“Nocebo” Effect May Cause Majority of COVID-19 Vaccine Symptoms

A negative version of the placebo effect may be behind many instances of mild side effects associated with the jabs, a study suggests.

Written byNatalia Mesa, PhD
| 2 min read
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Many mild, adverse reactions to the COVID-19 vaccine, such as headaches and fatigue, could be attributed to a negative version of the placebo effect, a group of researchers suggests.

In a study published today (January 18) in JAMA Network Open, scientists found that, in placebo-controlled COVID-19 clinical trials, 35 percent of placebo recipients reported adverse side effects compared to 46 percent of vaccine recipients after one vaccine dose. After two doses, 32 percent of placebo recipients reported side effects compared to 61 percent of vaccine recipients. For placebo recipients, headache, fatigue, and arm pain were the most common side effects reported.

The placebo effect typically refers to beneficial effects of a drug that derive from the recipient’s expectations of its effects rather than its biochemistry. The effect can also work in reverse, causing adverse effects comparable to known effects, a phenomenon called the “nocebo” effect.

In the new study, researchers ...

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    As she was completing her graduate thesis on the neuroscience of vision, Natalia found that she loved to talk to other people about how science impacts them. This passion led Natalia to take up writing and science communication, and she has contributed to outlets including Scientific American and the Broad Institute. Natalia completed her PhD in neuroscience at the University of Washington and graduated from Cornell University with a bachelor’s degree in biological sciences. She was previously an intern at The Scientist, and currently freelances from her home in Seattle. 

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