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Research ArticleOriginal Article
Open Access

Side-effects of COVID-19 vaccines among the Saudi population

A cross-sectional study

Ebtehaj S. Almughais, Ali H. Alharbi, Hadi A. Aldarwish, Areeb F. Alshammari, Razan S. Alsuhaymi, Jumanah A. Almuaili and Atheer M. Alanizy
Saudi Medical Journal April 2022, 43 (4) 386-393; DOI: https://doi.org/10.15537/smj.2022.43.4.20210905
Ebtehaj S. Almughais
From the Department of Family & Community Medicine (Almughais), College of Medicine and from the College of Medicine (Alharbi, Aldarwish, Alshammari, Alsuhaymi, Almuaili, Alanizy), University of Hail, Hail, Kingdom of Saudi Arabia.
MD
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  • For correspondence: [email protected]
Ali H. Alharbi
From the Department of Family & Community Medicine (Almughais), College of Medicine and from the College of Medicine (Alharbi, Aldarwish, Alshammari, Alsuhaymi, Almuaili, Alanizy), University of Hail, Hail, Kingdom of Saudi Arabia.
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Hadi A. Aldarwish
From the Department of Family & Community Medicine (Almughais), College of Medicine and from the College of Medicine (Alharbi, Aldarwish, Alshammari, Alsuhaymi, Almuaili, Alanizy), University of Hail, Hail, Kingdom of Saudi Arabia.
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Areeb F. Alshammari
From the Department of Family & Community Medicine (Almughais), College of Medicine and from the College of Medicine (Alharbi, Aldarwish, Alshammari, Alsuhaymi, Almuaili, Alanizy), University of Hail, Hail, Kingdom of Saudi Arabia.
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Razan S. Alsuhaymi
From the Department of Family & Community Medicine (Almughais), College of Medicine and from the College of Medicine (Alharbi, Aldarwish, Alshammari, Alsuhaymi, Almuaili, Alanizy), University of Hail, Hail, Kingdom of Saudi Arabia.
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Jumanah A. Almuaili
From the Department of Family & Community Medicine (Almughais), College of Medicine and from the College of Medicine (Alharbi, Aldarwish, Alshammari, Alsuhaymi, Almuaili, Alanizy), University of Hail, Hail, Kingdom of Saudi Arabia.
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Atheer M. Alanizy
From the Department of Family & Community Medicine (Almughais), College of Medicine and from the College of Medicine (Alharbi, Aldarwish, Alshammari, Alsuhaymi, Almuaili, Alanizy), University of Hail, Hail, Kingdom of Saudi Arabia.
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  • Article
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Article Figures & Data

Tables

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    Table 1

    - Bio-demographic data of study’s vaccinated population.

    Bio-demographic datan(%)
    Age in years
    18-251212(47.9)
    26-35703(27.8)
    36-50497(19.6)
    51-6087(3.4)
    >6031(1.2)
    Gender
    Male1037(41.0)
    Female1493(59.0)
    Educational level
    Primary or less26(1.0)
    Intermediate / secondary567(22.4)
    University1937(76.6)
    Work
    Healthcare workers677(26.8)
    Others1853(73.2)
    Body mass index
    Underweight170(6.7)
    Normal1224(48.4)
    Overweight680(26.9)
    Obese279(11.0)
    Morbid obesity177(7.0)
    Smoking
    Yes412(16.3)
    No2118(83.7)
    Chronic health problems
    Yes372(14.7)
    No2158(85.3)
    Had any type of allergy
    Yes366(14.5)
    No2164(85.5)
    • View popup
    Table 2

    - COVID-19 history of infection and vaccination data among vaccinated population.

    COVID-19 infection and vaccination datan(%)
    Previously had positive test for COVID-19
    Yes488(19.3)
    No2042(80.7)
    Type of vaccine
    Pfizer1868(73.8)
    AstraZeneca662(26.2)
    Agree to have second dose of COVID-19 vaccine
    Yes1575(62.3)
    No435(17.2)
    Had both doses520(20.6)
    Infected with COVID-19 after vaccination
    After 1st dose132(5.2)
    After 2nd dose18(0.7)
    No2380(94.1)
    Post-vaccination side-effects
    Yes2213(87.5)
    No317(12.5)
    • View popup
    Table 3

    - Distribution of post vaccination side effects among study population by vaccine type, Saudi Arabia.

    Type of vaccineSide effectsNoneAfter 1st doseAfter 2nd doseAfter both doses
    n(%)n(%)n(%)n(%)
    PfizerSystemic side effects
    Headache1108(59.3)648(34.7)60(3.2)52(2.8)
    Fatigue1433(76.7)352(18.8)57(3.1)26(1.4)
    Fever1367(73.2)360(19.3)106(5.7)35(1.9)
    Chills and tremors1635(87.5)177(9.5)41(2.2)15(0.8)
    Joint pain1456(77.9)326(17.5)51(2.7)35(1.9)
    Muscle pain1142(61.1)592(31.7)70(3.7)64(3.4)
    Diarrhea1742(93.3)103(5.5)21(1.1)2(0.1)
    Nausea1676(89.7)154(8.2)27(1.4)11(0.6)
    Local SE
    Local pain888(47.5)826(44.2)45(2.4)109(5.8)
    Local edema1428(76.4)365(19.5)32(1.7)43(2.3)
    Local pain with touch560(30.0)1091(58.4)56(3.0)161(8.6)
    Itching1652(88.4)185(9.9)20(1.1)11(0.6)
    Axiliary lymphadenopathy1790(95.8)56(3.0)18(1.0)4(0.2)
    Local redness1561(83.6)255(13.7)27(1.4)25(1.3)
    Local bruising1714(91.8)128(6.9)16(0.9)10(0.5)
    Local hotness1378(73.8)409(21.9)31(1.7)50(2.7)
    AstraZenecaSystemic side effects
    Headache272(41.1)370(55.9)8(1.2)12(1.8)
    Fatigue367(55.4)267(40.3)9(1.4)19(2.9)
    Fever218(32.9)414(62.5)7(1.1)23(3.5)
    Chills and tremors386(58.3)257(38.8)6(0.9)13(2.0)
    Joint pain394(59.5)246(37.2)11(1.7)11(1.7)
    Muscle pain312(47.1)328(49.5)10(1.5)12(1.8)
    Diarrhea582(87.9)70(10.6)7(1.1)3(0.5)
    Nausea513(77.5)142(21.5)3(0.5)4(0.6)
    Local SE
    Local pain284(42.9)343(51.8)5(0.8)30(4.5)
    Local edema491(74.2)158(23.9)6(0.9)7(1.1)
    Local pain with touch166(25.1)452(68.3)8(1.2)36(5.4)
    Itching568(85.8)87(13.1)4(0.6)3(0.5)
    Axillary lymphadenopathy629(95.0)28(4.2)3(0.5)2(0.3)
    Local redness551(83.2)100(15.1)4(0.6)7(1.1)
    Local bruising585(88.4)67(10.1)5(0.8)5(0.8)
    Local hotness466(70.4)179(27.0)3(0.5)14(2.1)
    • View popup
    Table 4

    - Determinants of developing post-vaccination side-effects among study participants.

    FactorsYesNoP-value
    n(%)n(%)
    Age in years
    18-251081(89.2)131(10.8)0.017*
    26-35615(87.5)88(12.5)
    36-50413(83.1)84(16.9)
    51-6077(88.5)10(11.5)
    >6027(87.1)4(12.9)
    Gender
    Male897(86.5)140(13.5)0.219
    Female1316(88.1)177(11.9)
    Nationality
    Saudi2097(87.2)309(12.8)0.036*
    Non-Saudi116(93.5)8(6.5)
    Body mass index
    Non obese1211(86.9)183(13.1)0.314
    Overweight / obese1002(88.2)134(11.8)
    Educational level
    Below university456(76.9)137(23.1)0.001*
    University1757(90.7)180(9.3)
    Work
    HCWs606(89.5)71(10.5).061
    Others1607(86.7)246(13.3)
    Smoking
    Yes384(93.2)28(6.8)0.001*
    No1829(86.4)289(13.6)
    Chronic health problems
    Yes332(89.2)40(10.8)0.262
    No1881(87.2)277(12.8)
    Had any type of allergy
    Yes325(88.8)41(11.2)0.407
    No1888(87.2)276(12.8)
    Previously had positive test for COVID-19
    Yes401(82.2)87(17.8)0.001*
    No1812(88.7)230(11.3)
    Type of vaccine
    Pfizer1589(85.1)279(14.9)0.001*
    AstraZeneca624(94.3)38(5.7)
    Infected with covid-19 after vaccination
    After 1st dose121(91.7)11(8.3)0.288#
    After 2nd dose15(83.3)3(16.7)
    No2077(87.3)303(12.7)

    P: Pearson X2 test, #: exact probability test, *p<0.05 (significant)

      • View popup
      Table 5

      - Multiple stepwise logistic regression for developing post-vaccination side-effects among study participants.

      FactorP-valueOR A95% CI for OR
      LowerUpper
      Female0.004*1.501.101.90
      Old age0.007*0.800.700.90
      Non-Saudi0.048*2.001.004.30
      University education0.001*2.902.303.80
      Smokers0.001*2.601.703.90
      Have chronic health problems0.027*1.601.102.30
      Previously had positive test for COVID-190.001*0.600.400.80
      AstraZeneca vaccine0.001*2.801.904.00

      ORA: adjusted odds ratio, CI: confidence interval, *p<0.05 (significant)

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      Saudi Medical Journal: 43 (4)
      Saudi Medical Journal
      Vol. 43, Issue 4
      1 Apr 2022
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      Side-effects of COVID-19 vaccines among the Saudi population
      Ebtehaj S. Almughais, Ali H. Alharbi, Hadi A. Aldarwish, Areeb F. Alshammari, Razan S. Alsuhaymi, Jumanah A. Almuaili, Atheer M. Alanizy
      Saudi Medical Journal Apr 2022, 43 (4) 386-393; DOI: 10.15537/smj.2022.43.4.20210905

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      Side-effects of COVID-19 vaccines among the Saudi population
      Ebtehaj S. Almughais, Ali H. Alharbi, Hadi A. Aldarwish, Areeb F. Alshammari, Razan S. Alsuhaymi, Jumanah A. Almuaili, Atheer M. Alanizy
      Saudi Medical Journal Apr 2022, 43 (4) 386-393; DOI: 10.15537/smj.2022.43.4.20210905
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      Keywords

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