• The overall incidence of any adverse drug reaction (ADR) after COVID-19 vaccination is 62.3%, with local reactions being most common.
• Serious ADRs are extremely rare (0.02%), confirming the favorable safety profile of COVID-19 vaccines.
• mRNA vaccines show a higher incidence of ADRs compared to viral vector vaccines, but both are generally well-tolerated.
• These findings provide crucial evidence for healthcare providers and policymakers to reinforce vaccine confidence and informed consent.
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