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. 2022 Jun 7;76(3):e299–e307. doi: 10.1093/cid/ciac458

Table 3.

Solicited Local and Systemic Reactions on the Day After and Anytime Within 7 Days After a Third-Dose BNT162b2 Vaccine in Adults Who Previously Received 2 Doses of Inactivated Coronavirus Disease 2019 Vaccine

Post-Vaccination Reactions Anytime Within 7 Days After Third-Dose BNT162b2 Vaccine Day 1 After Third-Dose BNT162b2 Vaccine
(N = 304) (N = 304)
n (%) n (%)
Local reactions at the injection site
ȃPain 141 (46) 130 (43)
ȃTenderness 133 (44) 108 (36)
ȃSwelling or hardness 71 (23) 51 (17)
ȃItchiness 20 (7) 2 (1)
ȃRedness 15 (5) 5 (2)
Systemic reactions and general symptoms
ȃFeverish 72 (24) 55 (18)
ȃFever ≥38.0°C 25 (8) 20 (7)
ȃChills 32 (11) 29 (10)
ȃHeadache 75 (25) 56 (18)
ȃMyalgia 54 (18) 38 (12)
ȃFatigue 56 (18) 42 (14)
ȃDrowsiness 51 (17) 38 (12)
ȃMalaise 31 (10) 20 (7)
ȃPain at the injection site 25 (8) 14 (5)
ȃLoss of appetite 21 (7) 12 (4)
ȃDizziness 21 (7) 11 (4)
ȃRunny nose 20 (7) 12 (4)
ȃNasal congestion 19 (6) 9 (3)
ȃArthralgia 17 (6) 10 (3)
ȃSneezing 17 (6) 8 (3)
ȃSore throat 17 (6) 10 (3)
ȃChest discomfort 13 (4) 9 (3)
ȃDiarrhea 13 (4) 4 (1)
ȃAbdominal distention 11 (4) 6 (2)
ȃPalpitations 11 (4) 5 (2)
ȃInsomnia 11 (4) 5 (2)
ȃPhlegm 10 (3) 5 (2)
ȃNausea 9 (3) 5 (2)
ȃCough 8 (3) 4 (1)
ȃAbdominal pain 7 (2) 4 (1)
ȃConstipation 6 (2) 4 (1)
ȃBody itching 5 (2) 2 (1)
ȃFlushing of the face 4 (1) 3 (1)
ȃSkin rash 3 (1) 1 (0)
ȃChest pain 3 (1) 0 (0)
ȃEnlarged lymph nodes 3 (1) 0 (0)
ȃFace swelling 2 (1) 0 (0)
ȃArm or leg swelling 1 (0) 1 (0)
ȃMuscle spasms 1 (0) 1 (0)
ȃConfusion 1 (0) 1 (0)
ȃDyspnea 1 (0) 0 (0)
ȃNosebleeds 0 (0) 0 (0)
ȃAgeusia 0 (0) 0 (0)
ȃAnosmia 0 (0) 0 (0)
ȃConjunctivitis 0 (0) 0 (0)
ȃVomiting 0 (0) 0 (0)
ȃFacial drooping/weakness 0 (0) 0 (0)
ȃLoss of consciousness 0 (0) 0 (0)
ȃSeizure 0 (0) 0 (0)

Daily frequencies within 7 days after third-dose BNT162b2 vaccine for selected reactions are shown in Figure 2.