Evidence map›Paper›PMID 40299000›Full record

ArticleInflammation research : official journal of the European Histamine Research Society ... [et al.]2025

COVID-19 mRNA-1273 vaccination induced mast cell activation with strongly elevated Th

Matthias Weiss-Tessbach, Teresa Haider, Aoife Gowran, Lorenz Schubert, Jakob Mühlbacher, Jelena Brankovic, Markus Wahrmann, Bernd Jilma, Thomas Boehm

Abstract readCase Reports
In one paragraph

Article in Inflammation research : official journal of the European Histamine Research Society ... [et al.], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Recombinant human diamine oxidase prevents histamine-induced hypoxia, shock and death in guinea pigs.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  2. Article
  3. 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

9 authors.

Matthias Weiss-Tessbach *Department of Clinical Pharmacology, Medical University Vienna, Waehringer Guertel 18-20, Vienna, 1090, Austria.ORCID http://orcid.org/0000-0003-0131-9091
Teresa Haider *Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-0497-4369
Aoife GowranDepartment of Clinical Pharmacology, Medical University Vienna, Waehringer Guertel 18-20, Vienna, 1090, Austria.ORCID http://orcid.org/0000-0003-1098-3357
Lorenz SchubertDepartment of Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-9181-8614
Jakob MühlbacherDepartment of Surgery, Division of Visceral Surgery, Medical University Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-8592-8259
Jelena BrankovicDepartment of Clinical Pharmacology, Medical University Vienna, Waehringer Guertel 18-20, Vienna, 1090, Austria.ORCID http://orcid.org/0009-0001-6243-9196
Markus WahrmannDivision of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-1301-8694
Bernd JilmaDepartment of Clinical Pharmacology, Medical University Vienna, Waehringer Guertel 18-20, Vienna, 1090, Austria.ORCID http://orcid.org/0000-0001-5652-7977
Thomas BoehmDepartment of Clinical Pharmacology, Medical University Vienna, Waehringer Guertel 18-20, Vienna, 1090, Austria. thomas.boehm@meduniwien.ac.at.ORCID http://orcid.org/0000-0002-8294-0797

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OBJECTIVE AND

designSARS-CoV-2 vaccines are recommended for mastocytosis patients. We describe clinical symptoms, chemokine, cytokine, metabolomic and lipidomic derangements in a systemic mastocytosis patient following mRNA-1273 booster vaccination.

methodsTwenty-eight chemokines and cytokines, 41 amino acids and 16 lipid classes were quantified with state-of-the-art methods.

resultsMast cell activation (MCA) symptoms started 24 h after the mRNA-1273 booster vaccination with significant metabolic, lipidomic and cytokine derangements. Histamine concentrations peaked at life-threatening 18 ng/ml concomitant with high tryptase. Peak plasma IL-1Ra, IL-5, IL-6, IL-10, IL-11, CXCL10 and GM-CSF concentrations were elevated 54-, 4.9-, 85-, 54-, 6.1-, 19- and 6.4-fold respectively. Tocilizumab, an IL-6 receptor antagonist, was administered 6 h after admission, because of the highly elevated IL-6 concentrations. More than one year later IL-6 was highly elevated during another MCA attack likely caused by a PCR-proven SARS-CoV-2 infection and tocilizumab was again used. Clinical symptoms improved during the following 12 h similar to the vaccine booster MCA attack.

conclusionsA mRNA-1273 first booster vaccination likely caused a delayed severe MCA attack with highly elevated Th

Indexed as

2019-nCoV Vaccine mRNA-1273COVID-19COVID-19 VaccinesCytokinesMast CellsMastocytosis, SystemicTh2 CellsHumansImmunization, SecondarySARS-CoV-22019-nCoV Vaccine mRNA-1273COVID-19 VaccinesCytokinesHistaminemRNA-1273 vaccinationSARS-Cov-2Systemic mastocytosisTh2-biased cytokinesTocilizumab

Identifiers

PMID40299000
PMCPMC12041034

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Registered trials

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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.