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How do we know the COVID-19 vaccines are safe?

Different types of COVID-19 vaccines have been authorized and it’s possible side effects will differ for each — although there’s more public data on the vaccines being rolled out in Western countries than elsewhere.

February 18, 2021 / 18:02 IST
Source: AP

How do we know the COVID-19 vaccines are safe?

Scientists look for safety issues during the testing phase and continue their monitoring as shots roll out around the world. So far, the only serious warning to emerge is a rare risk of severe allergic reactions.

Different types of COVID-19 vaccines have been authorized and it’s possible side effects will differ for each — although there’s more public data on the vaccines being rolled out in Western countries than elsewhere.

Countries also vary in their vaccine standards, with some allowing the use of shots before final-stage testing involving large numbers of volunteers.

But in the US, Britain and European Union, regulators required any vaccine to be tested in tens of thousands of people before distribution. So far, the US is using shots from Pfizer and Moderna, while Britain and Europe have cleared those plus the AstraZeneca vaccine.

COVID-19 Vaccine

Frequently Asked Questions

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How does a vaccine work?

A vaccine works by mimicking a natural infection. A vaccine not only induces immune response to protect people from any future COVID-19 infection, but also helps quickly build herd immunity to put an end to the pandemic. Herd immunity occurs when a sufficient percentage of a population becomes immune to a disease, making the spread of disease from person to person unlikely. The good news is that SARS-CoV-2 virus has been fairly stable, which increases the viability of a vaccine.

How many types of vaccines are there?

There are broadly four types of vaccine — one, a vaccine based on the whole virus (this could be either inactivated, or an attenuated [weakened] virus vaccine); two, a non-replicating viral vector vaccine that uses a benign virus as vector that carries the antigen of SARS-CoV; three, nucleic-acid vaccines that have genetic material like DNA and RNA of antigens like spike protein given to a person, helping human cells decode genetic material and produce the vaccine; and four, protein subunit vaccine wherein the recombinant proteins of SARS-COV-2 along with an adjuvant (booster) is given as a vaccine.

What does it take to develop a vaccine of this kind?

Vaccine development is a long, complex process. Unlike drugs that are given to people with a diseased, vaccines are given to healthy people and also vulnerable sections such as children, pregnant women and the elderly. So rigorous tests are compulsory. History says that the fastest time it took to develop a vaccine is five years, but it usually takes double or sometimes triple that time.

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Those companies’ large studies found that common side effects were minor and typical of the immune system revving up: soreness in the arm, fever and flu-like symptoms including fatigue, chills and headache.

But since extremely rare problems might not turn up even in large tests, the vaccines still are being monitored.

The US and British governments and the European Medicines Agency track reports filed by health workers and the public about suspected side effects.

Extra scrutiny in the US includes tracking insurance claims for red flags. And US vaccine recipients can sign up for a program that sends text messages to see if they’re feeling side effects.

Those checks are proving reassuring.

People are supposed to wait around for a short time after vaccination in case they have a severe allergic reaction, called anaphylaxis. Such incidents so far have been rare, with between 2 and 5 anaphylaxis reports for every million vaccine doses in the first weeks of U.S. inoculations, according to the Centers for Disease Control and Prevention.

Officials expected to receive reports of health problems, even deaths, that occur just by chance in the days or weeks after vaccination, given the huge numbers of people, including the frail elderly, getting inoculated.

Deaths and other serious events are investigated to see if the vaccine played a role. Authorities consider the person’s overall health and how often the reported condition occurs without vaccination. With more than 52 million vaccine doses administered in the U.S. by mid-February, the CDC said it hasn’t detected any patterns in deaths that signal a safety problem.

Associated Press
first published: Feb 18, 2021 06:02 pm

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