COVID-19 (6m-4y) bivalent vaccine, Pfizer

What is the most important information I should know about this vaccine?

What is the COVID-19 vaccine?

COVID-19 is a serious disease caused by a coronavirus called SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2). COVID-19 is spread from person to person through the air.

COVID-19 can affect your lungs or other organs. Symptoms may be mild or serious and include fever, chills, cough, sore throat, shortness of breath, tiredness, body aches, headache, loss of taste or smell, runny or stuffy nose, nausea, vomiting, or diarrhea.

The COVID-19 bivalent vaccine is used to help prevent severe disease and death from COVID-19 caused by SARS-CoV-2.

The FDA has authorized emergency use of the Pfizer bivalent vaccine in people who are 6 months to 4 years old.

COVID-19 vaccine does not contain coronavirus and cannot give you COVID-19. This vaccine will not treat an active COVID-19 infection.

Like any vaccine, COVID-19 vaccine may not provide protection in every person.

What should I discuss with my healthcare provider before receiving this vaccine?

If you are infected with COVID-19, are waiting for testing results, or are exposed to someone infected with COVID-19: You may not be able to receive this vaccine until you have no symptoms and/or your required quarantine period has ended. Receiving this vaccine will not make you less contagious to other people if you are infected with COVID-19 but you have no symptoms.

Ask your doctor if you are unsure about any COVID-19 treatments you received.

Tell your vaccination provider if:

• you have a fever;
• you have any allergies;
• you have had inflammation in or around your heart (myocarditis or pericarditis);
• you have bleeding problems, or if you use a blood thinner (warfarin, Coumadin, Jantoven);
• you have a weak immune system caused by disease or by using certain medicine;
• you've received any other COVID-19 vaccine; or
• you have fainted after receiving an injection.

How is this vaccine given?

Read all vaccine information sheets provided to you.

The Pfizer COVID-19 bivalent vaccine is given to:

• unvaccinated people: three doses of Pfizer COVID-19 bivalent vaccine are given over at least 11 weeks. The first two doses are given three weeks apart. The third dose is given at least 8 weeks after the second dose.
• people who have received one dose of the monovalent Pfizer COVID-19 vaccine: two doses of Pfizer COVID-19 bivalent vaccine are given. The first dose of Pfizer COVID-19 bivalent vaccine is given three weeks after the monovalent Pfizer COVID-19 Vaccine and the second dose at least 8 weeks later.
• people who have received two doses of the monovalent Pfizer COVID-19 vaccine: A single dose of Pfizer COVID-19 bivalent vaccine is given at least 8 weeks after the monovalent Pfizer COVID-19 vaccine.
• people who have received three doses of the monovalent Pfizer-COVID-19 vaccine: a single dose of Pfizer COVID-19 bivalent vaccine is given at least 2 months after the monovalent Pfizer COVID-19 vaccine.
• immunocompromised people who have received three doses of Pfizer COVID-19 vaccine or Pfizer COVID-19 bivalent vaccine: a fourth dose with Pfizer COVID-19 bivalent vaccine may be given at least 1 month after the most recent dose.

Your doctor or vaccination provider will determine whether you need an additional dose.

You will receive a reminder card showing the date and type of each injection. Take this card with you each time you receive a COVID-19 vaccine.

Receiving a COVID-19 vaccine will not cause you to test positive on a coronavirus test. However, once your body develops immunity to COVID-19, you could test positive on an antibody test (a test to detect immunity in your body from previous exposure to coronavirus).

It is not known how long this vaccine will protect you from infection with COVID-19. It also is not known how long immunity will last in a person who's been infected with and recovered from COVID-19. COVID-19 vaccine is still being studied and all of its risks are not yet known. Updated federal public health recommendations may be found at https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html

What happens if I miss a dose?

What happens if I overdose?

An overdose of this vaccine is unlikely to occur.

What should I avoid after receiving this vaccine?

Avoid receiving other vaccines without first seeking medical advice.

What are the possible side effects of this vaccine?

Your vaccination provider may want to watch you for a short time after your shot, to make sure you don't have an allergic reaction. You will be treated quickly if you have a reaction right after you receive the vaccine.

You should not receive this vaccine if the first shot of COVID-19 vaccine caused an allergic reaction. Your doctor or vaccination provider will determine if you can safely receive this vaccine.

Not all possible side effects are known. Becoming infected with COVID-19 is much more dangerous to your health than receiving this vaccine.

• chest pain;
• shortness of breath; or
• fast or pounding heartbeats or fluttering in your chest.

Common side effects may include:

• fever, chills;
• redness or a hardness and swelling where the shot was given;
• swelling or tenderness under your arm;
• nausea, vomiting;
• feeling tired; or
• headache, muscle pain, joint pain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report vaccine side effects to the US Department of Health and Human Services at 1-800-822-7967.

You may also use a smartphone-based program called V-safe to communicate with the Centers for Disease Control and Prevention (CDC) about any health problems you have after receiving a COVID-19 vaccine: www.cdc.gov/vsafe.

What other drugs will affect this vaccine?

Before receiving this vaccine, tell your vaccination provider about all other vaccines you have received and all medicines you use. This includes prescription and over-the-counter medicines, vitamins, and herbal products.

Where can I get more information?

Your vaccination provider, pharmacist, or doctor can provide more information about this vaccine. Additional information is available from your local health department or the Centers for Disease Control and Prevention.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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