near-significantP = .096
The overall AEFIs reporting rate did not increase significantly after the adjustment (RR = 0.95, 95%CI : 0.83–1.08, P = .442), but notable dose-specific heterogeneity was observed: a near-significant increase for the first dose (RR = 1.67, P = .096), significant decreases for the second and third doses (RR = 0.70 and 0.40, respectively), and a substantially higher rate for the newly added fifth dose (684.84 per 100,000 doses).