Evidence map›Paper›PMID 34254291›Full record

ArticleThe British journal of dermatology2022

Cutaneous reactions after SARS-CoV-2 vaccination: a cross-sectional Spanish nationwide study of 405 cases.

A Català, C Muñoz-Santos, C Galván-Casas, M Roncero Riesco, D Revilla Nebreda, A Solá-Truyols, P Giavedoni, M Llamas-Velasco, C González-Cruz, X Cubiró and 30 more

Abstract read
In one paragraph

Article in The British journal of dermatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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

121 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  15. Cutaneous reactions to vaccination.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
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61 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors.

A CatalàServicio de Dermatología, Hospital Clínic, Barcelona, Spain.
C Muñoz-SantosServicio de Dermatología, Hospital General de Granollers, Barcelona, Spain.ORCID 0000-0003-3721-8030
C Galván-CasasServicio de Dermatología, Hospital Universitario de Móstoles, Madrid, Spain.ORCID 0000-0002-9662-9537
M Roncero RiescoServicio de Dermatología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
D Revilla NebredaServicio de Dermatología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
A Solá-TruyolsServicio de Dermatología, Hospital Universitario Son Llatzer, Mallorca, Spain.
P GiavedoniServicio de Dermatología, Hospital Clínic, Barcelona, Spain.
M Llamas-VelascoServicio de Dermatología, Hospital Universitario de La Princesa, Madrid, Spain.
C González-CruzServicio de Dermatología, Hospital Universitari Vall D'Hebron, Barcelona, Spain.ORCID 0000-0003-0117-8858
X CubiróServicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
R Ruíz-VillaverdeServicio de Dermatología, Hospital Universitario San Cecilio, Granada, Spain.ORCID 0000-0002-0381-6174
S Gómez-ArmayonesServicio de Dermatología, Hospital Clínic, Barcelona, Spain.
M P Gil MateoServicio de Dermatología, Hospital General de La Palma, Santa Cruz de Tenerife, Spain.
D PesquéServicio de Dermatología, Hospital del Mar, IMIM, Universitat Autònoma, Barcelona, Spain.
O MarcantonioServicio de Dermatología, Hospital del Mar, IMIM, Universitat Autònoma, Barcelona, Spain.ORCID 0000-0001-5281-8750
D Fernández-NietoServicio de Dermatología, Hospital Ramón y Cajal, Madrid, Spain.ORCID 0000-0003-4461-1770
J RomaníServicio de Dermatología, Parc Taulí Hospital Universitari, Sabadell, Barcelona, Spain.ORCID 0000-0002-6134-5155
N Iglesias PenaServicio de Dermatología, Hospital Universitario Lucus Augusti, Lugo, Spain.
L Carnero GonzalezServicio de Dermatología, Hospital Universitario Araba, Vitoria, Spain.
J Tercedor-SanchezServicio de Dermatología, Hospital Virgen de las Nieves, Granada, Spain.
G CarreteroServicio de Dermatología, Hospital Universitario Gran Canaria Doctor Negrín, Las Palmas Gran Canaria, Spain.
T Masat-TicóCAP Cardedeu, Institut Català de la Salut, Barcelona, Spain.
P Rodríguez-JiménezServicio de Dermatología, Hospital Universitario de La Princesa, Madrid, Spain.ORCID 0000-0002-7061-3027
A M Gimenez-ArnauServicio de Dermatología, Hospital del Mar, IMIM, Universitat Autònoma, Barcelona, Spain.
M Utrera-BusquetsServicio de Dermatología, Hospital Comarcal Infanta Elena, Huelva, Spain.
E Vargas LagunaServicio de Dermatología, Hospital Universitario Severo Ochoa, Madrid, Spain.
A G Angulo MenéndezServicio de Dermatología, Serveis Medics Penedés Vilanova i la Geltrú, Barcelona, Spain.
E San Juan LasserConsulta privada, Dra Eliana San Juan Lasser, Madrid, Spain.
M Iglesias-SanchoServicio de Dermatología, Hospital Universitari Sagrat Cor, Barcelona, Spain.
L Alonso NaranjoServicio de Dermatología, Hospital Universitario de Toledo, Toledo, Spain.
I HiltunServicio de Dermatología, Complejo Hospitalario de Navarra, Navarra, Spain.ORCID 0000-0001-7377-1533
E Cutillas MarcoServicio de Dermatología, Hospital General Universitario Reina Sofia, Murcia, Spain.
I Polimon OlabarrietaServicio de Dermatología, Hospital Universitario de Móstoles, Madrid, Spain.ORCID 0000-0003-1659-7254
S Marinero EscobedoServicio de Dermatología, Hospital Universitario de Móstoles, Madrid, Spain.
X García-NavarroServicio de Dermatología, Consorci Sanitari Alt Penedès-Garraf, Barcelona, Spain.
M J Calderón GutiérrezConsulta Privada María José Calderón, Bilbao, Spain.
G Baeza-HernándezServicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, Spain.
L Bou CampsConsulta Dr Lola Bou, Barcelona, Spain.
T Toledo-PastranaHospital Quirónsalud Infanta Luisa, Sevilla, Spain.
A GuilabertServicio de Dermatología, Hospital General de Granollers, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCutaneous reactions after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines are poorly characterized.

objectiveTo describe and classify cutaneous reactions after SARS-CoV-2 vaccination.

methodsA nationwide Spanish cross-sectional study was conducted. We included patients with cutaneous reactions within 21 days of any dose of the approved vaccines at the time of the study. After a face-to-face visit with a dermatologist, information on cutaneous reactions was collected via an online professional survey and clinical photographs were sent by email. Investigators searched for consensus on clinical patterns and classification.

resultsFrom 16 February to 15 May 2021, we collected 405 reactions after vaccination with the BNT162b2 (Pfizer-BioNTech; 40·2%), mRNA-1273 (Moderna; 36·3%) and AZD1222 (AstraZeneca; 23·5%) vaccines. Mean patient age was 50·7 years and 80·2% were female. Cutaneous reactions were classified as injection site ('COVID arm', 32·1%), urticaria (14·6%), morbilliform (8·9%), papulovesicular (6·4%), pityriasis rosea-like (4·9%) and purpuric (4%) reactions. Varicella zoster and herpes simplex virus reactivations accounted for 13·8% of reactions. The COVID arm was almost exclusive to women (95·4%). The most reported reactions in each vaccine group were COVID arm (mRNA-1273, Moderna, 61·9%), varicella zoster virus reactivation (BNT162b2, Pfizer-BioNTech, 17·2%) and urticaria (AZD1222, AstraZeneca, 21·1%). Most reactions to the mRNA-1273 (Moderna) vaccine were described in women (90·5%). Eighty reactions (21%) were classified as severe/very severe and 81% required treatment.

conclusionsCutaneous reactions after SARS-CoV-2 vaccination are heterogeneous. Most are mild-to-moderate and self-limiting, although severe/very severe reactions are reported. Knowledge of these reactions during mass vaccination may help healthcare professionals and reassure patients.

Indexed as

COVID-19COVID-19 Vaccines2019-nCoV Vaccine mRNA-1273BNT162 VaccineChAdOx1 nCoV-19Cross-Sectional StudiesFemaleHumansMiddle AgedSARS-CoV-2Vaccination2019-nCoV Vaccine mRNA-1273BNT162 VaccineChAdOx1 nCoV-19COVID-19 Vaccines

Identifiers

PMID34254291
PMCPMC8444756

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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.