Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic Reactions

Vaccines for SAR-CoV-2 are the most effective preventive treatment able to reduce the risk of contracting the infection and experiencing worse outcomes whenever the infection is contracted. Despite their rarity, hypersensitivity reactions to the anti-SARS-CoV-2 vaccine have been described and could...

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Main Authors: Maria Rita Messina, Carlotta Crisciotti, Laura Pellegrini, Emanuele Nappi, Francesca Racca, Giovanni Costanzo, Lorenzo Del Moro, Sebastian Ferri, Francesca Puggioni, Giorgio Walter Canonica, Enrico Heffler, Giovanni Paoletti
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/11/5/910
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author Maria Rita Messina
Carlotta Crisciotti
Laura Pellegrini
Emanuele Nappi
Francesca Racca
Giovanni Costanzo
Lorenzo Del Moro
Sebastian Ferri
Francesca Puggioni
Giorgio Walter Canonica
Enrico Heffler
Giovanni Paoletti
author_facet Maria Rita Messina
Carlotta Crisciotti
Laura Pellegrini
Emanuele Nappi
Francesca Racca
Giovanni Costanzo
Lorenzo Del Moro
Sebastian Ferri
Francesca Puggioni
Giorgio Walter Canonica
Enrico Heffler
Giovanni Paoletti
author_sort Maria Rita Messina
collection DOAJ
description Vaccines for SAR-CoV-2 are the most effective preventive treatment able to reduce the risk of contracting the infection and experiencing worse outcomes whenever the infection is contracted. Despite their rarity, hypersensitivity reactions to the anti-SARS-CoV-2 vaccine have been described and could become the reason not to complete the vaccination. Desensitization protocols for other vaccines have been described and validated, while the use of this approach for anti-SARS-CoV-2 vaccines is still anecdotal. We herein describe our experience with 30 patients with previous allergic reactions to anti-SARS-CoV-2 vaccines or to any of their excipients, proving that they are effective and safe; only two patients experienced hypersensitivity reaction symptoms during the desensitization procedure. Moreover, in this article, we propose desensitization protocols for the most common anti-SARS-CoV-2 vaccines.
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spelling doaj.art-ff15a88252284938a481c2e491e9f6ac2023-11-18T03:35:35ZengMDPI AGVaccines2076-393X2023-04-0111591010.3390/vaccines11050910Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic ReactionsMaria Rita Messina0Carlotta Crisciotti1Laura Pellegrini2Emanuele Nappi3Francesca Racca4Giovanni Costanzo5Lorenzo Del Moro6Sebastian Ferri7Francesca Puggioni8Giorgio Walter Canonica9Enrico Heffler10Giovanni Paoletti11Personalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, ItalyVaccines for SAR-CoV-2 are the most effective preventive treatment able to reduce the risk of contracting the infection and experiencing worse outcomes whenever the infection is contracted. Despite their rarity, hypersensitivity reactions to the anti-SARS-CoV-2 vaccine have been described and could become the reason not to complete the vaccination. Desensitization protocols for other vaccines have been described and validated, while the use of this approach for anti-SARS-CoV-2 vaccines is still anecdotal. We herein describe our experience with 30 patients with previous allergic reactions to anti-SARS-CoV-2 vaccines or to any of their excipients, proving that they are effective and safe; only two patients experienced hypersensitivity reaction symptoms during the desensitization procedure. Moreover, in this article, we propose desensitization protocols for the most common anti-SARS-CoV-2 vaccines.https://www.mdpi.com/2076-393X/11/5/910SARS-CoV-2COVID-19vaccineallergydesensitization
spellingShingle Maria Rita Messina
Carlotta Crisciotti
Laura Pellegrini
Emanuele Nappi
Francesca Racca
Giovanni Costanzo
Lorenzo Del Moro
Sebastian Ferri
Francesca Puggioni
Giorgio Walter Canonica
Enrico Heffler
Giovanni Paoletti
Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic Reactions
Vaccines
SARS-CoV-2
COVID-19
vaccine
allergy
desensitization
title Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic Reactions
title_full Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic Reactions
title_fullStr Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic Reactions
title_full_unstemmed Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic Reactions
title_short Desensitization Protocols for Anti-SARS-CoV-2 Vaccines in Patients with High Risk of Allergic Reactions
title_sort desensitization protocols for anti sars cov 2 vaccines in patients with high risk of allergic reactions
topic SARS-CoV-2
COVID-19
vaccine
allergy
desensitization
url https://www.mdpi.com/2076-393X/11/5/910
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