Intermittent Abdominal Pain After BNT Vaccine: When to Seek Help - Family Medicine

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After receiving the COVID-19 vaccine


Hello, I would like to ask what could be the reason for experiencing intermittent sharp pain in the left and right abdomen 20 hours after receiving the first dose of the BNT vaccine? Should I see a doctor?

Arin, 20~29 year old female. Ask Date: 2022/06/29

Dr. Lin Zhebin reply Family Medicine


Hello: Abdominal cramps following the BNT vaccine are relatively uncommon, and most discomfort tends to occur after the second dose.
It is speculated that this may be due to muscle soreness in the abdominal area caused by the vaccine.
Typically, any discomfort associated with the vaccine gradually alleviates within 1-2 days.
It is advisable to monitor whether the symptoms worsen or persist beyond 1-2 days.
Additionally, keep an eye out for any new symptoms, such as vomiting or diarrhea.
If any of these occur, seeking medical attention would be appropriate.

Reply Date: 2022/06/29

More Info


After receiving the first dose of the BNT vaccine, experiencing intermittent abdominal pain approximately 20 hours post-injection can be concerning. While it is relatively uncommon for the BNT vaccine to cause abdominal pain, it is not entirely out of the question. The symptoms you describe could be attributed to several factors, including the body's immune response to the vaccine, muscle strain, or even unrelated gastrointestinal issues.

The BNT vaccine, like other vaccines, works by stimulating the immune system to recognize and fight the virus that causes COVID-19. This immune response can sometimes lead to mild to moderate side effects, including pain at the injection site, fatigue, headaches, and muscle aches. However, abdominal pain is less frequently reported. It is possible that the pain you are experiencing is a result of muscle soreness or tension, particularly if you have been more active or stressed than usual.

Typically, vaccine-related side effects resolve within a few days. If your abdominal pain persists beyond 1-2 days, or if it worsens, it is advisable to seek medical attention. Additionally, if you experience other symptoms such as fever, vomiting, diarrhea, or severe discomfort, these could indicate a more serious condition that warrants immediate medical evaluation.

In your case, since the pain is intermittent and not accompanied by other concerning symptoms, it may be reasonable to monitor the situation for a short period. However, if the pain becomes more frequent or severe, or if you have any doubts about your health, do not hesitate to consult a healthcare professional. They can provide a thorough assessment and determine if further investigation is necessary.

It is also important to consider that abdominal pain can arise from various non-vaccine-related causes, such as gastrointestinal issues, muscle strain, or even stress. If you have a history of gastrointestinal problems or if the pain is localized and persistent, it may be beneficial to consult a gastroenterologist.

In summary, while intermittent abdominal pain after receiving the BNT vaccine is not a common side effect, it is essential to pay attention to your body and seek medical advice if the symptoms persist or worsen. Always prioritize your health and well-being, especially when preparing for significant life events, such as studying abroad. If in doubt, consulting a healthcare provider is the best course of action.

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