A-Z

Long Covid in Adults

Experiences of vaccination for Covid-19 and vaccine decision-making amongst people with Long Covid

This page covers:

  • Vaccine-related information and campaigns in relation to Long Covid
  • Reason for deciding to be vaccinated
  • Reasons for uncertainty or deciding against vaccination
  • Perceived after-effects of the vaccine – positive and negative

 
Vaccine-related information and campaigns in relation to Long Covid

We spoke to some of our participants before a Covid vaccine first became available, but others were able to think about what having a vaccine might mean for them. A few people felt that vaccine information and campaigns should have explained that, because getting vaccinated lowered the risk of getting Covid, it also lowered the risk of getting Long Covid. Sara said people in the general community who were worried about being vaccinated should be helped to understand what having Long Covid is like. Ben agreed. He said he “wouldn’t wish” Long Covid on anyone and people needed to know that for many people Covid wasn’t “just” like having a bad cold or flu. He had heard that some people with Long Covid had felt that their symptoms had reduced after having the vaccine, but others said they felt worse.

 

Ben said it was disheartening to see people saying in the media that Covid is “just a cold”. He thought vaccine campaigns should also highlight the true extent of Long Covid.

Ben said it was disheartening to see people saying in the media that Covid is “just a cold”. He thought vaccine campaigns should also highlight the true extent of Long Covid.

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Do you want to talk a little bit about what you think about vaccination as somebody who’s had Long Covid?
 
Yeah, I would be very keen to, actually. So that was one of the things that, as I was suffering from Long Covid, especially in the early kind of June, July time last year, it was quite disheartening to see young people and, and some other groups in the media saying that kind of vaccinations shouldn’t be done, it’s not needed, this is just a cold. It was very hard when you’re on the side-lines with Long Covid to think I would not wish this on anyone. I would never…I could never think that this would happen to me or to anybody that I would know, like it’s that much of a change in their daily life you wouldn’t think this was possible, and it was very challenging to see it in the media played as it’s just the flu or it’s just like a bad cold.
 
So I was quite keen to see the vaccinations take off and it’s been quite frankly annoying to not have been able to get the vaccination now knowing that some people have had a very positive reaction that have had Long Covid to having that vaccine in terms of their kind of body system, be it homeostasis, I’m not quite sure which ones are, are triggered, but essentially your body is reset and your body can then actually fight Covid effectively. And a good number are seeing a reduction in symptoms. Hence was the reason that I pushed with my, my GP to try and get me up the list. I know there was a small group that had a worse response to having it, but actually particularly earlier this year, I was at rock bottom anyway so that there can’t, there can’t be anything worse than this, so it’s worth the risk if I can get better.
 
Even now, physically I’m starting to improve, I would still take the vaccine tomorrow if there was an option. So, yeah…
 
And do you feel that that’s a relatively common view amongst the other people that you know with Long Covid? 
 
Yeah, so I mean, those with Long Covid and I think even speaking to friends and family that are now aware of what Long Covid could be like, there’s more of a, an understanding, yeah, this is definitely something that we should, should be getting on board with. I think the…I think it all relates to…if you’ve seen somebody with it, if you’ve not seen anybody unwell with Covid, if you’ve not had family members unwell, maybe you would be able to think it’s just a…it’s just a bad cold.
 
But the minute you speak to somebody that has had Long Covid or…or has experience of Long Covid, I think you suddenly see a change of heart and think actually maybe, yeah, if there’s no risk to me and I know there’s the…the blood clot risk from the AstraZeneca, but it’s, it’s minute in the scale of, of Long Covid, and if people knew the true extent of Long Covid there would be a higher rate of, of uptake of the vaccine.
 
The uptake has been high so far in older groups, but do you think that preventing Long Covid as compared with preventing infection with Covid just generally, do you think that’s had enough emphasis in the vaccination campaign materials?
 
That’s a really good question. Actually, I don’t think it has. I think it’s still been very focused on the initial infection, when actually like you say that Long Covid element of it, we look at the percentages of those that have Covid that go on to have Long Covid after a period of time, it’s still ten to twenty per cent are having it twelve weeks after. If you look at how many people were going to get Covid, that’s a huge number.
 
And I don’t think that that’s, unless you live it, unless you have Long Covid and see it from that lens, I don’t think people see it from that kind of second lens of, okay, you might get this other, this other syndrome or condition that comes with having it.
 

 


 
People also said the advice around when to be vaccinated after having had Covid–19 needed to be clearer. For example, Fiona B had had conflicting advice on this. Jamie said he was uncertain about getting the vaccine because of the lack of information about any impact it may have on his Long Covid symptoms. He described this as “another unanswered thing”.
 
 

Fiona B felt she was given conflicting advice about how long she should leave between her Covid infection and her booster vaccine. The staff who vaccinated her said a four-week gap was enough, but A&E staff said she should have waited six months.

Fiona B felt she was given conflicting advice about how long she should leave between her Covid infection and her booster vaccine. The staff who vaccinated her said a four-week gap was enough, but A&E staff said she should have waited six months.

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But it was interesting when I was, you know, in hospital, because there were so many different people saying different things. I maybe should have left the Moderna for a later period, but because you were going back to teach, you were wanting to have the full protection, and I’d missed my booster because I got Covid in the November. And I was due my booster then from the May.

So the last thing I wanted to do was have Covid and then go back to teaching and not have had my booster, so I left it the four weeks that we’re supposed to, but then…I’ve heard other people say, oh no, you should have left it longer than that now, but I…you did what you thought was best at that time and what was…you know.

And when you went in for the vaccine, did they check all of those things? Did they ask you questions about whether you…

Yeah, but then when I ended up in A&E with the chest pains, I was told at that point in time, oh, I thought it’s supposed to be six months before you have it, and I thought, well, could somebody please tell…tell us what was right or not there, because you’re getting different information there [laughs].

 

Vonnie said she had been too ill to get her vaccine. She was not ‘anti-vax’ but she was unclear about whether she needed to be vaccinated if she still had antibodies after having Covid.

Vonnie said she had been too ill to get her vaccine. She was not ‘anti-vax’ but she was unclear about whether she needed to be vaccinated if she still had antibodies after having Covid.

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Yeah, and I also can’t remember if you said you’d been vaccinated or not?
 
Me, I’m not able to at the moment simply because I was-, I’ve been too ill. I can’t, And I’ve discussed this with the consultant, which he agreed, I’m just coming from-, where I’m coming from at the moment: not yet, not, I’m not anti-vac, but not yet.
 
Yeah. Have other people in your family been vaccinated? 
 
Yes, they have, well, they’re carrying on out there, so.
 
Yeah, okay. So, is it something you want to do in the future if you recover enough?
 
Oh, yes because it’s-, I’ve got mixed feelings about it. I think my antibodies, I’ve got antibodies to start with, so if I’ve got antibodies, it’s a, it’s something I’ve got to work out in my mind. I’ve got antibodies, so I do I need to be vaccinated? But if I haven’t got antibodies, you know? Will they know enough about it, about the vaccination? [inaudible] I will take it. But I’m not an anti-vax person.

 

 

Reasons for deciding to be vaccinated

Many of the people we spoke to had either been vaccinated already or were planning to get the vaccine when it was offered to them. They gave a variety of reasons for deciding to be vaccinated. Shaista felt very pleased that she had been offered the vaccine. At the time she was interviewed children weren’t yet being vaccinated for Covid, but she was “very relieved” that other adults in her family had been vaccinated too.

 

Shaista said she felt relieved and lucky to have been vaccinated. She said the vaccine roll-out was a testament to the scientists and NHS teams who had worked extremely hard on it.

Shaista said she felt relieved and lucky to have been vaccinated. She said the vaccine roll-out was a testament to the scientists and NHS teams who had worked extremely hard on it.

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So, I was very pleased to be offered a vaccine, I had the Pfizer one, so I it was very straight forward. I feel very relieved to know that I’ve been vaccinated. I feel very relieved that my mum’s been vaccinated, my brother, my sister-in-law. I’m, the children obviously in my family have not been vaccinated. There’s information swirling around that potentially some young children will be asked to be vaccinated. We don’t know, we don’t have enough information.
 
I feel that the, the entire vaccine rollout is really a testament to the NHS the NHS that the government has spent decades dismantling and de-funding and I think it’s quite shameful that this all been described as being, the governments doing a wonderful job with vaccinations when they’re actually, it’s got nothing to do with the government. It’s to do with scientists who have worked incredibly hard and all the teams working with them and then the NHS which has rolled this vaccination out in an incredible way. So, I feel that like that narrative needs to also be reset because the narrative that’s out there, is not a truthful one.
 
And I felt extremely relieved, and it was very easy, and I found it to be very an emotional experience actually to be able to go and to get a vaccination for Covid knowing that there are, the vast majority of people in the world do not have the same access to vaccinations. They are unlikely to get access to vaccinations any time soon and very horrifically you know, their life chances are being impacted so I found, I found it to be a very emotional experience.
 

 


 
Some people felt that vaccination was an important way of protecting everybody against Covid and preventing those with Long Covid from being reinfected. Zoya said that her “level of cautiousness” and anxiety about reinfection was lower after vaccinations started to happen. Lucy told us that she was “really, really grateful” that her brother had decided to get vaccinated to help to protect her from being reinfected. He had said “If I’m going to do anything to support my sister, I’ll do it”.
 
The possibility that the vaccine might lead to improvements in Long Covid symptoms was another motivation for getting it. Judy was keen. She said: “I’ll bite their hand off when they offer [me the vaccine]. Partly because I think it’s really important to get it for everybody but also because I hope that I’ll be one of the people that… their symptoms seem to get better from having the vaccine”. Ben said he would “take the vaccine tomorrow if there was an option” and he had asked his GP if he could “get him up the list”.
 
If they had felt well enough to travel, a few people with Long Covid said they had decided to get the vaccine because it had been a requirement before they were allowed to travel abroad.

Reasons for uncertainty or deciding against vaccination

We also spoke to people with Long Covid who were uncertain about vaccination or had decided against it. Some people worried that the vaccine might make their Long Covid symptoms worse. Jamie said, “I'm really anxious that I go and get the vaccine and it makes me feel horrendous”. Hazeem had initially felt “confused [and] not confident” about getting the Covid vaccine. He changed his mind and got the vaccine after feeling very ill when he was infected with Covid and also after seeing that family and friends were fine after being vaccinated.

A small number of people we spoke to said that friends and family had put them under pressure to refuse vaccination.
 

 

Gulsoom’s friends and family told her not to get vaccinated in case it affected her fertility. Although she believed the vaccine is safe, she couldn’t decide what to do. In the end she refused vaccination for the time being.

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Gulsoom’s friends and family told her not to get vaccinated in case it affected her fertility. Although she believed the vaccine is safe, she couldn’t decide what to do. In the end she refused vaccination for the time being.

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I think even for me personally, I was offered the vaccine and I’ll be very honest with you, my close friends and my family members said to me, “Don’t have it.” To this day, I’ve not been vaccinated, even though I’m a keyworker because they’re like, “You’re not married and it’s going to affect your fertility.” And I don’t know but I believe that they wouldn’t really give you a vaccination that’s going to affect your fertility and so through my work and being on social webinars and read things and I believe, and I trust that the vaccination is safe. And I think with all the pressure of people saying, “Don’t take it. Don’t take it. Don’t take it.” Towards the end, I got a bit of fear. I’m a bit scared so I didn’t take it.
 
Because my dad passed away with Covid and because I am very active in the community now and I have a lot of contact with people because obviously, I deal with emergency cases and work with people, most vulnerable people that come to us, I’m doing it from the fact that I want to protect my mother. I want to protect my siblings but then I’m scared because they’re not in favour of me having the vaccination. So, a big part of me actually booked it in and said, this is for me to save my family from catching Covid because I am a keyworker, I’m probably out in the community more than anyone else in this household.
 
So, if anyone is going to bring anything in the house, it’s me so I need to protect them, so I’m going to take the vaccine and on the other half, when I spoke to my family, they were like, “No. No, we don’t think you should get it. We don’t think it’s safe.” Because of all the messages and all the things that have been circulating around social media, they’ve got it into their head that it’s not safe for me to take the vaccine. So, it was like, do I take it? Do I not? Do I take it? Do I not? Do I take it? Do I not? Then I just thought, you know what, right now, I’ll refuse the vaccination and then, in the coming weeks, if my mother takes it and they understand that my mother is okay, then they’ll be fine about me taking the vaccination.

 

 

Perceived after-effects of the vaccine – positive and negative

The evidence on vaccination shows that serious after-effects are rare. Several people mentioned mild and short-term side-effects of the vaccine, such as a fever and flu-like symptoms. Grayson said that he felt unwell for 24 hours after his first vaccine but then “didn’t really get any reaction” from his second.

 

Jennifer felt shivery and like she had the flu after her first vaccine. She then had a couple of days feeling tired but explained this was not as bad as the overwhelming tsunami of being “Covid tired.”

Jennifer felt shivery and like she had the flu after her first vaccine. She then had a couple of days feeling tired but explained this was not as bad as the overwhelming tsunami of being “Covid tired.”

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Have you been offered your vaccine yet or not yet?
 
Yeah, I’ve had the, the, first one. We weren’t a special group or anything, it was just age, so yeah.
 
Did you mind saying how that experience was for you, how you felt afterwards?
 
Yeah, it was, it was, it was fine. I was…there was a lot of people saying they felt a lot better after the vaccines, so I had hopes I’d be miraculously cured [laughs]. But it hasn’t happened unfortunately. But I just felt like I had the flu. It was very much the flu, and that’s why it was very different to Covid. And people were saying to me, “Oh did you feel like you had Covid again?” And I said, “No, it was nothing like Covid.” I did feel shivery, and I did feel achy, and I had a day of that in bed, and then I had a couple of days of feeling tired, more tired than normal.
 
But like a different tired to the Covid tired, because the Covid tired is, it’s not like, it’s not like you’re tired with, with the illness; it’s just this fatigue that you can’t…It’s very hard to explain. It’s just an overwhelming, like I’ve said to people, it’s like a tsunami of…it just hits you. You cannot ignore it. It’s a wave that just comes over you, and if you resist it, you will make yourself very much worse.

 


 
Some people told us about more severe symptoms that they had experienced after vaccination. Helen said she felt like she “had the virus all over again” after her first vaccine and was “quite unwell” for the following week. Anthony said that a few hours after his first vaccination, he developed a “horrible fever [and] awful headaches [that] then got much worse when lying down”.
 
A few people felt that they had had more unusual or longer lasting symptoms following vaccination. Iain said that his hearing “went strange” after his second vaccine and his GP sent him for hearing tests. Rebekah said: “I was getting on all right and then I had my first jab and then I believe my PoTS established, but I can’t prove it.” (PoTS stands for Postural tachycardia syndrome and is an abnormal increase in heart rate that occurs after sitting up or standing.) Irene described herself as being “really, really unlucky” because she had restricted movement in her arm after the injection and she wanted to be sure that she knew why this had happened before she got her second Covid vaccination. Michelle described neurological symptoms which coincided with her vaccine injections.
 
 

Michelle felt OK after her first vaccine, but after her second she was really sick and spent four weeks in bed. When she got up again, her walking and arm were affected. Michelle thought “something neurological had happened” when she’d had the vaccine.

Michelle felt OK after her first vaccine, but after her second she was really sick and spent four weeks in bed. When she got up again, her walking and arm were affected. Michelle thought “something neurological had happened” when she’d had the vaccine.

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Yeah, so I was vaccinated, and I had the first vaccination and I was OK, but then when I had the second vaccination...so my...the use of my legs and my right arm were OK. I had a set of symptoms from my Long Covid that were joint pains, the shortness of breath and all of the things that I had told you about previously, but then when I had the second vaccination I got really, really sick again with...I got Sinusitis first and then it spread down into my chest, I had to have antibiotics and I had to have two courses of steroids.
 
I was in bed for a...pretty much for about four weeks, but then when I did get up again, it was as if I’d had Covid but I couldn’t walk properly and I’d got...I lost the use of my right arm and it was as if I’d taken something out of the oven without oven gloves on and my right thumb was burnt, so something neurological had happened, so it was...literally it was as if I’d had some sort of reaction to the vaccination.

 


 
Both Ada and Xanthe felt that they experienced relapses in their Long Covid symptoms after their vaccines.
 
 

Ada experienced overwhelming depression and anxiety after being vaccinated. This impacted her relationships with her husband and children. She said each time she had the vaccine “it messed me up”.

Ada experienced overwhelming depression and anxiety after being vaccinated. This impacted her relationships with her husband and children. She said each time she had the vaccine “it messed me up”.

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So, I would definitely say the symptoms were exacerbated from the time I took the vaccine because the Covid itself had drained me. Again, my family members some, some people bounced back within a couple of weeks, ten days, two weeks. It just felt that I was, I was always extremely tired, extremely tired. But it was not that long after that I actually had the vaccine when I was like, “Oh god. Now it’s instead of making me feel a little bit better in myself, this is awful.” Everything was exaggerated. And I did feel depressed, and I felt anxious. And I was constantly worried. And it, it, it was horrible. It was a horrible experience because I knew within myself it’s like, I, I don’t have anything to worry about that I have constantly have this worry. I constantly have this feeling. I was always anxious. My mood, like I said with my, in my marriage it affected, definitely affected my relationship with my children. I withdrew myself from social gatherings, meetings. It really changed the person I was.
 
And now I feel I was just so vulnerable, and I was just so, all of a sudden, I felt, god, it’s like I’m not, I’ve not been known to be an ill person, but that’s how I feel, I constantly feel ill. I think then when I had my booster in September if I remember correctly oh dear lord, it only got worse. It got worse. And then come wintertime which is generally a time where people might get depressed in winter anyway. It was awful. I would, I wouldn't get out of bed. I would just about greet my kids. Give them their food. Come back up. My husband was doing all of, you know, trying to watch the kids and to kind of run the house. And I normally go and see my parents at least once a month or what have you, you know, outside of Covid restrictions anyway. And they were like, “Come on, Ada, you’re always on it. You’re always meeting up and you know, we want to hear.” It was just, “No, no, don’t answer calls. Don’t want to speak to anyone. I don’t want to; I don’t want to talk.” It just felt like a place where I’m like, I don’t understand what this is.
 
Again, I tried to go to my doctor, “You have Long Covid.” “Okay, what shall I do about it? Where do I go? What do I do?” And I’m not one of those people who were looking into all of these, you know, is it real? Is it not? I’m 100% that Covid is real. And I was definitely, you know, go for vaccine. Go for it. Absolutely fine. Didn’t look into all of these, you know, online theories that oh god, it might be. And then it came to a point where I felt, actually I don’t know if it’s in my head, but I do feel worse when I had the vaccine. Each time I have it, it messes me up. Maybe it doesn't sit right with my balances. I don’t know if it’s hormonal or the way I feel. It just doesn't sit right with me whatsoever. But equally, medically, I was advised that because you have Long Covid, you are now registered as Long Covid. You need to take it and you will feel worse before you get better.

 

 

Xanthe said her third vaccine injection “coincided with a huge decline” in her Long Covid symptoms. Her fatigue and feeling unwell after exercise got much worse and she needed much more help from her family.

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Xanthe said her third vaccine injection “coincided with a huge decline” in her Long Covid symptoms. Her fatigue and feeling unwell after exercise got much worse and she needed much more help from her family.

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And at the same time sort of around December time, I had the third vaccine which I know now, looking back, coincided with the huge decline. So, since December, say January actually, so from December I had quite... a few days off sick from my job, it was coming up to Christmas as well and I knew I didn’t feel right again. Bear in mind I never really back to what I was; I just thought I was getting there. So, from January I said to my work “I think I need to leave, but I don’t think I can do this job,” and they... so they were really, really great and tried to support me and said, “How about we reduce...” I think I even suggested maybe we could try one day a week, so I went from four days a week to one. And I don’t know, since December I’ve just been, I would say, worse than the beginning maybe?
 
I didn’t have so many symptoms, so I had a whole list of symptoms in the...the first part of the illness, but this time I think from about December the fatigue was much worse, the post-exertional malaise, which is when you overexert yourself and you crash, was much worse, and I didn’t have joint pain, and I had joint pain. So, we tried that, I was doing one day a week I was still crashing though and as time went on, and continues to go on, the crashes become horrendously traumatic because you go from sort of functioning, to not functioning. So, since January I’ve needed my family 100% to take care of me, and...and looking back, to be honest, I probably needed them to take care of me more before, but I didn’t know that that’s what I needed, so I didn’t ask for it; it’s not that they didn’t offer or anything.

 



In contrast, we also spoke to people who said that the vaccine had a positive impact on their Long Covid symptoms. Laurie said she experienced a “vaccine bounce... like the sun had come out” after her first and second injections. Adele initially reacted badly to vaccination but then many of her symptoms improved. Callum’s symptoms got better for a while after his first vaccine.
 
 

After her first and second vaccines, Laurie felt it “was like the sun had come out, like the cloud had gone from my brain and I suddenly felt like myself again”. Several of her symptoms have since improved.

After her first and second vaccines, Laurie felt it “was like the sun had come out, like the cloud had gone from my brain and I suddenly felt like myself again”. Several of her symptoms have since improved.

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This would’ve been at the beginning of March, I finally had a referral to the cardiac clinic, prescribed me ivabradine, and I had my first vaccine. I went straight from the cardiac clinic to have my first vaccine. First vaccine felt like going through the whole thing, my entire year. And then suddenly I thought ‘oh, hang on.’ It was like the sun had come out like the cloud had gone from my brain. And I suddenly felt like myself again.
 
Stayed on the Ivabradine but I still felt you know something, there was a very concrete gear change, when I had, when I got the vaccine, first vaccine. Then it took about 6 weeks, then the vaccine bounce stopped, but by the time the second one came around again, and I had the second one in June, the same thing happened. And I was able to come off the ivabradine. And my heart rate is now normal, my blood… and I am able to do you know, kind of 5/6000 steps in a day, maybe even more. Cognitive effort still exhausts me, and I have a much lower threshold for becoming cognitively overwhelmed.

 

 

About a week after her first vaccine, a lot of Adele’s symptoms got a lot better. Her second vaccine didn’t help as much, but she felt that she had steadily been getting better since vaccination.

About a week after her first vaccine, a lot of Adele’s symptoms got a lot better. Her second vaccine didn’t help as much, but she felt that she had steadily been getting better since vaccination.

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I think, then, a vaccine became available. So, I had, because I'm a healthcare worker, I got the vaccination, fairly early. I felt terrible for about a week, and then, started noticing things get better. The dysautonomic symptoms got a lot better, so the postural tachycardia got better, I didn’t feel unwell, and dizzy on my feet so much, I felt like I could think more clearly. Peripheral neuropathy seemed to get a bit better, as well. So, I was just delighted. And, unfortunately with this second vaccine, I had that period of, oh I think it was probably two to three weeks of not feeling great after it, in all honesty. But it really did trigger off the peripheral neuropathy, again. So, the first vaccine seemed to help things, the second vaccine, possibly less so. It could all be incidental, and coincidence, it’s really not clear. But on the whole, I would say I have steadily been getting better since that time, so that’s December, so five months ago. There have been blips, they’re probably not a linear thing.

 

 

After his first vaccine, Callum felt the best he has since getting Long Covid. For a while, he was able to do normal activities without feeling fatigued, unwell or in pain.

After his first vaccine, Callum felt the best he has since getting Long Covid. For a while, he was able to do normal activities without feeling fatigued, unwell or in pain.

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But the first vaccine that I had was the best I think I’ve ever felt with Long Covid. I don’t think I’ve felt that good since I was able to get up and do, you know, I did this tentatively. I didn't just jump straight into it. But I was able to go for walks with my girlfriend and feel completely fine. No post exertion malaise at all. I was able to get up and do an hour deep cleaning. Not just, you know, surfaces, a deep clean. You know, and then with like rest just to make sure I was okay, no pain. Alright, let’s do it again. I, I didn't do that when I was healthy. You know, that idea of like you know, let’s really get stuck in. Let’s really sort of get this place sorted. Yeah, I, the first, after the first jab, especially the first couple of months after that was the best I’ve ever felt. But I think I assumed that was me basically well. I’m healthy now. I’m almost back and I can start behaving normally.

 


 
You can learn more about what other people thought about vaccinations on the Family experiences of Long Covid website thoughts about catching Covid again - and avoiding it and the vaccination page on the Covid-19 in the community website.

 

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