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. 2021 Aug 6;70(31):1053–1058. doi: 10.15585/mmwr.mm7031e1

TABLE 2. Most frequent symptoms, signs, diagnostic results, and conditions* reported to the Vaccine Adverse Event Reporting System for adolescents aged 12–17 years after receipt of the Pfizer-BioNTech COVID-19 vaccine (N = 9,246) — United States, December 14, 2020–July 16, 2021.

Symptom, sign, diagnostic result, or condition % Reporting
Nonserious reports (n = 8,383)
Dizziness
21.2
Syncope
14.4
Nausea
10.4
Headache
10.0
Fever
8.3
Loss of consciousness
7.5
Excessive sweating
7.4
Fatigue
7.2
Pallor
7.1
Product administered to patient outside of indicated age range
7.0
Product storage error
6.4
Vomiting
6.4
Difficulty breathing
5.3
Chest pain
4.9
Pain
4.6
Serious reports, including reports of death (n = 863)
Chest pain
56.4
Increased troponin
41.7
Myocarditis
40.3
Increased c-reactive protein
30.6
Negative SARS-CoV-2 test result
29.4
Fever
28.3
Normal echocardiogram
26.9
Abnormal electrocardiogram
25.6
Headache
22.2
Difficulty breathing
21.4
Elevated electrocardiogram ST segment
20.5
Normal chest radiograph
19.7
Intensive care
18.1
Vomiting
17.0
Nausea 16.6

Abbreviations: MedDRA = Medical Dictionary for Regulatory Activities; VAERS = Vaccine Adverse Event Reporting System.

* Signs and symptoms in VAERS reports are assigned MedDRA preferred terms by VAERS staff members. Each VAERS report might be assigned more than one MedDRA preferred term, which can include normal diagnostic findings. A MedDRA-coded event does not indicate a medically confirmed diagnosis. https://www.meddra.org/how-to-use/basics/hierarchy

VAERS reports are classified as serious if any of the following are reported: hospitalization, prolongation of hospitalization, life-threatening illness, permanent disability, congenital anomaly or birth defect, or death.