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. 2021 Apr 15;106:376–381. doi: 10.1016/j.ijid.2021.04.047

Table 2.

Event rate classified based on review of organ systems and descending order of occurrence.

Symptoms after the first and/or second dose of the BNT162b2 mRNA vaccine Percentage reported Number of HCWs reporting symptom (n)
Generalized symptom/s
Generalized weakness/fatigue 58.89% 391
Headache 45.48% 302
Chills 36.60% 243
Fever 21.99% 146
Sweating 9.64% 64
Dizziness 9.04% 60
Flushing 8.13% 54
Localized symptom/s
Sore arm/pain 88.04% 707
Localized swelling at the injection site 5.48% 44
Itching 5.35% 43
Lymphadenopathy (axillary or regional) 3.36% 27
Rasha 2.49% 20
Residual skin discoloration 1.25% 10
Bleeding 0.37% 3
Loss of hair locally 0.12% 1
Musculoskeletal symptom/s
Muscle pain/myalgia 45.70% 367
Arthritis/joint pains 16.56% 133
Muscle stiffness/spasm 9.59% 77
Gastrointestinal symptom/s
Nausea 15.94% 128
Decreased appetitea 5.73% 46
Diarrhoea 4.61% 37
Abdominal pain 3.11% 25
Vomiting 1.49% 12
Heartburn 1.12% 9
Constipation 0.37% 3
Food intolerance 0.25% 2
Psychological and/or psychiatric symptom/s
Feelings of joy/relief/gratitude 6.35% 51
Decreased sleep quality 5.35% 43
Anxiety 2.49% 20
Increase in sleep 2.12% 17
Psychological stress 0.75% 6
Decrease in memory 0.75% 6
Depression 0.37% 3
Manic/hypermanic mood changes 0.37% 3
Behavioural changes 0.12% 1
Neurological symptom/s
Brain fogging or reduced mental clarity/attention/concentration 5.85% 47
Tingling 4.86% 39
Numbness 2.86% 23
Vertigo like symptoms 2.49% 20
Paralysis/extremity weakness 0.62% 5
Incoordination 0.50% 4
Reactivation of shingles 0.25% 2
Loss of consciousness/fainting 0.25% 2
Seizures 0.12% 1
Facial weakness 0.12% 1
Head/ear/eyes/nose/throat symptom/s
Nasal stuffiness 4.61% 37
Sore throat 2.99% 24
Runny nose 2.24% 18
Ringing sensation in ears 1.99% 16
Ear pain 1.12% 9
Eye pain 0.87% 7
Blurring of vision 0.50% 4
Changes in hearing 0.37% 3
Hoarseness 0.37% 3
Flashing lights 0.25% 2
Ear discharge 0.12% 1
Bleeding gums 0.12% 1
Endocrine symptom/s
Decreased appetiteb 5.73% 46
Heat/cold intolerance 3.24% 26
Increased thirst 1.12% 9
Increased appetite 0.87% 7
Increased urine production 0.25% 2
Cardiovascular symptom/s
Palpitations 4.36% 35
Chest pain 1.12% 9
Blood pressure changes 0.87% 7
Syncope 0.12% 1
Respiratory symptom/s
Shortness of breath 1.99% 16
Cough 0.87% 7
Wheezing 0.25% 2
Urinary symptom/s
Urgent need to urinate 0.75% 6
Frequent urination at night 0.37% 3
Difficulty in urination 0.12% 1
Pain or burning on urination 0.12% 1
Allergic symptom/s
Rasha 2.49% 20
Hives 0.62% 5
Swelling in mouth/ throat 0.37% 3
Atopic eczema 0.25% 2
Swelling of lips or tongue 0.12% 1
Effect on activity or need for medical attention
Trouble to perform regular daily living activities temporarily 12.83% 103
Required transient time off from work 12.33% 99
Required to seek help from outpatient provider 2.49% 20
Required to seek help from emergency department provider 0.62% 5
Required to hospitalize and subsequent inpatient care 0.25% 2

HCWs, healthcare workers.

a

Included in localized and allergic symptom classification.

b

Included in gastrointestinal and endocrine symptom classification.