Table of ContentsView AllTable of ContentsPfizer-BioNTech VaccineModerna VaccinesNovavax VaccinesEffectiveness Against New Strains
Table of ContentsView All
View All
Table of Contents
Pfizer-BioNTech Vaccine
Moderna Vaccines
Novavax Vaccines
Effectiveness Against New Strains
Key TakeawaysThe Moderna, Pfizer-BioNTech, and Novavax vaccines protect against many known variants of COVID-19.The Moderna and Pfizer-BioNTech vaccines offer immunity against COVID-19 for up to six months.To increase protection, getting an updated COVID-19 vaccine is now recommended for everyone six months and older.Immunity wanes as antibody levels drop, so the need for annual shots and boosters to maintain immunity is likely.
Key Takeaways
The Moderna, Pfizer-BioNTech, and Novavax vaccines protect against many known variants of COVID-19.The Moderna and Pfizer-BioNTech vaccines offer immunity against COVID-19 for up to six months.To increase protection, getting an updated COVID-19 vaccine is now recommended for everyone six months and older.Immunity wanes as antibody levels drop, so the need for annual shots and boosters to maintain immunity is likely.
COVID-19 vaccines first became available in December 2020. Like most vaccines, the COVID-19 vaccines work in more than one way to prevent infection. The first involves the production of antibodies.
Your body uses antibodies to fight off infection, but not as easily when it has never seen a novel, or new, virus. Because SARS‑CoV‑2 was a new virus, human bodies had not developed an antibody defense for it. The vaccines help it to achieve that.
The second way the vaccines work is to help the body develop responses in what are called memoryB cellsand T cells. These are immune cells that store information for future reference. This ability is called immunological memory.
However, immunity does wane. Your individual response and other factors contribute to this loss of protection. Like human memory, cellular memory is short.Booster shotshelp to “remind” it of how to respond to a virus or otherpathogen.
That said, to help maintain immunity, COVID-19 boosters and updated vaccines have been rolled out each fall since 2021.
This article explores research on the vaccines and what is known about the immunity they provide. It will help you to know more about each specific vaccine and how often you will need to get them. Here’s how each of the current vaccines works.
What This Means for YouIt’s become clear that COVID-19 vaccines will need to be given more than just once. It’s likely that boosters and annual vaccines—whether the existing shots or other therapies yet to be developed—will be needed throughout your life.
What This Means for You
It’s become clear that COVID-19 vaccines will need to be given more than just once. It’s likely that boosters and annual vaccines—whether the existing shots or other therapies yet to be developed—will be needed throughout your life.
Antibodies From Vaccines vs. Antibodies From Natural Infection
Pfizer-BioNTech is an mRNA vaccine, based on a newerapproach to making vaccines. It relies on the power ofnucleic acidsfound in genetic material, butnotthe DNA that is uniquely yours. Here’s what is known about how long it will work to offer immunity.
Pfizer’s vaccine, also known as Comirnaty, was authorized for emergency use in the U.S. in December 2020. In August 2021, it received full approval from the FDA for use in individuals ages 16 and older.It was later authorized for anyone ages 6 months and older.
Since then, Pfizer has updated the formula of the vaccine to provide better protection against newer variants of the virus, like Omicron and its subvariants.
What’s the Difference Between a DNA and RNA Vaccine?
When Does It Start Working?
The original Pfizer vaccine was given in two doses scheduled three weeks apart. With the current updated formula, the vaccine is given as a single dose for anyone 5 years and older. For those who are immunocompromised and for children up to 4 years old, the vaccine is given as a three-dose series. However, for those receiving multiple doses for their initial vaccination, an interval longer than four weeks between doses may help reduce the risk ofmyocarditisassociated with the mRNA COVID-19 vaccines.
According to the CDC, these doses are given as injections and offer full protection two weeks after the second dose. The data suggest that after the first dose, some immune response is present in about two weeks.
A CDC report that tracked almost 4,000 healthcare personnel, first responders, and other frontline workers under real-world conditions found that the mRNA vaccines (Pfizer-BioNTech and Moderna) were 80% effective at least 14 days following the first dose and 90% effective at least two weeks after the second dose.
How Long Does Immunity Last?
Further research on the Pfizer vaccine supports its effectiveness. A November 2021 research review of studies on nine different COVID-19 vaccines developed around the world found that overall, the Pfizer and Moderna vaccines performed better than alternatives in preventing symptomatic disease.
Boosters and Updated Vaccines
In November 2021, the FDA approved a single booster shot of the Pfizer COVID-19 vaccine for people aged 18 and older.The FDA later expanded that authorization to include children and adolescents ages 5 to 17 who completed their initial vaccination series at least five months prior.Additional mRNA booster doses for certain higher-risk individuals were also recommended.
The vaccine’s formula has been updated and authorized every year to more closely match the dominant COVID-19 variant. The 2024-2025 formula authorized in August 2024 targets the KP.2 Omicron variant.
The Moderna vaccine, also known asSpikevax,has been FDA-approved for use in the U.S. since January 2022 for the prevention of COVID-19 in individuals 18 years of age and older. Prior to this approval, it had been authorized for emergency use in the U.S. since December 2020. The vaccine was later authorized for use in individuals 6 months through 17 years of age. Like Pfizer, it is an mRNA vaccine but there are a few differences.
Moderna has since updated the formula of its vaccine to provide better protection against newer variants of the virus.
The Moderna vaccine was also originally given in two doses. Both are needed to be considered fully vaccinated. People who receive this vaccine need to schedule their second dose four weeks after the first—and no sooner.
As with the Pfizer vaccine, the CDC states that an eight-week interval between doses may be optimal for certain people to reduce the risk of myocarditis.
Full protection is achieved two weeks after the second dose, but some protection occurs earlier. A document filed with the FDA shows an overall efficacy of 50.8% between days one and 14. That rises to 92.1% after 14 days when you’ve had one dose but are still waiting for the other.
How Long Will Immunity Last?
Correspondence inThe New England Journal of Medicine(NEJM) states that antibodies produced in response to Moderna’s original COVID-19 vaccine persisted through six months after the second dose.
According to the CDC, updated COVID-19 vaccines can provide protection for several months.
On November 19, 2021, the FDA approved a single booster shot of the Moderna COVID-19 vaccine for those aged 18 and older.
A second mRNA booster was later authorized for people 12 years and older with certain kinds of immunocompromise and all adults 50 and older who have received an initial booster at least four months previously.
Like the Pfizer vaccine, the formula of the Moderna vaccine has been updated to help protect against newer variants. The updated 2024-2025 formula targets the KP.2 Omicron variant.
The Novavax COVID-19 vaccine is a protein subunit vaccine, which means it contains pieces of the virus that causes COVID-19.On August 19, 2022, the FDA authorized the Novavax COVID-19 Vaccine, Adjuvanted for emergency use in individuals ages 12 and older.
As with the mRNA vaccines, the Novavax vaccine has been updated annually to match newer variants. In October 2023, the FDA authorized Novavax’s updated vaccine formula, which was designed to protect against the XBB.1.5 Omicron variant.In August 2024, Novavax updated the formula to target the JN.1 Omicron variant, which is the parent strain of the KP.2 strain that the updated mRNA vaccines target.
Research suggests that the Novavax vaccine is just as safe and effective as the Pfizer-BioNTech and Moderna COVID-19 vaccines. It was associated with protection against infection with the Omicron variant and symptomatic COVID-19 up to four months after completing the primary series.
The COVID-19 virus has changed over time due to mutations that result in a different strain of the virus. This is common for viruses, but some changes have greater impact than others. They may spread more rapidly, cause more or less serious illness, or fail to respond to the existing vaccines.
The CDC will classify some strains as a “variant of concern” when they have the potential for this greater impact. In late 2021, the Omicron became the dominant variant and was considered a variant of concern. Omicron subvariants remain the dominant strain of the virus.
Omicron and Vaccines
Because the Omicron variant was newly emerging and spreading quickly, there is little data to support a conclusion about how vaccines will provide immunity. In a December 2021 update, the CDC said it fully expectedbreakthrough infectionseven among the fully vaccinated.
Early evidence suggested that vaccinated people can still spread the Omicron variant. However, the existing vaccines were still expected to protect against serious illness and death.
Since then, both the 2023-2024 and 2024-2025 formulas of each vaccine have targeted Omicron subvariants. One study found that people who received the updated 2023-2024 vaccine were less likely to be hospitalized from COVID-19 than those who did not receive it.
The CDC recommends everyone 6 months and older receive an updated COVID-19 vaccine (Pfizer-BioNTech, Moderna, or Novavax) to protect themselves against serious illness from COVID-19.
How Vaccine Makers Are Tackling the Omicron Variant
Summary
The short answer to how long your COVID-19 vaccine will protect you is that no one knows for sure yet. The FDA is clear that there is not yet enough data to definitively answer the question. However, for many people, vaccination can provide months of protection.
Years after the pandemic started, there has been much progress. The three updated vaccines that are currently authorized for use in the U.S. (Pfizer, Moderna, and Novavax) continue to protect people from becoming seriously ill in the hospital or dying from the disease.
Just as the virus changes over time, so does the global response to it. If you’re still not sure about the vaccines, consider the CDC’s advice: Any vaccine is better than none at all.
How To Protect Yourself From New COVID-19 Variants
The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit ourcoronavirus news page.
22 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Centers for Disease Control and Prevention.COVID-19 vaccinations in the United States.
World Health Organization.How do vaccines work?
Food and Drug Administration.FDA approves first COVID-19 vaccine.
U.S. Department of Health and Human Services.COVID-19 vaccines.
Centers for Disease Control and Prevention.Interim clinical considerations for use of COVID-19 vaccines currently approved or authorized in the United States.
Naaber P, Tserel L, Kangro K, Sepp E, Jürjenson V, Adamson A, Haljasmägi L, Rumm AP, Maruste R, Kärner J, Gerhold JM, Planken A, Ustav M, Kisand K, Peterson P.Dynamics of antibody response to BNT162b2 vaccine after six months: a longitudinal prospective study. Lancet Reg Health Eur. 2021 Nov;10:100208. doi: 10.1016/j.lanepe.2021.100208
Thompson MG, Burgess JL, Naleway AL, et al.Interim estimates of vaccine effectiveness of BNT162b2 and mRNA-1273 COVID-19 vaccines in preventing SARS-CoV-2 infection among health care personnel, first responders, and other essential and frontline workers — eight U.S. Locations, December 2020–March 2021.MMWR Morb Mortal Wkly Rep. 2021 Apr 2;70(13):495-500. doi:10.15585/mmwr.mm7013e3
Rotshild V, Hirsh-Raccah B, Miskin I, Muszkat M, Matok I.Comparing the clinical efficacy of COVID-19 vaccines: a systematic review and network meta-analysis.Sci Rep. 2021;11(1):22777. doi:10.1038/s41598-021-02321-z
Food and Drug Administration.Coronavirus (COVID-19) update: FDA expands eligibility for COVID-19 vaccine boosters.
U.S. Centers for Disease Control and Prevention.Coronavirus (COVID-19) update: FDA authorizes additional vaccine dose for certain immunocompromised individuals.
Food and Drug Administration.Vaccines and Related Biological Products Advisory Committee Meeting December 17, 2020, FDA briefing document: Moderna: COVID-19 vaccine.
Doria-Rose N, Suthar MS, Makowski M, et al.Antibody persistence through 6 months after the second dose of mRNA-1273 vaccine for Covid-19.N Engl J Med. 2021;384(23):2259-2261. doi:10.1056/NEJMc2103916
Centers for Disease Control and Prevention.COVID-19 vaccine effectiveness.
U.S. Centers for Disease Control and Prevention.CDC recommends additional boosters for certain individuals.
Centers for Disease Control and Prevention.COVID-19 Vaccine Basics.
Novavax.U.S. FDA grants emergency use authorization for Novavax COVID-19 vaccine, adjuvanted for adolescents aged 12 through 17.
U.S. Food and Drug Administration.Novavax COVID-19 Vaccine, Adjuvanted.
Mateo-Urdiales A, Sacco C, Petrone D, et al.Estimated effectiveness of a primary cycle of protein recombinant vaccine nvx-cov2373 against COVID-19.JAMA Netw Open. 2023;6(10):e2336854. doi:10.1001/jamanetworkopen.2023.36854
DeCuir J, Payne AB, Self WH, et al.Interim Effectiveness of Updated 2023-2024 (Monovalent XBB.1.5) COVID-19 Vaccines Against COVID-19-Associated Emergency Department and Urgent Care Encounters and Hospitalization Among Immunocompetent Adults Aged ≥18 Years - VISION and IVY Networks, September 2023-January 2024.MMWR Morb Mortal Wkly Rep. 2024;73(8):180-188. Published 2024 Feb 29. doi:10.15585/mmwr.mm7308a5
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