COVID-19 mRNA vaccine

The Moderna SpikeVax XBB.1.5 and Pfizer-BioNTech Comirnaty XBB.1.5 vaccines are the COVID-19 mRNA vaccines available in Alberta. The Pfizer-BioNTech XBB.1.5 vaccine may not be available at all sites. They are updated mRNA vaccines that help protect you against getting seriously ill from COVID-19, including XBB variants that are currently spreading.

Who should get this vaccine

Everyone is at risk of COVID-19. You can get an XBB.1.5 mRNA COVID-19 vaccine if you are age 6 months or older. COVID-19 vaccines are free.

Who should not get this vaccine

You may not be able to get the XBB.1.5 mRNA COVID-19 vaccine if:

• You have an allergy to any part of the vaccine.
• You had a severe (serious) or unusual side effect after this vaccine or one like it.
• You are under age 6 months.

If you have allergies or have had a side effect to this vaccine, check with your doctor or a public health nurse before you get the vaccine.

Although you can get the vaccine if you have a mild illness such as a cold or fever, you should stay home until you are feeling better to prevent spreading your illness to others.

Check with your healthcare provider about when you can get an mRNA COVID-19 vaccine if:

• You had COVID-19 in the past.
• You are under age 18 years and have a history of multisystem inflammatory syndrome (MIS-C).

Be sure to talk to your doctor before you get an mRNA COVID-19 vaccine if:

• You have a weak immune system (because of a medicine you take or a health problem).
• You have had a stem cell or organ transplant.
• You are getting CAR T-cell therapy (a type of cancer treatment).
• You have a history of myocarditis or pericarditis within 6 weeks of getting a dose of COVID-19 vaccine.

Already had COVID-19

If you have already had COVID-19, it is not yet known how long your protection will last or how much protection you will have against variants. It is important to get a COVID-19 vaccine even if you have already had the virus.

The vaccine may give you better protection if you wait a while after having COVID-19 and then get a vaccine. How long to wait depends on your health history, the number of doses of COVID-19 vaccine you have had, and your risk of getting very sick from COVID-19.

If you have had COVID-19 in the past, check with your healthcare provider about when to get a COVID-19 vaccine.

Pregnancy and breastfeeding

While you are pregnant, you have a higher risk of getting very sick from COVID-19. Getting a COVID-19 vaccine lowers your risk of getting seriously ill from the virus.

You can get an mRNA COVID-19 vaccine if you are pregnant or breastfeeding. There is more to learn about the Moderna XBB.1.5 and Pfizer-BioNTech XBB.1.5 vaccines while pregnant or breastfeeding, but information from the original mRNA vaccines found no safety concerns. Research shows that mRNA vaccines are the safest type of COVID-19 vaccine to get while pregnant or breastfeeding.

If you are pregnant or breastfeeding and have questions about getting a COVID-19 vaccine, talk to your healthcare provider.

Vaccines

If you are age 6 months to 4 years, you can get the Moderna XBB.1.5 vaccine.

If you are age 5 years or older, you can get either the Moderna XBB.1.5 vaccine or the Pfizer-BioNTech XBB.1.5 vaccine (if available).

There is no information about how well an XBB.1.5 protein-based COVID-19 vaccine works after getting an mRNA COVID-19 vaccine. However, information from the original COVID-19 vaccines shows no safety concerns. It is reasonable to expect the same from the XBB.1.5 protein-based vaccine after an mRNA vaccine, but there is still more to learn. If you have already gotten an mRNA COVID-19 vaccine, information shows that you may get better protection if you continue with an mRNA vaccine rather than getting a protein-based vaccine.

Doses

Consent for immunization

Consent for a COVID-19 vaccine for children under age 18 years is provided by a parent or guardian. If a parent or guardian cannot be at the appointment, they can use the consent form at COVID-19 consent for children under 18. In some cases, children under age 18 years may be able to give their own consent.

Alternate decision-makers (could be an agent, guardian, specific decision-maker, or co-decision-maker for another person) can use this consent form when they cannot attend an immunization appointment with the person they are authorized to make decisions for. Alternate decision-makers must also include (with the consent form) a copy of documents showing they are the person’s authorized decision-maker.

The person being immunized must bring the completed and signed consent form to their appointment.

How well it works

How well the vaccines work against COVID-19 is different for each variant of the virus. COVID-19 vaccines are the best way to lower your risk of getting COVID-19 or getting very sick from it.

The mRNA vaccines give the best protection. The XBB.1.5 mRNA vaccines and the XBB.1.5 protein-based vaccine are the only vaccines available in Alberta made to protect against the XBB variants that are currently spreading. These updated vaccines will help to lower your risk of getting seriously ill from COVID-19 and needing to be in the hospital.

COVID-19 vaccines and other vaccines

You can get most vaccines at the same time as, any time before, or any time after an mRNA COVID-19 vaccine, including routine vaccines and the influenza vaccine. However, certain vaccines have a waiting period. If you had another vaccine in the last 4 weeks, check with your healthcare provider about when you can get the mRNA COVID-19 vaccine.

Side effects

There can be side effects from mRNA COVID-19 vaccines, but they tend to be mild and go away in a few days. Side effects may include:

• redness, swelling, a hard spot, or feeling sore where you had the needle
• feeling tired or have a headache
• a fever or chills
• body aches or sore joints
• feeling stiff
• pain in your arms or legs
• feeling sick to your stomach (nausea), vomiting (throwing up), loose stool (diarrhea)
• swollen lymph nodes
• swelling or feeling sore in your armpit or groin
• feeling dizzy
• a reduced sense of touch or a feeling of numbness
• a rash or hives

Children age 5 years and younger may also get upset easily, be sleepy, cry, or may not want to eat.

At least 1 out of 100 people who got this vaccine reported 1 or more of these side effects. In some cases, it is unknown if the vaccine caused these side effects.

Current information shows that there is a similar risk of side effects after each dose of an mRNA COVID-19 vaccine.

It is important to stay at the clinic for 15 minutes after your vaccine. Some people may have a rare but serious allergic reaction called anaphylaxis. If anaphylaxis happens, you will get medicine to treat the symptoms.

It is rare to have a serious side effect. Call Health Link at 811 to report any serious or unusual side effects.

Rare events

There have been very rare reports of myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the lining around the heart) within 7 days of getting an mRNA vaccine. Most reported cases were mild and got better with treatment.

The inflammation can cause shortness of breath, chest pain or pressure, or a very fast or abnormal heart rate. Get medical help right away if you have any of these symptoms.

Research has shown that the risk of these rare events after additional doses is lower than the risk after the second dose for any type of mRNA vaccine. Moderna and Pfizer-BioNTech COVID-19 vaccines have a similar low risk of myocarditis and pericarditis.

Research has shown that children age 5 to 11 years have a lower risk of these events than adolescents and adults.

In clinical trials for both the Pfizer-BioNTech and Moderna vaccines, there were no reports of myocarditis or pericarditis in children age 6 months to 5 years.

Research is still happening to learn more about the risk of these rare events after a getting an XBB.1.5 vaccine.

It is not known if having a history of myocarditis or pericarditis puts you at higher risk of having these rare events after a COVID-19 vaccine. Talk to your doctor before you get a dose of COVID-19 vaccine if:

• You had myocarditis or pericarditis within 6 weeks of getting a COVID-19 vaccine.
• You have a history of myocarditis or pericarditis and you have questions about getting a COVID-19 vaccine.

Your risk of getting seriously ill from COVID-19 is much higher than your risk of having a rare event after these vaccines.