Update on Johnson & Johnson COVID-19 vaccine
Effective April 23, CDC and FDA have recommended that use of Johnson & Johnson’s Janssen (J&J/Janssen) COVID-19 Vaccine resume in the United States. However, women younger than 50 years old should be aware of the rare risk of blood clots with low platelets after vaccination, and that other COVID-19 vaccines are available where this risk has not been seen. If you received a J&J/Janssen vaccine, here is what you need to know. Read the CDC/FDA statement.
Vaccines offer protection
How can vaccines help protect me and my loved ones?
Immunization helps save millions of lives every year. Whereas most medicines treat or cure diseases, vaccines can help prevent them by working with your body’s natural defenses to build protection. When you receive a vaccine, your immune system responds. We now have vaccines to prevent more than 20 life-threatening diseases, helping people of all ages live longer, healthier lives. The World Health Organization (WHO) estimates that globally, immunization currently prevents between 2 and 3 million deaths every year from diseases like diphtheria, tetanus, pertussis, influenza and measles.
How many shots of COVID-19 vaccine will be needed?
All but one of the COVID-19 vaccines currently in Phase 3 clinical trials in the United States need two shots to be effective. The other COVID-19 vaccine uses one shot.
Are there side effects from the vaccine?
After a vaccine is authorized or approved for use, many vaccine safety monitoring systems watch for adverse events (possible side effects). This continued monitoring can pick up on adverse events that may not have been seen in clinical trials. If an unexpected adverse event is seen, experts quickly study it further to assess whether it is a true safety concern. Experts then decide whether changes are needed in U.S. vaccine recommendations. This monitoring is critical to help ensure that the benefits continue to outweigh the risks for people who receive vaccines.
If I have already gotten sick with COVID-19, do I still need to get vaccinated with a COVID-19 vaccine when it’s available?
Due to the severe health risks associated with COVID-19 and the fact that re-infection with COVID-19 is possible, people may be advised to get a COVID-19 vaccine even if they have been sick with COVID-19 before.
At this time, experts do not know how long someone is protected from getting sick again after recovering from COVID-19. The immunity someone gains from having an infection, called natural immunity, varies from person to person. Some early evidence suggests natural immunity may not last very long. We won’t know how long immunity produced by vaccination lasts until we have a vaccine and more data on how well it works. Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are trying to learn more about, and CDC will keep the public informed as new evidence becomes available.
Why would a vaccine be needed if we can do other things like social distancing and wearing masks, to prevent the virus that causes COVID-19 from spreading?
Stopping a pandemic requires using all the tools available. Vaccines work with your immune system so your body will be ready to fight the virus if you are exposed. Other steps, like covering your mouth and nose with a mask and staying at least 6 feet away from others, help reduce your chance of being exposed to the virus or spreading it to others. Together, COVID-19 vaccination and following CDC’s recommendations to protect yourself and others will offer the best protection from COVID-19.
Do I need to wear a mask and avoid close contact with others if I have received two doses of the vaccine?
Yes. While experts learn more about the protection that COVID-19 vaccines provide under real-life conditions, it will be important for everyone to continue using all the tools available to us to help stop this pandemic, like covering your mouth and nose with a mask, washing hands often, and staying at least 6 feet away from others. Together, COVID-19 vaccination and following CDC’s recommendations for how to protect yourself and others will offer the best protection from getting and spreading COVID-19.
Experts need to understand more about the protection that COVID-19 vaccines provide before deciding to change recommendations on steps everyone should take to slow the spread of the virus that causes COVID-19. Other factors, including how many people get vaccinated and how the virus is spreading in communities, will also affect this decision.
When can I stop wearing a mask and avoiding close contact with others after I have been vaccinated?
The CDC says that once you've been fully vaccinated, you can get back to enjoying normal activities. The CDC keeps an updated list of such activities, which may change as new data emerges
For now, fully vaccinated people can:
- Resume activities without wearing a mask or staying 6 feet apart in non-healthcare settings, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance.
- Travel in the United States without getting tested before or after travel or self-quarantine after travel.
Visit the CDC’s page on guidance for fully vaccinated people to learn more.
Does immunity after getting COVID-19 last longer than protection from COVID-19 vaccines?
The protection someone gains from having an infection (called natural immunity) varies depending on the disease, and it varies from person to person. Since this virus is new, we don’t know how long natural immunity might last. Some early evidence — based on some people — seems to suggest that natural immunity may not last very long. Regarding vaccination, we won’t know how long immunity lasts until we have a vaccine and more data on how well it works. Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are trying to learn more about, and CDC will keep the public informed as new evidence becomes available.
Facts about COVID-19 vaccines
- FACT: COVID-19 vaccines will not give you COVID-19
- FACT: COVID-19 vaccines will not cause you to test positive on COVID-19 viral tests
- FACT: Getting vaccinated can help prevent getting sick with COVID-19
- FACT: People who have gotten sick with COVID-19 may still benefit from getting vaccinated
- FACT: Receiving an mRNA vaccine will not alter your DNA
Vaccine considerations for people who are pregnant or breastfeeding
Does vaccination induce sterility in women?
Infertility has not been identified as an adverse outcome in any of the COVID-19 mRNA vaccine trials performed to date. The American College of Obstetricians and Gynecologists (ACOG) recommends vaccination of individuals who are actively trying to become pregnant or are contemplating pregnancy and meet the criteria for vaccination based on prioritization recommendations from the Advisory Committee on Immunization Practices (ACIP). Additionally, it is not necessary to delay pregnancy after completing both doses of the COVID-19 vaccine.
Can vaccination harm my unborn child?
Pregnant women are not usually included in initial trials for vaccines or medications including the COVID-19 mRNA vaccine. However, pregnant women are at an increased risk of severe ill ness from COVID-19, including respiratory failure, need for mechanical ventilation (or ECMO) and death. There may al so be an increased incidence of adverse outcomes of pregnancy. Women are encouraged to speak with their healthcare provider about getting vaccinated if they are pregnant, breastfeeding or considering pregnancy. Pregnant women routinely and safely receive vaccines that are not live viruses (e.g. annual flu and Tdap); the COVID-19 mRNA vaccines are not live vaccines.
There are currently limited data available on the safety of COVID-19 vaccines, including mRNA vaccines, administered during pregnancy. Visit the CDC for the latest updates.