Table 3 Incidence and determinants of local reactive symptoms after a first dose of SARS-CoV-2 vaccine.
Minimally adjusted | Fully adjusted | |||||
|---|---|---|---|---|---|---|
N (%) symptomatic | aOR (95% CI) | P | aOR (95% CI) | P | ||
Vaccine type | ChAdOx1 | 2414/5988 (40.3) | 1.00 | 1.00 | ||
BNT162b2 | 1470/2864 (51.3) | 1.78 (1.62–1.96) | <0.001 | 1.95 (1.74–2.18) | <0.001 | |
MRNA-1273 | 6/59 (10.2) | 0.16 (0.07–0.38) | <0.001 | N/A | N/A | |
Other | 24/92 (26.1) | 0.50 (0.31–0.81) | 0.005 | 0.47 (0.27–0.82) | 0.008 | |
Timing | Before 12:00 | 1520/3193 (47.6) | 1.00 | 1.00 | ||
12:00–14:00 | 745/1425 (52.3) | 1.23 (1.08–1.41) | 0.002 | 1.23 (1.07–1.41) | 0.004 | |
14:00–17:00 | 1097/2200 (49.9) | 1.09 (0.98–1.22) | 0.123 | 1.05 (0.93–1.18) | 0.45 | |
After 17:00 | 509/1030 (49.4) | 1.03 (0.89–1.19) | 0.720 | 1.00 (0.85–1.17) | 0.99 | |
Month of dose | Q1 (Jan–Mar) | 3722/8262 (45.1) | 5.07 (4.04–6.35) | <0.001 | 1.11 (0.81–1.52) | 0.51 |
Q2 (Apr–Jun) | 129/625 (20.6) | 1.00 | 1.00 | |||
Q3 (Jul–Sep) | 0/1 (0.00) | N/A | N/A | |||
Q4 (Oct–Dec) | 63/115 (54.8) | 6.90 (4.46–10.7) | <0.001 | 0.89 (0.52–1.53) | 0.68 | |
Age, years | 16–29.99 | 50/120 (41.7) | 1.00 | 1.00 | ||
30–39.99 | 128/341 (37.5) | 0.84 (0.55–1.29) | 0.43 | 0.51 (0.21–1.28) | 0.15 | |
40–49.99 | 389/800 (48.6) | 1.29 (0.87–1.91) | 0.20 | 0.46 (0.20–1.09) | 0.08 | |
50–59.99 | 1164/2192 (53.1) | 1.57 (1.08–2.29) | 0.019 | 0.26 (0.11–0.60) | 0.002 | |
60–69.99 | 1546/3617 (42.7) | 1.09 (0.75–1.58) | 0.66 | 0.17 (0.07–0.38) | <0.001 | |
≥70.00 | 637/1933 (33.0) | 0.77 (0.53-1.13) | 0.18 | 0.10 (0.04–0.23) | <0.001 | |
P for trend | 0.62 (0.59–0.66) | <0.001 | ||||
Sex | Female | 3104/6367 (48.8) | 1.00 | 1.00 | ||
Male | 810/2636 (30.7) | 0.50 (0.46–0.55) | <0.001 | 0.48 (0.43–0.54) | <0.001 | |
Education | Primary/Secondary | 381/978 (39.0) | 0.82 (0.71–0.96) | 0.012 | 0.78 (0.66–0.94) | 0.009 |
Higher/Further | 553/1265 (43.7) | 0.95 (0.83–1.09) | 0.48 | 0.97 (0.82–1.34) | 0.68 | |
College | 1728/3991 (43.3) | 0.94 (0.85–1.04) | 0.24 | 0.96 (0.85–1.08) | 0.50 | |
Post-graduate | 1248/2762 (45.2) | 1.00 | 1.00 (ref) | |||
P for trend | 0.94 (0.89–0.99) | 0.024 | ||||
Vigorous physical exercise, hr/wk | 0 | 1529/3359 (45.5) | 1.19 (1.06–1.32) | 0.002 | 1.02 (0.89–1.17) | 0.74 |
1–3 | 1450/3323 (43.6) | 1.09 (0.97–1.21) | 0.15 | 1.05 (0.92–1.19) | 0.49 | |
≥4 | 926/2301 (40.3) | 1.00 | 1.00 | |||
P for trend | 0.99 (0.92–1.06) | 0.78 | ||||
Light physical exercise, hr/wk | 0–4 | 1305/2832 (46.1) | 1.16 (1.04–1.29) | 0.006 | 1.05 (0.92–1.19) | 0.49 |
5–9 | 1311/2983 (44.0) | 1.07 (0.96–1.18) | 0.24 | 1.07 (0.95–1.21) | 0.27 | |
≥10 | 1293/3172 (40.8) | 1.00 | 1.00 | |||
P for trend | 0.98 (0.91–1.04) | 0.46 | ||||
Dietary restrictions | None | 3679/8500 (43.3) | 1.00 | 1.00 | ||
Vegetarian | 196/397 (49.4) | 1.16 (0.95–1.43) | 0.15 | 1.36 (1.05–1.76) | 0.019 | |
Vegan | 3679/8500 (43.3) | 0.70 (0.47–1.04) | 0.080 | 0.64 (0.40–1.03) | 0.067 | |
Self-rated general health | Excellent | 711/1878 (37.8) | 1.00 | 1.00 | ||
Very good | 1491/3590 (41.5) | 1.21 (1.08–1.36) | 0.001 | 1.19 (1.04–1.36) | 0.013 | |
Good | 1099/2326 (47.3) | 1.50 (1.32–1.70) | <0.001 | 1.43 (1.23–1.68) | <0.001 | |
Fair | 481/949 (50.7) | 1.64 (1.40–1.93) | <0.001 | 1.49 (1.21–1.83) | <0.001 | |
Poor | 132/260 (50.8) | 1.60 (1.23–2.09) | 0.001 | 1.41(1.00–1.99) | 0.048 | |
P for trend | 1.14 (1.08–1.21) | <0.001 | ||||
Body mass index, kg/m2 | <25 | 1882/4369 (43.1) | 1.00 | 1.00 | ||
25–30 | 1226/2907 (42.2) | 1.04 (0.94–1.14) | 0.38 | 0.95 (0.85–1.07) | 0.38 | |
>30 | 799/1709 (46.8) | 1.12 (1.00–1.27) | 0.05 | 0.88 (0.76–1.02) | 0.08 | |
Pre-vaccination SARS-CoV-2 status | Seronegative | 3270/7640 (42.8) | 1.00 | 1.00 | ||
Seropositive asymptomatic | 407/958 (42.5) | 1.00 (0.87–1.15) | 0.96 | 0.96 (0.81–1.12) | 0.58 | |
Seropositive symptomatic | 237/405 (58.5) | 1.74 (1.41–2.14) | <0.001 | 1.84 (1.43–2.38) | <0.001 | |
P for trend | 1.19 (1.08–1.32) | 0.001 | ||||
Self-rated anxiety or depression | No | 2806/6744 (41.6) | 1.00 | 1.00 | ||
Yes | 1106/2253 (49.1) | 1.23 (1.11–1.35) | <0.001 | 1.17 (1.03–1.32) | 0.018 | |
Asthma | No | 3206/7552 (42.5) | 1.00 | 1.00 | ||
Yes | 708/1451 (48.8) | 1.23 (1.10–1.38) | <0.001 | 1.17 (0.97–1.41) | 0.10 | |
Atopic diseasea | No | 2781/6684 (41.6) | 1.00 | 1.00 | ||
Yes | 1133/2319 (48.8) | 1.27 (1.15–1.40) | <0.001 | 1.15 (1.02–1.30) | 0.019 | |
Diabetic status | No diabetes | 3612/8278 (43.6) | 1.00 | 1.00 | ||
Pre-diabetes | 120/291 (41.0) | 1.03 (0.81–1.32) | 0.79 | 0.88 (0.67–1.17) | 0.38 | |
Type 1 diabetes | 35/61 (57.4) | 1.84 (1.09–3.09) | 0.022 | 1.02 (0.57–1.84) | 0.94 | |
Type 2 diabetes | 141/363 (38.6) | 0.99 (0.79–1.24) | 0.95 | 0.94 (0.71–1.25) | 0.68 | |
Heart disease | No | 3769/8642 (43.6) | 1.00 | 1.00 | ||
Yes | 145/361 (40.2) | 1.23 (0.99–1.54) | 0.07 | 0.78 (0.49–1.22) | 0.27 | |
Arterial disease | No | 3708/8514 (43.5) | 1.00 | 1.00 | ||
Yes | 206/489 (42.1) | 1.33 (1.10–1.62) | 0.004 | 1.43 (0.90–2.28) | 0.13 | |
Major neurological condition | No | 3802/8752 (43.4) | 1.00 | 1.00 | ||
Yes | 112/251 (44.6) | 1.29 (1.00–1.68) | 0.05 | 1.00 (0.66–1.51) | 1.00 | |
Immunodeficiency | No | 3883/8950 (43.4) | 1.00 | 1.00 | ||
Yes | 31/53 (58.5) | 2.03 (1.16–3.55) | 0.013 | 1.80 (0.92-3.47) | 0.09 | |
Statins | No | 3272/7377 (44.4) | 1.00 | 1.00 | ||
Yes | 642/1626 (39.5) | 1.18 (1.04–1.33) | 0.008 | 1.09 (0.94–1.28) | 0.26 | |
Proton pump inhibitors | No | 3354/7752 (43.3) | 1.00 | 1.00 | ||
Yes | 560/1251 (44.8) | 1.20 (1.06–1.35) | 0.005 | 0.98 (0.84–1.14) | 0.77 | |
Inhaled corticosteroids | No | 3622/8415 (43.0) | 1.00 | 1.00 | ||
Yes | 292/588 (49.7) | 1.27 (1.07–1.51) | 0.006 | 1.02 (0.79–1.32) | 0.89 | |
SSRIs | No | 3619/8430 (42.9) | 1.00 | 1.00 | ||
Yes | 295/573 (51.5) | 1.22 (1.03–1.46) | 0.022 | 1.06 (0.86–1.32) | 0.57 | |
Thiazides | No | 3782/8708 (43.4) | 1.00 | 1.00 | ||
Yes | 132/295 (44.8) | 1.25 (0.98–1.59) | 0.07 | 1.24 (0.94–1.63) | 0.14 | |
Inhaled bronchodilators | No | 3807/8160 (46.6) | 1.00 | 1.00 | ||
Yes | 453/837 (54.1) | 1.31 (1.14–1.52) | <0.001 | 1.49 (0.63–3.50) | 0.37 | |
Sodium-glucose co-transporter-2 (SGLT2) inhibitors | No | 3901/8955 (43.6) | 1.00 | 1.00 | ||
Yes | 13/48 (27.1) | 0.57 (0.30–1.09) | 0.09 | 0.48 (0.22–1.05) | 0.07 | |
Anti-platelet drugs | No | 3666/8404 (43.6) | 1.00 | 1.00 | ||
Yes | 248/599 (41.4) | 1.26 (1.06–1.50) | 0.011 | 0.88 (0.54–1.44) | 0.61 | |
Beta-2 adrenergic agonists | No | 3822/8192 (46.7) | 1.00 | 1.00 | ||
Yes | 440/811 (54.3) | 1.31 (1.13–1.51) | <0.001 | 0.66 (0.27–1.60) | 0.36 | |
Aspirin | No | 3716/8531 (43.6) | 1.00 | 1.00 | ||
Yes | 198/472 (42.0) | 1.29 (1.06-1.56) | 0.012 | 1.22 (0.74–2.02) | 0.44 | |
BCG vaccinated | No | 414/1087 (38.1) | 1.00 | 1.00 | ||
Yes | 3197/7084 (45.1) | 1.25 (1.09–1.43) | 0.001 | 1.21 (1.04–1.41) | 0.013 | |
Multivitamin supplement | No | 3258/7168 (45.5) | 1.00 | 1.00 | ||
Yes | 1004/1835 (54.7) | 1.42 (1.28–1.58) | <0.001 | 1.41 (1.26–1.58) | <0.001 | |
Vitamin D supplement | No | 3213/6690 (48.1) | 1.00 | 1.00 | ||
Yes | 1049/2133 (45.3) | 1.81 (0.97–3.38) | 0.06 | 0.92 (0.83–1.02) | 0.12 | |