Systemic reactions in persons aged 12-15 years, Pfizer-BioNTech COVID-19 vaccine and placebo Table 6 c Mild: 2 to 3 loose stools in 24 hours; moderate: 4 to 5 loose stools in 24 hours; severe: 6 or more loose stools in 24 hours; Grade 4: emergency room visit or hospitalization for severe diarrhea
No grade 4 local reactions were reported 8 a Mild: does not interfere with activity; moderate: some interference with activity; severe: prevents daily activity; Grade 4: emergency room visit or hospitalization for severe fatigue, severe headache, severe muscle pain, or severe joint pain

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Serious Adverse Events The proportions of participants who reported at least 1 serious adverse event were 0.

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2 Grade 4 0 0 0 0 0 0 0 0 Use of antipyretic or pain medication 638 27
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Pain at the injection site was the most frequent and severe solicited local reaction among vaccine recipients bMild: does not interfere with activity; moderate: interferes with activity; severe: prevents daily activity; Grade 4: emergency room visit or hospitalization for severe pain at the injection site
Data on local reactions were not solicited from persons aged 16-17 years 2 0 0 20 1

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Lymphadenopathy occurred in the arm and neck region and was reported within 2 to 4 days after vaccination.

23
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Unsolicited Adverse Events Reports of lymphadenopathy were imbalanced with 6 more cases in the vaccine group 7 than the placebo group 1 ; lymphadenopathy is plausibly related to the vaccine
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6 a Mild: does not interfere with activity; moderate: some interference with activity; severe: prevents daily activity; Grade 4: emergency room visit or hospitalization for severe fatigue, severe headache, severe muscle pain, or severe joint pain
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Data source: Persons Aged 12 — 15 Years Local Reactions Among all study vaccine recipients aged 12—15 years, 90
2 0 0 8 0 No other systemic grade 4 reactions were reported
Food and Drug Administration FDA as possibly related to vaccine: shoulder injury possibly related to vaccine administration or to the vaccine itself, and lymphadenopathy involving the axilla contralateral to the vaccine injection site Local reactions in persons aged 18-55 years, Pfizer-BioNTech COVID-19 vaccine and placebo Table 1

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Fatigue, headache, chills, and new or worsened muscle pain were most common.

1
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The frequency and severity of systemic adverse events was higher after dose 2 than dose 1
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0 cm; Grade 4: necrosis redness and swelling categories or exfoliative dermatitis redness category only
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Otherwise, occurrence of severe adverse events involving system organ classes and specific preferred terms were balanced between vaccine and placebo groups