Post-vaccination issues?
Hello Dr.
Hong, on July 29th at around 1:40 PM, I received the second dose of the Moderna vaccine.
On July 30th at 12:30 AM, my ear temperature was 37.2°C; at 2:20 AM, it was 37.9°C; at 4:30 AM, it was 38.6°C (I took one dose of pain reliever).
From 5:00 AM to 8:00 AM, my temperature was around 37.5°C to 37.7°C.
At 10:00 AM, my ear temperature was 38.2°C (I took another dose of pain reliever), and my temperature dropped to 37.5°C.
By 3:00 PM, my temperature returned to 38.1°C to 38.6°C.
The medication seemed to last about four hours before I started feeling chills and my temperature rose again to 38°C (with joint pain and a hard lump at the injection site).
I would like to ask the doctor if this is considered normal? Do I need to seek medical attention, or can I observe for a while longer? I'm also uncertain about when to start counting the 48 hours—should it be from the time of vaccination?
add, 20~29 year old female. Ask Date: 2021/07/30
Dr. Hong Yuanbin reply Internal Medicine
Hello, starting from July 29 at 1:40 PM, experiencing fever, fatigue, and pain within 48 hours is normal.
It is advisable to drink plenty of water and rest.
If the pain is severe or if the fever is very uncomfortable, you can take a dose of acetaminophen.
Symptoms should improve after 48 hours.
Thank you for your inquiry.
Reply Date: 2021/07/30
More Info
After receiving a vaccine, it's common to experience a range of side effects, which can vary in intensity and duration. In your case, after receiving the second dose of the Moderna vaccine, you reported experiencing fever, chills, joint pain, and discomfort at the injection site. These reactions are generally considered normal and are indicative of your immune system responding to the vaccine.
Typically, vaccine side effects can include fever, fatigue, headache, muscle pain, chills, joint pain, and localized reactions at the injection site, such as redness or swelling. These symptoms usually appear within a few days of vaccination and can last for a few days. The timeline you provided indicates that your symptoms began shortly after vaccination and fluctuated over the course of several hours, which is consistent with common post-vaccination reactions.
In general, mild to moderate side effects can be managed at home with over-the-counter medications like acetaminophen (Tylenol) or ibuprofen (Advil) to alleviate pain and reduce fever. It's important to stay hydrated and rest as your body works to build immunity.
However, there are certain signs that warrant medical attention. You should seek medical advice if you experience any of the following:
1. Persistent High Fever: If your fever exceeds 102°F (39°C) or lasts more than 48 hours.
2. Severe Allergic Reactions: Symptoms such as difficulty breathing, swelling of the face or throat, rapid heartbeat, or a rash that spreads.
3. Severe Pain or Swelling: If the pain at the injection site becomes severe or if you notice significant swelling or redness that worsens over time.
4. Neurological Symptoms: Any unusual symptoms such as persistent headache, vision changes, or seizures.
5. Chest Pain or Shortness of Breath: These could indicate a more serious condition and should be evaluated immediately.
Regarding your question about the 48-hour observation period, it typically starts from the time of vaccination. Therefore, you should monitor your symptoms closely for 48 hours post-vaccination. If your symptoms are mild and manageable, it is reasonable to continue monitoring them at home. However, if you find that your symptoms are worsening or not improving, it is advisable to consult a healthcare professional.
In summary, while your symptoms appear to be within the normal range of post-vaccine reactions, it is crucial to remain vigilant. If you have any concerns or if your symptoms escalate, do not hesitate to seek medical advice. Your health and safety are paramount, and healthcare providers are there to assist you in navigating any post-vaccination issues you may encounter.
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