Evidence map›Paper›PMID 33831618›Full record

ReviewThe journal of allergy and clinical immunology. In practice2021

COVID-19 Vaccination in Mastocytosis: Recommendations of the European Competence Network on Mastocytosis (ECNM) and American Initiative in Mast Cell Diseases (AIM).

Patrizia Bonadonna, Knut Brockow, Marek Niedoszytko, Hanneke Oude Elberink, Cem Akin, Boguslaw Nedoszytko, Joseph H Butterfield, Ivan Alvarez-Twose, Karl Sotlar, Juliana Schwaab and 23 more

Open access · greenAbstract readReview
In one paragraph

Review in The journal of allergy and clinical immunology. In practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. COVID-19 mRNA-1273 vaccination induced mast cell activation with strongly elevated ThInflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  6. Article
  7. Review
  8. Observational
  9. Review
  10. Article
  11. Allergic Reactions to COVID-19 Vaccines: Risk Factors, Frequency, Mechanisms and Management.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Safety of COVID-19 vaccination in patients with clonal mast cell disorders.The journal of allergy and clinical immunology. In practice · 2022
    Article
  18. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 20 institutions in 14 countries.

Patrizia BonadonnaAllergy Unit, Verona University Hospital, Verona, Italy. Electronic address: patrizia.bonadonna@aovr.veneto.it.
Knut BrockowDepartment of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany.
Marek NiedoszytkoDepartment of Allergology, Medical University of Gdańsk, Gdansk, Poland.
Hanneke Oude ElberinkDepartment of Internal Medicine, Section Allergy, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Cem AkinDivision of Allergy and Clinical Immunology, University of Michigan, Ann Arbor, Mich.
Boguslaw NedoszytkoDepartment of Dermatology, Medical University of Gdansk, Gdansk, Poland.
Joseph H ButterfieldDivision of Allergic Diseases, Mayo Clinic, Rochester, Minn.
Ivan Alvarez-TwoseInstituto de Estudios de Mastocitosis de Castilla La Mancha (CLMast) and CIBERONC, Hospital Virgen del Valle, Toledo, Spain.
Karl SotlarInstitute of Pathology, Paracelsus Medical University Salzburg, Salzburg, Austria.
Juliana SchwaabUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Mohamad JawharDepartment of Hematology and Oncology, University Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Mariana CastellsBrigham and Women's Hospital, Mastocytosis Center, Harvard Medical School, Boston, Mass.
Wolfgang R SperrDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna, Austria.
Olivier HermineImagine Institute Université Paris Descartes, Sorbonne, Paris Cité, Centre national de référence des mastocytoses, Paris, France.
Jason GotlibStanford Cancer Institute/Stanford University School of Medicine, Stanford, Calif.
Roberta ZanottiSection of Hematology, Department of Medicine, Verona University Hospital, Verona, Italy.
Andreas ReiterIII. Medizinische Klinik, Universitätsmedizin Mannheim, Universität Heidelberg, Mannheim, Germany.
Sigurd Broesby-OlsenMastocytosis Centre Odense University Hospital, Odense, Denmark; Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark; Odense Research Center for Anaphylaxis, Odense University Hospital, Odense, Denmark.
Carsten Bindslev-JensenMastocytosis Centre Odense University Hospital, Odense, Denmark; Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark; Odense Research Center for Anaphylaxis, Odense University Hospital, Odense, Denmark.
Lawrence B SchwartzDivision of Rheumatology, Allergy & Immunology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Va.
Hans-Peter HornyInstitute of Pathology, Ludwig-Maximilian-University, Munich, Germany.
Deepti RadiaDepartment of Clinical Haematology, Guy's and St Thomas' NHS Hospitals, London, United Kingdom.
Massimo TriggianiDivision of Allergy and Clinical Immunology, Department of Medicine, University of Salerno, Salerno, Italy.
Vito SabatoFaculty of Medicine and Health Sciences, Department of Immunology-Allergology-Rheumatology, University of Antwerp and Antwerp University Hospital, Antwerpen, Belgium.
Melody C CarterLaboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md.
Frank SiebenhaarDermatological Allergology, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Alberto OrfaoServicio Central de Citometria, Centro de Investigacion del Cancer (IBMCC; CSIC/USAL), IBSAL, Salamanca, Spain.
Clive GrattanSt John's Institute of Dermatology, Guy's Hospital, London, United Kingdom.
Dean D MetcalfeLaboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md.
Michel ArockDepartment of Hematological Biology, Pitié-Salpêtrière Hospital, Paris Sorbonne University, Paris, France.
Theo GulenDepartment of Respiratory Medicine and Allergy, Karolinska University Hospital Huddinge, Stockholm, Sweden; Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; Department of Dermatology, University of Cologne, Cologne, Germany.
Karin HartmannDepartment of Dermatology, University of Cologne, Cologne, Germany; Division of Allergy, Department of Dermatology, University Hospital Basel and University of Basel, Basel, Switzerland; Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Peter ValentDivision of Hematology and Hemostaseology, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna, Austria.
Gdańsk Medical University · PLMedical University of Vienna · ATOdense University Hospital · DKUniversity Hospital Heidelberg · DEUniversity of Verona · ITCancer Institute (WIA) · INCharité - Universitätsmedizin Berlin · DEGuy's Hospital · GBHarvard University · USHeidelberg University · DEHospital Virgen del Valle · ESInstituto de Investigación Biomédica de Salamanca · ESKarolinska University Hospital · SELudwig-Maximilians-Universität München · DEMayo Clinic · USNational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USParacelsus Medical University · ATSorbonne Université · FRSt Thomas' Hospital · GB

Funding

The Pathogenesis, Diagnosis, And Treatment Of Systemic Mast Cell DisordersZIAAI000249 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI KOMAROW, HIRSH D · 2009 to 2025
$16.5M
6 · The paper itself

Abstract

Mastocytosis is a neoplasm characterized by an accumulation of mast cells in various organs and increased risk for severe anaphylaxis in patients with concomitant allergies. Coronavirus disease 2019 (COVID-19) is a pandemic that is associated with a relatively high rate of severe lung disease and mortality. The mortality is particularly high in those with certain comorbidities and increases with age. Recently, several companies have developed an effective vaccination against COVID-19. Although the reported frequency of severe side effects is low, there is an emerging discussion about the safety of COVID-19 vaccination in patients with severe allergies and mastocytosis. However, even in these patients, severe adverse reactions are rare. We therefore recommend the broad use of COVID-19 vaccination in patients with mastocytosis on a global basis. The only well-established exception is a known or suspected allergy against a constituent of the vaccine. Safety measures, including premedication and postvaccination observation, should be considered in all patients with mastocytosis, depending on the individual personal risk and overall situation in each case. The current article provides a summary of published data, observations, and expert opinion that form the basis of these recommendations.

Indexed as

AnaphylaxisCOVID-19MastocytosisCOVID-19 VaccinesHumansMast CellsSARS-CoV-2United StatesVaccinationCOVID-19 VaccinesAdverse reaction to medicationsCOVID-19Hypersensitivity reactionsMast cell diseasesMastocytosisVaccine

Identifiers

PMID33831618
PMCPMC8019658
OpenAlexW3151983239

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.