Vaccines (Immunizations)
What Are Vaccines?
Created in laboratories by specialized scientists, vaccines help prevent serious diseases, including COVID-19, polio, measles, mumps, shingles, chickenpox and many more.
Vaccines have greatly reduced or eliminated life-threatening diseases that used to kill or disable millions of children and adults.
Depending on the vaccine, you may receive it:
- By injection (shot)
- Through a nasal spray
- Orally (drops)
How Do Vaccines Work?
Vaccines trigger your body to defend itself against dangerous bacteria or viruses, most often by introducing a very small, weakened or dead amount of the bacteria or virus. When your immune system is exposed to this version of a germ, it learns to recognize and destroy it if an active variety enters your body later.
Newer vaccines, including some of the COVID-19 vaccines, give cells instructions to activate an immune response.
Getting a vaccine typically means you won’t get sick, or you’ll have a milder infection, from that bacteria or virus.
Types of Vaccines
Researchers are continually developing and refining vaccine technology. Currently, vaccine types include:
Live virus vaccines. These use a weakened (attenuated) form of the germ that causes a disease. Although it’s not actually “alive,” the infectious agent is very similar to the natural infection, so these vaccines usually give strong, lifelong protection after one or two doses. Examples of live-attenuated vaccines include:
- Combined measles, mumps and rubella (MMR)
- Chickenpox
- The flu vaccine given into the nose
Inactivated vaccines. These use a dead version of the germ that causes a disease. Even though the agent is inactive, your immune system still recognizes and attacks it, building immunity. However, because they’re not as strong as live vaccines, inactivated vaccines may require boosters. Examples of inactivated vaccines include:
- Flu vaccine given as an injection
- Hepatitis A
- Polio (shot only)
- Rabies
Messenger RNA (mRNA) vaccines. This technology, extensively researched and tested for decades, was used to make some of the COVID-19 vaccines. mRNA vaccines don’t contain any live virus, but instead create proteins that trigger your body’s immune response.
Viral vector vaccines. Also studied for decades, viral vector technology uses a modified version of a different virus than the targeted disease’s virus, to train the immune system to attack the target. Viral vector technology is being studied or used in vaccines against:
- COVID-19
- Ebola
- HIV (being studied)
- Zika (being studied)
Biosynthetic vaccines. In some cases, scientists are able to create noninfectious substances that closely mimic a bacteria or virus. Often combined with additional, immune-boosting substances (adjuvants), these vaccines trigger a strong immune response, but may require boosters for ongoing effectiveness. Biosynthetic vaccines include:
- Hepatitis B
- Hib (Haemophilus influenzae type B)
- HPV (human papillomavirus)
- Meningitis
- Pneumococcal
- Whooping cough (pertussis)
Toxoid vaccines. A few vaccines use a chemically inactivated toxin from a disease-causing germ to build immunity targeted to that toxin. You may need booster shots for ongoing protection. Examples include vaccines for:
- Diptheria
- Tetanus
Are Vaccines Safe?
Research overwhelmingly supports vaccine safety and effectiveness. (Studies consistently debunk the belief that vaccines cause autism .) Before the Food and Drug Administration (FDA) approves any vaccine, scientists have studied and tested it, typically for years, to verify its effectiveness and safety.
Having mild side effects (headache, low fever, fatigue) after you get a vaccine typically means that your immune system is doing its job. A vaccine will not give you the disease it targets.
Serious side effects from vaccines are extremely rare, and clinical staff know what to do if you show a strong reaction after receiving a vaccine. For most people, including children, the risk of disease is much greater than a vaccine’s possible side effects.
These and many more national centers support immunizations:
- Centers for Disease Control and Prevention (CDC)
- American Academy of Pediatrics
- American Medical Association
- American Nurses Association (ANA)
When Should My Child or I Get Specific Vaccines?
The CDC publishes an up-to-date schedule for all available vaccines, including COVID-19.