Abstract
Older adults, especially men and/or those with diabetes, hypertension and/or obesity, are prone to severe COVID-19. In some countries, older adults, particularly those residing in nursing homes, have been prioritised to receive COVID-19 vaccines due to high risk of death. In very rare instances,the COVID-19 vaccines can induce anaphylaxis, and the management of anaphylaxis in older people should be considered carefully. An ARIA-EAACI-EuGMS (Allergic Rhinitis and its Impact on Asthma, European Academy of Allergy and Clinical Immunology, and European Geriatric Medicine Society)Working Group has proposed some recommendations for older adults receiving the COVID-19 vaccines. Anaphylaxis to COVID-19 vaccines is extremely rare (from 1 per 100,000 to 5 per million injections). Symptoms are similar in younger and older adults but they tend to be more severe in the older patients. Adrenaline is the mainstay treatment and should be readily available. A flowchart is proposed to manage anaphylaxis in the older patients.
| Original language | English |
|---|---|
| Journal | Allergy |
| Early online date | 2 Apr 2021 |
| DOIs | |
| Publication status | E-pub ahead of print - 2 Apr 2021 |
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Management of anaphylaxis due to COVID‐19 vaccines in the elderly
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Embargo ends: 2/04/22
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Management of anaphylaxis due to COVID-19 vaccines in the elderly. / Bousquet, Jean; Agache, Ioana; Blain, Hubert; Jutel, Marek; Ventura, Maria Teresa; Worm, Margitta; Del Giacco, Stefano; Benetos, Athanasios; Bilo, M Beatrice; Czarlewski, Wienczyslawa; Abdul Latiff, Amir Hamzah; Al-Ahmad, Mona; Angier, Elizabeth; Annesi-Maesano, Isabella; Atanaskovic-Markovic, Marina; Bachert, Claus; Barbaud, Annick; Bedbrook, Anna; Bennoor, Kazi S; Berghea, Elena Camelia; Bindslev-Jensen, Carsten; Bonini, Sergio; Bosnic-Anticevich, Sinthia; Brockow, Knut; Brussino, Luisa; Camargos, Paulo; Canonica, G Walter; Cardona, Victoria; Carreiro-Martins, Pedro; Carriazo, Ana; Casale, Thomas; Caubet, Jean-Christoph; Cecchi, Lorenzo; Cherubini, Antonio; Christoff, George; Chu, Derek K; Cruz, Alvaro A; Dokic, Dejan; El-Gamal, Yehia; Ebisawa, Motohiro; Eberlein, Bernadette; Farrell, John; Fernandez-Rivas, Montserrat; Fokkens, Wytske J; Fonseca, Joao A; Gao, Yadong; Gavazzi, Gaëtan; Gawlik, Radolslaw; Gelincik, Asli; Gemicioğlu, Bilun; Gotua, Maia; Guérin, Olivier; Haahtela, Tari; Hoffmann-Sommergruber, Karin; Hoffmann, Hans Jürgen; Hofmann, Maja; Hrubisko, Martin; lenaIllario, Madda; Irani, Carla; Ispayeva, Zhanat; Ivancevich, Juan Carlos; Julge, Kaja; Kaidashev, Igor; Khaitov, Musa; Knol, Edward; Kraxner, Helga; Kuna, Piotr; Kvedariene, Violeta; Lauerma, Antti; Le, Lan Tt; Le Moing, Vincent; Levin, Michael; Louis, Renaud; Lourenco, Olga; Mahler, Vera; Martin, Finbarr C; Matucci, Andrea; Milenkovic, Branislava; Miot, Stéphanie; Montella, Emma; Morais-Almeida, Mario; Mortz, Charlotte G; Mullol, Joaquim; Namazova-Baranova, Leyla; Neffen, Hugo; Nekam, Kristof; Niedoszytko, Marek; Odemyr, Mikaëla; O'Hehir, Robyn E; Okamoto, Yoshitaka; Ollert, Markus; Palomares, Oscar; Papadopoulos, Nikolaos G; Panzner, Petr; Passalacqua, Gianni; Patella, Vincenzo; Petrovic, Mirko; Pfaar, Oliver; Pham-Thi, Nhân; Plavec, Davor; Popov, Todor A; Recto, Marysia T; Regateiro, Frederico S; Reynes, Jacques; Roller-Winsberger, Regina E; Rolland, Yves; Romano, Antonino; Rondon, Carmen; Rottem, Menachem; Rouadi, Philip W; Salles, Nathalie; Samolinski, Boleslaw; Santos, Alexandra F; Serpa, Faradiba Sarquis; Sastre, Joaquin; Schols, Jos M G A; Scichilone, Nicola; Sediva, Anna; Shamji, Mohamed H; Sheikh, Aziz; Skypala, Isabel; Smolinska, Sylwia; Sokolowska, Milena; Sousa-Pinto, Bernardo; Sova, Milan; Stelmach, Rafael; Sturm, Gunter; Suppli Ulrik, Charlotte; Todo-Bom, Ana Maria; Toppila-Salmi, Sanna; Tsiligianni, Ioanna; Torres, Maria; Untersmayr, Eva; Urrutia Pereira, Marilyn; Valiulis, Arunas; Vitte, Joana; Vultaggio, Alessandra; Wallace, Dana; Walusiak-Skorupa, Jolanta; Wang, De-Yun; Waserman, Susan; Yorgancioglu, Arzu; Yusuf, Osman M; Zernotti, Mario; Zidarn, Mihaela; Chivato, Tomas; Akdis, Cezmi A; Zuberbier, Torsten; Klimek, Ludger.
In: Allergy, 02.04.2021.Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Management of anaphylaxis due to COVID-19 vaccines in the elderly
AU - Bousquet, Jean
AU - Agache, Ioana
AU - Blain, Hubert
AU - Jutel, Marek
AU - Ventura, Maria Teresa
AU - Worm, Margitta
AU - Del Giacco, Stefano
AU - Benetos, Athanasios
AU - Bilo, M Beatrice
AU - Czarlewski, Wienczyslawa
AU - Abdul Latiff, Amir Hamzah
AU - Al-Ahmad, Mona
AU - Angier, Elizabeth
AU - Annesi-Maesano, Isabella
AU - Atanaskovic-Markovic, Marina
AU - Bachert, Claus
AU - Barbaud, Annick
AU - Bedbrook, Anna
AU - Bennoor, Kazi S
AU - Berghea, Elena Camelia
AU - Bindslev-Jensen, Carsten
AU - Bonini, Sergio
AU - Bosnic-Anticevich, Sinthia
AU - Brockow, Knut
AU - Brussino, Luisa
AU - Camargos, Paulo
AU - Canonica, G Walter
AU - Cardona, Victoria
AU - Carreiro-Martins, Pedro
AU - Carriazo, Ana
AU - Casale, Thomas
AU - Caubet, Jean-Christoph
AU - Cecchi, Lorenzo
AU - Cherubini, Antonio
AU - Christoff, George
AU - Chu, Derek K
AU - Cruz, Alvaro A
AU - Dokic, Dejan
AU - El-Gamal, Yehia
AU - Ebisawa, Motohiro
AU - Eberlein, Bernadette
AU - Farrell, John
AU - Fernandez-Rivas, Montserrat
AU - Fokkens, Wytske J
AU - Fonseca, Joao A
AU - Gao, Yadong
AU - Gavazzi, Gaëtan
AU - Gawlik, Radolslaw
AU - Gelincik, Asli
AU - Gemicioğlu, Bilun
AU - Gotua, Maia
AU - Guérin, Olivier
AU - Haahtela, Tari
AU - Hoffmann-Sommergruber, Karin
AU - Hoffmann, Hans Jürgen
AU - Hofmann, Maja
AU - Hrubisko, Martin
AU - lenaIllario, Madda
AU - Irani, Carla
AU - Ispayeva, Zhanat
AU - Ivancevich, Juan Carlos
AU - Julge, Kaja
AU - Kaidashev, Igor
AU - Khaitov, Musa
AU - Knol, Edward
AU - Kraxner, Helga
AU - Kuna, Piotr
AU - Kvedariene, Violeta
AU - Lauerma, Antti
AU - Le, Lan Tt
AU - Le Moing, Vincent
AU - Levin, Michael
AU - Louis, Renaud
AU - Lourenco, Olga
AU - Mahler, Vera
AU - Martin, Finbarr C
AU - Matucci, Andrea
AU - Milenkovic, Branislava
AU - Miot, Stéphanie
AU - Montella, Emma
AU - Morais-Almeida, Mario
AU - Mortz, Charlotte G
AU - Mullol, Joaquim
AU - Namazova-Baranova, Leyla
AU - Neffen, Hugo
AU - Nekam, Kristof
AU - Niedoszytko, Marek
AU - Odemyr, Mikaëla
AU - O'Hehir, Robyn E
AU - Okamoto, Yoshitaka
AU - Ollert, Markus
AU - Palomares, Oscar
AU - Papadopoulos, Nikolaos G
AU - Panzner, Petr
AU - Passalacqua, Gianni
AU - Patella, Vincenzo
AU - Petrovic, Mirko
AU - Pfaar, Oliver
AU - Pham-Thi, Nhân
AU - Plavec, Davor
AU - Popov, Todor A
AU - Recto, Marysia T
AU - Regateiro, Frederico S
AU - Reynes, Jacques
AU - Roller-Winsberger, Regina E
AU - Rolland, Yves
AU - Romano, Antonino
AU - Rondon, Carmen
AU - Rottem, Menachem
AU - Rouadi, Philip W
AU - Salles, Nathalie
AU - Samolinski, Boleslaw
AU - Santos, Alexandra F
AU - Serpa, Faradiba Sarquis
AU - Sastre, Joaquin
AU - Schols, Jos M G A
AU - Scichilone, Nicola
AU - Sediva, Anna
AU - Shamji, Mohamed H
AU - Sheikh, Aziz
AU - Skypala, Isabel
AU - Smolinska, Sylwia
AU - Sokolowska, Milena
AU - Sousa-Pinto, Bernardo
AU - Sova, Milan
AU - Stelmach, Rafael
AU - Sturm, Gunter
AU - Suppli Ulrik, Charlotte
AU - Todo-Bom, Ana Maria
AU - Toppila-Salmi, Sanna
AU - Tsiligianni, Ioanna
AU - Torres, Maria
AU - Untersmayr, Eva
AU - Urrutia Pereira, Marilyn
AU - Valiulis, Arunas
AU - Vitte, Joana
AU - Vultaggio, Alessandra
AU - Wallace, Dana
AU - Walusiak-Skorupa, Jolanta
AU - Wang, De-Yun
AU - Waserman, Susan
AU - Yorgancioglu, Arzu
AU - Yusuf, Osman M
AU - Zernotti, Mario
AU - Zidarn, Mihaela
AU - Chivato, Tomas
AU - Akdis, Cezmi A
AU - Zuberbier, Torsten
AU - Klimek, Ludger
N1 - This article is protected by copyright. All rights reserved.
PY - 2021/4/2
Y1 - 2021/4/2
N2 - Older adults, especially men and/or those with diabetes, hypertension and/or obesity, are prone to severe COVID-19. In some countries, older adults, particularly those residing in nursing homes, have been prioritised to receive COVID-19 vaccines due to high risk of death. In very rare instances,the COVID-19 vaccines can induce anaphylaxis, and the management of anaphylaxis in older people should be considered carefully. An ARIA-EAACI-EuGMS (Allergic Rhinitis and its Impact on Asthma, European Academy of Allergy and Clinical Immunology, and European Geriatric Medicine Society)Working Group has proposed some recommendations for older adults receiving the COVID-19 vaccines. Anaphylaxis to COVID-19 vaccines is extremely rare (from 1 per 100,000 to 5 per million injections). Symptoms are similar in younger and older adults but they tend to be more severe in the older patients. Adrenaline is the mainstay treatment and should be readily available. A flowchart is proposed to manage anaphylaxis in the older patients.
AB - Older adults, especially men and/or those with diabetes, hypertension and/or obesity, are prone to severe COVID-19. In some countries, older adults, particularly those residing in nursing homes, have been prioritised to receive COVID-19 vaccines due to high risk of death. In very rare instances,the COVID-19 vaccines can induce anaphylaxis, and the management of anaphylaxis in older people should be considered carefully. An ARIA-EAACI-EuGMS (Allergic Rhinitis and its Impact on Asthma, European Academy of Allergy and Clinical Immunology, and European Geriatric Medicine Society)Working Group has proposed some recommendations for older adults receiving the COVID-19 vaccines. Anaphylaxis to COVID-19 vaccines is extremely rare (from 1 per 100,000 to 5 per million injections). Symptoms are similar in younger and older adults but they tend to be more severe in the older patients. Adrenaline is the mainstay treatment and should be readily available. A flowchart is proposed to manage anaphylaxis in the older patients.
U2 - 10.1111/all.14838
DO - 10.1111/all.14838
M3 - Article
C2 - 33811358
JO - Allergy
JF - Allergy
SN - 0105-4538
ER -