How COVID-19 Affects Pregnancy
Should you get the vaccine during pregnancy? Does the vaccine cause infertility? NIH research is helping to answer these questions and more.
Understanding Vaccine Studies
Three vaccines are authorized by the FDA for use in the United States.
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Pfizer, Inc., and BioNTech BNT162b2: On August 23, 2021, the FDA approved the Pfizer vaccine – called Comirnaty – for people ages 16 and older. The vaccine is still available under emergency use authorization (EUA) for children and teens 12 to 15 years old. View the infographic to see what’s in the Pfizer COVID-19 vaccine.
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ModernaTX, Inc., mRNA-1273: On December 18, 2020, the FDA authorized emergency use of this NIH-funded COVID-19 vaccine in the United States for people 18 years and older. View the infographic to see what’s in the Moderna COVID-19 vaccine.
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Janssen Pharmaceutical Companies of Johnson & Johnson: On February 27, 2021, the FDA authorized emergency use of this single-shot vaccine for people 18 years and older. Developed with support from NIH funding, this vaccine does not require special refrigeration. Women younger than 50 years old should be aware of the rare risk of blood clots after vaccination.
Vaccines have very high safety standards, and the vaccines available to prevent COVID-19 are no exception. COVID-19 vaccines are authorized by the FDA for use only if they have proven safe and effective in a large group of people.
Although the search for and development of the COVID-19 vaccines seemed to move fast, decades of existing research on coronaviruses gave the scientific community a head start on understanding COVID-19 and developing a vaccine. Researchers, the federal government, and drug companies came together like never before to cooperate and share resources, making the testing process more efficient.
Also, the FDA has made the safety standards and approval process even tougher than usual. The FDA set minimum requirements for the effectiveness of products to approve only those vaccines that could offer immunity to the majority of the population.
Researchers don’t know for sure how long immunity produced by vaccination lasts. You are considered fully protected two weeks after your second dose of the Moderna or Pfizer-BioNTech vaccine, or two weeks after the single-dose Johnson & Johnson’s Janssen vaccine.
However, because we do not know how long the vaccine protects you, you should still take precautions to protect yourself and others by following current CDC guidelines.
We know that the COVID-19 vaccines available now are effective at preventing COVID-19. So far, studies suggest that these vaccines should also work against the variants that have emerged. Current data show that the antibodies our bodies make after vaccination may recognize and protect against the variants. This is being closely investigated, and more studies are underway.
The rise of these variants is a reminder that as long as SARS-CoV-2 continues to spread, it has the potential to evolve into new variants. Viruses can’t mutate if they can’t replicate. The more people who get vaccinated, the harder it is for the virus to replicate. Widespread vaccination will help reduce the rise of additional variants.
Children and teens ages 12 years and older can now get the Pfizer vaccine. COVID-19 vaccines are not yet approved for use in people younger than 12 (Pfizer) or 18 (Moderna and Johnson & Johnson vaccines). However, clinical trials are now underway to test the safety and effectiveness of currently available vaccines in younger children. Experts hope children and adolescents will be approved to receive the vaccines by fall 2021.
NIH is researching whether people who have been fully vaccinated against COVID-19 will require additional shots for continued immunity. Current research aims to determine whether approved vaccines will grant immunity against emerging COVID-19 variants and if new vaccines will be needed.
Yes, new and ongoing studies on vaccines are underway. NIH institutes and centers, in partnership with private businesses, continue to study different types of vaccines as well as other ways to prevent COVID-19, such as monoclonal antibodies. None of the vaccines or other preventives contain whole or live SARS-CoV-2 virus. This means they can’t cause COVID-19.
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Vaccine studies: Some vaccine trials continue to enroll participants for the development of more vaccine options to help people build immunity to the virus. Other vaccine studies continue to follow people who have already had a vaccine to make sure we are collecting as much information as possible about how the vaccines work over a long period of time.
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Monoclonal antibody studies: A study called BLAZE-2 is testing if lab-made antibodies can prevent the SARS-CoV-2 virus from entering healthy cells. The antibodies cannot cause COVID-19.
Vaccine Resources
Learn about the four phases of clinical research, what questions researchers try to answer in each, and how a vaccine is developed, approved, and manufactured.
Antibodies can be effective at preventing COVID-19, especially for people with compromised immune systems
Vaccines testing through the different phases of clinical trials
Learn what to expect when you volunteer for a vaccine clinical trial.
Get the facts about COVID-19 vaccine studies.
Recent News
Selected NIH-Published Vaccine Research
Mascola, J.R.,Graham, B.S., Fauci, A.S. SARS-COV-2 Viral variants—Tackling a moving target.JAMA DOI: 10.1001/jama.2021.2088 (2021).
Baden, L. R., El Sahly, H. M., Essink, B., Kotloff, K., Frey, S., Novak, R., . . . Zaks, T., on behalf of the COVE Study Group. Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. The New England Journal of Medicine, 384(5), 403–416. doi:10.1056/NEJMoa2035389
Haynes, B. F., Corey, L., Fernandes, P., Gilbert, P. B., Hotez, P. J., Rao, S., . . . Arvin, A. (2020). Prospects for a safe COVID-19 vaccine. Science Translational Medicine, 12(568), eabe0948. doi:10.1126/scitranslmed.abe0948
Hewitt, J. A., Lutz, C., Florence, W. C., Pitt, M. L. M., Rao, S., Rappaport, J., & Haigwood, N. L.; ACTIV Preclinical Working Group. (2020). ACTIVating resources for the COVID-19 pandemic: In vivo models for vaccines and therapeutics. Cell Host and Microbe, 18(5), 646–659. doi:10.1016/j.chom.2020.09.016
Deming, M. E., Michael, N. L., Robb, M., Cohen, M. S., & Neuzil, K. M. (2020). Accelerating development of SARS-CoV-2 vaccines — the role for controlled human infection models. New England Journal of Medicine, 383, e63. doi:10.1056/NEJMp2020076
Collins, F. S., & Stoffels, P. (2020). Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV): An unprecedented partnership for unprecedented times. JAMA, 323(24), 2455–2457. doi:10.1001/jama.2020.8920
Corey, L., Mascola, J. R., Fauci, A. S., & Collins, F. S. (2020). A strategic approach to COVID-19 vaccine R&D. Science, 368(6494), 948–950. doi:10.1126/science.abc5312
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