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. 2024 Apr 19;18:100489. doi: 10.1016/j.jvacx.2024.100489

Table 2.

Comparison of adverse reaction severity between the monovalent and bivalent boosters.

Monovalent booster (N = 317) Bivalent booster (N = 114) p-value
Local reactions (%)
 Pain at injection site Mild (grade 1) 127 (40.1) 50 (43.9) 0.480
Moderate (grade 2) 167 (52.7) 52 (45.6) 0.196
Severe (grade 3) 20 (6.3) 8 (7.0) 0.694
Grade 4 0 (0) 0 (0) N/A
Grade, mean (95 % CI) 1.64 (1.58–1.71) 1.56 (1.44–1.69) 0.234
 Redness Mild (grade 1) 96 (30.3) 26 (22.8) 0.129
Moderate (grade 2) 13 (4.1) 1 (0.9) 0.126
Severe (grade 3) 0 (0) 0 (0) N/A
Grade 4 0 (0) 0 (0) N/A
Grade, mean (95 % CI) 0.38 (0.32–0.45) 0.25 (0.16–0.33) 0.006
 Swelling Mild (grade 1) 125 (39.4) 39 (34.2) 0.325
Moderate (grade 2) 26 (8.2) 7 (6.1) 0.478
Severe (grade 3) 0 (0) 0 (0) N/A
Grade 4 0 (0) 0 (0) N/A
Grade, mean (95 % CI) 0.56 (0.49–0.63) 0.46 (0.35–0.58) 0.178
Systemic reactions (%)
 Fever 38.0 to 38.4°C (grade 1) 45 (14.2) 7 (6.1) 0.024
> 38.4 to 38.9°C (grade 2) 25 (7.9) 4 (3.5) 0.110
> 38.9 to 40.0°C (grade 3) 11 (3.5) 3 (2.6) 1.000
> 40.0°C (grade 4) 3 (1.0) 0 (0) 0.569
Grade, mean (95 % CI) 0.44 (0.35–0.54) 0.21 (0.09–0.33) 0.003
 Fatigue Mild (grade 1) 100 (31.6) 35 (30.7) 0.868
Moderate (grade 2) 114 (36.0) 46 (40.4) 0.406
Severe (grade 3) 54 (17.0) 9 (7.9) 0.018
Grade 4 1 (0.3) 0 (0) 1.000
Grade, mean (95 % CI) 1.56 (1.45–1.66) 1.35 (1.18–1.52) 0.044
 Headache Mild (grade 1) 91 (28.7) 34 (29.8) 0.822
Moderate (grade 2) 93 (29.3) 27 (23.7) 0.248
Severe (grade 3) 31 (9.8) 6 (5.3) 0.140
Grade 4 0 (0) 0 (0) N/A
Grade, mean (95 % CI) 1.17 (1.06–1.28) 0.93 (0.76–1.10) 0.026
 Chills Mild (grade 1) 65 (20.5) 30 (26.3) 0.199
Moderate (grade 2) 70 (22.1) 14 (12.3) 0.024
Severe (grade 3) 32 (10.1) 1 (0.9) 0.002
Grade 4 0 (0) 0 (0) N/A
Grade, mean (95 % CI) 0.95 (0.83–1.07) 0.54 (0.40–0.67) < 0.001
 Muscle Pain Mild (grade 1) 130 (41.0) 50 (43.9) 0.597
Moderate (grade 2) 118 (37.2) 25 (21.9) 0.003
Severe (grade 3) 23 (7.3) 6 (5.3) 0.467
Grade 4 0 (0) 0 (0) N/A
Grade, mean (95 % CI) 1.37 (1.28–1.46) 1.04 (0.88–1.19) < 0.001
 Joint Pain Mild (grade 1) 81 (25.6) 30 (26.3) 0.873
Moderate (grade 2) 71 (22.4) 12 (10.5) 0.006
Severe (grade 3) 20 (6.3) 3 (2.6) 0.134
Grade 4 0 (0) 0 (0) N/A
Grade, mean (95 % CI) 0.89 (0.79–1.00) 0.55 (0.41–0.70) < 0.001
Use of medication
 Antipyretic use No 171 (53.9) 58 (50.9) 0.574
Yes 146 (46.1) 56 (49.1)

N/A; not available.