.
Severe side effects like anaphylaxis are rare, happening in about five cases per million doses.
After getting the shot, people are asked to wait 15 minutes to monitor for any immediate severe reactions.
It is not uncommon to experience side effects after getting the COVID-19 vaccine, most of which are relatively mild and short-lived. These commonly include side effects you might experience with other vaccines, such as injection site pain, fatigue, and flu-like symptoms.
The side effects (and risk of side effects) can vary based on the
type of vaccine
you are given and whether this is your first or subsequent shot. Many people who receive a COVID vaccine experience no side effects.
Although there is a risk of severe side effects, including heart inflammation and
anaphylaxis
, the risk is considered small compared to the benefits. According to research from Columbia University, COVID-19 vaccination in the U.S. averted no less than 8.3 million infections, 681,000 hospitalizations, and 118,000 deaths from 2021 to 2022.
Illustration by Theresa Chiechi for Verywell Health
What Are the Common Side Effects of COVID-19 Vaccines?
As of 2025, there are four COVID-19 vaccines approved for use by the U.S. Food and Drug Administration (FDA):
Pfizer-BioNTech (marketed under the brand name Comirnaty), an mRNA vaccine
Two Moderna mRNA vaccines (marketed under the brand names Spikevax and Mnexspike).
Novavax, a protein subunit vaccine
Although mRNA vaccines (which deliver genetic instructions to the
immune system
on how to build protective
antibodies
) and protein subunit vaccines (which expose the immune system to harmless, manufactured proteins that mimic COVID-19) work differently, their common side effects are similar.
Pfizer-BioNTech, Moderna
Injection site pain and redness
Fatigue
Headache
Muscle pain
Joint pain
Chills
Fever
Nausea or vomiting (Moderna)
Crying, decreased appetite, and sleepiness in toddlers and infants
Novavax
Injection site pain and redness
Fatigue
Headache
Muscle pain
Joint pain
Chills
Fever
Nausea or vomiting
How Quickly Do Side Effects Develop?
In the same way that some people experience side effects from COVID vaccines and others don't, the timing of side effects, if any, can also vary.
For most, side effects tend to appear within 14 hours of the first vaccination and slightly longer for subsequent vaccinations.
In a very small group of people, side effects may occur within minutes. An immediate reaction is troubling as it may be the sign of a potentially life-threatening, whole-body allergy known as
anaphylaxis
. The sooner a reaction occurs, the more likely this will be.
With anaphylaxis, a person will experience a spontaneous outbreak of rash or hives accompanied by breathing difficulties, abnormal heart rhythms, and dizziness or lightheadedness. If not treated as a medical emergency, anaphylaxis can lead to
shock
, coma, and even death.
This is why healthcare providers will often ask you to wait 15 minutes after vaccination before leaving so that treatment can be dispensed if anaphylaxis symptoms occur.
Even so, the risk of this occurring is relatively small. While as many as 2% of people who get a COVID vaccine will
experience a rash
,
only a very small proportion will experience anaphylaxis. According to a 2023 study from Harvard Medical School, the rate of anaphylaxis among COVID vaccine recipients is roughly five cases out of every million doses.
Seek Emergency Care
Call 911 if you have—or think you have—
signs of anaphylaxis
, such as shortness of breath and swelling of the lips, tongue, or throat. In some cases, death from anaphylaxis has been known to occur within 15 minutes.
How Long Do Side Effects Last?
Following COVID vaccination, side effects, if any, tend to last one to three days.
Symptoms severe enough to require missing work or school are uncommon. A 2021 study from the Mayo Clinic reported that the rate of absenteeism among healthcare workers who received the COVID vaccine was 4.1%.
Side effects can persist longer than this, though it is uncommon for these to last more than a week or two. In rare cases, a person may develop long post-COVID vaccination syndrome (LPCVS), defined as side effects lasting for more than four weeks in the absence of any other explanation. Some cases have been reported to last as long as 11 months.
Symptoms typically include persistent headache, joint pain, muscle cramps, insomnia, visual disturbances, and "brain fog."
Even so, LPCVS is thought to be rare. To date, few cases have been reported in the medical literature.
How Common Are Side Effects From COVID-19 Vaccines?
In the early part of the pandemic, most people experienced side effects from the vaccines. This was largely due to the fact that people were exposed to the vaccines for the first time and would almost invariably have a stronger immune reaction. Certain vaccines that are delivered in one dose today were given in two doses then.
At that time, up to 77% experienced side effects after the first dose and up to 86% after the second dose. The majority had low-grade side effects, like fatigue and fever.
Since then, the rate of reported side effects is relatively modest. Based on a review of data from the Centers for Disease Control and Prevention (CDC) and the Vaccine Adverse Events Reporting System (VAERS), the most common side effects experienced by people in the U.S. were headache (15.7%), fever (13.6%), and fatigue (13.5%),
Severe Side Effects and Complications
In addition to a risk of anaphylaxis, the other potentially severe side effects are
myocarditis
(inflammation of the heart muscle) and
pericarditis
(inflammation of the outer lining of the heart).
These side effects are mainly seen in males age 12 to 40. Although the exact cause of these is poorly understood, most cases occur within seven days of receiving a second dose of an mRNA COVID-19 vaccine.
There is also some evidence that vaccination with the Novavax protein subunit vaccine might increase the risk of this side effect.
Myocarditis and pericarditis are rare, and occur more often in people infected with COVID than in those who get vaccinated, meaning the benefits of the vaccine outweigh the risks:
Rate in non-infected people: 1 to 10 cases per 100,000 people
Rate in those who receive the vaccine: 10 to 50 cases per 100,000 people
Rate in those with COVID infection: 150 cases per 100,000 people
Moreover, most cases are relatively mild and transient.
Myocarditis and pericarditis are characterized by the sudden onset of flu-like symptoms accompanied by:
Chest pain or discomfort
A feeling of tightness in the chest
Shortness of breath
during activity or when lying down
Unusual tiredness
Heart palpitations
Lightheadedness or fainting
Symptoms of vaccine-induced myocarditis or pericarditis typically require hospitalization to monitor for rare but potentially deadly complications like
cardiac arrhythmia
(irregular heartbeats) and
cardiac arrest
(in which the heart suddenly stops beating).
With that said, most people respond well to rest and medications like
colchicine
,
steroids
, or
nonsteroidal anti-inflammatory drugs (NSAIDs)
.
Can the COVID-19 Vaccine Kill You?
Of the small handful of people who experienced cardiac arrest and death after COVID vaccination, a 2024 study from the Centers for Disease Control and Prevention (CDC) found that all had underlying risk factors for heart disease-related death independent of COVID-19 vaccination.
Among young people who experienced myocarditis or pericarditis after vaccination, no risk of cardiac arrest or death was found.
The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit our coronavirus news page. |
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# Side Effects and Safety of Latest COVID-19 Vaccines
By [Claire Bugos](https://www.verywellhealth.com/claire-bugos-5081436)
Updated on March 03, 2026
Medically reviewed by [Jordana Haber Hazan, MD](https://www.verywellhealth.com/jordana-haber-hazan-5216283)
Table of Contents
View All
Table of Contents
- [Common Side Effects](https://www.verywellhealth.com/when-to-expect-covid-19-vaccination-side-effects-5176621#toc-what-are-the-common-side-effects-of-covid-19-vaccines)
- [When They Appear](https://www.verywellhealth.com/when-to-expect-covid-19-vaccination-side-effects-5176621#toc-how-quickly-do-side-effects-develop)
- [Duration](https://www.verywellhealth.com/when-to-expect-covid-19-vaccination-side-effects-5176621#toc-how-long-do-side-effects-last)
- [How Common Are They?](https://www.verywellhealth.com/when-to-expect-covid-19-vaccination-side-effects-5176621#toc-how-common-are-side-effects-from-covid-19-vaccines)
- [Rare Complications](https://www.verywellhealth.com/when-to-expect-covid-19-vaccination-side-effects-5176621#toc-severe-side-effects-and-complications)
### Key Takeaways
- Most side effects from COVID-19 vaccines are mild and go away in 1 to 3 days.
- Severe side effects like anaphylaxis are rare, happening in about five cases per million doses.
- After getting the shot, people are asked to wait 15 minutes to monitor for any immediate severe reactions.
It is not uncommon to experience side effects after getting the COVID-19 vaccine, most of which are relatively mild and short-lived. These commonly include side effects you might experience with other vaccines, such as injection site pain, fatigue, and flu-like symptoms.
The side effects (and risk of side effects) can vary based on the [type of vaccine](https://www.verywellhealth.com/covid-19-vaccine-types-5091935) you are given and whether this is your first or subsequent shot. Many people who receive a COVID vaccine experience no side effects.
Although there is a risk of severe side effects, including heart inflammation and [anaphylaxis](https://www.verywellhealth.com/first-aid-allergies-anaphylaxis-4013031), the risk is considered small compared to the benefits. According to research from Columbia University, COVID-19 vaccination in the U.S. averted no less than 8.3 million infections, 681,000 hospitalizations, and 118,000 deaths from 2021 to 2022.
![An illustration with timeline for potential vaccine side effects]()
:max_bytes\(150000\):strip_icc\(\)/VWH-TheresaChiechi-TimelineforVaccineSideEffects-Standard-e12d0ad3c7f74acdabbc6921c5ddf54c.jpg)
Illustration by Theresa Chiechi for Verywell Health
## What Are the Common Side Effects of COVID-19 Vaccines?
As of 2025, there are four COVID-19 vaccines approved for use by the U.S. Food and Drug Administration (FDA):
- Pfizer-BioNTech (marketed under the brand name Comirnaty), an mRNA vaccine
- Two Moderna mRNA vaccines (marketed under the brand names Spikevax and Mnexspike).
- Novavax, a protein subunit vaccine
Although mRNA vaccines (which deliver genetic instructions to the [immune system](https://www.verywellhealth.com/what-is-the-medical-immunity-3955691) on how to build protective [antibodies](https://www.verywellhealth.com/how-do-vaccines-work-4153906)) and protein subunit vaccines (which expose the immune system to harmless, manufactured proteins that mimic COVID-19) work differently, their common side effects are similar.
Pfizer-BioNTech, Moderna
- Injection site pain and redness
- Fatigue
- Headache
- Muscle pain
- Joint pain
- Chills
- Fever
- Nausea or vomiting (Moderna)
- Crying, decreased appetite, and sleepiness in toddlers and infants
Novavax
- Injection site pain and redness
- Fatigue
- Headache
- Muscle pain
- Joint pain
- Chills
- Fever
- Nausea or vomiting
## How Quickly Do Side Effects Develop?
In the same way that some people experience side effects from COVID vaccines and others don't, the timing of side effects, if any, can also vary.
For most, side effects tend to appear within 14 hours of the first vaccination and slightly longer for subsequent vaccinations.
In a very small group of people, side effects may occur within minutes. An immediate reaction is troubling as it may be the sign of a potentially life-threatening, whole-body allergy known as [anaphylaxis](https://www.verywellhealth.com/symptoms-of-anaphylactic-shock-1298253). The sooner a reaction occurs, the more likely this will be.
With anaphylaxis, a person will experience a spontaneous outbreak of rash or hives accompanied by breathing difficulties, abnormal heart rhythms, and dizziness or lightheadedness. If not treated as a medical emergency, anaphylaxis can lead to [shock](https://www.verywellhealth.com/shock-8400758), coma, and even death.
This is why healthcare providers will often ask you to wait 15 minutes after vaccination before leaving so that treatment can be dispensed if anaphylaxis symptoms occur.
Even so, the risk of this occurring is relatively small. While as many as 2% of people who get a COVID vaccine will [experience a rash](https://www.verywellhealth.com/covid-arm-8608695), only a very small proportion will experience anaphylaxis. According to a 2023 study from Harvard Medical School, the rate of anaphylaxis among COVID vaccine recipients is roughly five cases out of every million doses.
### Seek Emergency Care
Call 911 if you have—or think you have—[signs of anaphylaxis](https://www.verywellhealth.com/symptoms-of-anaphylactic-shock-1298253), such as shortness of breath and swelling of the lips, tongue, or throat. In some cases, death from anaphylaxis has been known to occur within 15 minutes.
## How Long Do Side Effects Last?
Following COVID vaccination, side effects, if any, tend to last one to three days.
Symptoms severe enough to require missing work or school are uncommon. A 2021 study from the Mayo Clinic reported that the rate of absenteeism among healthcare workers who received the COVID vaccine was 4.1%.
Side effects can persist longer than this, though it is uncommon for these to last more than a week or two. In rare cases, a person may develop long post-COVID vaccination syndrome (LPCVS), defined as side effects lasting for more than four weeks in the absence of any other explanation. Some cases have been reported to last as long as 11 months.
Symptoms typically include persistent headache, joint pain, muscle cramps, insomnia, visual disturbances, and "brain fog."
Even so, LPCVS is thought to be rare. To date, few cases have been reported in the medical literature.
## How Common Are Side Effects From COVID-19 Vaccines?
In the early part of the pandemic, most people experienced side effects from the vaccines. This was largely due to the fact that people were exposed to the vaccines for the first time and would almost invariably have a stronger immune reaction. Certain vaccines that are delivered in one dose today were given in two doses then.
At that time, up to 77% experienced side effects after the first dose and up to 86% after the second dose. The majority had low-grade side effects, like fatigue and fever.
Since then, the rate of reported side effects is relatively modest. Based on a review of data from the Centers for Disease Control and Prevention (CDC) and the Vaccine Adverse Events Reporting System (VAERS), the most common side effects experienced by people in the U.S. were headache (15.7%), fever (13.6%), and fatigue (13.5%),
## Severe Side Effects and Complications
In addition to a risk of anaphylaxis, the other potentially severe side effects are [myocarditis](https://www.verywellhealth.com/myocarditis-inflammatory-disease-1746163) (inflammation of the heart muscle) and [pericarditis](https://www.verywellhealth.com/pericarditis-symptoms-8605139) (inflammation of the outer lining of the heart).
These side effects are mainly seen in males age 12 to 40. Although the exact cause of these is poorly understood, most cases occur within seven days of receiving a second dose of an mRNA COVID-19 vaccine.
There is also some evidence that vaccination with the Novavax protein subunit vaccine might increase the risk of this side effect.
Myocarditis and pericarditis are rare, and occur more often in people infected with COVID than in those who get vaccinated, meaning the benefits of the vaccine outweigh the risks:
- Rate in non-infected people: 1 to 10 cases per 100,000 people
- Rate in those who receive the vaccine: 10 to 50 cases per 100,000 people
- Rate in those with COVID infection: 150 cases per 100,000 people
Moreover, most cases are relatively mild and transient.
Myocarditis and pericarditis are characterized by the sudden onset of flu-like symptoms accompanied by:
- Chest pain or discomfort
- A feeling of tightness in the chest
- [Shortness of breath](https://www.verywellhealth.com/shortness-of-breath-possible-causes-and-evaluation-2249306) during activity or when lying down
- Unusual tiredness
- [Heart palpitations](https://www.verywellhealth.com/heart-palpitations-1745232)
- Lightheadedness or fainting
Symptoms of vaccine-induced myocarditis or pericarditis typically require hospitalization to monitor for rare but potentially deadly complications like [cardiac arrhythmia](https://www.verywellhealth.com/cardiac-arrhythmias-signs-and-symptoms-4160572) (irregular heartbeats) and [cardiac arrest](https://www.verywellhealth.com/cardiac-arrest-symptoms-1298734) (in which the heart suddenly stops beating).
With that said, most people respond well to rest and medications like [colchicine](https://www.verywellhealth.com/colchicine-to-treat-gout-189559), [steroids](https://www.verywellhealth.com/facts-about-corticosteroids-steroids-188358), or [nonsteroidal anti-inflammatory drugs (NSAIDs)](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734).
### Can the COVID-19 Vaccine Kill You?
Of the small handful of people who experienced cardiac arrest and death after COVID vaccination, a 2024 study from the Centers for Disease Control and Prevention (CDC) found that all had underlying risk factors for heart disease-related death independent of COVID-19 vaccination.
Among young people who experienced myocarditis or pericarditis after vaccination, no risk of cardiac arrest or death was found.
*The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit our coronavirus news page.*
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1. American Heart Association. [What is pericarditis?](https://www.heart.org/en/health-topics/pericarditis/what-is-pericarditis)
2. Raethke M, van Hunsel F, Luxi N, et al. [Frequency and timing of adverse reactions to COVID-19 vaccines; a multi-country cohort event monitoring study](https://doi.org/10.1016/j.vaccine.2024.03.001), *Vaccine*. 2024;42(9):2357-2369. doi:10.1016/j.vaccine.2024.03.001
3. Picard M, Stone CA, Greenhawt M. [Management of patients with immediate reactions to COVID-19 vaccines](https://doi.org/10.1016%2Fj.jaci.2022.09.003). *J Allergy Clin Immunol*. 2023 Feb;151(2):413–415. doi:10.1016/j.jaci.2022.09.003
4. MedlinePlus. [Allergic reactions](https://medlineplus.gov/ency/article/000005.htm).
5. Jaggers J, Wolfson AR. [mRNA COVID-19 vaccine anaphylaxis: epidemiology, risk factors, and evaluation](https://doi.org/10.1007%2Fs11882-023-01065-2). *Curr Allergy Asthma Rep*. 2023;23(3):195–200. doi:10.1007/s11882-023-01065-2
6. John Hopkins Medicine. [COVID-19 vaccine: what you need to know](https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/covid-19-vaccine-what-you-need-to-know).
7. Breeher LE, Wolf ME, Geyer H, et al. [Work absence following COVID-19 vaccination in a cohort of healthcare personnel](https://doi.org/10.1097%2FJOM.0000000000002376). *J Occup Environ Med.* 2022 Jan;64(1):6–9. doi:10.1097/JOM.0000000000002376
8. Finsterer J. [A case report: long post-COVID vaccination syndrome during the eleven months after the third Moderna dose](https://doi.org/10.7759%2Fcureus.32433). *Cureus.* 2022 Dec;14(12):e32433. doi:10.7759/cureus.32433
9. Finterer J, Scorza FA. [A retrospective analysis of clinically confirmed long post-COVID vaccination syndrome](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9706319/). *J Clin Transl Res.* 2022 Dec 29;8(6):506–508.
10. Amer SA, Al-Zahrani A, Imam EA, et al. [Exploring the reported adverse effects of COVID-19 vaccines among vaccinated Arab populations: a multi-national survey study](https://doi.org/10.1038/s41598-024-54886-0). 2024;14:4785. doi:10.1038/s41598-024-54886-0
11. Li Y, Li J, Dang Y, Chen Y, Tao C. [Adverse events of COVID-19 vaccines in the United States: temporal and spatial analysis](https://doi.org/10.2196/51007). *JMIR Public Health Surveill*. 2024;10:e51007 doi:10.2196/5100
12. American Heart Association. [Myocarditis](https://www.heart.org/en/health-topics/myocarditis).
13. Centers for Disease Control and Prevention. [Clinical considerations: myocarditis and pericarditis after receipt of COVID-19 vaccines among adolescents and young adults](https://www.cdc.gov/vaccines/covid-19/clinical-considerations/myocarditis.html).
14. Fairchild D, Beetler DJ, Di Florio DN, et al. [COVID-19, myocarditis and pericarditis](https://doi.org/10.1161/CIRCRESAHA.123.321878). *Circulation Res.* 2023;32(10). doi:10.1161/CIRCRESAHA.123.321878
15. Liko J, Cieslak PR. [Assessment of risk for sudden cardiac death among adolescents and young Adults after receipt of COVID-19 vaccine — Oregon, June 2021–December 2022](https://doi.org/10.15585%2Fmmwr.mm7314a5). *MMWR Morb Mortal Wkly Rep*. 2024 Apr 11;73(14):317–320. doi:10.15585/mmwr.mm7314a5
16. Liko J, Cieslak PR. [Assessment of risk for sudden cardiac death among adolescents and young adults after receipt of COVID-19 vaccine — Oregon, June 2021–December 2022](http://dx.doi.org/10.15585/mmwr.mm7314a5). *MMWR Morb Mortal Wkly Rep*. 2024;73:317–320. doi:10.15585/mmwr.mm7314a5
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| Readable Markdown | ### Key Takeaways
- Most side effects from COVID-19 vaccines are mild and go away in 1 to 3 days.
- Severe side effects like anaphylaxis are rare, happening in about five cases per million doses.
- After getting the shot, people are asked to wait 15 minutes to monitor for any immediate severe reactions.
It is not uncommon to experience side effects after getting the COVID-19 vaccine, most of which are relatively mild and short-lived. These commonly include side effects you might experience with other vaccines, such as injection site pain, fatigue, and flu-like symptoms.
The side effects (and risk of side effects) can vary based on the [type of vaccine](https://www.verywellhealth.com/covid-19-vaccine-types-5091935) you are given and whether this is your first or subsequent shot. Many people who receive a COVID vaccine experience no side effects.
Although there is a risk of severe side effects, including heart inflammation and [anaphylaxis](https://www.verywellhealth.com/first-aid-allergies-anaphylaxis-4013031), the risk is considered small compared to the benefits. According to research from Columbia University, COVID-19 vaccination in the U.S. averted no less than 8.3 million infections, 681,000 hospitalizations, and 118,000 deaths from 2021 to 2022.
Illustration by Theresa Chiechi for Verywell Health
## What Are the Common Side Effects of COVID-19 Vaccines?
As of 2025, there are four COVID-19 vaccines approved for use by the U.S. Food and Drug Administration (FDA):
- Pfizer-BioNTech (marketed under the brand name Comirnaty), an mRNA vaccine
- Two Moderna mRNA vaccines (marketed under the brand names Spikevax and Mnexspike).
- Novavax, a protein subunit vaccine
Although mRNA vaccines (which deliver genetic instructions to the [immune system](https://www.verywellhealth.com/what-is-the-medical-immunity-3955691) on how to build protective [antibodies](https://www.verywellhealth.com/how-do-vaccines-work-4153906)) and protein subunit vaccines (which expose the immune system to harmless, manufactured proteins that mimic COVID-19) work differently, their common side effects are similar.
Pfizer-BioNTech, Moderna
- Injection site pain and redness
- Fatigue
- Headache
- Muscle pain
- Joint pain
- Chills
- Fever
- Nausea or vomiting (Moderna)
- Crying, decreased appetite, and sleepiness in toddlers and infants
Novavax
- Injection site pain and redness
- Fatigue
- Headache
- Muscle pain
- Joint pain
- Chills
- Fever
- Nausea or vomiting
## How Quickly Do Side Effects Develop?
In the same way that some people experience side effects from COVID vaccines and others don't, the timing of side effects, if any, can also vary.
For most, side effects tend to appear within 14 hours of the first vaccination and slightly longer for subsequent vaccinations.
In a very small group of people, side effects may occur within minutes. An immediate reaction is troubling as it may be the sign of a potentially life-threatening, whole-body allergy known as [anaphylaxis](https://www.verywellhealth.com/symptoms-of-anaphylactic-shock-1298253). The sooner a reaction occurs, the more likely this will be.
With anaphylaxis, a person will experience a spontaneous outbreak of rash or hives accompanied by breathing difficulties, abnormal heart rhythms, and dizziness or lightheadedness. If not treated as a medical emergency, anaphylaxis can lead to [shock](https://www.verywellhealth.com/shock-8400758), coma, and even death.
This is why healthcare providers will often ask you to wait 15 minutes after vaccination before leaving so that treatment can be dispensed if anaphylaxis symptoms occur.
Even so, the risk of this occurring is relatively small. While as many as 2% of people who get a COVID vaccine will [experience a rash](https://www.verywellhealth.com/covid-arm-8608695), only a very small proportion will experience anaphylaxis. According to a 2023 study from Harvard Medical School, the rate of anaphylaxis among COVID vaccine recipients is roughly five cases out of every million doses.
### Seek Emergency Care
Call 911 if you have—or think you have—[signs of anaphylaxis](https://www.verywellhealth.com/symptoms-of-anaphylactic-shock-1298253), such as shortness of breath and swelling of the lips, tongue, or throat. In some cases, death from anaphylaxis has been known to occur within 15 minutes.
## How Long Do Side Effects Last?
Following COVID vaccination, side effects, if any, tend to last one to three days.
Symptoms severe enough to require missing work or school are uncommon. A 2021 study from the Mayo Clinic reported that the rate of absenteeism among healthcare workers who received the COVID vaccine was 4.1%.
Side effects can persist longer than this, though it is uncommon for these to last more than a week or two. In rare cases, a person may develop long post-COVID vaccination syndrome (LPCVS), defined as side effects lasting for more than four weeks in the absence of any other explanation. Some cases have been reported to last as long as 11 months.
Symptoms typically include persistent headache, joint pain, muscle cramps, insomnia, visual disturbances, and "brain fog."
Even so, LPCVS is thought to be rare. To date, few cases have been reported in the medical literature.
## How Common Are Side Effects From COVID-19 Vaccines?
In the early part of the pandemic, most people experienced side effects from the vaccines. This was largely due to the fact that people were exposed to the vaccines for the first time and would almost invariably have a stronger immune reaction. Certain vaccines that are delivered in one dose today were given in two doses then.
At that time, up to 77% experienced side effects after the first dose and up to 86% after the second dose. The majority had low-grade side effects, like fatigue and fever.
Since then, the rate of reported side effects is relatively modest. Based on a review of data from the Centers for Disease Control and Prevention (CDC) and the Vaccine Adverse Events Reporting System (VAERS), the most common side effects experienced by people in the U.S. were headache (15.7%), fever (13.6%), and fatigue (13.5%),
## Severe Side Effects and Complications
In addition to a risk of anaphylaxis, the other potentially severe side effects are [myocarditis](https://www.verywellhealth.com/myocarditis-inflammatory-disease-1746163) (inflammation of the heart muscle) and [pericarditis](https://www.verywellhealth.com/pericarditis-symptoms-8605139) (inflammation of the outer lining of the heart).
These side effects are mainly seen in males age 12 to 40. Although the exact cause of these is poorly understood, most cases occur within seven days of receiving a second dose of an mRNA COVID-19 vaccine.
There is also some evidence that vaccination with the Novavax protein subunit vaccine might increase the risk of this side effect.
Myocarditis and pericarditis are rare, and occur more often in people infected with COVID than in those who get vaccinated, meaning the benefits of the vaccine outweigh the risks:
- Rate in non-infected people: 1 to 10 cases per 100,000 people
- Rate in those who receive the vaccine: 10 to 50 cases per 100,000 people
- Rate in those with COVID infection: 150 cases per 100,000 people
Moreover, most cases are relatively mild and transient.
Myocarditis and pericarditis are characterized by the sudden onset of flu-like symptoms accompanied by:
- Chest pain or discomfort
- A feeling of tightness in the chest
- [Shortness of breath](https://www.verywellhealth.com/shortness-of-breath-possible-causes-and-evaluation-2249306) during activity or when lying down
- Unusual tiredness
- [Heart palpitations](https://www.verywellhealth.com/heart-palpitations-1745232)
- Lightheadedness or fainting
Symptoms of vaccine-induced myocarditis or pericarditis typically require hospitalization to monitor for rare but potentially deadly complications like [cardiac arrhythmia](https://www.verywellhealth.com/cardiac-arrhythmias-signs-and-symptoms-4160572) (irregular heartbeats) and [cardiac arrest](https://www.verywellhealth.com/cardiac-arrest-symptoms-1298734) (in which the heart suddenly stops beating).
With that said, most people respond well to rest and medications like [colchicine](https://www.verywellhealth.com/colchicine-to-treat-gout-189559), [steroids](https://www.verywellhealth.com/facts-about-corticosteroids-steroids-188358), or [nonsteroidal anti-inflammatory drugs (NSAIDs)](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734).
### Can the COVID-19 Vaccine Kill You?
Of the small handful of people who experienced cardiac arrest and death after COVID vaccination, a 2024 study from the Centers for Disease Control and Prevention (CDC) found that all had underlying risk factors for heart disease-related death independent of COVID-19 vaccination.
Among young people who experienced myocarditis or pericarditis after vaccination, no risk of cardiac arrest or death was found.
*The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit our coronavirus news page.* |
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