ARIA-EAACI statement on severe allergic reactions to COVID-19 vaccines - An EAACI-ARIA Position Paper.

BNT162b2 COVID SARS-CoV anaphylaxis mRNA severe allergic reactions vaccines virus

Journal

Allergy
ISSN: 1398-9995
Titre abrégé: Allergy
Pays: Denmark
ID NLM: 7804028

Informations de publication

Date de publication:
06 2021
Historique:
received: 23 12 2020
accepted: 28 12 2020
pubmed: 31 12 2020
medline: 22 6 2021
entrez: 30 12 2020
Statut: ppublish

Résumé

Further to the approval of the Coronavirus disease 2019 (COVID-19) vaccine BNT162b2, several severe anaphylaxis cases occured within the first few days of public vaccination. An investigation is taking place to understand the cases and their triggers. The vaccine will be administered to a large number of individuals worldwide and there are raising concerns that severe adverse events might occur. With the current information, the European Academy of Allergy and Clinical Immunology (EAACI) states its position for the following preliminary recommendations that are to be revised as soon as more data emerge. To minimize the risk of severe allergic reactions in vaccinated individuals, it is urgently required to understand the specific nature of the reported severe allergic reactions, including the background medical history of the individuals affected and the mechanisms involved. To achieve this goal, all clinical and laboratory information should be collected and reported. Mild and moderate allergic patients should not be excluded from the vaccine as this could have a significant impact on reaching the goal of population immunity. Healthcare practitioners vaccinating against COVID-19 are required to be sufficiently prepared to recognize and treat anaphylaxis properly with the ability to administer adrenaline. Further to vaccine administration, a mandatory observation period of at least 15 minutes should be followed for all individuals. The current data have not shown any higher risk for patients suffering from allergic rhinitis or asthma, and this message should be clearly stated by physicians to enable our patients to trust the vaccine. More than 30% of the population suffers from allergic diseases and the benefit of the vaccination clearly outweighs the risk of severe COVID-19 development.

Identifiants

pubmed: 33378789
doi: 10.1111/all.14726
doi:

Substances chimiques

COVID-19 Vaccines 0
Vaccines 0
BNT162 Vaccine N38TVC63NU

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1624-1628

Informations de copyright

© 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

Références

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Auteurs

Ludger Klimek (L)

Center for Rhinology and Allergology, Wiesbaden, Germany.

Marek Jutel (M)

Department of Clinical Immunology, Wrocław Medical University, Wrocław, Poland.

Cezmi A Akdis (CA)

Swiss Institute of Allergy and Asthma Research (SIAF, University of Zurich, Davos, Switzerland.

Jean Bousquet (J)

Department of Dermatology and Allergy, Comprehensive Allergy Center, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charité, Universitätsmedizin Berlin, Berlin, Germany.
University Hospital Montpellier, Montpellier, France.
MACVIA-France, Montpellier, France.

Mübeccel Akdis (M)

Swiss Institute of Allergy and Asthma Research (SIAF, University of Zurich, Davos, Switzerland.

Maria J Torres (MJ)

Allergy Unit, Hospital Regional Universitario de Málaga-UMA-ARADyAL, Málaga, Spain.

Ioana Agache (I)

Transylvania University Brasov, Brasov, Romania.

G Walter Canonica (GW)

Personalized Medicine Clinic Asthma & Allergy, Humanitas Research Hospital-IRCCS, Milan, Italy.
Department of Biomedical Sciences, Humanitas University, Milan, Italy.

Stefano Del Giacco (S)

Department of Medical Sciences and Public Health and Unit of Allergy and Clinical Immunology, University Hospital "Duilio Casula", University of Cagliari, Cagliari, Italy.

Liam O'Mahony (L)

Department of Medicine and Microbiology, APC Microbiome Ireland, University College Cork, Cork, Ireland.

Mohamed H Shamji (MH)

Immunomodulation and Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK.
Asthma UK Centre in Allergic Mechanisms of Asthma, London, UK.

Jürgen Schwarze (J)

Child Life and Health and Centre for Inflammation Research, Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.

Eva Untersmayr (E)

Institute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.

Johannes Ring (J)

Department of Dermatology and Allergy, TUM, Munich, Germany.

Anna Bedbrook (A)

MACVIA-France, Montpellier, France.

Margitta Worm (M)

Department of Dermatology and Allergy, Comprehensive Allergy Center, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charité, Universitätsmedizin Berlin, Berlin, Germany.

Torsten Zuberbier (T)

Department of Dermatology and Allergy, Comprehensive Allergy Center, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charité, Universitätsmedizin Berlin, Berlin, Germany.

Edward Knol (E)

Departments of Immuno and Dermatology/Allergology, University Medical Center, Utrecht, Netherlands.

Karin Hoffmann-Sommergruber (K)

Institute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.

Tomás Chivato (T)

School of medicine. University CEU San Pablo, Madrid, Spain.

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