Does COVID Vaccine Still Offer Protection After Positive Test in Kids? - Pediatrics

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COVID-19 vaccine


Doctor, my child is 12 years old and received the first dose of the BNT vaccine, but tested positive for COVID-19 two days later through a rapid test and was confirmed positive during a telemedicine consultation.
Does this mean the BNT vaccine was ineffective? Will it still provide any protective effect? Thank you.

Min, 30~39 year old female. Ask Date: 2022/05/30

Dr. Pei Rensheng reply Pediatrics


Hello: After vaccination, it takes an average of two weeks to develop protective immunity.
After contracting COVID-19, you must wait 90 days before receiving another COVID-19 vaccine.
The previously administered vaccine still counts as the first dose, and you should start from the second dose! Wishing everyone health and safety! Sincerely, Dr.
Pei Ren-Sheng, Attending Physician, Pediatrics, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2022/05/30

More Info


The question regarding whether the COVID-19 vaccine still offers protection after a child tests positive for the virus is a common concern among parents. In your case, your child received the first dose of the BNT (BioNTech) vaccine and subsequently tested positive for COVID-19 just two days later. It’s understandable to wonder about the effectiveness of the vaccine in this situation.

Firstly, it’s important to clarify that the COVID-19 vaccines, including BNT, are designed to stimulate the immune system to produce antibodies and prepare the body to fight off the virus. However, it typically takes about two weeks after the first dose for the vaccine to provide significant protection. This means that if your child tested positive just two days after vaccination, it is likely that the vaccine had not yet had enough time to build up a robust immune response.

Even though your child tested positive shortly after vaccination, this does not mean that the vaccine was ineffective. The vaccine still plays a crucial role in reducing the severity of the disease and the risk of complications. Studies have shown that vaccinated individuals who contract COVID-19 tend to experience milder symptoms compared to those who are unvaccinated. Therefore, while your child may have tested positive, the vaccine could still help in mitigating the severity of the illness.

Moreover, it’s essential to understand that the presence of a positive test indicates an active infection, and the immune response from the vaccine may help in controlling the viral load and preventing severe outcomes. After recovering from COVID-19, your child’s immune system will also have the added benefit of natural immunity, which can complement the protection offered by the vaccine.

In terms of future vaccinations, it is generally recommended that individuals who have tested positive for COVID-19 wait at least 90 days before receiving another dose of the vaccine. This is to ensure that the immune system has adequately responded to the infection and to avoid potential interactions between the vaccine and the natural immune response.

In summary, while your child did test positive shortly after receiving the first dose of the BNT vaccine, this does not negate the protective effects of the vaccine. It is still beneficial for your child to complete the vaccination series once the appropriate time has passed after recovery. Vaccination remains a critical tool in the fight against COVID-19, especially in children, as it helps to reduce the risk of severe illness and contributes to community immunity.

If you have further concerns about your child's health or vaccination schedule, it is advisable to consult with a healthcare professional who can provide personalized guidance based on your child's medical history and current health status.

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