COVID-19 vaccine
After receiving the fourth dose of the BA.1/2 COVID-19 vaccine, I experienced swelling and pain in my armpit, which returned to normal after about a week.
Upon researching, I found that the side effect of the vaccine could be lymphadenopathy.
I would like to ask the doctor if I can proceed with the fifth dose of the BA.4/5 vaccine?
A, 40~49 year old female. Ask Date: 2023/03/09
Dr. Yang Zongyan reply Influenza
After receiving the fourth dose of the BA.1/2 COVID-19 vaccine, I experienced swelling and pain in the armpit of the vaccinated arm, which returned to normal after about a week.
Upon checking, I found that the side effect of the vaccine could be lymphadenopathy.
I would like to ask the doctor if I can proceed with the fifth dose of the BA.4/5 vaccine.
-----ANS: If you experienced lymphadenopathy and pain after the vaccination, it is possible that it was a side effect of the vaccine.
However, if the symptoms have resolved, it is advisable to follow the recommended schedule set by the government and proceed with the fifth dose of the BA.4/5 vaccine.
If the symptoms persist, it is still recommended to seek medical attention.
Reply Date: 2023/03/09
More Info
After experiencing lymph node swelling following your fourth dose of the COVID-19 vaccine, it's understandable to have concerns about receiving the fifth dose. Lymphadenopathy, or swelling of the lymph nodes, is a known side effect of various vaccines, including COVID-19 vaccines. This reaction typically indicates that your immune system is responding to the vaccine, which is a normal and expected outcome.
In general, if the lymph node swelling has resolved and you are feeling well, it is usually safe to proceed with the next dose of the vaccine. The Centers for Disease Control and Prevention (CDC) and other health authorities recommend continuing with vaccination schedules unless there are specific contraindications or severe allergic reactions to the vaccine components. Since your swelling was temporary and resolved within a week, it suggests that it was a mild reaction rather than a severe adverse event.
However, it is crucial to consider a few factors before proceeding with the fifth dose:
1. Consult Your Healthcare Provider: Before getting vaccinated again, it is advisable to discuss your previous reaction with your healthcare provider. They can assess your medical history, the nature of your lymph node swelling, and any other symptoms you may have experienced. This personalized advice is invaluable in determining whether you should proceed with the vaccination.
2. Monitor for Symptoms: If you decide to get the fifth dose, pay attention to how you feel before and after the vaccination. If you experience any unusual or severe symptoms, such as persistent swelling, fever, or other concerning signs, seek medical attention promptly.
3. Vaccination Guidelines: Stay updated with the latest guidelines from health authorities regarding COVID-19 vaccinations. Recommendations may change based on emerging data about vaccine efficacy and safety, especially concerning new variants like BA.4/5.
4. Underlying Health Conditions: If you have any underlying health conditions or are on medications that affect your immune system, discuss these with your healthcare provider. They may have specific recommendations based on your health status.
5. Potential Side Effects: Be aware that while lymph node swelling can occur again after the fifth dose, it is generally not a cause for alarm unless accompanied by other severe symptoms. Common side effects of COVID-19 vaccines include pain at the injection site, fatigue, headache, and mild fever.
In summary, if your lymph node swelling has resolved and you are otherwise healthy, it is likely safe to receive the fifth dose of the COVID-19 vaccine. However, consulting with your healthcare provider is essential to ensure that you make an informed decision based on your individual health circumstances. Vaccination remains a critical tool in controlling the spread of COVID-19 and preventing severe illness, so staying up to date with your vaccinations is important for your health and the health of those around you.
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