Evidence map›Paper›PMID 35632474›Full record

ArticleVaccines2022

COVID-19 Vaccination Is Safe among Mast Cell Disorder Patients, under Adequate Premedication.

Tiago Azenha Rama, Joana Miranda, Diana Silva, Luís Amaral, Eunice Castro, Alice Coimbra, André Moreira, José Luís Plácido

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. 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
  3. Article
  4. Article
  5. Review
  6. Article
  7. The conundrum of COVID-19 mRNA vaccine-induced anaphylaxis.The journal of allergy and clinical immunology. Global · 2023
    Review
  8. Article
  9. Article
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

8 authors at 2 institutions in 1 country.

Tiago Azenha RamaServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.ORCID 0000-0003-0134-617X
Joana MirandaServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.
Diana SilvaServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.
Luís AmaralServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.
Eunice CastroServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.
Alice CoimbraServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.
André MoreiraServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.ORCID 0000-0002-7294-9296
José Luís PlácidoServiço de Imunoalergologia, Centro Hospitalar Universitário São João, 4200-319 Porto, Portugal.
Hospital de São João · PTUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reported cases of anaphylaxis following COVID-19 vaccination raised concerns about the safety of these vaccines, namely in patients suffering from clonal mast cell (MC) disorders-a heterogenous group of disorders in which patients may be prone to anaphylaxis caused by vaccination. This study aimed to assess the safety of COVID-19 vaccines in patients with clonal MC disorders. We performed an ambidirectional cohort study with 30 clonal MC disorder patients (n = 26 in the prospective arm and n = 4 in the retrospective arm), that were submitted to COVID-19 vaccination. Among these, 11 (37%) were males, and median age at vaccination date was 41 years (range: 5y to 76y). One patient had prior history of anaphylaxis following vaccination. Those in the prospective arm received a premedication protocol including H1- and H2-antihistamines and montelukast, while those in the retrospective arm did not premedicate. Overall, patients received a total of 81 doses, 73 under premedication and 8 without premedication. No MC activation symptoms were reported. COVID-19 vaccination seems to be safe in patients with clonal mast cell disorders, including those with prior anaphylaxis following vaccination. Robust premedication protocols may allow for vaccination in ambulatory settings.

Indexed as

anaphylaxisclonal mast cell activation syndromeCOVID-19 vaccinesmastocytosis

Identifiers

PMID35632474
PMCPMC9146268
OpenAlexW4225407895

What OpenQuestion holds

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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.