Evidence map›Paper›PMID 34277326›Full record

ReviewAllergo journal international2021

Answers to burning questions for clinical allergologists related to the new COVID-19 vaccines.

Sabine Altrichter, Stefan Wöhrl, Fritz Horak, Marco Idzko, Galateja Jordakieva, Eva Untersmayr, Zsolt Szepfalusi, Petra Zieglmayer, Erika Jensen-Jarolim, Ursula Wiedermann and 2 more

Open access · hybridAbstract readReview
In one paragraph

Review in Allergo journal international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Olfactory and gustatory disorders in COVID-19.Allergo journal international · 2022
    Review
  3. Allergo Journal : interdisziplinare Zeitschrift fur Allergologie und Umweltmedizin : Organ der Deutschen Gesellschaft fur Allergie- und Immunitatsforschung · 2022
    Review
  4. 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

12 authors at 5 institutions in 1 country.

Sabine AltrichterDepartment of Dermatology und Venerology, Comprehensive Allergy Center, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria.
Stefan WöhrlFloridsdorfer Allergiezentrum (FAZ), Vienna, Austria.
Fritz HorakAllergiezentrum Wien West, Vienna, Austria.
Marco IdzkoDepartment for Medicine II, Pulmonology, Medical University of Vienna, Vienna, Austria.
Galateja JordakievaDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Vienna, Austria.
Eva UntersmayrDepartment of Pathophysiology und Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Zsolt SzepfalusiDepartment of Pediatrics and Adolescent Medicine, Division for Pediatric Pulmonology, Allergology and Endokrinology, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Petra ZieglmayerCompetence Center for Allergology and Immunology, Karl Landsteiner Privatuniversität für Gesundheitswissenschaften, Krems, Austria.
Erika Jensen-JarolimDepartment of Pathophysiology und Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Ursula WiedermannInstitute of Specific Prophylaxis and Tropical Medicine, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Alexander RosenkranzDivision of Nephrology, Department for Medicine, Medical University Graz, Graz, Austria.
Wolfram HötzeneckerDepartment of Dermatology und Venerology, Comprehensive Allergy Center, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria.
Medical University of Vienna · ATAllergiezentrum Wien West · ATKepler Universitätsklinikum · ATKarl Landsteiner University of Health Sciences · ATMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlong with the newly approved vaccines against coronavirus disease 2019 (COVID-19), first reports of allergic or intolerance reactions were published. Subsequently, questions arose whether these vaccines pose an increased risk for intolerance reactions and whether allergic patients may be at higher risk for this.

resultsAllergic reactions following COVID-19 vaccinations have been reported, but mostly of mild severity and at normal (Moderna®) or only slightly increased frequency (BioNTech/Pfizer®) compared to established conventional vaccines. The risk of allergic reaction to the newly licensed vector vaccines (AstraZeneca®, Johnson&Johnson®) cannot be conclusively assessed yet, but also appears to be low. There is currently no evidence that patients with allergic diseases (atopic patients) react more frequently or more severely to these vaccines. It is currently assumed that intolerance reactions of the immediate-type are either type I allergic (IgE-mediated) reactions or occur via complement activation (CARPA, "complement activation-related pseudoallergy"). Polyethylene glycol (PEG) or polysorbate, which are present as stabilizers in the vaccines, are suspected as triggers for this.

conclusionThe data available so far do not show a significantly increased risk of immediate-type allergic reactions in atopic persons. In almost all cases, atopic patients can be vaccinated without problems. Standardized follow-up tests after suspected allergic reactions or CARPA-mediated reactions are currently limited.

Indexed as

AllergyAnaphylaxisCOVID-19SARS-CoV‑2Vaccination

Identifiers

PMID34277326
PMCPMC8278365
OpenAlexW3177999329

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.