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Vaccine-associated hypersensitivity.

Michael M McNeil1, Frank DeStefano1

  • 1Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, Ga.

The Journal of Allergy and Clinical Immunology
|February 8, 2018
PubMed
Summary
This summary is machine-generated.

Serious hypersensitivity reactions to vaccines are rare, but providers should monitor for anaphylaxis, especially with new influenza vaccine formulations. Further research is needed on vaccine adverse events.

Keywords:
AcuteIgE mediatedT cell mediatedallergyanaphylaxisdelayedhypersensitivityimmunologically mediatedmast cellpostvaccinationvaccine safety

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Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Background:

  • Vaccine-associated hypersensitivity reactions, including anaphylaxis, are rare but can occur.
  • Influenza vaccines, with annual composition changes and new formulations, warrant specific attention due to widespread use.
  • Understanding hypersensitivity mechanisms is crucial for vaccine safety.

Purpose of the Study:

  • To review the occurrence and types of hypersensitivity reactions associated with vaccines.
  • To highlight the importance of monitoring adverse events, particularly anaphylaxis, after influenza vaccination.
  • To identify areas for future research regarding vaccine hypersensitivity.

Main Methods:

  • Literature review of vaccine-associated hypersensitivity reactions.
  • Analysis of reported systemic reactions, including anaphylaxis, post-vaccination.
  • Discussion of novel influenza vaccine types and their implications.

Main Results:

  • Serious systemic hypersensitivity reactions are rare, with anaphylaxis estimated at 1.31 per million doses.
  • Hypersensitivity can be triggered by vaccine antigens or other components.
  • New influenza vaccine types and recommendations for egg-allergic individuals require provider awareness.

Conclusions:

  • While severe vaccine reactions are uncommon, vigilance is necessary.
  • Further research is essential to understand pathophysiology, risk factors, and optimize vaccination schedules.
  • Adapting to new vaccine technologies and recommendations is key for public health.