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Vaccines and allergic reactions: The past, the current COVID-19 pandemic, and future perspectives

V. Sampath, G. Rabinowitz, M. Shah, S. Jain, Z. Diamant, M. Jesenak, R. Rabin, S. Vieths, I. Agache, M. Akdis, D. Barber, H. Breiteneder, S. Chinthrajah, T. Chivato, W. Collins, T. Eiwegger, K. Fast, W. Fokkens, RE. O'Hehir, M. Ollert, L....

. 2021 ; 76 (6) : 1640-1660. [pub] 20210604

Language English Country Denmark

Document type Journal Article, Review

Vaccines are essential public health tools with a favorable safety profile and prophylactic effectiveness that have historically played significant roles in reducing infectious disease burden in populations, when the majority of individuals are vaccinated. The COVID-19 vaccines are expected to have similar positive impacts on health across the globe. While serious allergic reactions to vaccines are rare, their underlying mechanisms and implications for clinical management should be considered to provide individuals with the safest care possible. In this review, we provide an overview of different types of allergic adverse reactions that can potentially occur after vaccination and individual vaccine components capable of causing the allergic adverse reactions. We present the incidence of allergic adverse reactions during clinical studies and through post-authorization and post-marketing surveillance and provide plausible causes of these reactions based on potential allergenic components present in several common vaccines. Additionally, we review implications for individual diagnosis and management and vaccine manufacturing overall. Finally, we suggest areas for future research.

Allergy Asthma and Clinical Immunology Alfred Health Melbourne VIC Australia

Allergy Unit Malaga Regional University Hospital UMA ARADyAL Málaga Spain

Centre in Allergic Mechanisms of Asthma London UK

Departamento de CienciasMédicasBásicas Facultad de Medicina Instituto de Medicina Molecular Aplicada Universidad San Pablo CEU CEU Universities Madrid España

Department of Allergy Immunology and Respiratory Medicine Central Clinical School Monash University and Alfred Health Melbourne Vic Australia

Department of Biochemistry and Molecular Biology School of Chemistry Complutense University Madrid Spain

Department of Clinical Pharmacy and Pharmacology University Medical Center Groningen University of Groningen Groningen The Netherlands

Department of Dermatology and Allergy Center Odense Research Center for Anaphylaxis Odense University Hospital University of Southern Denmark Odense Denmark

Department of Environmental Medicine Medical Faculty University Augsburg Augsburg Germany

Department of Immunology and Pathology Monash University Melbourne VIC Australia

Department of Immunology University of Toronto Toronto ON Canada

Department of Infection and Immunity Luxembourg Institute of Health Esch sur Alzette Luxembourg

Department of Medicine and School of Microbiology APC Microbiome Ireland University College Cork Cork Ireland

Department of Medicine Division of Hospital Medicine Stanford University Stanford CA USA

Department of Medicine Division of Pulmonary and Critical Care Medicine Stanford University Stanford CA USA

Department of National Heart and Lung Institute Immunomodulation and Tolerance Group Allergy and Clinical Immunology Imperial College London London UK

Department of Otolaryngology Head and Neck Surgery Beijing TongRen Hospital Capital Medical University Beijing China

Department of Otolaryngology Yong Loo Lin School of Medicine National University of Singapore Singapore Singapore

Department of Otorhinolaryngology Amsterdam University Medical Centers Amsterdam The Netherlands

Department of Otorhinolaryngology Head and Neck Surgery Section of Rhinology and Allergy University Hospital Marburg Philipps Universität Marburg Marburg Germany

Department of Paediatrics Allergy and Clinical Immunology Yong Loo Lin School of Medicine National University of Singapore Singapore Singapore

Department of Pediatrics and Department of Clinical Immunology and Allergology Jessenius Faculty of Medicine in Martin Center for Vaccination in Special Situations University Hospital in Martin Comenius University in Bratislava Bratislava Slovakia

Department of Respiratory Medicine 1st Faculty of Medicine Charles University and Thomayer Hospital Prague Czech Republic

Department of Respiratory Medicine and Allergology Institute for Clinical Science Skane University Hospital Lund University Lund Sweden

Departmentt of Microbiology Immunology and Transplantation KU Leuven Catholic University of Leuven Leuven Belgium

Division of Immunology and Allergy Food Allergy and Anaphylaxis Program The Hospital for Sick Children Toronto ON Canada

Division of Medical Biotechnology Department of Pathophysiology and Allergy Research Center for Pathophysiology Infectiology and Immunology Medical University of Vienna Vienna Austria

Institut de Recerca Sant Joan de Déu Barcelona Spain

Institute of Environmental Medicine Helmholtz Zentrum München German Research Center for Environmental Health Neuherberg Germany

Instituto de Salud Carlos 3 RETIC ARADYAL Madrid Spain

Office of Vaccines Research and Review Center for Biologics Evaluation and Research US Food and Drug Administration Silver Spring MD USA

Paul Ehrlich Institut Federal Institute for Vaccines and Biomedicines Langen Germany

School of Medicine University CEU San Pablo Madrid Spain

Sean N Parker Center for Allergy and Asthma Research at Stanford University Stanford CA USA

Swiss Institute of Allergy and Asthma Research University Zurich Zurich Switzerland

Translational Medicine Research Institute The Hospital for Sick Children Toronto ON Canada

Transylvania University Brasov Romania

References provided by Crossref.org

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