5 key questions about when kids can get the COVID-19 vaccine

p 1 90619681 when can kids get the covid 19 vaccine a pediatrician answers 5 questions


By James B. Wooden 4 minute Learn

An enormous query amongst dad and mom and lecturers as extra faculties reopen is when their kids will likely be vaccinated in opposition to COVID-19. Some have questioned whether or not the vaccine is even obligatory for kids. Dr. James Wood, a pediatrician and assistant professor of pediatric infectious ailments, explains what docs know at this time about the threat kids face of getting and spreading the coronavirus and when vaccines is likely to be accessible.

Do kids actually need to get the COVID-19 vaccine?

The quick reply is sure. Lots of research have proven that COVID-19 isn’t as severe in children, significantly youthful kids—however that doesn’t imply kids aren’t vulnerable to getting contaminated and probably spreading the virus.

Kids beneath 12 who get COVID-19 do are inclined to have delicate diseases or no signs, whereas youngsters appear to have responses someplace between what adults and youthful kids have skilled. The Facilities for Illness Management and Prevention discovered that teens were about twice as likely to be identified with COVID-19 as kids ages 5-11.

Researchers are nonetheless making an attempt to know why we’re seeing these variations between older and youthful kids. Conduct in all probability performs an element. Youngsters usually tend to have interaction in social or group actions, and so they might or is probably not carrying masks. Immune differences and biological factors might also play a job. Non-SARS-CoV-2 coronaviruses are common in children, typically leading to higher respiratory an infection. Is their frequent publicity to different coronaviruses serving to defend them from extreme COVID-19? That’s one speculation. We all know youthful kids’ immune responses usually are completely different from adults and certain play a job in safety.

It’s vital to keep in mind that whereas most youngsters get solely delicate signs, they nonetheless face dangers. At the least 226 U.S. children with COVID-19 have died, and thousands have been hospitalized.

The key to minimizing the threat is to ensure kids finally get vaccinated, observe social distancing suggestions, and put on masks.

Are kids spreading the virus?

In a setting equivalent to a college the place masks carrying and social distancing are enforced, younger kids appear to not unfold the virus very a lot when the guidelines and tips are being adopted. One CDC evaluation discovered little difference in community cases in counties with elementary faculties open and people with distant studying.


If precautions aren’t being taken, kids contaminated with the coronavirus very effectively may spread it to adults. What isn’t clear but is how nice that threat is.

To maintain faculties as secure as potential, persevering with schoolwide masks and social distancing insurance policies will likely be vital. With youngsters particularly, masks guidelines can’t hinge on whether or not the particular person has been vaccinated or not. Till herd immunity inside the entire neighborhood is at an excellent stage, social distancing and masking are nonetheless going to be the suggestion.

So, when can kids get vaccinated?

Proper now, the Pfizer vaccine is the just one in the U.S. approved for youngsters as young as 16. Earlier than kids beneath 16 can be vaccinated, medical trials should be accomplished in 1000’s of younger volunteers to evaluate the vaccines’ security and efficacy.

Vaccine producers Moderna and Pfizer each have trials underway with adolescents and count on to have knowledge by late spring or early summer season. If their vaccines are proven to be secure and efficient, kids 12 and up may very well be vaccinated earlier than faculty begins in the fall.

Realistically, younger kids in all probability gained’t be eligible for the vaccine till late fall or winter at the earliest. Moderna simply introduced on March 16 that it has began testing the vaccine in children ages 6 months to 11 years. Pfizer hasn’t reached that stage but, and these trials take time.

What’s completely different about the vaccines kids will get?

The composition of the COVID-19 vaccines for kids is the similar as utilized in adults—the distinction is that kids might require a unique dose.

Step one in vaccine trials is to determine the proper dose. The businesses need to discover the lowest potential dose that’s each secure and produces a goal stage of antibodies. For instance, Moderna makes use of a 100-microgram dose in adults. It’s testing three completely different doses for kids beneath age 2—25, 50, and 100 micrograms—and two doses for kids over age 2, at 50 and 100 micrograms.

As soon as the firm determines the optimum dose, it can launch a placebo-controlled trial to check its effectiveness, during which some kids will get a placebo and a few will get the vaccine.

A rigorous system for pediatric vaccine trials is well established in the U.S. These trials are key to assessing the security and efficacy of vaccines in kids, which can differ from adults.

I’m optimistic {that a} secure and efficient vaccine will likely be accessible for kids. To date, there haven’t been any security indicators from both the grownup or adolescent research which have been worrying to me as a pediatrician, however the research nonetheless should be performed in kids.

How can dad and mom create secure playdates for kids?

Once I speak to oldsters, I clarify that it’s a risk-versus-benefit query. Every household has a unique tolerance.


From a medical standpoint, the psychological well being of kids and having them play with different kids is a vital a part of childhood.

I’d say that unvaccinated kids taking part in indoors with out masks on continues to be not an awesome concept. The danger is simply too excessive at this level. As climate warms up, I’d encourage kids to play outdoors. Experience bikes, play, and socialize—simply do it in a secure method.