WHAT IS COVID-19?
- COVID-19 is a disease caused by a virus called SARS-CoV-2. Most people with COVID-19 have mild symptoms, but some people can become severely ill. Although most people with COVID-19 get better within weeks of illness, some people experience post-COVID conditions. Post-COVID conditions are a wide range of new, returning, or ongoing health problems people can experience more than four weeks after first being infected with the virus that causes COVID-19. Older people and those who have certain underlying medical conditions are more likely to get severely ill from COVID-19. Vaccines against COVID-19 are safe and effective.
HOW IS IT SPREAD?
COVID-19 spreads when an infected person breathes out droplets and very small particles that contain the virus. These droplets and particles can be breathed in by other people or land on their eyes, noses, or mouth. In some circumstances, they may contaminate surfaces they touch. People who are closer than 6 feet from the infected person are most likely to get infected.
COVID-19 is spread in three main ways:
- Breathing in air when close to an infected person who is exhaling small droplets and particles that contain the virus.
- Having these small droplets and particles that contain virus land on the eyes, nose, or mouth, especially through splashes and sprays like a cough or sneeze.
- Touching eyes, nose, or mouth with hands that have the virus on them.
For more information about how COVID-19 spreads, visit the How COVID-19 Spreads page to learn how COVID-19 spreads and how to protect yourself.
Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected. Each health department determines community spread differently based on local conditions. For information on community spread in your area, please visit your local health department’s website.
HOW CAN I PROTECT MYSELF?
Visit the How to Protect Yourself & Others page to learn about how to protect yourself from respiratory illnesses, like COVID-19.
Should I use soap and water or hand sanitizer to protect against COVID-19?
Protect Family Members
Some members in your family may need to continue to take steps to protect themselves from COVID-19, including
- Anyone not fully vaccinated, including children under 5 years who are not eligible for COVID-19 vaccines.
- People with weakened immune systems or underlying medical conditions.
Get Vaccinated
- Authorized COVID-19 vaccines can help protect you from COVID-19.
- You should get a COVID-19 vaccine as soon as you can.
- Once you are fully vaccinated, you may be able to start doing some things that you had stopped doing because of the pandemic.
Wear a mask
- Everyone 2 years or older who is not fully vaccinated should wear a mask in indoor public places.
- In general, you do not need to wear a mask in outdoor settings.
- In areas with high numbers of COVID-19 cases, consider wearing a mask in crowded outdoor settings and for activities with close contact with others who are not fully vaccinated.
- People who have a condition or are taking medications that weaken their immune system may not be fully protected even if they are fully vaccinated. They should continue to take all precautions recommended for unvaccinated people, including wearing a well-fitted mask, until advised otherwise by their healthcare provider.
- If you are fully vaccinated, to maximize protection and prevent possibly spreading COVID-19 to others, wear a mask indoors in public if you are in an area of substantial or high transmission.
Wearing a mask over your nose and mouth is required on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States and while indoors at U.S. transportation hubs such as airports and stations. Travelers are not required to wear a mask in outdoor areas of a conveyance (like on open deck areas of a ferry or the uncovered top deck of a bus).
Handwashing is one of the best ways to protect yourself and your family from getting sick. Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol.
Frequently Asked Questions about COVID-19 Vaccination
Updated Dec. 10, 2021 FROM https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html
CDC expands COVID-19 booster recommendations to 16- and 17-year-olds. Learn more about booster shots.
Below are answers to commonly asked questions about COVID-19 vaccination.
Have more questions? Visit FAQs about Vaccination in Children and Myths and Facts about COVID-19 Vaccines.
Safety
Are COVID-19 vaccines safe even though the vaccines were developed rapidly?
While COVID-19 vaccines were developed rapidly, all steps were taken to make sure they are safe and effective:
- Approach to Development – Scientists have been working for many years to develop vaccines against viruses like the one that causes COVID-19. This knowledge helped speed up the initial development of the current COVID-19 vaccines.
- Clinical Trials – All vaccines in the United States must go through three phases of clinical trials to make sure they are safe and effective. During the development of COVID-19 vaccines, phases overlapped to speed up the process, but all phases were completed.
- Authorization or Approval – Before vaccines are available to people, the U.S. Food and Drug Administration (FDA) assesses the findings from clinical trials. FDA determined that three COVID-19 vaccines met FDA’s safety and effectiveness standards and granted those vaccines Emergency Use Authorizations (EUAs) external icon
- . This allowed the vaccines to be quickly distributed to control the pandemic. Before recommending COVID-19 vaccination for children, scientists conducted clinical trials. The FDA gave the Pfizer-BioNTech COVID-19 vaccine emergency authorization to use in children ages 5 years through 15 years old and full approval to use in people ages 16 years and older. Read more about the first COVID-19 vaccine to receive FDA approval external icon
- Manufacturing and Distribution – The U.S. government has invested substantial resources to manufacture and distribute COVID-19 vaccines. This allowed vaccine distribution to begin as soon as FDA authorized each vaccine.
- Tracking Safety Using Vaccine Monitoring Systems – COVID-19 vaccine safety monitoring has been the most intense and comprehensive in U.S. history. Hundreds of millions of people in the United States have received COVID-19 vaccines. Through several monitoring systems, CDC and FDA continue to provide updated information on the safety of these vaccines.
What are the ingredients in COVID-19 vaccines?
Vaccine ingredients vary by manufacturer. None of the vaccines contain eggs, gelatin, latex, or preservatives. All COVID-19 vaccines are free from metals such as iron, nickel, cobalt, lithium, and rare earth alloys. They are also free from manufactured products such as microelectronics, electrodes, carbon nanotubes, or nanowire semiconductors.
To learn more about the ingredients in authorized COVID-19 vaccines, see
- Pfizer-BioNTech COVID-19 Vaccine Overview and Safety
- Moderna COVID-19 Vaccine Overview and Safety
- Johnson & Johnson’s Janssen COVID-19 Vaccine Overview and Safety
- Ingredients Included in COVID-19 Vaccines
If I am pregnant or planning to become pregnant, can I get a COVID-19 vaccine?
Yes, COVID-19 vaccination is recommended for people who are pregnant, breastfeeding, trying to get pregnant now, or who might become pregnant in the future. You might want to have a conversation with your healthcare provider about COVID-19 vaccination. While such a conversation might be helpful, it is not required before vaccination. Learn more about vaccination considerations for people who are pregnant or breastfeeding.
If you are pregnant and have received a COVID-19 vaccine, we encourage you to enroll in v-safe, CDC’s smartphone-based tool that provides personalized health check-ins after vaccination. A v-safe pregnancy registry has been established to gather information on the health of pregnant people who have received a COVID-19 vaccine.
Why should my child get vaccinated against COVID-19?
Vaccinating children ages 5 years and older can help protect them from getting COVID-19, spreading the virus to others, and getting sick if they do get infected. While COVID-19 tends to be milder in children than adults, it can make children very sick, require hospitalization, and some children have even died. Children with underlying medical conditions are more at risk for severe illness compared to children without underlying medical conditions.
Getting your child vaccinated helps to protect your child and your family, including siblings who are not eligible for vaccination and family members who may be at risk of getting very sick if infected. Vaccination is now recommended for everyone ages 5 years and older. Currently, the Pfizer-BioNTech COVID-19 vaccine is the only one available to children ages 5 years and older.
COVID-19 vaccines have been used under the most intensive safety monitoring in U.S. history. Scientists have conducted clinical trials with thousands of children, and the results show that COVID-19 vaccines are safe and effective.
Your child cannot get COVID-19 from any COVID-19 vaccine, and there is no evidence that COVID-19 vaccines cause fertility problems.
Your child may have some side effects, which are similar to those seen with other routine vaccines and are a normal sign that their body is building protection. These side effects may affect their ability to do daily activities, but they should go away in a few days. Some people have no side effects and severe allergic reactions are very rare.
Getting Your Vaccine
Do I need a booster? How many doses of COVID-19 vaccine will I need to get?
COVID-19 Vaccine Primary Series
The number of vaccine doses you need depends on which vaccine you receive.
- Two doses of Pfizer-BioNTech vaccine should be given 3 weeks (21 days) apart.
- Two doses of Moderna vaccine should be given 4 weeks (28 days) apart.
- Only one dose of Johnson & Johnson’s Janssen (J&J/Janssen) vaccine should be given.
If you receive a vaccine that requires two doses, you should get your second shot as close to the recommended interval as possible. You should not get the second dose earlier than the recommended interval.
COVID-19 vaccines are not interchangeable for your COVID-19 vaccine primary series. If you received a Pfizer-BioNTech or Moderna COVID-19 vaccine for your first shot, you should get the same product for your second shot.
Additional Primary Dose If You Are Immunocompromised
If you received a Pfizer-BioNTech (ages 12 and older) or Moderna (ages 18 and older) mRNA COVID-19 vaccine primary series and have a moderately or severely compromised immune system, you should receive an additional primary dose of the same mRNA COVID-19 vaccine at least 28 days after the second dose.
Additional primary doses are not interchangeable. The vaccine used for the additional primary dose should be the same as the vaccine used for the primary vaccine series. If the mRNA vaccine product given for the first two doses is not available or is unknown, either mRNA COVID-19 vaccine product may be administered.
Currently, CDC does not recommend an additional primary dose if you received a single-dose J&J/Janssen COVID-19 vaccine or in children less than 12 years old with moderate or severely compromised immune systems.
Booster Shot
Everyone ages 16 years and older can get a booster shot after they have completed their COVID-19 vaccine primary series. People ages 16 to 17 years old can get the Pfizer-BioNTech COVID-19 booster shot.
People ages 18 years and older have the option to either get the same COVID-19 vaccine product as their primary series, or to get a different COVID-19 vaccine. People may have a preference for the vaccine type that they originally received, or they may prefer to get a different booster. CDC’s recommendations now allow for this type of mix and match dosing for booster shots (Pfizer-BioNTech, Moderna, or J&J/Janssen) for people ages 18 years and older. You may consider the benefits and risks of each product and discuss with your healthcare provider which COVID-19 vaccine product is the most appropriate booster for you.
Currently, a booster shot is not recommended for children younger than 16 years old.
If I didn’t get my second shot of a 2-dose COVID-19 vaccine within the recommended time, what should I do?
You should get your second shot as close to the recommended 3-week or 4-week interval as possible. There is currently limited information on the effectiveness of receiving your second shot later than 6 weeks after the first shot. However, if you receive your second shot of COVID-19 vaccine at any time after the recommended date, you do not have to restart the vaccine series, and you can be considered fully vaccinated 2 weeks after getting your second shot. This guidance might be updated as more information becomes available.
Learn more about COVID-19 vaccines that require 2 shots.
How long does protection from a COVID-19 vaccine last?
We don’t know yet how long COVID-19 vaccine protection lasts. Recent studies show that protection against the virus may decrease over time. This reduction in protection has led CDC to recommend that everyone ages 18 years and older get a booster shot after completing their primary vaccination series.
People who received the Pfizer-BioNTech or Moderna COVID-19 vaccine for their primary series should get a booster shot at least 6 months after completing the primary series. People who received Johnson & Johnson’s Janssen COVID-19 vaccine should get a booster shot at least 2 months after getting their first shot.
At this time, CDC recommends getting only one COVID-19 booster shot. CDC continues to review evidence and will update guidance as more information is available.
Learn more about COVID-19 vaccine booster shots.
Preparing for Your Vaccine
How long do I need to wait after getting a flu vaccine or another vaccine before getting a COVID-19 vaccine?
You can get a COVID-19 vaccine and other vaccines, including a flu vaccine, at the same visit. Experience with other vaccines has shown that the way our bodies develop protection, known as an immune response, and possible side effects after getting vaccinated are generally the same when given alone or with other vaccines. Learn more about the timing of other vaccines.
If I already had COVID-19 and recovered, am I protected by natural immunity, or do I still need to get a COVID-19 vaccine?
You should get a COVID-19 vaccine even if you already had COVID-19.
Getting sick with COVID-19 offers some protection from future illness with COVID-19, sometimes called “natural immunity.” The level of protection people get from having COVID-19 may vary depending on how mild or severe their illness was, the time since their infection, and their age. No currently available test can reliably determine if a person is protected from infection.
All COVID-19 vaccines currently available in the United States are effective at preventing COVID-19. Getting a COVID-19 vaccine gives most people a high level of protection against COVID-19 even in people who have already been sick with COVID-19.
Emerging evidence shows that getting a COVID-19 vaccine after you recover from COVID-19 infection provides added protection to your immune system. One study showed that, for people who already had COVID-19, those who do not get vaccinated after their recovery are more than 2 times as likely to get COVID-19 again than those who get fully vaccinated after their recovery.
People who were treated for COVID-19 with monoclonal antibodies or convalescent plasma or people who have a history of multisystem inflammatory syndrome in adults or children (MIS-A or MIS-C) may need to wait a while after recovering before they can get vaccinated. Talk to your doctor if you are unsure what treatments you received or if you have more questions about getting a COVID-19 vaccine.
Related pages:
Can I get vaccinated against COVID-19 while I am currently sick with COVID-19?
No. People with COVID-19 who have symptoms should wait to be vaccinated until they have recovered from their illness and have met the criteria for discontinuing isolation; those without symptoms should also wait until they meet the criteria before getting vaccinated. This guidance also applies to people who get COVID-19 before getting their second dose of vaccine.
People who have had a known COVID-19 exposure should not seek vaccination until their quarantine period has ended to avoid potentially exposing healthcare personnel and others during the vaccination visit. This recommendation also applies to people with a known COVID-19 exposure who have received their first dose of an mRNA vaccine but not their second.
Related pages:
Can I choose which COVID-19 vaccine I get?
Currently, the Pfizer-BioNTech COVID-19 vaccine is the only one available to children ages 5 years through 17 years. For adults 18 years and older, CDC does not recommend one vaccine over another. All currently authorized and recommended COVID-19 vaccines are safe and effective. The most important decision is to get a COVID-19 vaccination as soon as possible. Widespread vaccination is a critical tool to help stop the pandemic.
People should be aware that a risk of a rare condition called thrombosis with thrombocytopenia syndrome (TTS) has been reported following vaccination with the J&J/Janssen COVID-19 vaccine. TTS is a serious condition that involves blood clots with low platelet counts. This problem is rare, and most reports were in women between 18 and 49 years old. For women 50 years and older and men of any age, this problem is even more rare. There are other COVID-19 vaccine options available for which this risk has not been seen (Pfizer-BioNTech, Moderna).
Learn more about your COVID-19 vaccination, including how to find a vaccination location, what to expect at your appointment, and more.
Related page:
After Your Vaccine
How can I get a new COVID-19 vaccination card?
If you need a new vaccination card, contact the vaccination provider site where you received your vaccine. Your provider should give you a new card with up-to-date information about the vaccinations you have received.
If the location where you received your COVID-19 vaccine is no longer operating, contact your state or local health department’s immunization information system (IIS) for assistance.
CDC does not maintain vaccination records or determine how vaccination records are used, and CDC does not provide the CDC-labeled, white COVID-19 vaccination record card to people. These cards are distributed to vaccination providers by state and local health departments. Please contact your state or local health department if you have additional questions about vaccination cards or vaccination records.
Related page:
Do I need to wear a mask and avoid close contact with others if I am fully vaccinated?
After you are fully vaccinated for COVID-19, take these steps to protect yourself and others:
- In general, you do not need to wear a mask in outdoor settings.
- If you are in an area with high numbers of COVID-19 cases, consider wearing a mask in crowded outdoor settings and when you are in close contact with others who are not fully vaccinated.
- If you have a condition or taking medications that weaken your immune system, you may not be fully protected even if you are fully vaccinated. You should continue to take all precautions recommended for unvaccinated people, including wearing a well-fitted mask, until advised otherwise by their healthcare provider.
- If you are fully vaccinated, to maximize protection from the Delta variant and prevent possibly spreading it to others, wear a mask indoors in public if you are in an area of substantial or high transmission.
I was fully vaccinated in another country. How do I transfer my proof of vaccination from that country to get a proof of vaccination card in the United States?
CDC does not keep vaccination records or determine how vaccination records are used. To update your records with vaccines you received while outside of the United States, you may:
- Contact the immunization information system (IIS) in your state. You can find state IIS information on the CDC website.
- Contact your healthcare provider or your local or state immunization program through your state’s health department.
The CDC-labeled white COVID-19 Vaccination Record Cards are only issued to people vaccinated in the United States. CDC recommends you keep your documentation of being vaccinated in the other country as proof of vaccination. CDC also recommends checking with your primary care provider or state health department for options to document your vaccination status domestically.
Am I considered fully vaccinated if I was vaccinated in another country?
You are considered fully vaccinated if you
- Received any single-dose COVID-19 vaccine series that is authorized or approved by the U.S. Food and Drug Administration (FDA) or listed for emergency use by World Health Organization (WHO).
- *Received any combination of two doses of an FDA approved/authorized or WHO emergency use listed COVID-19 two-dose series with at least 17 days between doses.
*CDC does not recommend mixing different COVID-19 vaccines for the primary series, but CDC is aware that this is increasingly common in many countries outside of the United States. Therefore, for the interpretation of vaccination records, these people are considered fully vaccinated.
Accepted COVID-19 Vaccines
Vaccines Approved or Authorized by the U.S. Food and Drug Administration Vaccines Listed for Emergency Use (EUL) by the World Health Organization
- Single doseJanssen/J&J
- Janssen/J&J
- 2-dose seriesPfizer-BioNTech
- Moderna
- Pfizer-BioNTech
- Moderna
- AstraZeneca
- Covishield
- BIBP/Sinopharm
- Sinovac
- Bharat Biotech (COVAXIN)
If you received a COVID-19 vaccine that is not authorized or approved by FDA or listed for emergency use by WHO, you may start over with an FDA-authorized or approved COVID-19 vaccine. Please note that no data are available on the safety or effectiveness of COVID-19 vaccination after receiving a non-FDA-authorized or approved COVID-19 vaccine. Wait at least 28 days after you received the last dose of the non-FDA-authorized or approved vaccine before receiving an FDA-authorized or approved COVID-19 vaccine.
Visit the clinical considerations webpage for more information.
Answers to more questions about:
- Healthcare Professionals and COVID-19 Vaccines
- Vaccines.gov
- Vaccine Administration Management System (VAMS)
- V-safe after Vaccination Health Checker
Reporting of vaccine adverse events
Adverse events that occur in a recipient following mRNA COVID-19 vaccination should be reported to VAERS. Vaccination providers are required by the Food and Drug Administration to report the following that occur after mRNA COVID-19 vaccination under Emergency Use Authorization:
- Vaccine administration errors
- Serious adverse events
- Cases of Multisystem Inflammatory Syndrome
- Cases of COVID-19 that result in hospitalization or death
Reporting is encouraged for any other clinically significant adverse event even if it is uncertain whether the vaccine caused the event. Information on how to submit a report to VAERS is available at https://vaers.hhs.gov or by calling 1-800-822-7967.
In addition, CDC has developed a new, voluntary smartphone-based tool, v-safe. This tool uses text messaging and web surveys to provide near real-time health check-ins after patients receive COVID-19 vaccination. Reports to v-safe indicating a medically significant health impact, including pregnancy, are followed up by the CDC/v-safe call center to collect additional information to complete a VAERS report, if appropriate.
Get vaccinated.
Get your smartphone.
Get started with v-safe.
Use your smartphone to tell CDC about any side effects after getting the COVID-19 vaccine. You’ll also get reminders if you need a second vaccine dose.
V-safe is a smartphone-based tool that uses text messaging and web surveys to provide personalized health check-ins after you receive a COVID-19 vaccine. Through v-safe, you can quickly tell CDC if you have any side effects after getting the COVID-19 vaccine. Depending on your answers, someone from CDC may call to check on you and get more information. V-safe will also remind you to get your second COVID-19 vaccine dose if you need one.
Note: V-safe cannot schedule vaccine appointments, including second doses of COVID-19 vaccines. If you need to schedule, reschedule, or cancel a COVID-19 vaccination appointment, contact the location that set up your appointment or a vaccine provider in your area. This may be your state or local health department, employer, or vaccine provider.