The Atlanta Journal-Constitution

» A closer look at some of the side effects of the COVID-19 vaccines and possible ways to alleviate them,

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You’ve gone through the appointmen­t rigmarole to get signed up for a COVID-19 vaccine, got your first shot, waited the required three-to-fourweek period for your second. But when that booster dose comes, be warned you might be experienci­ng symptoms a few hours later.

Dr. Joseph Gastaldo, the systems director for infectious diseases at Ohiohealth, said the symptoms are your body’s immune system response.

“When you have any of these symptoms, they are a reflection of your body developing an immune response to the vaccine,” Gastaldo said.

Here is some informatio­n on what symptoms you may experience and how you can alleviate some discomfort from the side effects:

Q. What are the common symptoms after receiving your second vaccinatio­n?

A. According to the Centers for Disease Control and Prevention, symptoms after the vaccinatio­ns include pain, swelling, fever, chills, fatigue and headache. Dr. Mark Herbert, an infectious disease specialist at Mount Carmel Health Systems, said the most common side effect people have experience­d from the vaccinatio­n is pain where they received their shot. “This is a common symptom from all vaccinatio­ns, but the symptoms that seem to be more common after the COVID vaccine are symptoms like fatigue, headache and muscle aches,” Herbert said.

Q. Why might you experience stronger symptoms after the second vaccinatio­n than the first?

A. The theory is that the first time is likely to cause side effects because the vaccinatio­n is new to your body, and it’s the first time your immune system has been exposed to the antigen, Herbert said. “The second time, your body has already experience­d this antigen and has already developed antibodies, that when you get the second shot your body has a much more exuberant profound response,” Herbert said.

Q. How should you treat your COVID-19 symptoms?

A. According to the CDC, to help with discomfort at the injection site they recommend applying “a cool wet washcloth over the sore area and exercising your arm.” Herbert said if you’re experienci­ng headaches, muscle aches, fevers and chills, you can use Tylenol or other acetaminop­hen to relieve some discomfort. The CDC states these medication­s are safe to take post-vaccinatio­n to relieve side effects, as long as you don’t have a medical reason as to why you can’t. Medication­s shouldn’t be taken before the vaccinatio­n in hopes to prevent side effects, because it is unknown how the medication­s will affect how the vaccine will work. Doctors will also recommend their patients stay hydrated after they receive the vaccinatio­n.

Q. When should you see a doctor about vaccine symptoms?

A. The CDC said to call your doctor if your side effects don’t seem to be going away after a few days and if redness or tenderness at the injection shot increases after 24 hours. Herbert said if symptoms increase over 48 hours, a patient should contact their doctor.

Q. How can you report your symptoms?

A. Gastaldo said people are asked after their vaccinatio­n to register through the CDC with a smartphone tool called V-safe. Vaccinated patients are given a paper with a QR code. If the patient takes a picture, it takes them to the CDC website where they are asked if they are willing to get text messages from CDC so they can check in on the patient and see if they are undergoing any side effects. The patient submits their informatio­n regarding the symptoms. Depending on what was reported, the patient may receive a checkup phone call from the CDC.

Q. Can you get COVID19 after receiving the vaccine?

A. Yes. However, the vaccine does not cause COVID-19. Herbert said they have seen patients who have contracted COVID-19 after they have received the vaccine. “This is likely because they were exposed to the virus before they got the vaccine and they were in the process of developing an infection as they received the vaccine,” Herbert said.

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