COVID-19: How the vaccine works

Find out how mRNA vaccines work, how it’s given and what the Pfizer vaccine is made up of.

Last updated: 16 June 2021

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Why getting vaccinated is important

Getting a COVID-19 vaccine is an important step you can take to protect yourself, your kaumātua and whānau from the effects of the COVID-19 virus. It’s one way we can protect the welfare and wellbeing of our communities from COVID-19.

It is not mandatory for the general public. You can choose whether to get vaccinated.


How the COVID-19 vaccine protects you

COVID-19 can cause serious illness or death in some people. The COVID-19 vaccine stimulates your body’s immune system to produce antibodies and other proteins that will fight the virus if you’re exposed to it.

The vaccine helps prevent you from getting infected and having COVID-19 symptoms, or severe illness. This means you could have no COVID-19 symptoms or will have much fewer, milder symptoms and recover faster.

Vaccine effectiveness and protection


mRNA vaccines

The Pfizer vaccine (Comirnaty) is an mRNA vaccine that contains the genetic code for an important part of the SARS-CoV-2 (COVID-19) virus called the ‘spike protein’. Spike proteins are the little projections on the surface of the virus.

  1. Once you’ve had the vaccine, your body reads the genetic code and makes copies of the spike protein.
  2. Your immune system detects these spike proteins and learns how to recognise and fight against COVID-19. It knows it needs to attack the virus to protect it from spreading in your body.
  3. The genetic code then gets broken down and removed very quickly and easily by our body. 
     

The vaccine cannot give you COVID-19

mRNA vaccines do not contain any of the virus that causes COVID-19, or any other live, dead or deactivated viruses.

The vaccine does not affect your DNA

It does not affect or interact with your DNA or genes. mRNA vaccines never enter the nucleus of the cell which is where our DNA is kept.

The Pfizer vaccine is an mRNA vaccine that protects us against COVID-19.

How does it work? Let’s start by looking at the coronavirus.

This is the virus that causes COVID-19.

The virus uses the spikes on its surface to enter our cells.

The spikes of the virus also help our body to identify the virus as an intruder.

The vaccine works by showing our body the spike protein, so our immune system can prepare to quickly spot and attack the virus.

To create the vaccine, scientists created mRNA (or messenger RNA) that contains the recipe for building the spike protein.

This acts as a messenger carrying instructions to our cells.

When we get the vaccine, the mRNA instructs our cells to build copies of the spike protein. They only build the spike protein, not the whole virus.

As our bodies build these copies, our immune systems kick in and create antibodies to fight off the intruders.

We get two doses of the vaccine because the first dose starts to build our immune response and the second dose acts as a booster so our immune system can remember and mount a stronger response when it encounters the virus.

Once the immune system is primed, it will remember the virus for months or even years. If we encounter the virus in the future, the immune system will launch an antibody attack immediately.

Nothing is left behind from the vaccine (our body breaks down the mRNA) and there is no possibility of the vaccine affecting our body’s DNA.


mRNA vaccines have been in development for decades

mRNA vaccines have been developed through major international collaboration.

Researchers have studied and worked with mRNA vaccines for decades. This includes studies for vaccines against flu, Zika, rabies and cytomegalovirus (CMV).

Scientists have also researched past coronavirus infections (SARS and MERS). Once scientists identified the coronavirus that causes COVID-19, they could quickly adapt the technology for COVID-19.

Although it’s relatively new technology, this vaccine has gone through all the usual safety checks and regulations.

This includes international clinical trials to help demonstrate the efficacy and safety of the vaccine. The Pfizer vaccine is being used worldwide and continually and closely monitored for effectiveness and safety.

How the COVID-19 vaccines were developed so quickly


How the COVID-19 vaccine is given

The COVID-19 vaccine is given as an injection into the muscle of your upper arm.

You’ll need two doses. The second dose is given at least three weeks later. It’s very important you get your second dose, you’ll have your best protection once you’ve had both.

Staff will observe you for at least 20 minutes after your injection. This is a precaution in case you have any immediate allergic or adverse reactions. Staff will be on hand and trained to treat these immediately.


Why you need two doses

Both doses of the Pfizer vaccine (Comirnaty) are the same. The second dose increases your protection – giving you better and likely longer-lasting immunity than the first dose alone.

How well the second dose works

In the early clinical trials, researchers studied how much of the mRNA to include in each dose of the Pfizer vaccine and how many doses people should have. They measured the level of antibodies in the blood that were produced after each dose.

After the first dose

After the first dose, the antibody levels were much lower compared to those seen after natural infection with COVID-19.

After the second dose

After the second dose, the antibody levels were higher than those seen after the first dose, and higher than those seen after natural infection.

Why do we need multiple doses of the vaccine


New strains of the virus

We’re evaluating preliminary data from other countries about the impact new strains may have on vaccine effectiveness.

Some companies have indicated they may make changes to the vaccine to make sure they work properly. This is similar to the regular changes made to the influenza vaccine.


What’s in the Pfizer vaccine

The Pfizer vaccine (Comirnaty) is a mRNA-based (messenger ribonucleic acid) vaccine.

It does not contain any live, dead or deactivated viruses. There are no animal products in this vaccine.

Summary of ingredients

The Pfizer vaccine contains:

  • messenger RNA encoding SARS-CoV-2 spike protein
  • lipid nanoparticle – a stabilised fat-based bubble to protect and carry the mRNA into our cells
  • salt buffers – to maintain the pH of the vaccine
  • sucrose – to protect the vaccine while in storage.
Full list of ingredients

Active ingredient

30µg of a nucleoside modified messenger RNA encoding the viral spike (S) glycoprotein of SARS-CoV-2

Fats

These ingredients make up the lipid nanoparticle which is the transport mechanism for the active ingredient to make it inside a cell without being broken down.

  • 0.43 mg (4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate)
  • 0.05 mg 2[(polyethylene glycol)-2000]-N,N-ditetradecylacetamide
  • 0.09 mg 1,2-distearoyl-sn-glycero-3- phosphocholine
  • 0.2 mg cholesterol.

Salts

These ingredients help make sure the vaccine pH is close to that of human cells.

  • 0.01 mg potassium chloride
  • 0.01 mg monobasic potassium phosphate
  • 0.36 mg sodium chloride
  • 0.07 mg dibasic sodium phosphate dihydrate

Sugar

This ingredient protects the lipid nanoparticle at very cold temperatures (-80 degrees celsius that the vaccine is stored at).

6 mg sucrose

What the Pfizer vaccine does not contain

The Pfizer vaccine does not contain:

  • animal products
  • antibiotics
  • blood products
  • DNA
  • egg proteins
  • fetal material
  • gluten
  • microchips
  • pork products
  • preservatives
  • soy
  • latex (the vial stopper is made with synthetic rubber – bromobutyl).
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