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“The vaccine trains the body to fight the virus”

Infectious disease specialist at Robert Schuman hospitals, Dr Gerard Schockmel responded Tuesday evening to questions from the public about the precious serum developed against covid-19. The editorial team offers you a summary of the answers to the eight most frequently asked questions.

Infectious disease specialist at Robert Schuman hospitals, Dr Gerard Schockmel responded Tuesday evening to questions from the public about the precious serum developed against covid-19. The editorial team offers you a summary of the answers to the eight most frequently asked questions.

What are the different types of vaccines possible?

“There are three main families of vaccines: live attenuated vaccines, inactivated vaccines and subunit vaccines. The first contains live pathogens, but whose virulence has been attenuated, the second uses inactivated pathogens. In the third variant, we do not take the virus itself, but only the viral protein.

In other words, the body is trained to fight the virus. This is particularly the case with vaccines currently being developed against covid-19. This uses a small component of the virus’s RNA [un composé chimique essentiel dans le transport du message génétique et la synthèse des protéines, ndlr] that enters the cells.

Dr Gérard Schockmel has spent ten years researching RNA viruses.

Photo: Pierre Matgé/archive


How an RNA vaccine works ?

“Messenger RNA transmits information to human cells, which then use it to develop so-called ‘spike’ proteins. It is these which then activate the immune response, in other words the development of antibodies. However, these molecules are very fragile and break down quickly. In other words, they do not enter the cell nucleus and therefore do not alter the genetic material of the vaccinated person.

Why is it used here?

“Several reasons explain the choice of this type of vaccine. First of all, because it is relatively easy to develop. The Moderna laboratory was thus able to start designing its vaccine just two days after the virus was sequenced. [action consistant à analyser l’ADN des cellules et permettant ainsi de savoir de quels gènes elles sont composées, ndlr]. Also, compared to other vaccines, only very small doses of the substance are needed to have an effect. The immune response, that is, the development of antibodies, is also stronger than in people who have naturally acquired immunity to the disease.

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What tests are done on a vaccine before it is approved?

“The first tests are carried out on animals, because tests on human volunteers are not authorized. Different animals are then exposed to the vaccine, such as rats, mice or macaques. There are then three phases of clinical trials, each expanding the scope of testing. For example, Phase 3 of the Pfizer-BioNTech vaccine involved 44,000 people, half of whom received an injection.


All of these clinical phases have been completed at the pace required as part of this rapid vaccine development process. It is the time intervals between each clinical phase that have been shortened and allowed for overlap. More concretely, regulatory agencies, such as the European Medicines Agency (EMA) were informed of the progress of trials during clinical phases rather than in a final report after their completion, as is usually the case. . The results were reviewed by independent external experts.

Will the mutation of the virus from the UK affect the effectiveness of the vaccine?

Fortunately, the immune system is mobilized against the spike protein in general. As a result, the body develops different forms of antibodies that are effective against different parts of this protein. So even a mutated virus cannot easily overcome this protection. Currently, specialists assume that the protection of the vaccine will not be affected by the new variant of the virus, they are not very worried about this.


A test developed in Luxembourg makes it possible to measure the effectiveness of antibodies against covid-19. The project manager, Dr Danielle Perez Bercoff, answered questions from the “Luxemburger Wort”.



What are the most common side effects of the vaccine?

“Some are linked to injection. The injection into the muscle can cause pain for one to two days, and in rare cases small inflammation is possible. The active substance can also cause headaches, pain in the limbs or a slight rise in body temperature.

Only 2 to 3% of people experience side effects after the first injection that disrupt their daily life to the point of forcing them to take sick leave, for example. After the second injection, side effects may increase – with Moderna’s vaccine, around 15% of people vaccinated experienced noticeable side effects.

What should people with pre-existing conditions know?

“The vaccine may be less effective in people who are currently undergoing chemotherapy. Most of these treatments weaken the immune system and therefore make the vaccine less effective. In this case, it may be best to wait until the immune system has recovered before vaccinating. However, patients with permanently weakened immune systems can be vaccinated, even if the protection is weaker.

After all, these are the people who are at the greatest risk of contracting and developing a severe form of covid-19. In general, it can be said that high risk patients are more likely to suffer from serious illness from the virus than to experience significant side effects from vaccination. However, there are of course exceptions.

Should people who have already been infected with the virus be vaccinated?

“Of course, even people who have already had covid-19 should get vaccinated for the best protection. After illness – especially asymptomatic – the number of antibodies is on average much lower than after vaccination. However, the number, but also the quality of the antibodies play a role here. “

(ASdN with Sarah Calmes)

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On the same subject

Luxembourg does not haggle over the purchase of vaccines

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January 04, 2021, Saxony, Dresden: An employee at the Dresden City Hospital holds an injection vial with the vaccine against Corona in her hands in the vaccination center for employees.  On Monday, the corona vaccinations with the vaccine from Biontech / Pfizer began in the municipal clinic for medical staff in the high-risk areas and the Covid-19 wards.  Photo: Robert Michael / dpa-Zentralbild / dpa +++ dpa-Bildfunk +++



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