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   <dc:title>COVID-19 vaccine-associated anaphylaxis: A statement of the World Allergy Organization Anaphylaxis Committee</dc:title>
   <dc:creator>Turner, Paul</dc:creator>
   <dc:creator>El-Gamal, Yehia</dc:creator>
   <dc:creator>Ebisawa, Motohiro</dc:creator>
   <dc:creator>Ansotegui Zubeldia, Ignacio Javier</dc:creator>
   <dc:creator>Campbell, Dianne</dc:creator>
   <dc:creator>Cardona, Victoria</dc:creator>
   <dc:subject>COVID-19 (Malaltia) - Vacunació</dc:subject>
   <dc:subject>Anafilaxi</dc:subject>
   <dc:subject>Medicaments - Efectes secundaris</dc:subject>
   <dc:subject>CHEMICALS AND DRUGS::Complex Mixtures::Biological Products::Vaccines::Viral Vaccines</dc:subject>
   <dc:subject>Other subheadings::Other subheadings::Other subheadings::/adverse effects</dc:subject>
   <dc:subject>DISEASES::Immune System Diseases::Hypersensitivity::Hypersensitivity, Immediate::Anaphylaxis</dc:subject>
   <dc:subject>DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections</dc:subject>
   <dc:subject>COMPUESTOS QUÍMICOS Y DROGAS::mezclas complejas::productos biológicos::vacunas::vacunas víricas</dc:subject>
   <dc:subject>Otros calificadores::Otros calificadores::Otros calificadores::/efectos adversos</dc:subject>
   <dc:subject>ENFERMEDADES::enfermedades del sistema inmune::hipersensibilidad::hipersensibilidad inmediata::anafilaxia</dc:subject>
   <dc:subject>ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus</dc:subject>
   <dcterms:abstract>Anafilaxi; COVID-19; Polietilenglicol</dcterms:abstract>
   <dcterms:abstract>Anafilaxia; COVID-19; Polietilenglicol</dcterms:abstract>
   <dcterms:abstract>Anaphylaxis; COVID-19; Polyethylene glycol</dcterms:abstract>
   <dcterms:abstract>Vaccines against COVID-19 (and its emerging variants) are an essential global intervention to control the current pandemic situation. Vaccines often cause adverse events; however, the vast majority of adverse events following immunization (AEFI) are a consequence of the vaccine stimulating a protective immune response, and not allergic in etiology. Anaphylaxis as an AEFI is uncommon, occurring at a rate of less than 1 per million doses for most vaccines. However, within the first days of initiating mass vaccination with the Pfizer-BioNTech COVID-19 vaccine BNT162b2, there were reports of anaphylaxis from the United Kingdom and United States. More recent data imply an incidence of anaphylaxis closer to 1:200,000 doses with respect to the Pfizer-BioNTech vaccine.&#xd;
&#xd;
In this position paper, we discuss the background to reactions to the current COVID-19 vaccines and relevant steps to mitigate against the risk of anaphylaxis as an AEFI. We propose a global surveillance strategy led by allergists in order to understand the potential risk and generate data to inform evidence-based guidance, and thus provide reassurance to public health bodies and members of the public.</dcterms:abstract>
   <dcterms:dateAccepted>2025-10-24T10:29:56Z</dcterms:dateAccepted>
   <dcterms:available>2025-10-24T10:29:56Z</dcterms:available>
   <dcterms:created>2025-10-24T10:29:56Z</dcterms:created>
   <dcterms:issued>2022-03-14T13:23:13Z</dcterms:issued>
   <dcterms:issued>2022-03-14T13:23:13Z</dcterms:issued>
   <dcterms:issued>2021-02</dcterms:issued>
   <dc:type>info:eu-repo/semantics/article</dc:type>
   <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
   <dc:identifier>http://hdl.handle.net/11351/7168</dc:identifier>
   <dc:relation>World Allergy Organization Journal;14(2)</dc:relation>
   <dc:relation>https://doi.org/10.1016/j.waojou.2021.100517</dc:relation>
   <dc:rights>Attribution-NonCommercial-NoDerivatives 4.0 International</dc:rights>
   <dc:rights>http://creativecommons.org/licenses/by-nc-nd/4.0/</dc:rights>
   <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
   <dc:publisher>Elsevier</dc:publisher>
   <dc:source>Scientia</dc:source>
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