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Safety of COVID-19 Vaccines among People with History of Allergy: A European Active Surveillance Study.

作者信息

Luxi Nicoletta, Ciccimarra Francesco, Bellitto Chiara, Raethke Monika, van Hunsel Florence, Lieber Thomas, Mulder Erik, L'Abbate Luca, Marques Francisco Batel, Furci Fabiana, Farcas Andreea, Giele-Eshuis Janneke, Morton Kathryn, Sonderlichová Simona, Thurin Nicolas H, Villalobos Felipe, Riefolo Fabio, Sturkenboom Miriam C, Trifirò Gianluca

机构信息

Department of Medicine, University of Verona, 37134 Verona, Italy.

Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy.

出版信息

Vaccines (Basel). 2024 Sep 17;12(9):1059. doi: 10.3390/vaccines12091059.


DOI:10.3390/vaccines12091059
PMID:39340089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11435548/
Abstract

Conventional vaccines rarely cause severe allergic reactions. However, the rapid development and approval of COVID-19 vaccines left limited initial data on their adverse reactions, particularly in individuals with a history of allergy. The aim of this study was to assess and compare the safety profile of different doses and brands of COVID-19 vaccines in subjects with a history of allergy vs. those without a history of allergy. From February 2021 to February 2023, a web-based prospective study gathered vaccinee-reported outcomes using electronic questionnaires across eleven European countries. Baseline and up to six follow-up questionnaires captured data on vaccinee demographics, as well as both solicited and unsolicited adverse reactions. Overall, 3476 vaccinees with a history of allergy were matched with 13,872 vaccinees from the general population at the first vaccination cycle and were included in the analysis. A total of 825 vaccinees with a history of allergy who had received a booster dose, matched to 3297 vaccinees from the general population, were included in the analysis. Higher rates of ADRs occurred after the first vaccination cycle compared to after the booster dose (64-91% vs. 56-79%). However, most reported ADRs were solicited and not serious, and no case of anaphylaxis was reported. Women and vaccinees with a history of allergy reported ADRs more frequently than men and the matched controls, respectively. Compared to other COVID-19 vaccines, a higher proportion of vaccinees experiencing at least one ADR following their first vaccination cycle was observed with Comirnaty and Vaxzevria. Statistically significant differences were observed among the study cohorts for median TTO after the second dose, and for median TTR following the first vaccination cycle and booster dose ( < 0.001). Typically, any drug or vaccine use carries a risk of severe allergic reactions, yet the benefits of vaccination generally outweigh these potential risks, as shown with the COVID-19 vaccines.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c09/11435548/928afcf1268d/vaccines-12-01059-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c09/11435548/627604ca331b/vaccines-12-01059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c09/11435548/2a328557952e/vaccines-12-01059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c09/11435548/928afcf1268d/vaccines-12-01059-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c09/11435548/627604ca331b/vaccines-12-01059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c09/11435548/2a328557952e/vaccines-12-01059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c09/11435548/928afcf1268d/vaccines-12-01059-g003a.jpg

相似文献

[1]
Safety of COVID-19 Vaccines among People with History of Allergy: A European Active Surveillance Study.

Vaccines (Basel). 2024-9-17

[2]
What is the Safety of COVID-19 Vaccines in Immunocompromised Patients? Results from the European "Covid Vaccine Monitor" Active Surveillance Study.

Drug Saf. 2024-10

[3]
Safety Monitoring of COVID-19 Vaccines in Persons with Prior SARS-CoV-2 Infection: A European Multi-Country Study.

Vaccines (Basel). 2024-2-26

[4]
Frequency and timing of adverse reactions to COVID-19 vaccines; A multi-country cohort event monitoring study.

Vaccine. 2024-4-2

[5]
The short term safety of COVID-19 vaccines in Australia: AusVaxSafety active surveillance, February - August 2021.

Med J Aust. 2022-8-15

[6]
Cohort Event Monitoring of Adverse Reactions to COVID-19 Vaccines in Seven European Countries: Pooled Results on First Dose.

Drug Saf. 2023-4

[7]
Association of Self-reported High-Risk Allergy History With Allergy Symptoms After COVID-19 Vaccination.

JAMA Netw Open. 2021-10-1

[8]
A randomized, double-blind, placebo-controlled phase III clinical trial to evaluate the efficacy and safety of SARS-CoV-2 vaccine (inactivated, Vero cell): a structured summary of a study protocol for a randomised controlled trial.

Trials. 2021-4-13

[9]
Safety of COVID-19 Vaccines Among the Paediatric Population: Analysis of the European Surveillance Systems and Pivotal Clinical Trials.

Drug Saf. 2023-6

[10]
Risk stratification through allergy history: single-centre experience of specialized COVID-19 vaccine clinic.

Clin Exp Immunol. 2022-8-19

本文引用的文献

[1]
What is the Safety of COVID-19 Vaccines in Immunocompromised Patients? Results from the European "Covid Vaccine Monitor" Active Surveillance Study.

Drug Saf. 2024-10

[2]
Incidence and management of the main serious adverse events reported after COVID-19 vaccination.

Pharmacol Res Perspect. 2024-6

[3]
Safety Monitoring of COVID-19 Vaccines in Persons with Prior SARS-CoV-2 Infection: A European Multi-Country Study.

Vaccines (Basel). 2024-2-26

[4]
Frequency and timing of adverse reactions to COVID-19 vaccines; A multi-country cohort event monitoring study.

Vaccine. 2024-4-2

[5]
An Update in COVID-19 Vaccine Reactions in 2023: Progress and Understanding.

J Allergy Clin Immunol Pract. 2023-11

[6]
Safety of COVID-19 Vaccines Among the Paediatric Population: Analysis of the European Surveillance Systems and Pivotal Clinical Trials.

Drug Saf. 2023-6

[7]
Risk stratification through extensive allergy work-up in COVID-19-mRNA vaccine allergic reactions.

Allergy. 2023-8

[8]
Self-Reported Allergic Adverse Events Following Inactivated SARS-CoV-2 Vaccine (TURKOVAC™) among General and High-Risk Population.

Vaccines (Basel). 2023-2-14

[9]
Urticaria after COVID-19 vaccination and vaccine hesitancy.

J Allergy Clin Immunol Pract. 2023-3

[10]
Anaphylaxis: Revision of the Brighton collaboration case definition.

Vaccine. 2023-4-6

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