Even if you don't feel a reaction to your COVID-19 vaccine it is still working

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Credit: SELF Magazine, via Flickr https://creativecommons.org/licenses/by/2.0/
Credit: SELF Magazine, via Flickr https://creativecommons.org/licenses/by/2.0/

Does feeling rubbish the day after your COVID-19 jab mean it is working? Does not feeling rubbish mean it is not? US scientists have looked at whether experiencing symptoms after a COVID-19 vaccination is an indicator of vaccine effectiveness and found that even people who don't have obvious reactions to the Pfizer or Moderna vaccines still produce a robust antibody response.

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JAMA Internal Medicine
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Organisation/s: Johns Hopkins School of Public Health, USA
Funder: This work was supported in part by the National Institutes of Health under award No. K24AI141580 (Dr Milstone) and through the generosity Figure. Antibody Measurement More Than 14 Days Following Dose 2 of SARS-CoV-2 Messenger RNA (mRNA) Vaccines Over Time Stratified by Symptoms 0 100 150 11 8 Serum lgG antibodies to spike S1 subunit, ratio Days from dose 2 of vaccine 4 2 50 None/mild Clinically significant Relationship of serum immunoglobulin G (IgG) antibodies recognizing the S1 subunit of spike and days after the second dose of SARS-CoV-2 mRNA vaccine in 953 hospital workers (1 participant who was receiving immunosuppressant medication did not develop IgG antibodies and is not shown). The IgG antibody measurements represent the ratio of 2 optical densities (ODs): the OD of the patient serum over the OD of an assay calibrator provided by the manufacturer. A measurement greater than 1.23 indicates the presence of spike antibodies with an upper threshold of 11 based on assay saturation.1,5 Antibody measurements were stratified by symptoms after either vaccine dose. The curves were predicted median antibody measurement over time (time was allowed as a natural cubic spline with 2 degrees of freedom) stratified by symptoms, set age, sex, vaccine type, and prior infection as the sample average. Shaded areas represent 95%CIs. Letters E2 JAMA Internal Medicine Published online August 16, 2021 (Reprinted) jamainternalmedicine.com Confidential: Embargoed Until 11:00 am ET, August 16, 2021. Do Not Distribute of the collective community of donors to the Johns Hopkins University School of Medicine and the Johns Hopkins Health System for COVID-19 research.
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