By vgreene, 7 January, 2021 In the Moderna trials 1 5 of participants who received the vaccine reported potential allergic reactions vs 1 1 of those receiving a placebo1
By vgreene, 7 January, 2021 In the Pfizer trials only 0 63 of participants who received the vaccine reported potential allergic reactions compared to 0 51 of those receiving a placebo 1
By vgreene, 7 January, 2021 It depends on the type of allergies It s helpful to put the risk for potential allergic reactions in perspective
By vgreene, 7 January, 2021 Hx of any immediate allergic rxn to vaccines or injectable tx except those related to components of mRNA COVID 19 vaccines or polysorbate as these are contraindicated Action Perform risk assessment consider deferral of vaccination and or referral to aller
By vgreene, 7 January, 2021 Moderate severe acute illness Action Perform risk assessment consider potential deferral of vaccination observe for 15min if vaccinating
By vgreene, 7 January, 2021 CDC further cautions that moderate severe acute illness and or a severe allergic reaction to any vaccine or injectable tx intramuscular intravenous or subcutaneous is a precaution but not a contraindication to COVID 19 vaccination at this time 1
By vgreene, 7 January, 2021 Previous hx of COVID 19 infxn whether symptomatic or asymptomatic isn t a contraindication although CDC recommends that symptomatic pts defer vaccination until they are recovered are out of isolation 1
By vgreene, 7 January, 2021 Persons w an immediate allergic reaction to the 1st dose of an mRNA COVID 19 vaccine should not receive additional doses of either of the mRNA COVID 19 vaccines Providers should try to determine whether reactions are immediate allergic reactions vs other
By vgreene, 7 January, 2021 Immediate allergic reaction of any severity to polysorbate d t potential cross reactive hypersensitivity w polyethylene glycol PEG Action Do not vaccinate unless evaluated cleared by allergist immunologist person can safely receive vaccine eg under observ
By vgreene, 7 January, 2021 Immediate allergic reaction of any severity any hypersensitivity related s sx such as urticaria angioedema resp distress eg wheezing stridor w in 4h to a previous dose of an mRNA COVID 19 vaccine or any of its components incl polyethylene glycol PEG Actio
