PMID- 36016244 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220830 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 10 IP - 8 DP - 2022 Aug 19 TI - Young Age, Female Sex, and No Comorbidities Are Risk Factors for Adverse Reactions after the Third Dose of BNT162b2 COVID-19 Vaccine against SARS-CoV-2: A Prospective Cohort Study in Japan. LID - 10.3390/vaccines10081357 [doi] LID - 1357 AB - BACKGROUND: This study compared the adverse events (AEs) of the second and third doses of BNT162b2, as well as investigated the impact of vaccine recipients' background and vaccination interval on the AEs of the third dose. METHODS: We conducted a questionnaire survey of AEs among health care workers at Osaka University Dental Hospital. Chi-square tests were performed to compare AEs to the administration of second and third vaccine doses. Logistic regression analyses were conducted to identify factors influencing the presence of AEs using age, sex, comorbidities, and the vaccination interval. Spearman's rank correlation coefficient was calculated to investigate the correlation between age, vaccination interval, and severity of each AE. RESULTS: The third dose of BNT162b2 was associated with significantly more frequent or milder AEs than the second dose. Logistic regression analyses detected significant differences in six items of AEs by age, three by sex, two by comorbidities, and zero by vaccination interval. Consistently, the risk of AEs was greater among younger persons, females, and those without comorbidities. Significant negative correlations were detected between age and vaccination interval, and between age and the severity of most AEs. CONCLUSIONS: Young, female, and having no comorbidities are risk factors for AEs after the third dose of BNT162b2, while vaccination interval is not. FAU - Urakawa, Ryuta AU - Urakawa R AUID- ORCID: 0000-0003-0412-4118 AD - Department of Pharmacy, Osaka University Dental Hospital, 1-8 Yamada-oka, Suita 565-0871, Osaka, Japan. AD - Department of Clinical Pharmacy Research and Education, Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamada-oka, Suita 565-0871, Osaka, Japan. FAU - Isomura, Emiko Tanaka AU - Isomura ET AUID- ORCID: 0000-0002-7855-9600 AD - First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, 1-8 Yamada-oka, Suita 565-0871, Osaka, Japan. FAU - Matsunaga, Kazuhide AU - Matsunaga K AD - Second Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, 1-8 Yamada-oka, Suita 565-0871, Osaka, Japan. FAU - Kubota, Kazumi AU - Kubota K AD - Department of Healthcare Information Management, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. LA - eng PT - Journal Article DEP - 20220819 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC9416095 OTO - NOTNLM OT - adverse event OT - booster OT - infectious disease OT - side effect OT - vaccination interval COIS- The authors declare no conflict of interest. EDAT- 2022/08/27 06:00 MHDA- 2022/08/27 06:01 PMCR- 2022/08/19 CRDT- 2022/08/26 01:48 PHST- 2022/07/29 00:00 [received] PHST- 2022/08/15 00:00 [revised] PHST- 2022/08/17 00:00 [accepted] PHST- 2022/08/26 01:48 [entrez] PHST- 2022/08/27 06:00 [pubmed] PHST- 2022/08/27 06:01 [medline] PHST- 2022/08/19 00:00 [pmc-release] AID - vaccines10081357 [pii] AID - vaccines-10-01357 [pii] AID - 10.3390/vaccines10081357 [doi] PST - epublish SO - Vaccines (Basel). 2022 Aug 19;10(8):1357. doi: 10.3390/vaccines10081357.