Evidence map›Paper›PMID 36560458›Full record

ArticleVaccines2022

Study of Excipients in Delayed Skin Reactions to mRNA Vaccines: Positive Delayed Intradermal Reactions to Polyethylene Glycol Provide New Insights for COVID-19 Arm.

David Pesqué, Ramon Maria Pujol, Orianna Marcantonio, Ainhoa Vidal-Navarro, José María Ramada, Alba Arderiu-Formentí, Agustí Albalat-Torres, Consol Serra, Ana María Giménez-Arnau

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 1 country.

David PesquéDepartment of Dermatology, Hospital del Mar-Institut d'Investigacions Mèdiques, Universitat Autònoma de Barcelona (UAB) and University Pompeu Fabra (UPF), 08003 Barcelona, Spain.
Ramon Maria PujolDepartment of Dermatology, Hospital del Mar-Institut d'Investigacions Mèdiques, Universitat Autònoma de Barcelona (UAB) and University Pompeu Fabra (UPF), 08003 Barcelona, Spain.ORCID 0000-0002-5622-6055
Orianna MarcantonioDepartment of Dermatology, Hospital del Mar-Institut d'Investigacions Mèdiques, Universitat Autònoma de Barcelona (UAB) and University Pompeu Fabra (UPF), 08003 Barcelona, Spain.
Ainhoa Vidal-NavarroDepartment of Dermatology, Hospital del Mar-Institut d'Investigacions Mèdiques, Universitat Autònoma de Barcelona (UAB) and University Pompeu Fabra (UPF), 08003 Barcelona, Spain.
José María RamadaDepartment of Occupational Health, Hospital del Mar-Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra, 08003 Barcelona, Spain.
Alba Arderiu-FormentíDepartment of Medical Pharmacy, Hospital del Mar, 08003 Barcelona, Spain.
Agustí Albalat-TorresDepartment of Medical Pharmacy, Hospital del Mar, 08003 Barcelona, Spain.
Consol SerraDepartment of Occupational Health, Hospital del Mar-Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra, 08003 Barcelona, Spain.ORCID 0000-0001-8337-8356
Ana María Giménez-ArnauDepartment of Dermatology, Hospital del Mar-Institut d'Investigacions Mèdiques, Universitat Autònoma de Barcelona (UAB) and University Pompeu Fabra (UPF), 08003 Barcelona, Spain.ORCID 0000-0001-5434-7753
Universitat Autònoma de Barcelona · ESHospital Del Mar · ESUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkin local reactions to mRNA COVID-19 vaccines have been linked to the use of vaccine excipients. The aim of the study is to evaluate the role of skin testing excipients in delayed skin reactions due to mRNA COVID-19 vaccines.

methodsSkin testing among a group of healthcare workers with skin reactions due to mRNA vaccines was performed. Patch testing and intradermal testing (IDT) with polyethylene glycol (PEG)-400, PEG-2000, trometamol, and 1,2-dimyristoyl-sn-glycero-3-phosphocholine were performed. Healthcare workers without skin reactions to vaccines were used for skin testing as controls.

resultsThirty-one healthcare workers (from a total of 4315 vaccinated healthcare workers) experienced cutaneous adverse vaccine reactions. Skin testing was performed in sixteen of the healthcare workers (11 delayed large local reactions (DLLR) and 5 widespread reactions). Positive IDT for PEG-2000 1% in DLLR was seen in 10 (90.9%) patients, in comparison with one (16.6%) individual with a delayed widespread reaction. Delayed positive IDT reactions for PEG-2000 1% on day 2 were observed in three (27.3%) patients with DLLR. Patch testing of the excipients was negative. Among 10 controls, only one exhibited a transient positive IDT reaction to PEG-2000 1%.

conclusionsImmediate and delayed reactions to IDT are frequently detected in patients with DLLR. The observation of positive delayed intradermal reactions to PEG disclosed only in patients with DLLR reinforces a possible role of PEG in the development of these reactions. Skin testing of other excipients is of little importance in clinical practice.

Indexed as

COVID-19 vaccineCOVID armintradermal testpolyethylene glycol

Identifiers

PMID36560458
PMCPMC9788122
OpenAlexW4310375331

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.