{"id":1260,"date":"2021-03-29T08:46:35","date_gmt":"2021-03-29T12:46:35","guid":{"rendered":"https:\/\/covidqanda.org\/?p=1260"},"modified":"2021-03-29T08:46:35","modified_gmt":"2021-03-29T12:46:35","slug":"is-there-a-relationship-between-the-vaccine-efficacy-and-side-effects","status":"publish","type":"post","link":"https:\/\/covidqanda.org\/?p=1260","title":{"rendered":"Is there a relationship between the vaccine efficacy and side effects?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Question:<\/span><\/strong>\u00a0My almost 80 year old parents experienced none of the typical side effects from either of their Moderna vaccine shots, and are now concerned that their vaccination may not have \u201cworked\u201d. They are both immune compromised and have other ongoing health issues &#8211; including low white blood cell counts. Is there any actual relationship between the efficacy of the vaccine and vaccine side effects? And is there any test they can take to confirm whether or not the vaccine worked for them? And does the vaccine work on people with low white blood cell counts?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Answer:\u00a0<\/span><\/strong> The fact that your older parents didn&#8217;t experience any typical side effects is not surprising and does not warrant much concern. First off, while side effects after the\u00a0jabs are common, they are not universal.\u00a0 In fact, data from clinical trials shows that side effects are more likely to be experienced among vaccine recipients &lt;65 years old (see <a href=\"https:\/\/www.fda.gov\/media\/144434\/download\">Moderna FDA Briefing Document<\/a>).\u00a0 Second, clinical trial data show that the Moderna vaccine is efficacious for individuals with high risk medical conditions (again, see <a href=\"https:\/\/www.fda.gov\/media\/144434\/download\">FDA Briefing Document<\/a>).\u00a0 Third, <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2101765\">real-world effectiveness data out of Israel<\/a>\u00a0on the other mRNA vaccine, Pfizer, show\u00a0that &#8220;the vaccine effectiveness was similar for adults 70 years of age or older and for younger age groups for the same time period&#8221; (e.g. 94%-96%).\u00a0 These findings indicate that there is *not* a relationship between vaccine effectiveness and vaccine side effects.\u00a0\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As to your other questions, there is not an easy way for individuals to test their immune response to the vaccine.\u00a0 CDC and others recommend against using antibody tests for this purpose as such tests are likely to get false negative results (see <a href=\"https:\/\/covidqanda.org\/?p=1144\">Q&amp;A of 2\/17<\/a>).\u00a0 Folks will just have to trust that the vaccine works even in the absence of side effects or testing.\u00a0 When it comes to individuals with low white blood counts, we are still gathering data about the effectiveness of vaccines in immunocompromised individuals.\u00a0 The Moderna clinical trial included more than 7,000 individuals with high risk medical conditions (3,677 in vaccine group, 3,629 in placebo group) and the vaccine proved efficacious in this group of high risk individuals.\u00a0 However, a subset of this group&#8211; those who are severely immunocompromised&#8211; was too small to evaluate efficacy outcomes with statistical\u00a0significance. Ultimately, all of us, including those of us who are fully vaccinated, still need to be cautious&#8211; e.g. wear masks, keep distance, avoid crowded places, etc.&#8211; especially since there&#8217;s a lot we still don&#8217;t know (e.g. efficacy among immunocompromised individuals; how well vaccination protects against infection and transmission, etc.).\u00a0 That said, the evidence we currently have is extremely promising and there&#8217;s a lot to be hopeful about!\u00a0 \u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Question:\u00a0My almost 80 year old parents experienced none of the typical side effects from either of their Moderna vaccine shots, and are now concerned that their vaccination may not have \u201cworked\u201d. They are both immune compromised and have other ongoing health issues &#8211; including low white blood cell counts. Is there any actual relationship between [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1261,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[38,60,34,64],"tags":[184,173,159,154],"class_list":["post-1260","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-immunity","category-risk","category-symptoms","category-vaccines","tag-immunocompromised","tag-israel","tag-moderna","tag-side-effects","fallback-thumbnail"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2021\/03\/white-blood-cells.jpg?fit=382%2C287&ssl=1","_links":{"self":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1260","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1260"}],"version-history":[{"count":1,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1260\/revisions"}],"predecessor-version":[{"id":1262,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1260\/revisions\/1262"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/media\/1261"}],"wp:attachment":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1260"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1260"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}