The good news is there is a new vaccine that has fewer of these problems.
You flat out can't get the earlier vaccines if you have eczema or psoriasis. You shouldn't be around people who have these conditions if you've been recently vaccinated either, you shouldn't be around pregnant women, or very young children. The old vaccines were basically a nuclear weapon against a very dangerous disease, but the disease was so awful the risk was acceptable.
Jynneos, the newer vaccine, was approved in 2019 and does not have these drawbacks. But it's still - untested, against mass infections.
I'm so angry that we considered it acceptable to make old people die alone in their nursing homes and mask toddlers FoREVer (seriously every toddler program where I live STILL REQUIRES MASKS) but telling gay men "hey, maybe lay off the piss orgies for a few months" is unacceptable.