Children and COVID-19 vaccines — Your questions answered

UNICEF experts answer parents’ top 10 questions on COVID-19 vaccination for children

UNICEF South Asia
vaccinated child
UNICEF/UN0662508/Prasad Ngakhusi
08 August 2022

Vaccines have been a game changer in the fight to end COVID-19. In just two years, unmatched progress has been made to save lives and safely reopen our communities, and it’s hugely thanks to the swift and miraculous development and roll out of COVID-19 vaccines.  

Now that COVID-19 vaccines are available for young children, parents in South Asia are thrilled their little ones will soon have added protection and understandably have some questions too! 

To help parents navigate through the (sometimes overwhelming) information available on COVID-19 children’s vaccination, we sat down with UNICEF South Asia Health Experts to answer parents’ top questions and concerns — so you can confidently keep your child safe. 

1. “Can all children get the COVID-19 vaccine?” 

Right now, the World Health Organization (WHO) has approved some COVID-19 vaccines for children over the age of 6 months old. (More information can be found here and here.

WHO recommend that governments start vaccinating children after those most at risk have been fully vaccinated.   

In South Asia, as of 8 August 2022: 

  • Afghanistan has not yet started vaccinating children against COVID-19.  

  • In Bangladesh, COVID-19 vaccines are available for children over the age of 12. ​Vaccines for children ages 5-11 are currently being rolled out in some parts of the country. 

  • In Bhutan, COVID-19 vaccines are now available for all children over the age of 5. 

  • In India, COVID-19 vaccines are available for children over the age of 12.  

  • In Maldives, COVID-19 vaccines are available for children over the age of 12. There are plans to make vaccination available for children ages 5-11 in the coming months. 

  • In Nepal, children over the age of 12, across the country can be vaccinated for COVID-19. Vaccines for children ages 5-11 are currently being rolled out in some districts. 

  • In Pakistan, children over the age of 12, across the country can be vaccinated for COVID-19. Vaccines for children ages 5-11 are currently being rolled out in some districts. 

  • In Sri Lanka, COVID-19 vaccines are available for children over the age of 12. 

A youngster in Nepal prepares to get his first dose of COVID-19 vaccine!
UNICEF/UN0662503/Prasad Ngakhusi
June 2022: A youngster in Nepal prepares to get his first dose of the COVID-19 vaccine!

2. “Are COVID-19 vaccines safe for children?” 

Yes.  

Medical experts advising the WHO have undertaken a thorough review and found that COVID-19 vaccination with approved vaccines is safe and effective for children aged 6 months old and older.   

Doses for children aged 6 months to 11 years old are made up of smaller amounts of the vaccine, sometimes called ‘paediatric vaccines’.   

Children aged 12 and over receive the same vaccine dose as adults. 

Here are tips on how to talk to your children about COVID-19 vaccines

3. “Are all COVID-19 vaccines approved for children?” 

Several COVID-19 vaccines have been approved for children. 

The World Health Organization has approved: 

Many countries in South Asia have approved other COVID-19 vaccines for children, after examining safety and efficacy data for these vaccines. 

You can learn more about your country’s guidelines by speaking to a healthcare worker or visiting the Ministry of Health’s website. 

4. “COVID-19 symptoms are usually mild among children. Why should my child get the COVID-19 vaccine?” 

Fortunately, children have a low risk of getting severely ill from COVID-19. Many of them recover from the virus without showing any symptoms at all. 

However, very low numbers of children have developed severe disease, needed treatment in an intensive care unit and some have died from the virus.  

This is relatively rare. But it does happen. 

Children with underlying health conditions (including obesity, heart, kidney or liver disease, asthma, cystic fibrosis and cancer) are at higher risk of developing severe disease from COVID-19. 

Children are also at risk of developing ‘long COVID’. Long COVID involves long-lasting symptoms of the virus for weeks, or sometimes months. These symptoms can include fatigue and headaches.  

There have also been reports of a link between COVID-19 and Multisystem inflammatory syndrome in children (MIS-C). MIS-C is a very rare condition, that can happen several weeks after a COVID-19 infection, where different parts of the body can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. This can lead to multiorgan failure, shock and in very rare cases, death. 

More information on MIS-C can be found here. 

Even though children’s risk of getting severely ill from COVID-19 is very low, vaccines help lower this risk even more. The latest research also shows that vaccines protect children from developing MIS-C too.  

Getting your child vaccinated will also help to reduce the chance of disruption from COVID-19 to their education and other activities they enjoy. 

If you have any concerns or questions speak to your local health worker.  

vaccination in Bhutan
UNICEF Bhutan
Most children in Bhutan ages 5-11, have now received two doses of the COVID-19 vaccine.

5. “How many COVID-19 vaccine doses are recommended for children?” 

Just like adults, children over the age of 5 need two doses of COVID-19 vaccine. They are fully vaccinated two weeks after they’ve had their second paediatric dose. 

Vaccines for children aged 6 months to 5 years old are very small doses. If your infant is vaccinated with the Pfizer vaccine they will need three doses. If they are vaccinated with the Moderna vaccine they will need two doses.  

Children should get their second dose at least 3-4 weeks after their first dose, depending on the vaccine they have.  

Boosters  

WHO recommends that people at a high risk from COVID-19 are prioritized for booster doses. This can include children with certain health conditions. 

In South Asia, some countries that have made good progress in vaccinating high-risk groups are now offering boosters to lower risk groups, including children over the age of 12.  

WHO has not yet provided guidance on the need for, and timing of, booster doses for children aged 6 months to 11 years old without health conditions. 

Sanju Kanwar
UNICEF/UN0594957/Panjwani
Sanju Kanwar, 16, and her friend celebrate after getting vaccinated against COVID-19 in India.

6. “Are there any side effects for children?” 

Millions of children around the world have been vaccinated against COVID-19 so far — and serious side effects have been very rare. The few side effects that have been reported have been mild. Children might get a slight fever, headache, body-aches or soreness in their arm from the injection, similar to the symptoms they might experience from their routine childhood vaccines. Some children experience no side effects at all.  

These are normal reactions that should get better on their own within a few days. If symptoms continue, visit your local health facility and talk to a health worker for advice.  

7. “My child had COVID-19 and recovered. Do they still need to get vaccinated?” 

Yes. Getting vaccinated after a COVID-19 infection is safe and recommended by experts.  

Even if your child has recovered from COVID-19, they can still get it again. Getting vaccinated adds an extra layer of protection to any natural immunity your child might have developed against the virus. The risk of children getting severely sick from COVID-19 is thankfully very low — but vaccines help lower this risk even more. 

If your child has recently had COVID-19, speak to your local health worker about when they recommend your child to have their first or next dose. 

8. “COVID-19 vaccines are not yet available for my child. How can I keep them safe?” 

If your child is not old enough to get vaccinated, or vaccines aren’t yet available to them in your country, here are simple ways you can help keep your child safe: 

  • Continue wearing a well-fitted mask, particularly when indoors or in large group settings. Children aged 6 and older are encouraged to wear a mask in these settings. Here are some tips on masks for young children.  

  • Stay outdoors and in well-ventilated places as much as possible when visiting friends or family. 

  • Encourage your child to practice safety precautions. This includes frequent handwashing and physical distancing, particularly at school and when playing with friends. You can also show your child how to limit the spread of COVID-19 by covering a cough or sneeze with their elbow. 

  • Get vaccinated yourself. By getting fully vaccinated you are not only protecting yourself from getting severely sick, but you are also reducing the risk of spreading it to your child.  

As the virus continues to evolve and new variants emerge, we know that vaccines alone cannot stop infections from happening. That’s why it’s important to get fully vaccinated and continue practicing personal preventative measures. Let’s all continue to do our part.  

World Health Organization (WHO)
WHO’s Science in 5 on ‘COVID-19: Vaccines and children’ (13 May 2022)

9. “My child is not yet vaccinated, is it safe to send them to school?” 

Yes.  

Your child’s school attendance should not depend on whether they are vaccinated against COVID-19. 

Schools can open safely without requiring every child to be vaccinated against COVID-19.  

Instead, sensible safety precautions, like access to soap and clean water, masks, regular handwashing, physical distancing, and the sanitization of surfaces, can make schools a safe environment for children.  

There is currently no scientific evidence to suggest that schools are a main driver of community transmission. But we do know that being out of school takes an enormous toll on children’s physical and mental health. 

For our experts it’s clear — the risks of being out of school are greater than the risks of being in school. 

More information on safely sending your child to school when COVID-19 is circulating can be found here. 

10. “Can my child get their routine vaccinations at the same time as their COVID-19 vaccination?” 

Yes, it is safe for your child to get other vaccines at the same time as their COVID-19 vaccine. 

 In fact, it is common for young children to receive multiple routine vaccines during the same health visit.  

It’s important to stick to your child’s routine vaccination schedule and make sure they stay up to date with all their childhood vaccines. 

UNICEF experts answer parents’ questions on childhood vaccinations 


This article was last updated on 21st September 2022. It will continue to be updated to reflect the latest information.