Covid: What do over-18s need to know about the vaccine?
By Philippa Roxby
Health reporter
- Published
As the Covid vaccine take-up appears to be slowing, England's chief medical officer has urged people to act with caution in coming weeks to prevent a "scary" rise in hospital admissions.
The warning from Prof Chris Whitty, came as a study reported that younger adults in hospital with Covid are nearly as likely to suffer from complications as older people.
Anyone aged over 18 can get vaccinated but, while 87.5% of adults have had one dose, the rollout has slowed in recent weeks.
How can I get a vaccine?
In England, either book online or by calling 119. There are also walk-in clinics. Check your local health providers and social media groups for details.
In Scotland, over-18s can now register for a vaccine on the NHS inform website or by calling 0800 030 8013.
Over-18s can also get jabbed without an appointment at mass vaccination centres in Lothian. Other health boards are offering drop-in clinics as well. Check local websites and social media for details.
In Wales, over-18s can get the vaccine.
In Northern Ireland, over-18s can book online or call 0300 200 7813
What gap should be left between doses?
The "sweet spot" is eight weeks between jabs. Any earlier means you won't be protected for as long, says government scientific advisor Professor Anthony Harnden.
Some centres have given out second doses after four weeks, but the longer the gap, the better for long-term protection.
What vaccine will I get and can I choose?
You can't choose what vaccine you get. It's based on your age and whatever vaccines are available at the time.
If you're under 40 or pregnant you will be offered Pfizer or Moderna.
What are the side effects and the risk of blood clots?
Most are mild, completely normal and disappear after a few days.
They happen because the body's defences are reacting to the vaccine, and include:
- a sore arm
- tiredness
- fever
- headache
- feeling sick
The under 55s are more likely to get side-effects from Pfizer and Moderna.
With AstraZeneca (AZ), side-effects are more common after the first dose than the second.
Under-40s are being offered alternatives to AstraZeneca because of a possible link between the vaccine and extremely rare blood clots in a tiny number of people.
It's not clear if the vaccine is the cause, but the clots appear to happen slightly more often in younger adults.
For everyone else, the benefits of AZ and the other vaccines far outweigh risks, the UK regulator says.
Remember, 1,900 people in every million have died from Covid in the UK, and blood clots are a common virus symptom.
Do I have to have the vaccine?
No. But everyone is being urged to get two doses to protect themselves, their family, friends and wider society.
Younger people may be less likely to die from Covid-19, but adults aged under 50 who do end up in hospital are almost as likely to suffer from complications with kidneys, lungs and other organs as those over aged 50 - a study has found.
The vaccines:
Without a jab, you may not be able to travel abroad, attend mass events or do certain jobs.
What if I've got long Covid?
A recent study suggests vaccination can help improve long Covid symptoms.
The vaccine could be pressing the body's reset button and helping it recover, researchers say.
Will jabs affect my fertility?
There is no evidence that vaccines cause fertility problems in men or women. Experts say there's no realistic way they could. Claims to the contrary on social media are false.
The jab involves introducing into the body a harmless fragment of the virus's genetic material, or the instructions to make it. It can't give you Covid or affect your DNA in any way.
What if I am pregnant or breastfeeding?
Doctors and midwives are urging pregnant women to get a vaccine to protect themselves and their babies.
Infections are rising and this means pregnant women will be more exposed to coronavirus, which can cause serious illness in some women in later pregnancy.
A recent study also found a slightly higher rate of stillbirth in pregnant women who tested positive for the virus around the time of birth (although the numbers were still very low).
You are encouraged to discuss any questions you have with your GP or midwife.
If you're planning a pregnancy or are breastfeeding you can still get vaccinated, government guidance says.
Does the vaccine affect periods?
Some women say they've experienced unusually heavy, painful or prolonged periods after being jabbed.
There are plausible reasons the vaccine might cause changes to periods. The jab prompts an increase in activity in the immune system, which also plays a role in the menstrual cycle.
But there is nothing to suggest these changes can affect your fertility or cause any long-term health issues.
Can I drink alcohol after the vaccine?
There is no published data on the effects of alcohol on how well the body builds immunity after the vaccine.
There's no evidence to suggest you should avoid alcohol altogether, but drinking in large quantities can suppress your immune system.
What about people with allergies?
A very small number of people have experienced a severe allergic reaction, anaphylaxis, after the Pfizer and Moderna vaccines.
This can happen with some vaccines. You should discuss any allergies with your healthcare professional.
What if I hate needles?
When you are jabbed, say you don't like needles. Then look away.
Many people say the injection is painless and hardly notice anything.