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Published on: 10/1/2026

Pneumonia vaccine side effects, and how long they usually last

Most pneumococcal vaccine side effects are mild and short lived, including soreness, redness or swelling at the injection site, low grade fever, fatigue, muscle aches, headache, chills and reduced appetite. These reactions typically begin within a day of the shot and fade on their own in about 1 to 3 days, though injection site tenderness can linger slightly longer, and severe allergic reactions are rare but need urgent care. Several factors influence how long symptoms last, including your age, which pneumococcal vaccine you received, whether other vaccines were given at the same time, and your underlying health, so see below for the important details to consider. If your symptoms are lasting longer than expected, worsening, or paired with high fever, difficulty breathing, chest pain or a persistent cough, it is worth checking whether something more than a normal vaccine reaction is going on. Take a free, instant, online symptom check to better understand your symptoms and get clear guidance on your next steps.

Last reviewed for medical accuracy: 10/01/2025

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Explanation

Pneumonia Vaccine Side Effects: What You Need to Know

Pneumonia vaccines, including Prevnar 13 (PCV13) and Pneumovax 23 (PPSV23), help protect against serious infections caused by Streptococcus pneumoniae. Like any vaccine, they can cause side effects. Understanding what to expect can help you feel more prepared and less anxious.

Common Side Effects

Most people experience only mild reactions that resolve on their own. Common side effects include:

Local Reactions at the Injection Site

  • Pain or tenderness
  • Redness
  • Swelling
  • A small hard lump under the skin

General/Systemic Reactions

  • Low-grade fever (up to 101 °F or 38.3 °C)
  • Fatigue or tiredness
  • Headache
  • Muscle or joint aches
  • Mild chills

How long do these usually last?

  • Injection-site redness, pain and swelling often peak 24 hours after vaccination and improve within 2–3 days.
  • Mild fever, headache or muscle aches tend to resolve within 48–72 hours.
  • Fatigue may linger up to 5 days but is generally mild.

Less Common (But Possible) Side Effects

Though rare, you may experience:

  • Nausea or mild stomach upset
  • Diarrhea
  • Swollen lymph nodes (usually in the armpit or neck on the same side as the injection)
  • Feeling faint or dizzy, especially if you’re anxious about needles

These effects also tend to be short-lived, usually improving within 2–4 days.

Rare but Serious Reactions

Severe reactions to pneumonia vaccines are very uncommon, but it’s important to know the signs:

  • Difficulty breathing or wheezing
  • Swelling of the face or throat
  • Rapid heartbeat
  • Dizziness or lightheadedness
  • High fever (over 104 °F or 40 °C)
  • Severe headache, confusion or stiff neck (possible signs of meningitis)

If you or a loved one experience any of these symptoms, seek medical attention immediately.

Why Side Effects Occur

Vaccines work by stimulating your immune system to recognize and fight the bacteria. The mild inflammation you feel—such as redness or soreness—is a sign your body is building protection. These signals show the vaccine is “teaching” your immune cells to respond more effectively in the future.

Managing Side Effects

You can take simple steps at home to ease discomfort:

  • Apply a cool, damp cloth to the injection area
  • Move or gently use the arm to help reduce stiffness
  • Take over-the-counter pain relievers like acetaminophen or ibuprofen as needed (unless contraindicated)
  • Stay hydrated and rest if you feel tired

Always follow the dosing instructions on the label or as advised by your healthcare provider.

Monitoring Your Symptoms

While most reactions are mild, it’s wise to keep an eye on how you feel. If symptoms become severe, last longer than expected, or worry you, consider a free, online symptom check, using the doctor approved Ubie Symptom Checker. This quick tool can help you decide if you should contact a healthcare professional.

Who Is at Higher Risk for Side Effects?

  • Adults over 65 and young children may report pain or fever slightly more often.
  • People with weakened immune systems might have different responses—talk with your doctor about timing and choice of vaccine.
  • Anyone with a history of severe allergic reactions to any component of the vaccine should not receive it.

Duration of Protection vs. Side Effects

  • Side effects: generally 1–3 days, sometimes up to 5 days for fatigue.
  • Protection: PCV13 and PPSV23 provide long-term defense against many strains of pneumococcal bacteria. Repeat doses or boosters may be recommended based on age and health conditions.

When to Talk to Your Doctor

Vaccination benefits far outweigh the risk of side effects for most people. Still, you should call or visit your healthcare provider if you experience:

  • Side effects that get worse after 3 days or don’t improve by day 5
  • Symptoms that concern you, such as a high fever, severe headache or difficulty breathing
  • Signs of infection at the injection site (increasing redness, warmth or pus)

Always discuss any allergies, chronic illnesses or previous reactions you’ve had to vaccines before getting vaccinated.

Bottom Line

Getting the pneumonia vaccine is a safe and effective way to prevent serious illness. Most side effects are mild, short-lived and manageable at home. Rarely, more serious reactions occur—so stay informed and monitor your health.

If you’re unsure about your symptoms, try a free, online symptom check, using the doctor approved Ubie Symptom Checker. And remember: for any side effect that feels life threatening or persists longer than expected, speak to a doctor right away. Your healthcare team can guide you and ensure you stay safe and protected.

(References)

  • * Halsey NA, Spika JS, Lum GM, Schiffman GS, Lauer BA. Adverse reactions to pneumococcal polysaccharide vaccine in children. Pediatr Infect Dis. 1982 Jan-Feb;1(1):34-6. doi: 10.1097/00006454-198201000-00009. PMID: 7177893.

  • * Estrada V, de Villar N, Serrano-Ríos M. [Cutaneous adverse events related to simultaneous nevirapine treatment and pneumococcal vaccination in HIV-infected patients]. Med Clin (Barc). 2001 Mar 31;116(12):479. doi: 10.1016/s0025-7753(01)71878-7. PMID: 11333714.

  • * Hengge UR, Scharf RE, Kroon FP, Pfeffer K. Severe serum sickness following pneumococcal vaccination in an AIDS patient. Int J STD AIDS. 2006 Mar;17(3):210-1. doi: 10.1258/095646206775809123. PMID: 16510015.

  • * Huang DT, Chiu NC, Chi H, Huang FY. Protracted fever with cellulitis-like reaction in pneumococcal polysaccharide-vaccinated children. Pediatr Infect Dis J. 2008 Oct;27(10):937-9. doi: 10.1097/INF.0b013e3181734fb6. PMID: 18776824.

  • * [Welcome side effect of vaccination. Effective for the lung and also helps the heart]. MMW Fortschr Med. 2009 Jun 4;151(23):45. PMID: 19591355.

  • * Kondo M, Suzuki K, Nakayama Y, Matsushima Y, Mizutani K, Habe K, Imai H, Yamanaka K. Case of toxic epidermal necrolysis in immunocompromised patient possibly due to Streptococcus pneumoniae serotype uncovered by vaccine. J Dermatol. 2020 Apr;47(4):e106-e107. doi: 10.1111/1346-8138.15268. Epub 2020 Feb 13. PMID: 32056278.

  • * Two new pneumococcal vaccines - Prevnar 20 and Vaxneuvance. Med Lett Drugs Ther. 2021 Nov 29;63(1638):188-190. PMID: 35085216.

  • * Lee WH, Abass F. Erythema Nodosum in an Infant Associated With Meningococcal ACWY, Measles, Mumps, Rubella, and Pneumococcal Vaccines: A Case Report. Clin Pediatr (Phila). 2024 Feb;63(2):191-194. doi: 10.1177/00009228231211151. Epub 2023 Nov 6. PMID: 37932922.

  • * Capvaxive - A 21-valent pneumococcal conjugate vaccine. Med Lett Drugs Ther. 2024 Oct 14;66(1713):161-163. doi: 10.58347/tml.2024.1713a. PMID: 39382428.

  • * Liatsikos K, Hyder-Wright A, Davies K, El Safadi D, Farrar M, Goncalves A, Gonzalez-Dias P, Gordon SB, Howard A, Lesosky M, Liu X, Mitsi E, Myerscough C, Nyazika TK, Pollard AJ, Reiné J, Robinson RE, Solórzano C, Urban BC, Zhang Y, Lahuerta M, Theilacker C, Catusse J, Begier E, Tan Y, Jodar L, Gessner BD, Collins A, Ferreira DM, PNEUMO 2 study group. The effect of pneumococcal conjugate vaccine and pneumococcal polysaccharide vaccine on nasopharyngeal colonisation following human infection challenge with serotype 3 and serotype 6B (PREVENTING PNEUMO 2): a double-masked, randomised, controlled, phase 4 trial. Lancet Microbe. 2026 Mar;7(3):101267. doi: 10.1016/j.lanmic.2025.101267. Epub 2026 Feb 13. PMID: 41698388.

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