Table 3 Incidence and determinants of local reactive symptoms after a first dose of SARS-CoV-2 vaccine.

From: Incidence determinants and serological correlates of reactive symptoms following SARS-CoV-2 vaccination

   

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

  1. aAtopic disease defined by atopic eczema/dermatitis and/or hayfever/allergic rhinitis.