• Published on: Nov 13, 2020
  • 2 minute read
  • By: Dr Rajan ( Medical Second Opinion Cell)

What Are Some Common Side Effects Of The COVID-19 Vaccine?

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COVID Vaccine, the Pfizer update

On Monday Pfizer announced to the world the vaccine, once it has been developing with Germany's BioNTech, was found to be more than 90?fective. If this is substantiated, it may be possible for countries to receive the vaccine before the end of the year.

The Vaccine is an mRNA Vaccine, a novel method that introduces viral RNA into the body via a viral coat. The vaccine is incorporated into the person's cell, where the viral RNA is read and viral proteins are produced, including the coronavirus coat proteins. As the body reads and recognizes these proteins, it produces antibodies against these viral proteins and activates immune T cells against the virus.

The Pfizer results are based of a phase 3 clinical trial with 43, 538 participants with a diverse background. In this trial, the participants were split between those receiving a vaccine, and those who received a placebo with no effect. The vaccine is administered in two parts, with a 90?ficacy obtained 7 days after the second dose. This would mean a person is vaccinated just 28 days after the initial vaccination.

The FDA usually looks for a minimum 50?ficacy in vaccination when approving new vaccines. It may surprise you that the annual flu jab is also estimated to be 50?fective. The data from Pfizer was verified by an external, independent Data Monitoring Committee. It used data from 94 patients enrolled in the trial and subsequently developed COVID. It is from this groupset that 90% of efficacy is obtained. This is not the final data analysis, and further publications are expected in late November, with a potential FDA Emergency Use Authorisation approval if the data continues to show promise.

If approved, Pfizer has the ability to make 50 million shots before the end of the year, and 1.3 billion by the end of 2021. Many countries are clamoring for their fair share of these limited resources; the US has already negotiated 200m shots, UK 50m, and Germany (one of the major financers for the Pfizer vaccine) over 300m for European Countries.

We should emphasize that rapid vaccine development on this scale at this speed was unheard of prior to COVID. Usually, the animal studies for vaccines can take 1-2 years. In that time Pfizer and others have managed phase 1-3 clinical trials in humans, something that usually takes upwards of 10 years.

There are many unanswered questions that remain from this information.

  1. How safe is the vaccine? Whilst safety information was not published, overall the vaccine appears to have minimal side effects. This is particularly difficult to state however since mRNA vaccines have never been used in people before.
  2. Does the vaccine prevent transmission? In theory, yes. If you are immunized the replication of the virus should be limited significantly, so the number of viruses in each cough will be much lower. However, we do not have data to prove that there is no transmission, but that is also because we have very little data overall.
  3. How long does the protection last? This is a very critical question. The 90?fectiveness rate was calculated just 7 days after the second shot, but it is likely this will change as data is collected over the long term. Some studies have suggested the antibody response fades within months following COVID infection. T Cell immunity on the other hand can stay for years, and it may be the effectiveness of creating a T cell immunity that dictates just how good this vaccine will be .
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Fatigue

why fatigue should not be ignored

Feeling tired occasionally is a normal response to physical exertion, lack of sleep or emotional stress. However, when fatigue becomes persistent, overwhelming or unexplained, it should not be dismissed. Fatigue is one of the most common symptoms reported in healthcare, yet it is also one of the most frequently ignored.

Understanding why fatigue should not be ignored is essential because it often acts as an early warning sign of deeper physical or mental health issues.

 

What Is Fatigue?

Fatigue is a state of ongoing physical, mental or emotional exhaustion that:

  • lasts longer than expected
     

  • interferes with daily activities
     

  • does not improve with rest or sleep
     

Unlike ordinary tiredness, fatigue affects motivation, concentration and overall functioning.

 

Why Fatigue Is Commonly Ignored

Fatigue is often dismissed because:

  • busy lifestyles normalise exhaustion
     

  • symptoms develop gradually
     

  • people attribute fatigue to stress or ageing
     

  • rest temporarily masks the issue
     

Ignoring fatigue allows underlying conditions to progress unnoticed.

 

Common Medical Causes of Persistent Fatigue

Nutritional Deficiencies

Deficiencies in:

  • iron
     

  • vitamin B12
     

  • vitamin D
     

  • magnesium
     

can significantly reduce energy levels and cause weakness.

 

Anaemia

Anaemia reduces oxygen delivery to tissues, leading to:

  • constant tiredness
     

  • breathlessness
     

  • dizziness
     

It is one of the most common yet underdiagnosed causes of fatigue.

 

Thyroid Disorders

Both underactive and overactive thyroid conditions affect metabolism.

Symptoms include:

  • fatigue
     

  • weight changes
     

  • cold or heat intolerance
     

Thyroid-related fatigue often persists despite rest.

 

Chronic Infections

Low-grade or unresolved infections keep the immune system activated, causing prolonged fatigue.

 

Hormonal Imbalance

Hormones regulate energy, sleep and metabolism.

Imbalance may lead to:

  • exhaustion
     

  • poor sleep
     

  • low motivation
     

 

Poor Sleep Quality

Even with sufficient sleep duration, poor sleep quality can cause fatigue due to:

  • sleep apnea
     

  • frequent awakenings
     

  • stress-related insomnia
     

 

Mental Health Conditions

Anxiety, depression and chronic stress commonly present with fatigue as a primary symptom.

Mental fatigue is as real and impactful as physical fatigue.

 

Lifestyle Factors That Worsen Fatigue

Certain habits intensify tiredness:

  • irregular meals
     

  • excessive caffeine
     

  • dehydration
     

  • lack of physical activity
     

  • prolonged screen use
     

Lifestyle-related fatigue often coexists with medical causes.

 

How Fatigue Affects Daily Life

Persistent fatigue impacts:

  • work performance
     

  • concentration and memory
     

  • emotional regulation
     

  • physical activity
     

  • social relationships
     

Over time, quality of life declines significantly.

 

Warning Signs That Fatigue Needs Medical Attention

Seek evaluation if fatigue:

  • lasts more than two weeks
     

  • worsens progressively
     

  • occurs with weight loss or fever
     

  • is associated with breathlessness
     

  • interferes with daily tasks
     

These signs suggest an underlying issue.

 

Why Early Evaluation Matters

Early identification of fatigue causes:

  • prevents disease progression
     

  • simplifies treatment
     

  • improves recovery time
     

  • restores normal energy levels
     

Delayed care often leads to chronic complications.

 

Diagnostic Evaluation for Fatigue

Assessment may include:

  • detailed history
     

  • blood tests
     

  • nutritional screening
     

  • hormonal evaluation
     

  • sleep assessment
     

Testing helps identify root causes rather than treating symptoms alone.

 

Can Fatigue Be Prevented?

Some preventive measures include:

  • balanced nutrition
     

  • adequate hydration
     

  • regular physical activity
     

  • consistent sleep routine
     

  • stress management
     

However, prevention does not replace evaluation when fatigue persists.

 

Fatigue and Chronic Disease Risk

Long-term fatigue may be linked to:

  • cardiovascular disease
     

  • metabolic disorders
     

  • immune dysfunction
     

This makes fatigue an important early health signal.

 

When Rest Is Not Enough

If energy does not return after:

  • adequate sleep
     

  • reduced workload
     

  • lifestyle changes
     

medical evaluation is essential.

 

The Cost of Ignoring Fatigue

Ignoring fatigue can lead to:

  • delayed diagnosis
     

  • worsening health conditions
     

  • reduced productivity
     

  • emotional burnout
     

Listening to the body early prevents long-term consequences.

 

Conclusion

Fatigue is not merely a sign of a busy life—it is often the body’s way of signalling imbalance or illness. Persistent tiredness that does not improve with rest should never be ignored. Whether caused by nutritional deficiencies, hormonal changes, chronic stress or underlying disease, fatigue deserves attention. Early evaluation and timely care can restore energy, prevent complications and significantly improve quality of life. Listening to fatigue is an act of self-care and preventive health.

 

References

  • Indian Council of Medical Research (ICMR) – Fatigue and Lifestyle Health Report

  •  World Health Organization (WHO) – Chronic Fatigue and Health Guidelines

  •  National Institute of Nutrition (NIN) – Nutrient Deficiency and Energy Research

  • Lancet – Fatigue as a Marker of Chronic Disease Studie

  •  Indian Journal of Medicine – Persistent Fatigue and Diagnosis

  • Statista – Fatigue, Stress and Health Trend Analysis

See all

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