SARS-CoV-2 (COVID-19) mRNA Spike Protein Vaccine
This is an mRNA vaccine that helps your immune system recognize the SARS-CoV-2 virus. It is used to reduce the risk of COVID-19, including severe illness, hospitalization, and death; it does not treat an existing infection.
COVID-19 mRNA vaccines are given by a healthcare professional and can reduce the risk of serious COVID-19. Your doctor or pharmacist can confirm which product, dose, and schedule are appropriate for you.
Key facts at a glance
- ATC
- J07BN01
- RxNorm
- 2468231
- Generic
- Sars-Cov-2 (Covid-19) Vaccine, Mrna Spike Protein
- Class
- atc-j07
- Brands
- Comirnaty, Spikevax, Comirnaty 2023-2024, Spikevax 2023-2024, Spikevax 2024-2025, Comirnaty 2024-2025, Spikevax 2025-2026, Comirnaty 2025-2026, Mnexspike 2025-2026
- Availability
- rx
- Lactation
- unknown
- Routes
- —
- Forms
- prefilled syringe, injection, suspension
- Regions
- US, EU, CN, JP
- Monitoring
- —
This page is for informational purposes only.
Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.
Dosage and administration
- Usual dose
- 30 mcg (0.3 mL)
- Maximum
- consult physician
- Frequency
- 2 doses, 3 weeks apart for primary series
- Instructions
- Follow physician instructions
- Duration limits
- as prescribed
- Monitoring
- standard
- Usual dose
- 10 mcg (0.2 mL)
- Maximum
- consult physician
- Frequency
- 2 doses, 3 weeks apart for primary series (ages 5-11)
- Instructions
- Follow physician instructions
- Duration limits
- as prescribed
- Monitoring
- standard
- Usual dose
- 30 mcg (0.3 mL)
- Maximum
- consult physician
- Frequency
- 2 doses, 3 weeks apart for primary series, with booster recommended
- Instructions
- Follow physician instructions
- Duration limits
- as prescribed
- Monitoring
- standard
Overdose information
Special Populations
8 groupspregnancy
all trimestersno_adjustment
CDC and WHO recommend COVID-19 vaccination during pregnancy as pregnant individuals are at increased risk for severe COVID-19
standard prenatal care
lactation
breastfeedingno_adjustment
COVID-19 vaccination recommended for breastfeeding individuals; no need to discontinue breastfeeding
none
geriatric
age 65 and olderno_adjustment
strongly recommended due to increased risk of severe COVID-19; additional booster doses may be recommended
standard post-vaccination observation
pediatric_age
age 6 months to 5 yearsage_appropriate_dosing
recommended for all children 6 months and older; dosing varies by age and vaccine product
standard observation post-vaccination
pediatric_age
age 6 to 17 yearsage_appropriate_dosing
recommended for all children 6-17 years; pediatric formulation or adult formulation based on age
standard observation post-vaccination
renal_impairment
all stagesno_adjustment
recommended for patients with all stages of renal disease including dialysis patients; no dose modification needed
standard observation; coordinate with nephrologist if needed
hepatic_impairment
all stagesno_adjustment
recommended for patients with chronic liver disease; no dose modification needed
standard observation
alcohol_users
chronic alcohol useno_adjustment
recommended for individuals with chronic alcohol use; no contraindication
standard observation
Statistics and clinical data
First FDA Emergency Use Authorization
First mRNA COVID-19 vaccine authorization date
Drug class
Classification of mRNA COVID-19 vaccines
Primary indication
Primary therapeutic use of mRNA COVID-19 vaccines
Mechanism of action
How mRNA vaccines work to induce immunity
This vaccine contains instructions for making a harmless version of the SARS-CoV-2 spike protein, which helps the immune system learn to recognize the virus. It is used to prevent COVID-19 and reduce the risk of complications, severe illness, and death. Protection is not immediate and usually takes about two weeks to develop.
The vaccine is given as an injection into the upper arm by a trained healthcare professional. The number of doses and the interval between doses depend on the specific product, your age, previous COVID-19 doses, and current public health recommendations. Follow the schedule provided by the vaccination clinic, and ask your doctor or pharmacist if you are unsure whether more doses are recommended.
Common side effects include pain, redness, or swelling where the injection was given, as well as tiredness, headache, muscle or joint pain, chills, fever, and nausea. These effects usually go away within a few days. An OTC pain reliever such as acetaminophen or ibuprofen may help if it is safe for you, but check with your pharmacist first.
Rarely, an allergic reaction can occur within minutes of vaccination; seek emergency care for trouble breathing, swelling of the face or throat, widespread hives, or faintness. Very rarely, the vaccine may cause inflammation of the heart muscle or the sac around the heart, especially in adolescent and young adult males; seek prompt medical care for persistent chest pain, shortness of breath, or palpitations. Seek care also for new weakness or numbness, difficulty walking, or other sudden neurologic symptoms, and report any serious or persistent reaction to your clinician.
No specific medication interactions are known, although formal interaction studies have not been conducted for every product. People taking medicines that suppress the immune system should discuss their vaccination plan with their doctor because responses may be reduced. Do not receive this vaccine if you have had a severe allergic reaction to a previous dose or any vaccine ingredient, and tell the vaccination provider about prior vaccine reactions, current illness, and other medical conditions.
Contraindications
Conditions and patient states where this medication should be avoided or used with caution.
Do not use (1)
Known allergy to this medication or its components
Use caution (1)
Consult healthcare provider for benefits vs risks assessment
Official drug label
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy