Frequently Asked Questions about Development, safety, and effectiveness

There are a few reasons why people who are vaccinated continue to get COVID-19. For one, no vaccine is 100% effective at preventing infection, and highly contagious variants have led to breakthrough infections among vaccinated people. Also, the level of protection from the vaccine decreases over time, leading to less protection against the virus. Ultimately, as the total number of vaccinated people increases, the pool of unvaccinated people gets smaller—that means proportionally, more cases will be among the vaccinated.

While vaccines are developed in part to prevent infection from disease, the main goal of vaccines is to prevent severe illness or death. The COVID-19 vaccines continue to be highly effective in reducing risk of severe disease, hospitalization, and death, and can provide sustained protection when you receive a booster dose. When COVID-19 cases rise, breakthrough infections among vaccinated individuals are significantly more likely to be mild cases, while unvaccinated people are more likely to become severely ill or require hospitalization. CDC data show that through December 25, 2021, the risk of being hospitalized with COVID-19 in the U.S. was 16 times greater for unvaccinated adults than fully vaccinated adults.

Updated February 18, 2022

The COVID-19 vaccines have received the most intense safety monitoring in U.S. history, which has allowed public health officials to make science-based recommendations that keep people safe.

All COVID-19 vaccines have been rigorously tested and reviewed. The vaccine’s clinical trials three-phase process was detailed and thorough, and no shortcuts were taken. More than 150,000 people participated in U.S. clinical trials of the vaccines, and now, hundreds of millions of vaccine doses in the U.S. have been safely administered. Data from trial will continue to be collected for two years after each vaccine is first administered to ensure that they are safe for the long term. As with all vaccines, there will be ongoing monitoring for adverse events among people who are vaccinated into the future.

Updated October 12, 2021

It may seem like the vaccines were developed quickly, but the process included rigorous safety reviews required for all new vaccines. The urgency of the pandemic created greater access to research funding, reduced bureaucratic obstacles, and encouraged unparalleled levels of government and industry cooperation. With these supports in place, scientists built upon previous work on coronavirus vaccines and on mRNA vaccine technology to develop these new vaccines quickly and effectively.

Updated October 12, 2021

In general, you are considered fully vaccinated for COVID-19 two weeks after you have received the second dose in a two-dose series (Pfizer-BioNTech or Moderna) or two weeks after you have received a single-dose vaccine (Johnson & Johnson).

As the science and the virus evolve, so does our understanding of what it means to be fully vaccinated.  Scientists and medical experts continue to closely watch for signs of waning vaccine immunity over time, how well the vaccines protect against new variants of the virus, and how that data differs across the population.

While additional or booster doses are recommended for some people, the CDC definition of what it means to be “fully vaccinated” has not changed at this time. More messaging guidance about booster doses can be found here.

Updated October 12, 2021

The CDC recommends all people age 5 and older get vaccinated against COVID-19, including people who were previously infected with the virus. Data show that immunity in people who have been infected with COVID-19 wanes over time, and scientists continue to study this. New data show that COVID-19 vaccination can provide a higher, more robust, and more consistent level of immunity to protect people from COVID-19 than antibodies from infection alone. 

COVID-19 vaccination is effective in preventing reinfection in people who previously had COVID-19. One study, for example, showed that among people hospitalized with COVID-19, those who were previously infected with COVID-19 were 5 times more likely to get COVID-19 again if they were unvaccinated than people who were fully vaccinated. For that reason, even if you have already had COVID-19, vaccination is an important step to protect yourself and those around you.

Updated November 15, 2021

While COVID-19 vaccines are highly effective, no vaccine provides 100% immunity. Because this is a new virus, scientists and medical experts continue to monitor how long immunity lasts, whether some groups may need additional doses, and how well the vaccines protect against new variants of the virus.

Data continue to show that the COVID-19 vaccines are extremely effective in protecting fully vaccinated people from catching and spreading the virus, including the Delta variant, and scientists continue to monitor vaccine efficacy for new variants. A small percentage of vaccinated people experience breakthrough cases, but they are much more likely to have milder symptoms than unvaccinated people who get COVID-19.

Unvaccinated people continue to account for the vast majority of severe cases, hospitalizations, and deaths from COVID-19. CDC data show that in August 2021, the risk of dying from COVID-19 in the U.S. was more than 11 times greater for unvaccinated people than for fully vaccinated people.

The risk of severe illness from COVID-19 is elevated for some groups — including older adults, people with underlying medical conditions, immunocompromised people, and pregnant or recently pregnant women. If you have questions about your risk of COVID-19, how to protect yourself, or the vaccines, speak to your health care provider.

Updated December 9, 2021

The threat of COVID-19 is real and urgent, and getting vaccinated is the best way to protect yourself. Side effects to the COVID-19 vaccines are typically mild and subside in one to two days — like soreness in the arm, fatigue, headaches, or a slight fever.

The risk of having a serious adverse reaction to the COVID-19 vaccine is very low — far lower than the risk of contracting COVID-19. The CDC and FDA are closely monitoring vaccine outcomes to ensure safety.

If you have a question about the vaccines, talk with your healthcare provider.

Updated October 12, 2021

Messaging Resources about Development, safety, and effectiveness

Updated Toolkit: Children and COVID-19 Vaccination

Toolkit: FDA Approval

Communications Tool: Building Bridges

CDC Foundation: Vaccine Resource Hub

Misinformation Alerts about Development, safety, and effectiveness

Posts claim CDC’s new guidelines mean unvaccinated have same risk as vaccinated

The CDC recently updated its COVID-19 guidance to make the same recommendations for people who have been exposed to COVID-19 regardless of their vaccination status. Some social media users are claiming that the updated guidelines mean that there was never a difference in COVID-19 risk for vaccinated and unvaccinated people and that previous guidelines were

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Article misleadingly claims COVID-19 vaccine causes high rate of side effects

A website that is known for publishing hoaxes and fabricated news stories is claiming that data from a German health insurer suggests that one in 25 of the insurer’s clients were treated for COVID-19 vaccine side effects last year. The article is based on totaling the use of four diagnosis health insurer codes.  Recommendation: Medium

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