Do people who have had COVID-19 have more side effects with the vaccine?

According to the latest data from the ZOE COVID Symptom Study people who have had a previous COVID-19 infection are almost twice as likely to experience one or more mild whole body (systemic) after effects compared to people who didn't have COVID-19 (33% vs 19%) from a Pfizer/BioNTech vaccine dose.
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Should I get the COVID-19 vaccine if I had COVID-19?

Yes, you should be vaccinated regardless of whether you already had COVID-19.
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Why do people who had COVID-19 have a strong reaction to the vaccine?


The next time you encounter the pathogen, these responses will kick in faster and stronger, because your immune system is already primed to recognise and respond to it. This is why people who have already recovered from COVID-19 may experience more of these mild reactions.

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Do vaccinated people who got COVID-19 have more COVID-19 antibodies?


Lab research suggests that people with hybrid immunity make higher levels of virus-fighting antibodies than people who've been either vaccinated or infected. Their antibodies are also more potent than those in people who've only gotten their initial COVID-19 vaccines.

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Can I still transmit the virus if I have had the COVID-19 vaccine?

Although it's possible that people who are fully vaccinated could still spread the virus, the vaccines are excellent at protecting you from severe illness, hospitalization, and death due to COVID-19.
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Latest research on vaccine side effects, immune reaction and thrombosis risks | COVID-19 Special



Do I need to wear a mask and avoid close contact with others if I am vaccinated against COVID-19?

Generally, if you are up to date on your COVID-19 vaccinations, you do not need to wear a mask in outdoor settings. Check your local COVID-19 Community Level for recommendations on when to wear a mask indoors and additional precautions you can take to protect yourself from COVID-19. If you are immunocompromised or more likely to get very sick from COVID-19, learn more about how to protect yourself.

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Will a person with COVID-19 vaccine have a positive antibody test?

A COVID-19 vaccination may also cause a positive antibody test result for some but not all antibody tests. You should not interpret the results of your SARS-CoV-2 antibody test as an indication of a specific level of immunity or protection from SARS-CoV-2 infection.
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How does the COVID-19 vaccine boost your immune system?

Vaccines work by stimulating your immune system to produce antibodies, exactly like it would if you were exposed to the disease. After getting vaccinated, you develop immunity to that disease, without having to get the disease first.
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Why antibody testing Is not currently recommended to assess immunity after COVID-19 vaccination?

Currently authorized SARS-CoV-2 antibody tests have not been evaluated to assess the level of protection provided by an immune response to COVID-19 vaccination. If antibody test results are interpreted incorrectly, there is a potential risk that people may take fewer precautions against SARS-CoV-2 exposure.
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Do people produce COVID-19 antibodies after infection?

Most people who've recovered from COVID-19 do make antibodies against the virus.
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Are there any allergic reactions to the Moderna and Pfizer COVID-19 vaccines?

The Moderna and Pfizer-BioNTech COVID-19 vaccines are the first two COVID-19 vaccines authorized by the Food and Drug Administration for emergency use and already have been given to millions of Americans. Most of the rare, severe allergic reactions to these vaccines have occurred in people with a history of allergies.
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What are the severe allergic reactions to COVID-19 mRNA vaccines?


“Overall, severe allergic reactions to COVID-19 mRNA vaccines, including life-threatening anaphylaxis reactions such as low blood pressure and difficulty breathing, are rare, on the order of five cases per million vaccine doses administered,” noted Dr. Guerrerio.

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What to do if you get an allergic reaction from the COVID-19 vaccine?

If you get a COVID-19 vaccine and you think you might be having a severe allergic reaction after leaving the vaccination provider site, seek immediate medical care by calling 911.
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How long does immunity last after COVID-19 infection?


Early on, researchers thought that natural immunity to COVID-19 only lasted for about 2 to 3 months before fading. As the pandemic continued, experts started finding evidence that natural immunity could last for almost a year after infection. But along came the Omicron variant — and that's changed everything.

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How long does it take to develop immunity after a COVID-19 infection?

Although the immune correlates of protection are not fully understood, evidence indicates that antibody development following infection likely confers some degree of immunity from subsequent infection for at least 6 months.
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Can you get reinfected with COVID-19 after having COVID?


If you or a loved one had COVID‑19, you're likely wondering how long you might be protected from getting it again. In general, research suggests that natural immunity against infection is strong for about 3-5 months. After that, your risk of COVID‑19 reinfection may start to go up.

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Can you have a negative antibody test for COVID-19 after vaccine?

The authorized vaccines for prevention of COVID-19 induce antibodies to specific viral protein targets; post-vaccination antibody test results will be negative in individuals without a history of previous natural infection if the test used does not detect the type of antibodies induced by the vaccine.
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Can COVID-19 antibody tests be used to assess for immunity to COVID-19?

• Antibody testing is not currently recommended to assess for immunity to SARS-CoV-2 following COVID-19 vaccination, to assess the need for vaccination in an unvaccinated person, or to determine the need to quarantine after a close contact with someone who has COVID-19.
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Can an antibody test be used to diagnose a current COVID-19 infection?


An antibody test cannot be used to diagnose current COVID-19 because an antibody test does not detect SARS-CoV-2. Only COVID-19 diagnostic tests can be used to diagnose current COVID-19. A positive antibody test result can be used to help identify people who may have had a prior SARS-CoV-2 infection or prior COVID-19.

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What exactly does the COVID-19 vaccine do to the body?

COVID-19 vaccines help our bodies develop immunity to the virus that causes COVID-19 without us having to get the illness.
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Does your immune system get stronger after COVID-19?


Any time you catch a virus and recover from the illness, you retain antibodies. These antibodies help your body fight off future infections so that you either don't get sick or have milder symptoms.

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How long does it take for immunity to wane after receiving the COVID-19 vaccine?


A study published by the U.S. Centers for Disease Control and Prevention found that immunity against severe COVID-19 begins to wane four months after receiving a so-called "booster" third dose of the Pfizer or Moderna vaccines.

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Do COVID-19 antibody tests detect vaccine antibodies?

• Some antibody tests will only detect antibodies from infection, not from vaccination with the virus that causes COVID-19.
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What does a negative COVID-19 antibody test result mean?

A negative result on a SARS-CoV-2 antibody test means antibodies to the virus were not detected in your blood.

It is unknown if all people who have a SARS-CoV-2 infection will develop antibodies in their bodies in an amount that can be detected by a SARS-CoV-2 antibody test.

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What is the difference between antibodies and the vaccine in the context of COVID-19?

While antibodies and vaccines are both viable options to counteract the virus that causes COVID-19, there are major differences. While an antibody may immediately help treat an existing infection, a vaccine will train the immune system to protect against future infections. To learn more about differences between antibodies and vaccines visit Vanderbilt University Medical Center for more information.

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