Incidence of immediate allergic reactions to mRNA COVID-19 vaccines in adults with drug allergies and other allergic disorders.
Ivan MarkovićMarina BožanTomislav PerkovićKatarina PaušekVanja NedeljkovićMarina PerkovićTomislav KelavaMarinko ArtukovićAsja Stipić MarkovićPublished in: Medicine (2022)
Concerns have been raised about allergic reactions to messenger ribonucleic acid (mRNA) coronavirus disease 2019 (COVID-19) vaccines. A history of allergic reactions, including anaphylaxis to drugs, has been frequently reported in individuals with anaphylaxis to mRNA vaccines. To estimate the rate of immediate allergic reactions in patients with a history of drug allergy or other allergic disorders. We included adult patients who had received at least 1 dose of an mRNA COVID-19 vaccine at the Special Hospital for Pulmonary Diseases between March 1, 2021, and October 1, 2021, and who reported a history of drug allergy or other allergic diseases (asthma, allergic rhinitis, atopic dermatitis, food or insect venom allergy, mastocytosis, idiopathic anaphylaxis, acute or chronic urticaria, and/or angioedema). Immediate allergic reactions, including anaphylaxis, occurring within 4 hours of vaccination were recorded. Six immediate allergic reactions were noted in the cohort of 1679 patients (0.36%). One patient experienced anaphylaxis (0.06%), which resolved after epinephrine administration, and the other reactions were mild and easily treatable. Most patients with a history of allergies can safely receive an mRNA COVID-19 vaccine, providing adequate observation periods and preparedness to recognize and treat anaphylaxis.
Keyphrases
- allergic rhinitis
- coronavirus disease
- atopic dermatitis
- sars cov
- end stage renal disease
- drug induced
- respiratory syndrome coronavirus
- emergency department
- adverse drug
- pulmonary hypertension
- chronic kidney disease
- risk assessment
- risk factors
- intensive care unit
- young adults
- lung function
- zika virus
- hepatitis b virus
- electronic health record