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Is the Covid vaccine working for me? The uncertainty of those who have no reaction after the puncture

Chills, sweating, tiredness, fever, tenderness or swelling at the application site, loss of appetite, muscle, headache or joint pain. They are some of the effects documented that could appear, with the passing of the hours, after the administration of the anti-Covid vaccine. This is explained on the back of the card that is delivered at the exit of the vaccination.

The reality poses multiple scenarios with some common denominators. In recent days, the topic of social conversation has settled around knowing what vaccine you were given and if you had any reaction.

It is that, in general, those who received doses of Sinopharm they state that they have not suffered any discomfort (they hardly feel a slight pain in the arm); while those who were injected with AstraZeneca O Sputnik they seem to be on a “harder” road. Although, a percentage of these two groups also do not notice any side effects.

Prevails bewilderment in the vaccinated person who feels “that they were given water” in the belief that the vaccine “turns on” (takes effect) the greater the burden of adverse symptoms. But that reasoning is not correct.

The experts consulted by Clarion agree that all vaccinated (both those who suffer from adverse reactions and those who just felt a prick) have a population probability of generate an immune response adequate to deal with the disease caused by SARS-CoV-2.

05 January 2021, Argentina, Rosario: A nurse receives a dose of the Russian Sputnik V vaccine against Coronavirus (COVID-19) in a public hospital in the city of Rosario. Photo: Alan Monzon/ZUMA Wire/dpa


Daniela Hozbor, Conicet principal investigator and vaccine specialist, points out that the side reactions they depend on several factors such as the type of vaccine formulation. He even mentions that, sometimes, the magnitude of the discomfort depends on issues that go beyond immunity, such as stress, fatigue, or anxiety. “Different platforms, different reactions. Different physiological states can modify the responses ”, he synthesizes.

“Just as with the same virus there can be asymptomatic or moderate infections, with the vaccine the same thing happens. It cannot be concluded that, if there is no reaction in the body, the immune system was not activated. That there are no side effects does not mean that the dose does not work”, Insists Guillermo Docena, immunologist and researcher at Conicet.

And it highlights that the adjuvant that generates the inflammatory response is different in each vaccine and that the differences in the reactions of each inoculate may be due to genetics, health history, treatments, oral antibiotics ingested, composition of the microbiota, among other causes. .

Immune response

Mario Lozano, molecular virologist and researcher at Conicet, explains that the side effects produced by a vaccine are associated with an effect and an initial and nonspecific response of the body against any strange agent. “The first thing that occurs is the inflammatory answer that prepares the body to “fight” and has no relation to the immune response, “he describes.

And it continues: “The immune response start later. It is designed to attack something in particular. Thus, our body teaches one type of white blood cells to produce antibodies (humoral immune response), trains other white blood cells to detect and eat the virus (cellular immune response) and prepares others to increase the response speed of both. first and maintain the immune response (immunological memory) in the long term ”.

For Arnaldo Casiró, head of Infectology Hospital Álvarez, the fact that post-vaccination one feels better or worse does not correlate with efficacy, but rather it depends on each organism since some react with more sensitivity to external stimuli and others less.

Also, consider that, on occasions, Sinopharm may involve milder effects than AstraZeneca because they have different mechanisms: AZ is an adenovirus that carries Covid spike particles and Sinopharm is directly the inactivated virus.

Why do we have adverse reactions?

Jorge Quarleri, biochemist and principal investigator at Conicet, explains that most of the symptoms can be attributed to exuberant production of a cytokine (soluble substance produced by a cell in our body) that plays a vital role in enhancing the early stages of the immune response (interferon type I -IFN-I-)

“The immunogens that are administered in a vaccine (imitating what happens after an infection), trigger -after being recognized as foreign by our cells- a series of reactions that they inhibit the production of these interferons. The magnitude of this response has a very personal imprint “

And he concludes: “The secondary effects vary considerably depending on the age and sex of the recipient, with more serious effects in women than in men and in younger people than in the elderly. It is highly probable, although unproven, that the side effects of COVID-19 vaccines are simply a by-product of a short burst of IFN-I generation concomitant with the induction of an effective immune response. “

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