My clinic (Children’s Clinic International) gives children vaccines daily, and we have no doubts about their safety and life-saving effects. My family and I have received our COVID-19 vaccines without hesitation, and COVID-19 vaccines have prevented many infections and deaths. But for children under 5, there is some reason for reluctance.
First, is the Covid-19 Vaccine safe?
This question is relatively easy to answer; yes, it is as safe as the vaccines for adults. The current trials have not shown any surprising side effects. Long-term risks, of course, can’t be known, but there is no reason to believe the COVID vaccine will have long-term risks any more than vaccines for whooping cough or pneumococcal disease that we give routinely.
Is the Covid-19 Vaccine Needed?
Omicron has been a transmissible but mild infection for nearly all healthy children. The vaccine in adults does not prevent Omicron infection or spread significantly. It does lower the risk of serious illness and death in high-risk groups, but small children are rarely at high risk. COVID overall has been mild in children. In the United States, the CDC reported the hospitalisation rate in children during the peak of Omicron to be 14.5 per 100,000. Only 0.0145% of small children with COVID needed to be hospitalised. From the start of COVID to April 2022, out of almost 73,000,000 in the USA under 18 years, only 980 children had died of COVID, a rate of 0.0013%. While COVID can be serious, it has been much more dangerous to adults.
Does the Vaccine Wear Off?
Yes. Another well-known vaccine concern for adults is that immunity fades over time – that’s why adults get three doses now, and high-risk adults may get four doses. Whether immunity will fade quickly or not in children is unknown, but likely antibody levels will decline within a few months after finishing the vaccine.
Should I Give My Child the COVID Vaccine?
Talk to your doctor about the risks and benefits. The vaccine will be safe and provide some protection. If your child has had COVID, it may not be useful. Overall, if you want the vaccine, there is no safety reason to not get it, but it is unlikely based on the current dominant COVID strain to be helpful or necessary. If you want to wait and see how COVID changes, it is also likely OK to wait.