# Why do people seem to feel worse after the second vaccine than the first?

**URL:** <https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482>\
**Category:** The Quarantine Zone\
**Tags:** covid-quarantine\
**Created:** [April 21, 2021, 10:12pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482 "2021-04-21T22:12:37Z")\
**Posts on this page:** 20\
**Page:** 1

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**Author:** ![ekedolphin](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/ekedolphin/32/10003_2.png) [@ekedolphin](https://boards.straightdope.com/u/ekedolphin)\
**Post date:** [April 21, 2021, 10:12pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/1 "2021-04-21T22:12:37Z")

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Not speaking from personal experience. Not yet, anyway.

My mother’s first vaccine shot didn’t bother her very much, but her second one hit her like a ton of bricks, taking several days to fully recover from. She felt muscle aches and great fatigue.

The fully-vaccinated people I’ve spoken to have all had worse symptoms after the second vaccine than the first. What gives?

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**Author:** ![BippityBoppityBoo](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/bippityboppityboo/32/5745_2.png) [@BippityBoppityBoo](https://boards.straightdope.com/u/BippityBoppityBoo)\
**Post date:** [April 22, 2021, 12:18am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/2 "2021-04-22T00:18:29Z")

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This has been answered in several of the Covid/vaccine/vaccination threads extant here.

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**Author:** ![Senegoid](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/senegoid/32/6606_2.png) [@Senegoid](https://boards.straightdope.com/u/Senegoid)\
**Post date:** [April 22, 2021, 3:07am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/3 "2021-04-22T03:07:20Z")

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One shot of iron,  
The second of steel:  
If the first one doesn’t get you  
Then the next one will!

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**Author:** ![BigT](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/bigt/32/12044_2.png) [@BigT](https://boards.straightdope.com/u/BigT)\
**Post date:** [April 22, 2021, 4:12am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/4 "2021-04-22T04:12:53Z")

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> [@BippityBoppityBoo](#):
>
> This has been answered in several of the Covid/vaccine/vaccination threads extant here.

I would still argue it would be good to answer it here. A thread asking a direct question is the sort of thing that people are most likely to find in a search.

Also, while I’ve speculated myself, and seen other speculation, I can’t remember seeing any definition answers, despite reading a whole lot of these threads.

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**Author:** ![Omniscient](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/omniscient/32/3290_2.png) [@Omniscient](https://boards.straightdope.com/u/Omniscient)\
**Post date:** [April 22, 2021, 4:23am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/5 "2021-04-22T04:23:25Z")

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It was described to me that after the first shot, the immune system says…crap, what’s this stuff. Better clean this up right away. So it starts making antibodies and “knocks out” the invader. Then when the second shot comes, the immune system says…holy shit, this again! We’re under attack, this is no fluke, time to bring in the big guns.

Since the crappy feeling you have is in most cases a reaction not to the infection but instead the body’s response to the infection, when you get a much bigger, much more aggressive response the second time you feel a lot worse.

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**Author:** ![solost](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/solost/32/11776_2.png) [@solost](https://boards.straightdope.com/u/solost)\
**Post date:** [April 22, 2021, 12:23pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/6 "2021-04-22T12:23:07Z")

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> [@Omniscient](#):
>
> Since the crappy feeling you have is in most cases a reaction not to the infection but instead the body’s response to the infection, when you get a much bigger, much more aggressive response the second time you feel a lot worse.

So what does it mean when you don;t have much of a reaction? I had the J&J shot which, granted is one and done so the reaction profile is probably different than when getting two shots, but I didn’t really feel much of anything other than a sore shoulder. Maybe the slightest bit of tiredness and chills the rest of the day that I got the shot, but it could have been my imagination since I was monitoring myself for any reaction. I wonder whether my shot was effective or not.

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**Author:** ![kayaker](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/kayaker/32/441_2.png) [@kayaker](https://boards.straightdope.com/u/kayaker)\
**Post date:** [April 22, 2021, 1:23pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/7 "2021-04-22T13:23:33Z")

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The immune system reacts anamnestically.

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**Author:** ![Omniscient](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/omniscient/32/3290_2.png) [@Omniscient](https://boards.straightdope.com/u/Omniscient)\
**Post date:** [April 22, 2021, 1:56pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/8 "2021-04-22T13:56:47Z")

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> [@solost](#):
>
> So what does it mean when you don;t have much of a reaction? I had the J&J shot which, granted is one and done so the reaction profile is probably different than when getting two shots, but I didn’t really feel much of anything other than a sore shoulder. Maybe the slightest bit of tiredness and chills the rest of the day that I got the shot, but it could have been my imagination since I was monitoring myself for any reaction. I wonder whether my shot was effective or not.

I’m not a doctor, so this is just me passing along what I was told.

The reason that some people have a worse reaction than others has to with the relative strength of their immune systems. Data has shown that younger people and women tend to have more severe side effects than older people and men respectively. The idea being that young people’s stronger immune systems react harder and make them feel worse.

For any given person there’s going to be variability in how intensely they react. What I don’t know is if there’s any relationship between the severity of the side effects and the individual effectiveness of the immunity. I suspect not. Also not sure exactly why the mRNA type ones require 2 doses and the traditional ones do not. They supposedly have a lower overall effectiveness so there may be a correlation.

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**Author:** ![Trom](https://avatars.discourse-cdn.com/v4/letter/t/958977/32.png) [@Trom](https://boards.straightdope.com/u/Trom)\
**Post date:** [April 22, 2021, 3:00pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/9 "2021-04-22T15:00:53Z")

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> **[Second COVID Shot: No Side Effects? No Problem](https://www.medpagetoday.com/special-reports/exclusives/91999)**
>
> Dose two doesn't have to knock you down to keep you protected

> Several immunologists and infectious disease experts interviewed by _MedPage Today_ said there are no data that a reaction correlates with protection.

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**Author:** ![Gyrate](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/gyrate/32/3588_2.png) [@Gyrate](https://boards.straightdope.com/u/Gyrate)\
**Post date:** [April 22, 2021, 3:05pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/10 "2021-04-22T15:05:29Z")

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The spouse had the first Pfizer shot with no notable reaction. I had the first AZ shot which knocked me on my ass for a day.

Friends who have had their second shots have said that the second Pfizer hit them harder than the first, but the second AZ one was quite mild compared to the first. So perhaps it depends on which vaccine you get.

All of the above is entirely anecdotal.

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**Author:** ![QuickSilver](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/quicksilver/32/7832_2.png) [@QuickSilver](https://boards.straightdope.com/u/QuickSilver)\
**Post date:** [April 22, 2021, 3:13pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/11 "2021-04-22T15:13:56Z")

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> [@kayaker](#):
>
> The immune system reacts anamnestically.

Look at you with the new word-of-the-day calendar. 😉

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**Author:** ![QuickSilver](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/quicksilver/32/7832_2.png) [@QuickSilver](https://boards.straightdope.com/u/QuickSilver)\
**Post date:** [April 22, 2021, 3:21pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/12 "2021-04-22T15:21:54Z")

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> [@Gyrate](#):
>
> The spouse had the first Pfizer shot with no notable reaction. I had the first AZ shot which knocked me on my ass for a day.
> 
> Friends who have had their second shots have said that the second Pfizer hit them harder than the first, but the second AZ one was quite mild compared to the first. So perhaps it depends on which vaccine you get.
> 
> All of the above is entirely anecdotal.

I got Pfizer. First shot had a significantly more profound impact on me than the second shot. First shot was a pretty sore arm for 48+ hours and flu-like symptoms the first 24 hours. Second shot was zero local reaction to the shot and just a mild feeling of fatigue in the early evening of the same day. I was expecting the reverse in line with what you posted, but it was in contrast to my personal anecdotal experience.

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**Author:** ![running\_coach](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/running_coach/32/15836_2.png) [@running\_coach](https://boards.straightdope.com/u/running_coach)\
**Post date:** [April 22, 2021, 3:25pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/13 "2021-04-22T15:25:44Z")

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> [@QuickSilver](#):
>
> I got Pfizer. First shot had a significantly more profound impact on me than the second shot. -

Pfizer. The second hit me harder. Sore arm for both, fatigue the first time, headache, body aches and more fatigue the second. Neither one severe, though.

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**Author:** ![QuickSilver](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/quicksilver/32/7832_2.png) [@QuickSilver](https://boards.straightdope.com/u/QuickSilver)\
**Post date:** [April 22, 2021, 3:59pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/14 "2021-04-22T15:59:46Z")

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I give 50/50 odds my second shot was saline. The urgent care clinic that gave me the shots looked sketchy as fuck.

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**Author:** ![LSLGuy](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/lslguy/32/5813_2.png) [@LSLGuy](https://boards.straightdope.com/u/LSLGuy)\
**Post date:** [April 24, 2021, 1:07am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/15 "2021-04-24T01:07:43Z")

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Wait 2 weeks then get an antibody test. If you were given placebo call you local TV station muckrakers; they’d love to hang somebody out to dry. Also call the CDC.

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**Author:** ![Whack-a-Mole](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/whack-a-mole/32/141_2.png) [@Whack-a-Mole](https://boards.straightdope.com/u/Whack-a-Mole)\
**Post date:** [April 24, 2021, 1:25am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/16 "2021-04-24T01:25:23Z")

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I’m with @LSLGuy

If you were part of a study and could potentially get a placebo you’d know it and would have agreed to it.

If you were just Joe Schmo walking in off the street expecting a real vaccine then you should have gotten a real vaccine. If they tricked you and gave you a placebo I am willing to bet you are the future winner of a huge lawsuit.

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**Author:** ![LSLGuy](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/lslguy/32/5813_2.png) [@LSLGuy](https://boards.straightdope.com/u/LSLGuy)\
**Post date:** [April 24, 2021, 1:42am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/17 "2021-04-24T01:42:40Z")

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I’m not suggesting a formal placebo as in a trial.

I was trying to say that if the poster actually reasonably beliieves he got something fake he should act on that suspicion, not just whine ineffectually to us here. And if he can’t be arsed to take his contention seriously, there’s not much reason I/we should either.

Not quite “put up or shut up”, but close.

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**Author:** ![kayaker](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/kayaker/32/441_2.png) [@kayaker](https://boards.straightdope.com/u/kayaker)\
**Post date:** [April 24, 2021, 4:20am UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/18 "2021-04-24T04:20:33Z")

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…Yep.

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**Author:** ![QuickSilver](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/quicksilver/32/7832_2.png) [@QuickSilver](https://boards.straightdope.com/u/QuickSilver)\
**Post date:** [April 24, 2021, 3:57pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/19 "2021-04-24T15:57:01Z")

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> [@LSLGuy](#):
>
> Wait 2 weeks then get an antibody test. If you were given placebo call you local TV station muckrakers; they’d love to hang somebody out to dry. Also call the CDC.

> [@Whack-a-Mole](#):
>
> I’m with @LSLGuy

I was being facetious not being a fucking whiner. The urgent care clinic was a bit sketchy but I probably got what I came for. I was simply commenting on the fact that while most people tended to have a more serious reaction to the second shot, mine was worse after the first shot and virtually unnoticeable after the second. I see no reason to call Dewy, Sue’em and How.

Christ. Who’s over-reacting here?

> [@kayaker](#):
>
> …Yep.

Et tu?..

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**Author:** ![mandala](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/mandala/32/95_2.png) [@mandala](https://boards.straightdope.com/u/mandala)\
**Post date:** [April 26, 2021, 1:26pm UTC](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482/20 "2021-04-26T13:26:21Z")

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Here is a good explanation by a doctor about why the second dose knocks out people more than the first:

[Clickety](https://www.facebook.com/watch/?v=2536261010012234)

[Next page](https://boards.straightdope.com/t/why-do-people-seem-to-feel-worse-after-the-second-vaccine-than-the-first/940482.md?page=2)
