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This publication is available at https://www.gov.uk/government/publications/covid-19-vaccination-what-to-expect-after-vaccination/what-to-expect-after-your-covid-19-vaccination
This leaflet tells you what to expect after you have had your vaccination. If you need a second dose of vaccine, make sure you arrange your next appointment.
People who are most at risk from the complications of COVID-19 are being offered the COVID-19 vaccination.
Following detailed review of large studies of safety and effectiveness, the Medicines and Healthcare products Regulatory Agency (MHRA) has now approved several different types of COVID-19 vaccines for use in the UK.
An independent group of experts has recommended that the NHS offers these vaccines to those at risk of catching the infection and suffering serious complications.
Now that more vaccine has become available, we are offering protection to all adults in order of risk.
Like all medicines, vaccines can cause side effects. Most of these are mild and short-term, and not everyone gets them. Even if you do have symptoms after the first dose, you still need to have the second dose.
Although you may get some protection from the first dose, having the full recommended course will give you the best protection against the virus.
Very common side effects in the first day or two include:
- having a painful, heavy feeling and tenderness in the arm where you had your injection
- feeling tired
- headache, aches and chills
You may also have flu like symptoms with episodes of shivering and shaking for a day or two. However, a high temperature could also indicate that you have COVID-19 or another infection. You can rest and take the normal dose of paracetamol (follow the advice in the packaging) to help make you feel better.
An uncommon side effect is swollen glands in the armpit or neck on the same side as the arm where you had the vaccine. This can last for around 10 days, but if it lasts longer see your doctor. If you are due for a mammogram in the few weeks after the vaccine, then you should mention that when you attend.
What to do if you are concerned about your symptoms
These symptoms normally last less than a week. If your symptoms seem to get worse or if you are concerned, call NHS 111. If you do seek advice from a doctor or nurse, make sure you tell them about your vaccination (show them the vaccination card) so that they can assess you properly. You can also report suspected side effects of vaccines and medicines online through the Yellow Card scheme or by downloading the Yellow Card app.
Recently there have been reports of an extremely rare condition involving blood clots and unusual bleeding after vaccination with AstraZeneca (AZ). This is being carefully reviewed but the risk factors for this condition are not yet clear. Because of the high risk of complications and death from COVID-19, the MHRA, the World Health Organization and the European Medicines Agency have concluded that the balance is very much in favour of vaccination.
If you experience any of the following from around 4 days to 4 weeks after vaccination you should seek medical advice urgently:
- a new, severe headache which is not helped by usual painkillers or is getting worse
- an unusual headache which seems worse when lying down or bending over or may be accompanied by
- blurred vision, nausea and vomiting
- difficulty with your speech,
- weakness, drowsiness or seizures
- new, unexplained pinprick bruising or bleeding
- shortness of breath, chest pain, leg swelling or persistent abdominal pain
Are the side effects different for each dose?
Not all COVID-19 vaccines are the same – some tend to cause more side effects at the first dose, others cause more side effects at dose 2. The type of side effects are the same and should still only last a day or two.
Can you catch COVID-19 from the vaccines?
You cannot catch COVID-19 from the vaccine but it is possible to have caught COVID-19 and not realise you have the symptoms until after your vaccination appointment.
The most important symptoms of COVID-19 are recent onset of any of the following:
- a new continuous cough
- a high temperature
- a loss of, or change in, your normal sense of taste or smell (anosmia)
Although a fever can occur within a day or two of vaccination, if you have any other COVID-19 symptoms or your fever lasts longer, stay at home and arrange to have a test.
Can you go back to daily activities after having your vaccine?
You should be able to resume activities that are normal for you as long as you feel well. If your arm is particularly sore, you may find heavy lifting difficult. If you feel unwell or very tired you should rest and avoid operating machinery or driving.
What to do next
If this is your first dose, you should have a record card with your next appointment in between 3 and 12 weeks time. It is important to have both doses of the same vaccine to give you the best protection.
Keep your record card safe and make sure you keep your next appointment to get your second dose.
If you are not well for your next appointment
If you are unwell, it is better to wait until you have recovered to have your vaccine. You should not attend a vaccine appointment if you are self-isolating, waiting for a COVID-19 test or within 4 weeks of having a positive COVID-19 test.
Will the vaccine protect you?
The COVID-19 vaccine that you have had has been shown to reduce the chance of you suffering from COVID-19 disease. Each vaccine has been tested in more than 20,000 people and many have also been used in many different countries.
It may take few weeks for your body to build up some protection from the vaccine. Like all medicines, no vaccine is completely effective, so you should continue to take recommended precautions to avoid infection. Some people may still get COVID-19 despite having a vaccination, but this should be less severe.
What you can do after you’ve have had the vaccine
The vaccine cannot give you COVID-19 infection, and a full course will reduce your chance of becoming seriously ill. We don’t know how much it will reduce the risk of you passing on the virus. So it is important to continue to follow current national guidance.
To protect yourself and your family, friends and colleagues, you MUST still:
- practise social distancing
- wear a face mask
- wash your hands carefully and frequently
- open windows to let fresh air in
- follow the current guidance
How COVID-19 is spread
COVID-19 is spread through droplets breathed out from the nose or mouth, particularly when speaking or coughing. It can also be picked up by touching your eyes, nose and mouth after contact with contaminated objects and surfaces.
Please read the product information leaflet for more details on your vaccine, including possible side effects, on the Coronavirus Yellow Card website. You can also report suspected side effects on the same website or by downloading the Yellow Card app.
Further information is available from NHS.UK