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. 2021 Jun 19;59(5):635–642. doi: 10.1016/j.resinv.2021.06.003

Table 3.

Sex-related differences in local or systemic side effects in participants following the first dose of the COVID-19 vaccine (Coronavirus Modified Uridine RNA Vaccine, BNT162b2, Comirnaty).

Side effect Female, n (%) n = 746 Male, n (%) n = 237 P value Odds ratio (95% CI)
All 596 (79.9) 161 (67.9) <0.001 1.88 (1.35–2.60)
Grade 3 108 (18.1) 20 (12.4) 0.015 1.84 (1.11–3.03)
Fever (>37.5 °C) 23 (3.1) 6 (2.5) 0.827 1.23 (0.49–3.05)
General fatigue 219 (29.4) 32 (13.5) <0.001 2.66 (1.78–3.99)
Muscle pain 375 (50.3) 38 (16.0) <0.001 5.29 (3.64–7.71)
Joint pain 82 (11.0) 10 (4.2) 0.001 2.80 (1.43–5.50)
Allergic reaction 9 (1.2) 4 (1.7) 0.526 0.71 (0.22–2.33)
Injection site pain 491 (65.8) 59 (24.9) <0.001 5.81 (4.17–8.09)
Injection site swelling 175 (23.5) 9 (3.8) <0.001 7.76 (3.90–15.44)
Headache 129 (17.3) 20 (8.4) <0.001 2.25 (1.37–3.69)
Nausea 42 (5.6) 2 (0.8) <0.001 7.01 (1.68–29.19)
Diarrhea 28 (3.8) 4 (1.7) 0.143 2.27 (0.79–6.55)
Others 78 (10.5) 8 (3.4) <0.001 3.34 (1.59–7.03)

Others: hypertension, oropharyngeal pain, dizziness, lymph node swelling, and drowsiness.

Data are presented as numbers (percentages).

Differences between the groups were compared using Fisher exact tests.

CI, confidence interval; COVID-19, coronavirus disease.