Here’s What We Know: The Impact of mRNA Vaccines

Remember the novel coronavirus? A virus never before seen in humans? Remember the lockdowns, social distancing and masks that were our only means of protecting ourselves from that deadly new virus?  

In the midst of  the greatest public health emergency since the flu pandemic of 1918, scientists took a new  vaccine  technology, based on mRNA, and ran with it.  

The  technology  wasn’t  exactly new. It had been studied for decades. If COVID-19  hadn’t  come along when it did, it may have taken longer for vaccine manufacturers to use it. But with Operation Warp Speed—a private-public partnership spearheaded by the U.S. government in the spring of  2020—the entire process was compressed into a shorter-than usual  time frame.   

Clinical trials and vaccine production took place simultaneously, and no steps were skipped.  Both Moderna and Pfizer carried out large studies of their mRNA vaccine candidates,  enrolling  tens of thousands of volunteers.   

It usually takes several years to develop a new vaccine  based on  traditional methods. But it  took  less than a year to roll out  not just one but two  roughly equivalent, highly effective  mRNA  COVID-19  vaccines.   

As a result, millions of lives have been saved. 

However, throughout the pandemic and  to  this day, vaccine skeptics  have  had an outsize impact, sowing  doubt and fear  related to the very technology that  was saving  lives and protecting all of us against the worst effects of the coronavirus.   

Now,  the skeptical view has become mainstream with cuts happening to  mRNA vaccine research projects, which  will affect our ability to successfully manage future pandemics. 

Continue reading below to understand the impact of mRNA vaccines and importance of their ongoing development. 

Traditional vs. mRNA vaccines  

Traditional vaccines  use one of three  approaches to trigger an immune response:  

  • a weakened version of the pathogen (such as in the chicken pox vaccine)  
  • an inactivated version (used in most flu shots)  
  • an actual piece of the pathogen (used in the shingles vaccine)  

Which ever  version  is used, traditional vaccines are expensive and time-consuming to produce.   

The approach taken to produce mRNA vaccines is markedly different.  Here’s  a rough description  of how the  mRNA  COVID-19 vaccines were  developed.  

Scientists used the RNA-based genetic sequence of SARS-CoV-2 (the coronavirus that causes COVID-19) and turned  it  into DNA. That allowed them to  identify  the instructions needed to create  the unique  spike protein found on the surface of the virus. Then, they were able to engineer the corresponding synthetic mRNA in the lab and insert it into the vaccine.  

mRNA  is  a platform that can be used to create vaccines against a wide variety of diseases. One of the great advantages of the platform is that a vaccine can be  quickly manufactured and scaled up, no matter which virus is being targeted.  In other words, by applying mRNA technology,  there’s  no need to  reinvent the wheel  every time  a manufacturer wishes to  make a new  vaccine.  The only thing  they  have to  do is plug in the new  genetic  sequence for the virus in question, and a new vaccine is born.  

The difference between RNA  and DNA  

DNA (deoxyribonucleic acid) is a stable, double-stranded molecule that stores our genetic information. It lives in the nucleus of our cells. But DNA  can’t  do anything on its own. To create the proteins the body needs to grow and survive, DNA relies on RNA (ribonucleic acid).   

RNA,  a  single strand of genetic material,  implements DNA’s instructions  to build the proteins we need. Or, in the case of an mRNA vaccine,  don’t  need. The innovative mRNA vaccines produced by Pfizer/BioNTech and Moderna teach the immune system to remember one of the coronavirus’s most telling features—its spike protein—and prompt the creation of antibodies against it.  

Why the “m” before  RNA? There are  actually  three types of RNA, all of them key to building the proteins our bodies need for growth and day-to-day functioning.  The “m” variety is  messenger RNA,  the genetic messenger that  ferries instructions from DNA to the tiny protein factories, called ribosomes, that live in our cells.  

The mRNA molecule is also temporary. Once it instructs the immune system to recognize and fight off  a microbial  threat,  it’s  quickly broken down and cleared by the  body. That  means it  doesn’t  hang around and cause trouble once its job is done.  

Side effects in perspective  

The risks  associated with the disease itself far outweigh  the  risks of  the  vaccine’s  side effects.  So  say the scientists involved with developing the mRNA COVID-19 vaccine, those who conducted both early and ongoing clinical trials and those tracking the vaccine’s side effects.  

Like all vaccines, the mRNA  COVID  shots have side effects.  These are overwhelmingly mild, such as a sore arm,  fatigue  and a low-grade fever.  Such side effects  show that your immune system is working.   

Extensive studies  conducted  in the U.S. and  other countries  found only a few serious ones. For example, the  new  vaccines can cause  myocarditis (inflammation of the  heart  muscle)  in a small fraction of young men, and one study  reported  seven severe cases of shingles for every million shots administered.   

These rare side effects, while deeply regrettable,  are  in line with  the safety record of most other vaccines.   

Be aware that COVID-19 itself causes myocarditis at much higher rates than the COVID vaccine.   

Vaccine side effects among pregnant women  are also uncommon.  The mRNA COVID vaccines protect them from severe COVID. They  also  prompt the creation of antibodies that cross the placenta to protect  her  baby, before and after delivery.  The mRNA COVID-19 vaccines act very much like other maternal vaccines,  such as the Tdap vaccine (tetanus,  diphtheria  and pertussis)  and even the annual flu shot.  

“We still see hospitalizations and deaths from COVID every year,” says Dr. Trip Gulick, Chief of the Division of Infectious Diseases at Weill Cornell Medicine, “making it even more important to stay current with your COVID booster shots.”   

Questions,  doubts  and myths  

The  sheer  newness  of  mRNA vaccine  technology, along  with the speed of its development during a public health emergency, fueled plenty of skepticism early on.  Skeptics continue to embrace a wide range of doubts and criticisms, many of which are  questionable  or incorrect.  

For example, some people fear that the mRNA COVID-19 vaccine changes our  DNA.  That is impossible, scientists assert.  mRNA only  operates  in the cytoplasm, the  watery  substance that fills our cells,  where protein production takes place.  mRNA  can’t  enter the  cell’s  nucleus, where  our  DNA is stored.   

HHS leadership, too, has promoted outright falsehoods with respect to mRNA COVID-19 vaccines, including the following statement: “One mutation and the vaccine  becomes  ineffective.” That is incorrect. SARS-CoV-2 has already accumulated many mutations—also known as variants—and vaccine manufacturers continue to update the vaccines accordingly in the form of boosters.  

See the following list of questions and answers per the professional journal RNA Biology, published in March 2022:  

Are mRNA vaccines safe? 

All vaccines undergo a rigorous development and approval process before they are made available to the public. After they're administered, ongoing monitoring for long-term safety is continued. 

Were clinical trials for mRNA vaccines developed too fast? 

Three decades of research and large-scale clinical trials have generated plenty of data on their safety and efficacy. mRNA vaccines  can be designed in only a few weeks,  and  clinical trials  can be conducted  much  more quickly than usual—crucially important under emergency conditions.  

Can mRNA COVID vaccines affect fertility? Are they safe for pregnant women? 

There was early confusion in media reports  that the spike protein  on the surface of the  new  coronavirus  is the same as the spike protein that plays a role in the development of the placenta  in pregnant women.  It was falsely reported that the vaccines  would generate an immune response against it.  In actuality, there’s  no risk associated with  administering an mRNA  COVID vaccine  during pregnancy,  and no adverse effects on fertility.  

Do COVID mRNA vaccines  contain  microchips? 

Aside from the synthetic mRNA-based spike protein, the  vaccines are made of  sucrose,  cholesterol  and fats.  

Can mRNA vaccines  can generate a magnetic field in the body? 

The  vaccines  don’t  contain  any metal components. Therefore, they  can’t  create a  magnetic  field anywhere in the body.  

But  all of  these false claims aside, the COVID-19 vaccines  aren’t  perfect.  

Room for improvement  

Years of research show  that  the  protection  conferred by  COVID-19 vaccines—both  those  made with mRNA and  those  based on  traditional technology—wanes  over time. The  shots  are most effective at preventing  severe infection and death.  They’re  less effective at preventing mild-to-moderate infection.  

Experts agree that we need better  vaccines  capable of  protecting  against both infection  and  severe disease,  as well as  against a broad range of variants.   

Today’s  mRNA  COVID-19 vaccines can be updated more quickly each year than traditional types, an advantage that now has multiple companies  hoping to develop  other vaccines using  mRNA  technology.  

Cuts to mRNA research  

Specialists  have  identified  numerous  infectious diseases that  could  benefit  from mRNA-based  vaccines. But beyond vaccines, the technology offers a potential technique  for developing new treatments for certain cancers.  Genetic diseases are another target, such as an experimental inhaled therapy for cystic fibrosis.  

Recently, the U.S. Department of Health and Human Services  (HHS)  cut 22 mRNA vaccine research projects worth  nearly half  a billion dollars—cuts that would affect our ability to  cope with  future  pandemics.  We’ also  miss out on  the opportunity to develop mRNA vaccines for  other diseases and improve the ones we already have. 

But in September 2025, decision-makers in the House of Representatives did an about-face, in direct opposition to HHS policy. In amending their 2026 spending bill, they mandated continued funding of mRNA vaccine research. The future of the technology and its benefits to humanity may be within reach after all.  

Cutting research funding for mRNA vaccine research would be counterproductive. Doing so would compromise our ability to respond to viral threats like bird flu, which many public health experts see as the disease most likely to cause the next human pandemic.  

HHS  leadership  still supports a whole-killed virus approach to vaccine  development, a view bolstered by the belief that  the spike protein produced by the mRNA  vaccine  is harmful on its own.   

Whole-cell vaccines are based on a crude technology developed more than 100 years ago.  They  use the entire pathogen. As a result,  they may expose the body to hundreds of antigens at once.  An antigen can be any foreign substance capable of provoking an immune response.   

Whole-cell vaccines can al so cause very strong reactions, including seizures and fevers in young children. Over the decades,  we’ve  developed  much  simpler,  more efficient  vaccines  that contain only  a few antigens. But the  newer vaccines  are  sometimes less protective than the cruder versions.   

But that doesn’t mean we need to go back to the future.  

The future of mRNA technology  

The mRNA COVID-19  vaccine  is  the most scrutinized vaccine in history, and the verdict is in: mRNA technology allows manufacturers to rapidly produce a  safe, effective  vaccine for the largest number of people.  

As for its shortcomings, these can be mitigated via continued research.    

mRNA technology constitutes the next wave of vaccine R&D. Our future demands  that we embrace it.  

In This Article

Clinical Service

Physician