Skip to content

SARS-CoV-2 (COVID-19) mRNA Spike Protein Vaccine

Published: July 26, 2026Updated: August 24, 2026

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.

Quick summary

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.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

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

adult (standard)intramuscular injection
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
pediatric (standard)intramuscular injection
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
geriatric (standard)intramuscular injection
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

Important overdose information
Toxic dose: Consult local poison control center for specific information
Chronic overdose: Varies by patient
Immediate actions
Call poison control center: 1-800-222-1222
Poison Control: 1-800-222-1222

Special Populations

8 groups
✓

pregnancy

all trimesters
safe
FDA Category
N
Dose Adjustment

no_adjustment

Key Recommendations

CDC and WHO recommend COVID-19 vaccination during pregnancy as pregnant individuals are at increased risk for severe COVID-19

Monitor

standard prenatal care

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no_adjustment

Key Recommendations

COVID-19 vaccination recommended for breastfeeding individuals; no need to discontinue breastfeeding

Monitor

none

✓

geriatric

age 65 and older
safe
FDA Category
N
Dose Adjustment

no_adjustment

Key Recommendations

strongly recommended due to increased risk of severe COVID-19; additional booster doses may be recommended

Monitor

standard post-vaccination observation

✓

pediatric_age

age 6 months to 5 years
safe
FDA Category
N
Dose Adjustment

age_appropriate_dosing

Key Recommendations

recommended for all children 6 months and older; dosing varies by age and vaccine product

Monitor

standard observation post-vaccination

✓

pediatric_age

age 6 to 17 years
safe
FDA Category
N
Dose Adjustment

age_appropriate_dosing

Key Recommendations

recommended for all children 6-17 years; pediatric formulation or adult formulation based on age

Monitor

standard observation post-vaccination

✓

renal_impairment

all stages
safe
FDA Category
N
Dose Adjustment

no_adjustment

Key Recommendations

recommended for patients with all stages of renal disease including dialysis patients; no dose modification needed

Monitor

standard observation; coordinate with nephrologist if needed

✓

hepatic_impairment

all stages
safe
FDA Category
N
Dose Adjustment

no_adjustment

Key Recommendations

recommended for patients with chronic liver disease; no dose modification needed

Monitor

standard observation

✓

alcohol_users

chronic alcohol use
safe
FDA Category
N
Dose Adjustment

no_adjustment

Key Recommendations

recommended for individuals with chronic alcohol use; no contraindication

Monitor

standard observation

Statistics and clinical data

prescribingFDA
2023

First FDA Emergency Use Authorization

Value:December 2020

First mRNA COVID-19 vaccine authorization date

drug_classFDA
2023

Drug class

Value:mRNA Vaccine

Classification of mRNA COVID-19 vaccines

usageCDC
2023

Primary indication

Value:Prevention of COVID-19

Primary therapeutic use of mRNA COVID-19 vaccines

mechanismWHO
2023

Mechanism of action

Value:Triggers immune response via spike protein synthesis

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)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

WellAlly may earn a referral fee from linked resources at no extra cost to you. Editorial content is never influenced by commercial relationships.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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