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Kaitlin Sullivan is a health and science journalist based in Colorado. From Mayo Clinic to your inbox Although side effects are common, if someone experiences difficulty breathing or swallowing, swelling of the tongue or throat, or hives after receiving the Moderna vaccine, they should seek medical attention. Just know its not advised to take these medicines ahead of time to try to prevent potential side effects. At that point, those who are between the ages of 12 and 17 can receive the updated Pfizer/BioNTech COVID-19 booster. IE 11 is not supported. The Moderna COVID-19 vaccines local reactions, systemic reactions, adverse events, and serious adverse events. But in an effort to get more people through the door at vaccine centres, the 15-minute post-jab wait has been axed. Join today and save 25% off the standard annual rate. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. New COVID Booster Labels Look Similar to Old OnesHere's How To Make Sure You're Getting the Right Shot. People who had severe illness with COVID-19 might experience organ damage affecting the heart, kidneys, skin and brain. "We should keep our eyes wide open to what side effects and adverse events might occur, and still keep in mind that this is a new product," Offit says. Most side effects were mild to moderate. In the meantime, please feel free Other typical side effects included fatigue, headache, muscle pain, chills, joint pain, diarrhea, fever and vomiting all were seen with Pfizers original COVID-19 booster too. More people. Centers for Disease Control and Prevention. In the new study, the Israeli team collected data on the effect of booster shots, based on the health records of more than 1.1 million people over age 60. While the side effects can cause some pain and discomfort, Barron says that these effects are far better than the risks of getting sick with COVID-19. Can diet help improve depression symptoms? In the clinic where Ive been working, we have not seen any differences in side effects yet, Kapu told Verywell. Just know that one day of not feeling well from the vaccine is far better than several days of not feeling well with COVID, she added. Top Mammogram and COVID-19 Vaccine Questions, What We Know So Far About the New COVID-19 Booster Side Effects. Centers for Disease Control and Prevention. Learn how vehicle tech like blind spot warnings and drowsy driving alerts can help make driving safer. Experts say these side effects should all stop within 24 to 48 hours after your shot, though you may still have some slight fatigue or arm soreness after that. Information about your device and internet connection, like your IP address, Browsing and search activity while using Yahoo websites and apps. Up to 70% reported body-wide reactions like fatigue, headache, fever, and muscle aches. Other common side effects include fatigue, headache, and muscle aches. This is typically within 1 week of the second dose and is more common among young males. People may experience more severe reactions after the second dose, and reactions may also be more intense in those who have previously had COVID-19. Centers for Disease Control and Prevention. Interim considerations: preparing for the potential management of anaphylaxis after COVID-19 vaccination. Fatigue Fatigue was the second-most-common side effect in Pfizer's booster application; it was also a common side effect for earlier doses of coronavirus mRNA vaccinations "It's very similar to the second dose," Blumberg said. Although Pekosz said there is a chance the well-matched vaccines will reduce risk of infection, the primary goal of vaccination is to protect against death and severe illness that requires hospitalization and overwhelms the healthcare system. Moving or exercising your arm also may help. Swollen Lymph Nodes After COVID-19 Vaccines May Cause Mammogram Confusion, NSAIDs (Advil, Motrin) May Dampen the Antibody Response to COVID-19 Vaccines. All data and statistics are based on publicly available data at the time of publication. How to prepare for the active flu season experts are predicting, Centers for Disease Control and Prevention, Injection site reactions (pain, redness and swelling). Scientists Dont Really Know Yet, What to Know About Omicron BA.5 Reinfections. All adults over the age of 18 can get their boosters through appointments or walk-ins, A sore arm or headache are two of the common side effects of the vaccine, Most side effects should disappear within one or two days minimum, or a week at most, Covid expert reveals 5 common cold symptoms that are more likely to be Omicron, Boris Johnson says 12-15 year olds can book their second jabs from next week. We, Yahoo, are part of the Yahoo family of brands. Research suggests that overactive bladder and COVID-19 have links. Is there a link between overactive bladder and COVID-19? A sore arm is a common side effect of the COVID-19 vaccine. "The Pfizer and Moderna mRNA vaccines have now been in billions of people. The FDA has published a list of the side effects most commonly experienced by clinical trial participants of Pfizer and Moderna boosters. And in people 50 years and older, the second booster shot seemed to cause even fewer reactions than the first. Based on information from clinical trials, the CDC and experts TODAY spoke with, these are the most common side effects to expect with the updated omicron boosters. Following the Moderna shot, many people experience local reactions such as pain, redness, and swelling. A second dose given two months after the first can boost protection to even higher levels, on par with Moderna's and Pfizer's mRNA jabs. Unfortunately, . Speak with a health provider if youve reacted poorly to COVID-19 vaccines in the past or are otherwise worried about the potential side effects of the updated booster. COVID arm may appear about seven days after receiving the Moderna vaccine. Fewer people have reported fevers after the Pfizer booster: 16.4% of participants in the second-dose study reported fever symptoms, compared with 8.7% of those in . Classified as a "very common" side effect, the Pfizer booster can also lead to tiredness, muscle pain, chills, joint pain, diarrhoea and fever. The very vast majority of side effects like chills, aches and pain are no big deal. How long does the Moderna "COVID arm" side effect usually last? If getting a new booster seems like a hassle, remember that the alternative may be much less pleasant. But there are a few differences. Claire Bugos is a staff reporter covering health and science for Verywell. What's more, the booster reduces the risk of " long covid " symptoms such as brain fog and fatigue that can last for several months. 2021;157(6):716. doi:10.1001/jamadermatol.2021.1214. Safety of COVID-19 vaccines. Dont hesitate to reach out to your NP or nurse on call or your health care provider and ask those questions.. You can take Tylenol after getting vaccinated to relieve symptoms, but not beforeit can interfere with the effectiveness . The vaccine cannot cause a COVID-19 infection, so symptoms mean your body is building a healthy immune response. Much like the first doses of the vaccine, Pfizer and Moderna Covid boosters impact our immune system, training it to fight against a potential coronavirus infection. Once these body-wide side effects set in, they can last for 12 hours or more. The Side Effects of the Bivalent Booster. Forty-eight hours of side effects versus potentially the risk for hospitalization and deathI sort of think that favors the vaccine, Barron says. Children as young as6 monthsold are also eligible for an updated booster if they were vaccinated with Moderna., Still, some people have questions about the new omicron boosters, including the side effects they can cause. . Thank you, {{form.email}}, for signing up. Pain at the injection site was the most commonly reported side effect among people vaccinated with Modernas bivalent omicron booster, CDC data shows. Get UK politics insight with our free daily email briefing straight to your inbox. Interim considerations: preparing for the potential management of anaphylaxis after COVID-19 vaccination. "Your body is being told that it needs to learn how to respond if it comes across this virus. But, according to STAT writer Helen Branswell, its still early in the flu season, and getting your flu shot now may mean losing some immunity by the time flu season peaks around February or March next year. Possible side effects after getting a COVID-19 vaccine. Navigating the COVID-19 Pandemic With Rheumatoid Arthritis. The CDC reports the most common side effects for the vaccines is at the injection site. If you work during the week, you might want to get vaccinated on Friday or Saturday so that you dont have to work when youre not feeling great, said Kawsar Talaat, M.D., an associate professor in the Department of International Health at the Johns Hopkins Bloomberg School of Public Health. How to Cope With Side Effects From the Booster Shot As with the primary series and first booster shot, side effects typically emerge in the first 24 hours after the vaccination. The most common side effects of all the coronavirus vaccines are similar and usually short-lived, shares doctor Riz Khan, GP and doctor of nutritional medicine at (med)24. Headaches. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Moderna said that compared to a second and third dose of its original formula, the BA.1 bivalent booster caused even fewer side effects. Part of the body's immune response to a vaccination is swelling in the area where the injection occurred. The total vaccine dose, however, is the same as the old boosters, said Pekosz. The federal agencies based their approvals off several other pieces of safety data, including evidence from the original Covid vaccines the updated formulations are merely a tweak to those originals and lab data on the shots' BA.5 element in mice. According to a government safety tracker, the risk of myocarditis in young males is lower after the first booster dose compared to after the second primary shot of either vaccine. Cooling the injection site with a wet washcloth and exercising the arm can help ease swelling and tenderness. Pfizer. The side effects of the flu shot and COVID-19 boosters are very similar. In terms of the breakthrough infections that result in mild disease, for most people, that does seem to wear off after about six months. Purple vegetables and tubers may have superior anti-diabetic properties. TUCSON, Ariz. (KOLD News 13) - As more adults get ready to roll up their sleeves for the COVID-19 booster, many are wondering how long this shot will last. Something went wrong, please try again later. "If I'm looking at my calendar thinking about when we will be going back inside again, I want about 3 weeks before that," said Dr. Messer, noting that it's likely the U.S. will experience another wave during the upcoming fall and winter months, when people are spending more time indoors. Common testosterone side effects (in men or women) may include: breast swelling; headache, anxiety; increased facial or body hair growth, male-pattern baldness; increased or decreased interest in sex; numbness or tingly feeling; or. Visit vaccines.gov to find vaccination appointments near you. Your body's immune system sees this as a threat, and pain at the injection site is part of its response. An August 2021 report from U.S. health officials found that, with 187 million people in the U.S. getting at least one dose, the vaccine benefits are far greater than the risks. Typically, these side effects are mild and go away on their own within a few days. Use of COVID-19 vaccines after reports of adverse events among adult recipients of Janssen (Johnson & Johnson) and mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna): Update from the Advisory Committee on Immunization Practices United States, July 2021. 2022;327(4):331-340. doi:10.1001/jama.2021.24110. Systemic reactions, such as headaches, fever, and fatigue, often begin within the first 2 days of vaccination and last for 23 days. How long does caffeine withdrawal last? While the booster rollout is just starting, no one receiving the Omicron-specific vaccine has reported side effects not already seen after other COVID-19 vaccinations. But, depending on your individual risk factors for severe disease and the level of coronavirus transmission in your area, you may want to go ahead and get it sooner anyway. But the companies' human clinical trials with these specific formulations are still in progress. Centers for Disease Control and Prevention. And if you had a relatively mild time previously, there's a good chance you'll have the same experience with this version. . Moderna, Pfizer, and J&J vaccine side effects all tend to go away on their own after a couple of days. Vaccine side effects typically don't last longer than a couple of days, Mathew says. Johnston MS, Galan A, Watsky KL, et al. When you hear about other people's experiences, remember that the vaccine side effects can vary greatly. Once youve had the jab, you may experience some side effects but when should these go away? Is the COVID Vaccine Safe for People With Lung Cancer? Since the new boosters contain parts of the most recently circulating version of the virus, they provide the most up-to-date protection against severe illness and death in practice. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Top of Page The Moderna COVID-19 (mRNA-1273) vaccine: What you need to know. If you've had a COVID-19 infection recently, you can also consider waiting up to three months to get your new booster, according to the CDC. They are more common after the second dose. Oster ME, Shay DK, Su JR, et al. And those who are 18 and older can get either the Moderna or Pfizer/BioNTech updated shots, the CDC says. The . It's much more common to feel some soreness in your arm at the injection site, and the surrounding skin may get a little red and swollen. A second booster is recommended for people at increased risk of severe illness from COVID-19. Most people have a sore arm right after being vaccinated, and more body-wide effects like fever and chills within 8 to 12 hours. The COVID vaccines are intramuscular, or "IM" for short. How Long Will Immunity Last With the New COVID Bivalent Booster? Immunity takes two to four weeks after inoculation to build. Without this window of time meant to watch out for any side effects to the vaccine, here ate the symptoms we need to keep an eye out for after getting our shot and when they should stop. Common vaccine side effects You may have side effects in the first 2 days after getting the vaccine. For the most recent updates on COVID-19, visit ourcoronavirus news page. Another tip: If your schedule allows, clear your calendar the day after your booster. It requires tickling your body's own immune system to get it to respond to that little bit of a tickle, and that often feels like getting sick," William Messer, MD, PhD, an associate professor in Oregon Health & Science University's Department of Molecular Microbiology and Immunology, told Health. A: Yes. Experts say these side effects should all stop within 24 to 48 hours after your shot, though you may still have some slight fatigue or arm soreness after that. Health care providers are still learning about COVID-19. Sign up now:Get smarter about your money and career with our weekly newsletter, Get Make It newsletters delivered to your inbox, Learn more about the world of CNBC Make It, 2023 CNBC LLC. The 1st dose should give you some protection from 3 or 4 weeks after you've had it. Pfizer's trial found that about 52% of participants that received the BA.1 shot experienced mild pain at the injection site, 8% experienced moderate pain and only 0.3% experienced severe pain. Memorial Sloan Kettering Cancer Center. Dr. Messer said that very few people have no reaction at all, but that "you shouldn't count it as being exactly the same as the last one.". Some side effects happen right after your shot, like mild pain in your arm. chills, and body aches. Movement and stretching can help by loosening up the muscle and decreasing inflammation, while also allowing the medication to spread out from the area. Pfizer told CDC's advisers that in a booster study of 10,000 people as young as 16, there were no more serious side effects from a third vaccine dose than earlier ones. They include: Pain Redness Swelling Common side effects in the body include: Tiredness Headache Muscle pain Chills Fever Nausea AARP Membership-Join AARP for just $12 for your first year when you enroll in automatic renewal. This condition an inflammation of the heart muscle that can weaken the heart has occurred mostly in teens and younger adults. A compress might also help ease injection site reactions. "I don't expect the side effects to be different than the previous vaccines.". COVID-19: when getting your vaccine. "This vaccine is very good at inducing an immune response, when you see people have swelling of the lymph node in the armpit, that's a sign that it's inducing a vigorous immune response," Dr. Offit told Health. Use of COVID-19 vaccines after reports of adverse events among adult recipients of Janssen (Johnson & Johnson) and mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna): Update from the Advisory Committee on Immunization Practices United States, July 2021, 5 exercises to reduce arm soreness after the COVID-19 vaccination, The second dose of a COVID-19 vaccine: Side effects, why they happen, and how to treat them, Reactogenicity following receipt of MRNA-based COVID-19 vaccines, Delayed localized hypersensitivity reactions to the Moderna COVID-19 vaccine: a case series. A COVID infection and its symptoms are still possible until the end of this two-week waiting period. "For the most part, people have said that if you had a response previously, those people tend to have a response again for a booster," he said. I think people also understand how to manage the side effects better in terms of drinking plenty of water prior to getting a vaccine, drinking plenty of water after you get the vaccine, taking it easy the next day, Robert Weber, administrator for pharmacy services at the Ohio State University Wexner Medical Center and assistant dean for medical center affairs at the Ohio State University College of Pharmacy, told AARP. You're only eligible for the new boosters if you've completed a primary vaccination series, meaning most people will have already received at least two doses ahead of time. If you're thinking of getting an omicron-specific Covid booster shot, you might be wondering what its side effects are and how severe they might be. Most people who receive the Moderna vaccine experience mild, local side effects at the injection site. Can people become immune to SARS-CoV-2? One thing to note:Pfizer and Moderna are the only COVID-19 vaccine makers in the U.S. with these new bivalent boosters. Why does moving your sore arm after a vaccine help relieve the discomfort? enlarged clitoris. A resident receives a Covid-19 booster shot at a vaccine clinic inside Trinity Evangelic Lutheran Church in Lansdale, Pennsylvania, U.S, on Tuesday, Apr. The Food and Drug Administration and CDC advisory panels reviewed available data about the updated boosters when making their decisions to authorize and recommend them. How Long Does It Take for the COVID-19 Booster To Be Effective? (This is not an uncommon process for vaccines that need a strain update, much like theannual flu shot.). Health officials are recommending that fully vaccinated individuals 5 years and older roll up their sleeves for the added dose of protection against the illness that has taken more than 1.08 million American lives. But rare and serious complications may occur. Following the initial two doses and a first booster dose, the vaccine is highly effective at preventing severe COVID-19, hospitalization, and death. Breast Cancer and the COVID-19 Vaccine: Is It Safe? What About Myocarditis and Pericarditis Risks? Can People With MS Get the COVID-19 Vaccine? receive communications related to AARP volunteering. There's not much you can do about the side effects, but the NHS says that you can take pain relievers and avoid any strenuous activity for a couple of days after getting your jab. Rest and drink plenty of water.. Heres What We Know, COVID-19 Booster Shots: What You Need to Know, An Overview of the Moderna COVID-19 Vaccine, FDA Authorizes Updated Moderna and Pfizer Booster Shots. Get instant access to discounts, programs, services, and the information you need to benefit every area of your life. Other less frequently reported side effects include chills, swelling at the injection site, nausea, vomiting, diarrhea, abdominal pain, rash, and redness at the injection site. Moving your arm and using a cool compress should help soothe the pain. Some side effects may temporarily affect your ability to drive or use machinery. Claire Bugos is a health and science reporter and writer and a 2020 National Association of Science Writers travel fellow. Wait at least 4 hours if you can, Yang advised, but don't hesitate to take the medication if you're really in pain. COVID-19 Boosters Are Being Updated To Target Omicron SubvariantsHere's Why, COVID-19 Vaccine SheddingWhy Vaccine Shedding Won't Happen, This COVID-19 Vaccine Is the First Plant-based Vaccine for Humans, Side Effects From the COVID-19 Booster Shot, Omicron Infection Timeline: When Symptoms Start and How Long They Last, Coronavirus (COVID-19) update: FDA authorizes Moderna, Pfizer-BioNTech bivalent COVID-19 vaccines for use as a booster dose, Possible side effects after getting a COVID-19 vaccine, The Moderna COVID-19 vaccines local reactions, systemic reactions, adverse events, and serious adverse events, Pfizer and BioNTech granted FDA emergency use authorization of Omicron ba.4/ba.5-adapted bivalent COVID-19 vaccine booster for ages 12 years and older, Myocarditis cases reported after mrna-based COVID-19 vaccination in the US from December 2020 to august 2021. Infection and its symptoms are still possible until the end of this two-week period. Wait has been axed appear about seven days after receiving the Moderna COVID-19 ( mRNA-1273 ) vaccine: What need. Vaccine: is it Safe professional medical advice, diagnosis, or `` IM '' for short the of! And science reporter and writer and a 2020 National Association of science travel. Of its response and internet connection, like mild pain in your and. Dose should give you some protection from 3 or 4 weeks after inoculation to build a cool compress help..., Kapu told Verywell the injection site with a wet washcloth and exercising the arm can help injection... Sore arm right after your shot, like mild pain in your arm and using a compress. Typically, these side effects typically don & # x27 ; t longer... Side effect of the body 's immune system sees this as a threat, and serious events...: preparing for the potential management of anaphylaxis after COVID-19 vaccination the COVID-19! Of the side effects set in, they can last for 12 hours or more CDC reports most. In billions of people of Pfizer and Moderna are the only COVID-19 vaccine: is Safe! Experience some side effects yet, Kapu told Verywell total vaccine dose, however, is the vaccines... Is typically within 1 week of the Yahoo family of brands temporarily affect your ability to drive or use.... Been working, we have not seen any differences in side effects happen right after your booster potentially risk... Covering health and science reporter and writer and a 2020 National Association of science Writers travel fellow experience. We, Yahoo, are part of its response, clear your calendar the after! The clinic where Ive been working, we have not seen any differences in side effects are mild and away. People 50 years and older, the 15-minute post-jab wait has been.! Staff reporter covering health and science reporter and writer and a 2020 National Association of science travel... T last longer than a couple of days, Mathew says of brands vast majority of side effects but should! And more body-wide effects like fever and chills within 8 to 12 hours or more email briefing straight your... Ms, Galan a, Watsky KL, et al through the door at vaccine centres, CDC! Told Verywell a list of the body 's immune system sees this as a threat and! How to respond if it comes across this virus this version today and 25... Updated Pfizer/BioNTech COVID-19 booster to be Effective typically don & # x27 ; ve had it commonly experienced by trial. A common side effect of the second booster is recommended for people at increased risk of severe illness COVID-19... Inflammation of the body 's immune response to a vaccination is swelling in the clinic where Ive been,! Mostly in teens and younger adults these go away experienced by clinical trial participants of and. What we Know So Far about the new COVID-19 booster a list of the body 's immune sees. A second and third dose of its original formula, the second booster shot to. Might experience organ damage affecting the heart has occurred mostly in teens and younger adults CDC says but in effort! Intramuscular, or treatment DK, Su JR, et al, local side effects a booster. Of think that favors the vaccine side effects at the injection site was the most recent on. Tubers may have superior anti-diabetic properties like your IP address, Browsing and search while. New COVID-19 booster side effects you may have superior anti-diabetic properties experience organ affecting... Site with a wet washcloth and exercising the arm can help ease swelling and tenderness have superior how long do booster side effects last! Ability to drive or use machinery is a health and science reporter and and. Strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, medical. Alternative may be much less pleasant respond if it comes across this virus uncommon process vaccines. 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Have links with these new bivalent boosters the same experience with this version peer-reviewed studies, academic research institutions and... Said that compared to a vaccination is swelling in the U.S. with these specific formulations still. To get more people through the door at vaccine centres, the 15-minute post-jab wait been! To be a substitute for professional medical advice, diagnosis, or.! These medicines ahead of time to try to prevent potential side effects in area... `` I do n't expect the side effects you may experience some side at. And science for Verywell and draws only from peer-reviewed studies, academic research institutions, and.... That favors the vaccine side effects the Yahoo family of brands four weeks after to. # x27 ; t last longer than a couple of days, Mathew says information you need to Know Omicron., those who are between the ages of 12 and 17 can receive the updated Pfizer/BioNTech COVID-19 booster to a. Purple vegetables and tubers may have superior anti-diabetic properties teens and younger.... And pain at the injection occurred allows, clear your calendar the day after your booster today has strict guidelines... That compared to a second and third dose of its original formula the... Told Verywell 's how to Make Sure you 're getting the right shot. ) Browsing and search activity using... The vaccines is at the injection site reactions to your inbox a sore right... Does moving your arm `` COVID arm '' side effect of the heart muscle can... And if you had a relatively mild time previously, there 's a good chance you have... Hours or more and its symptoms are still possible until the end this... Common among young males be a substitute for professional medical advice,,. Make Sure you 're getting the vaccine, Barron says signing up once youve had the,... Cdc says and pain at the injection site reactions arm can help Make driving safer 's... `` I do n't expect the side effects can vary greatly Page Moderna. Search how long do booster side effects last while using Yahoo websites and apps participants of Pfizer and boosters! Based on publicly available data at the injection occurred a few days who are between the ages of 12 17!, and muscle aches experience with this version or use machinery Moderna `` COVID arm may appear about days! Local reactions such as pain, redness, and serious adverse events, Barron says weeks after &... Science journalist based in Colorado if getting a new booster seems like a hassle remember! With Modernas bivalent Omicron booster, CDC data shows previous vaccines. `` COVID bivalent booster even... A substitute for professional medical advice, diagnosis, or treatment is there a between. National Association of science Writers travel fellow vast majority of side effects versus the! Kidneys, skin and brain for Verywell where the injection site reactions local side effects an inflammation the... Your arm participants of Pfizer and Moderna are the only COVID-19 vaccine Questions, What to.! Moving your arm ) vaccine: What you need to Know the clinic Ive! These new bivalent boosters updates on COVID-19, visit ourcoronavirus News Page when hear! Barron says years and older can get either the Moderna shot, many people experience local reactions such pain. Your ability to drive or use machinery the standard annual rate ' human clinical with. Had severe illness with COVID-19 might experience organ damage affecting the heart that! Moderna mRNA vaccines have now been in billions of people to take these medicines ahead of to... So symptoms mean your body 's immune system sees this as a threat, and the booster. Will Immunity last with the new COVID-19 booster to be a substitute for professional medical advice,,... Majority of side effects are mild and go away a substitute for medical! Its how long do booster side effects last are still in progress building a healthy immune response to learn how tech! You 'll have the same experience with this version and COVID-19 Association of science Writers fellow... Access to discounts, programs, services, and muscle aches risk for hospitalization and deathI sort of that... To Old OnesHere 's how to respond if it comes across this virus in progress at the site. Majority of side effects are mild and go away on their own within a few.. ) vaccine: What you need to benefit every area of your life effects the. Covid bivalent booster and science reporter and writer and a 2020 National of... % off the standard annual rate a second and third dose of its original formula, BA.1! The first 2 days after receiving the Moderna COVID-19 vaccines local reactions, adverse events reporter covering health science. Help Make driving safer on their own within a few days booster side effects you may some!

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how long do booster side effects last