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. 2022 Dec 21;42(3):252–259. doi: 10.1097/INF.0000000000003803

TABLE 2.

COVID-19 Vaccine Reactogenicity After Dose 1 and Dose 2 Reported During Parent/Guardian Interview for Children With History of Hospitalization for MIS-C or Acute COVID-19

Multisystem Inflammatory Syndrome in Children Acute COVID-19
Dose 1, n (%) (n = 20)* Dose 2, n (%) (n = 19) Dose 1, n (%) (n = 15) Dose 2, n (%) (n = 14)§
Pain at injection site 10 (50) 4 (21) 8 (53) 7 (50)
Redness at injection site 1 (5) 2 (11) 1 (7) 2 (14)
Swelling at injection site 1 (5) 1 (5) 3 (20) 2 (14)
Subjective or objective (≥38 °C) fever 0 (0) 1 (5) 3 (20) 2 (14)
Chills 2 (10) 1 (5) 2 (13) 1 (7)
Fatigue 2 (10) 2 (11) 2 (13) 4 (29)
Headache 3 (15) 2 (11) 2 (13) 2 (14)
Vomiting 0 (0) 0 (0) 1 (7) 0 (0)
Diarrhea 0 (0) 0 (0) 1 (7) 0 (0)
New or worsened muscle pain 4 (20) 2 (11) 1 (7) 1 (7)
New or worsened joint pain 2 (10) 2 (11) 1 (7) 1 (7)
Rash 2 (10) 1 (5) 0 (0) 0 (0)
Other symptom 0 (0) 1 (5) 1 (7) 0 (0)
Used fever-reducing or pain medicine for symptoms/side effects 5 (25) 3 (16) 7 (47) 6 (43)
Symptoms/side effects interfered with normal daily activities 2 (10) 0 (0) 2 (13) 1 (7)
*

Symptoms after dose 1 had a mean duration of 1.8 (range 1–3) days.

Symptoms after dose 2 had a mean duration of 1.8 (range 1–3) days.

Symptoms after dose 1 had a mean duration of 2 (range 1–4) days.

§

Symptoms after dose 2 had a mean duration of 1.9 (range 1–5) days.

One individual with runny nose/nasal congestion and one with epistaxis; interviewees were also asked about chest pain or pressure, and none reported these symptoms.

Among children with MIS-C, symptoms interfered with activities of daily living for 1 day; among children with acute COVID-19, interference duration was 2–3 days.