PMID- 36217268 OWN - NLM STAT- MEDLINE DCOM- 20221012 LR - 20221015 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 50 IP - 10 DP - 2022 Oct TI - Adverse events after administration of the first and second doses of messenger RNA-based COVID-19 vaccines in Japanese subjects aged 12-18 years. PG - 3000605221127518 LID - 10.1177/03000605221127518 [doi] LID - 03000605221127518 AB - OBJECTIVE: Using a prospective observational design, we assessed adverse events (AEs) after COVID-19 vaccination in Japanese patients. METHODS: Two doses of the mRNA-1273 (SPIKEVAX(R)) or BNT162b2 (COMIRNATY(R)) vaccine were administered to participants aged 12 to 18 years, and AEs after each dose were recorded for 14 days. Data on the duration and nature (local vs. systemic) of AEs were collected using a questionnaire. Sex-based differences in AE frequency were also analyzed. RESULTS: After the first and second doses, 152 and 135 vaccinees were enrolled, respectively. After the first dose, fever (>37.1 degrees C) occurred in 38.9% of males and 50.0% of females, whereas local pain occurred in 89.8% and 97.7% of males and females, respectively (only SPIKEVAX(R) was used as the first dose). After the second dose, fever (>37.1 degrees C) occurred in 77.8% and 82.6% of males vaccinated with COMIRNATY(R) and SPIKEVAX(R), respectively, and 82.6% of females (all received SPIKEVAX(R)). The local pain rates in these groups were 80.6%, 76.3%, and 100%, respectively. After the second dose, local pain, fever (>38.1 degrees C) and headache were significantly more common in female participants, and the median symptom duration was 3 days. CONCLUSIONS: AEs were more frequent after the second dose and in females. FAU - Ogawa, Taku AU - Ogawa T AUID- ORCID: 0000-0003-1569-4642 AD - Department of Microbiology and Infection Control, Osaka Medical and Pharmaceutical University, Osaka, Japan. AD - Infection Control Center, Osaka Medical and pharmaceutical University Hospital, Osaka, Japan. FAU - Yamada, Tomoyuki AU - Yamada T AD - Infection Control Center, Osaka Medical and pharmaceutical University Hospital, Osaka, Japan. FAU - Matsumoto, Yuki AU - Matsumoto Y AD - Infection Control Center, Osaka Medical and pharmaceutical University Hospital, Osaka, Japan. FAU - Minami, Kenta AU - Minami K AD - Infection Control Center, Osaka Medical and pharmaceutical University Hospital, Osaka, Japan. FAU - Kawanishi, Fumiko AU - Kawanishi F AD - Infection Control Center, Osaka Medical and pharmaceutical University Hospital, Osaka, Japan. FAU - Nakano, Takashi AU - Nakano T AD - Department of Microbiology and Infection Control, Osaka Medical and Pharmaceutical University, Osaka, Japan. FAU - Ukimura, Akira AU - Ukimura A AD - Infection Control Center, Osaka Medical and pharmaceutical University Hospital, Osaka, Japan. AD - Department of Internal Medicine III, Osaka Medical and pharmaceutical University, Osaka, Japan. LA - eng PT - Journal Article PT - Observational Study PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 0 (COVID-19 Vaccines) RN - 0 (RNA, Messenger) RN - 0 (mRNA Vaccines) RN - N38TVC63NU (BNT162 Vaccine) SB - IM MH - BNT162 Vaccine MH - *COVID-19/prevention & control MH - *COVID-19 Vaccines/adverse effects MH - Female MH - Fever/epidemiology/etiology MH - Humans MH - Japan/epidemiology MH - Male MH - Pain/etiology MH - RNA, Messenger MH - mRNA Vaccines PMC - PMC9558881 OTO - NOTNLM OT - Adolescent OT - COVID-19 OT - Japanese OT - adverse event OT - fever OT - headache OT - local pain OT - messenger RNA OT - vaccine COIS- The authors declare that there is no conflict of interest. EDAT- 2022/10/12 06:00 MHDA- 2022/10/13 06:00 PMCR- 2022/10/10 CRDT- 2022/10/11 00:43 PHST- 2022/10/11 00:43 [entrez] PHST- 2022/10/12 06:00 [pubmed] PHST- 2022/10/13 06:00 [medline] PHST- 2022/10/10 00:00 [pmc-release] AID - 10.1177_03000605221127518 [pii] AID - 10.1177/03000605221127518 [doi] PST - ppublish SO - J Int Med Res. 2022 Oct;50(10):3000605221127518. doi: 10.1177/03000605221127518.