Management of anaphylaxis due to COVID-19 vaccines in the elderly

Bousquet J. Agache I. Blain H. Jutel M. Ventura M.T. Worm M. Del Giacco S. Benetos A. Bilo B.M. Czarlewski W. Abdul Latiff A.H. Al-Ahmad M. Angier E. Annesi-Maesano I. Atanaskovic-Markovic M. Bachert C. Barbaud A. Bedbrook A. Bennoor K.S. Berghea E.C. Bindslev-Jensen C. Bonini S. Bosnic-Anticevich S. Brockow K. Brussino L. Camargos P. Canonica G.W. Cardona V. Carreiro-Martins P. Carriazo A. Casale T. Caubet J.-C. Cecchi L. Cherubini A. Christoff G. Chu D.K. Cruz A.A. Dokic D. El-Gamal Y. Ebisawa M. Eberlein B. Farrell J. Fernandez-Rivas M. Fokkens W.J. Fonseca J.A. Gao Y. Gavazzi G. Gawlik R. Gelincik A. Gemicioğlu B. Gotua M. Guérin O. Haahtela T. Hoffmann-Sommergruber K. Hoffmann H.J. Hofmann M. Hrubisko M. Illario M. Irani C. Ispayeva Z. Ivancevich J.C. Julge K. Kaidashev I. Khaitov M. Knol E. Kraxner H. Kuna P. Kvedariene V. Lauerma A. Le L.T.T. Le Moing V. Levin M. Louis R. Lourenco O. Mahler V. Martin F.C. Matucci A. Milenkovic B. Miot S. Montella E. Morais-Almeida M. Mortz C.G. Mullol J. Namazova-Baranova L. Neffen H. Nekam K. Niedoszytko M. Odemyr M. O’Hehir R.E. Okamoto Y. Ollert M. Palomares O. Papadopoulos N.G. Panzner P. Passalacqua G. Patella V. Petrovic M. Pfaar O. Pham-Thi N. Plavec D. Popov T.A. Recto M.T. Regateiro F.S. Reynes J. Roller-Winsberger R.E. Rolland Y. Romano A. Rondon C. Rottem M. Rouadi P.W. Salles N. Samolinski B. Santos A.F. S Sarquis F. Sastre J. M. G. A. Schols J. Scichilone N. Sediva A. Shamji M.H. Sheikh A. Skypala I. Smolinska S. Sokolowska M. Sousa-Pinto B. Sova M. Stelmach R. Sturm G. Suppli Ulrik C. Todo-Bom A.M. Toppila-Salmi S. Tsiligianni I. Torres M. Untersmayr E. Urrutia Pereira M. Valiulis A. Vitte J. Vultaggio A. Wallace D. Walusiak-Skorupa J. Wang D.-Y. Waserman S. Yorgancioglu A. Yusuf O.M. Zernotti M. Zidarn M. Chivato T. Akdis C.A. Zuberbier T. Klimek L.
October 2021 John Wiley and Sons Inc

Allergy: European Journal of Allergy and Clinical Immunology
2021 #76 Issue 10 2952 - 2964 pp.

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 prioritized 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.

adrenaline , anaphylaxis , COVID-19 vaccines , older (adults/people)

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Department of Dermatology and Allergy, Comprehensive Allergy Center, Charité Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany
University Hospital Montpellier, France
MACVIA-France, Montpellier, France
Faculty of Medicine, Transylvania University, Brasov, Romania
Department of Geriatrics, Montpellier University Hospital, Montpellier, France
Department of Clinical Immunology, Wrocław Medical University, Wroclaw, Poland
ALL-MED Medical Research Institute, Wrocław, Poland
University of Bari Medical School, Unit of Geriatric Immunoallergology, Bari, Italy
Department of Medical Sciences and Public Health, Unit of Allergy and Clinical Immunology, University Hospital Duilio Casula, University of Cagliari, Cagliari, Italy
Department of Geriatrics, CHRU de Nancy and Inserm DCAC, Université de Lorraine, Nancy, France
Allergy Unit, Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona, Italy
Department of Internal Medicine, University Hospital, Ospedali Riuniti di Ancona, Ancona, Italy
Medical Consulting Czarlewski, Levallois, France
Department of Pediatrics, Allergy & Immunology Centre, Pantai Hospital, Universiti Putra Malaysia Teaching Hospital, Kuala Lumpur, Malaysia
Microbiology Department, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait
Department of Allergy, Al-Rashed Allergy Center, Kuwait City, Kuwait
Primary Care and Population Sciences, University of Southampton, Southampton, United Kingdom
Institut Desbrest dEpidémiologie et Santé Publique (IDESP), INSERM et Université de Montpellier, Montpellier, France
Faculty of Medicine, University Childrens Hospital, University of Belgrade, Belgrade, Serbia
Upper Airways Research Laboratory, ENT Department, Ghent University Hospital, Ghent, Belgium
International Airway Research Center, Sun Yat-sen University, First Affiliated Hospital Guangzou, China
Division of ENT Diseases, CLINTEC, Karolinska Institutet, Stockholm, Sweden
Department of ENT Diseases, Karolinska University Hospital, Stockholm, Sweden
Division of Service de Dermatologie et Allergologie, Hôpital Tenon, Paris, France
Division of Equipe PEPITES, Sorbonne Université, Institut Pierre Louis dEpidémiologie et de Santé Publique, Paris, France
Department of Respiratory Medicine, National Institute of Diseases of the Chest and Hospital, Dhaka, Bangladesh
Allergology and Clinical Immunology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Clinical Emergency Hospital for Children MS Curie, Bucharest, Romania
Department of Dermatology and Allergy Centre, Odense University Hospital, Odense Research Center for Anaphylaxis (ORCA), Odense, Denmark
Institute of Translational Pharmacology, Italian National Research Council, Rome, Italy
Woolcock Institute of Medical Research, University of Sydney, Glebe, NSW, Australia
Woolcock Emphysema Centre, Sydney Local Health District, Glebe, NSW, Australia
Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany
Department of Medical Sciences, Allergy and Clinical Immunology Unit, University of Torino & Mauriziano Hospital, Torino, Italy
Department of Pediatrics, Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil
Department of Biomedical Sciences, Humanitas University, Milan, Italy
IRCCS Humanitas Research Hospital, Personalized Medicine, Asthma and Allergy, Milan, Italy
Allergy Section, Department of Internal Medicine, Hospital Vall dHebron, Barcelona, Spain
ARADyAL Research Network, Barcelona, Spain
Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisbon, Portugal
Faculdade de Ciências Médicas (FCM), CEDOC, Universidade Nova de Lisboa, Lisbon, Portugal
Regional Ministry of Health of Andalusia, Seville, Spain
Division of Allergy/Immunology, University of South Florida, Tampa, FL, United States
Pediatric Allergy Unit, Department of Child and Adolescent, Geneva University Hospital, Geneva, Switzerland
SOS Allergology and Clinical Immunology, USL Toscana Centro, Prato, Italy
Geriatria, Accettazione Geriatrica e Centro di Ricerca per l’invecchiamento, IRCCS INRCA, Ancona, Italy
Faculty of Public Health, Medical University, Sofia, Bulgaria
Department of Medicine and Health Research Methods, Evidence & Impact, McMaster University, Hamilton, ON, Canada
Fundação ProAR, Federal University of Bahia and GARD/WHO Planning Group, Salvador, BA, Brazil
Medical Faculty, University Clinic of Pulmology and Allergy, Skopje, North Macedonia
Pediatric Allergy and Immunology Unit, Children’s Hospital, Ain Shams University, Cairo, Egypt
Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital, Sagamihara, Japan
LANUA International Healthcare Consultancy, Down, United Kingdom
Allergy Department Hospital Clínico San Carlos, UCM, IdISSC, Madrid, Spain
Department of Otorhinolaryngology, Academic Medical Centers, AMC, Amsterdam, Netherlands
EUFOREA, Brussels, Belgium
Faculdade de Medicina, CINTESIS, Center for Health Technology and Services Research, Universidade do Porto, Porto, Portugal
Allergy Unit, CUF Porto, Porto, Portugal
Department of Allergology, Zhongnan Hospital of Wuhan University, Wuhan, China
Service Gériatrie Clinique, Centre Hospitalo-Universitaire Grenoble-Alpes, GREPI (TIMC-IMAG, CNRS 5525, Université Grenoble-Alpes, Grenoble, France
Department of Internal Medicine, Allergy and Clin Immunology, Silesian University of Medicine, Katowice, Poland
Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
Department of Pulmonary Diseases, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey
Center of Allergy and Immunology, Georgian Association of Allergology and Clinical Immunology, Tbilisi, Georgia
Service de Gériatrie, CHRU, Nice, France
Skin and Allergy Hospital, Helsinki University Hospital, University of Helsinki University, Helsinki, Finland
Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark
Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark
Department of Clinical Immunology and Allergy, Oncology Institute of St Elisabeth, Bratislava, Slovakia
Department of Public Health and Research and Development Unit, Federico II University & Hospital, Naples, Italy
Department of Internal Medicine and Infectious Diseases, St Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon
President of Kazakhstan Association of Allergology and Clinical Immunology, Department of Allergology and Clinical Immunology, Kazakh National Medical University, Almaty, Kazakhstan
Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina
Tartu University Institute of Clinical Medicine, Childrens Clinic, Tartu, Estonia
Ukrainina Medical Stomatological Academy, Poltava, Ukraine
National Research Center, Institute of Immunology, Federal Medicobiological Agency, Laboratory of Molecular Immunology, Moscow, Russian Federation
Departments of Immunology and Dermatology/Allergology, University Medical Center, Utrecht, Netherlands
Department of Otorhinolaryngology, Head and Neck Surgery, Semmelweis University, Budapest, Hungary
Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland
Institute of Biomedical Sciences, Department of Pathology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
Institute of Clinical Medicine, Clinic of Chest Diseases and Allergology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
Department of Dermatology and Allergology, University of Helsinki and Helsinki University, Helsinki, Finland
University of Medicine and Pharmacy, Hochiminh City, Viet Nam
Department of Infectiology, Montpellier University Hospital, Montpellier, France
Division Paediatric Allergology, University of Cape Town, Cape Town, South Africa
Department of Pulmonary Medicine, CHU Sart-Tilman, GIGA I3 Research Group, Liege, Belgium
Faculty of Health Sciences, CICS – UBI, Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal
Paul-Ehrlich-Institut, Langen, Germany
Emeritus Geriatrician and of Medical Gerontology Population Health Sciences I, King’s College London, London, United Kingdom
Immunoallergology Unit, Careggi University Hospital, Florence, Italy
Clinic for Pulmonary Diseases, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Serbian Association for Asthma and COPD, Belgrade, Serbia
Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal
Rhinology Unit & Smell Clinic, ENT Department, Hospital Clínic, Barcelona, Spain
Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain
Pediatrics and Child Health Research Institute, Central Clinical Hospital of the Russian Academy of Sciences, Russian National Research Medical University, Moscow, Russian Federation
Director of Center of Allergy, Immunology and Respiratory Diseases, Santa Fe, Argentina
Hospital of the Hospitaller Brothers in Buda, Budapest, Hungary
Department of Allergology, Medical University of Gdańsk, Gdańsk, Poland
EFA European Federation of Allergy and Airways Diseases Patients’ Associations, Brussels, Belgium
Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, Monash University, Alfred Health, Melbourne, VIC, Australia
Department of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan
Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg
Department of Dermatology and Allergy Center, Odense Research Center for Anaphylaxis, Odense University Hospital, University of Southern Denmark, Odense, Denmark
Department of Biochemistry and Molecular Biology, School of Chemistry, Complutense University of Madrid, Madrid, Spain
Allergy Department, 2nd Pediatric Clinic, Athens General Childrens Hospital P&A Kyriakou”, University of Athens, Athens, Greece
Department of Immunology and Allergology, Faculty of Medicine and Faculty Hospital in Pilsen, Charles University in Prague, Pilsen, Czech Republic
Allergy and Respiratory Diseases, Ospedale Policlino San Martino -University of Genoa, Genoa, Italy
Division of Allergy and Clinical Immunology, Department of Medicine, Agency of Health ASL Salerno, Santa Maria della Speranza Hospital, Salerno, Italy
Department of Internal Medicine and Paediatrics, Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany
Ecole polytechnique Palaiseau, IRBA (Institut de Recherche bio-Médicale des Armées), Bretigny, France
Children’s Hospital Srebrnjak, Zagreb, Croatia
School of Medicine, University J.J. Strossmayer, Osijek, Croatia
University Hospital, Sv Ivan Rilski’, Sofia, Bulgaria
Asian Hospital and Medical Center, Manilla, Philippines
Allergy and Clinical Immunology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
Institute of Immunology, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
Faculty of Medicine, ICBR - Coimbra Institute for Clinical and Biomedical Research, CIBB, University of Coimbra, Coimbra, Portugal
Medical University of Graz, Graz, Austria
Gérontopôle de Toulouse, INSERM 1027, Toulouse, France
Oasi Research Institute-IRCCS, Troina, Italy
Fondazione Mediterranea GB Morgagni, Catania, Italy
Allergy Unit, Hospital Regional Universitario de Malaga, Malaga, Spain
Allergy Research Group, Instituto de Investigación Biomedica de Malaga-IBIMA and ARADyAL, Malaga, Spain
Division of Allergy Asthma and Clinical Immunology, Emek Medical Center, Afula, Israel
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
Department of Otolaryngology-Head and Neck Surgery, Eye and Ear University Hospital, Beirut, Lebanon
Société Française de Gériatrie et Gérontologie, Paris, France
Department of Prevention of Environmental Hazards, Allergology & Immunology, Medical University of Warsaw, Warsaw, Poland
Department of Women and Childrens Health (Paediatric Allergy), School of Life Course Sciences, Faculty of Life Sciences and Medicine, Kings College London, London, United Kingdom
Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, Kings College London, London, United Kingdom
Childrens Allergy Service, Evelina London Childrens Hospital Guysand St Thomas, Hospital, London, United Kingdom
Asthma UK Centre for Allergic Mechanisms in Asthma, London, United Kingdom
Asthma Reference Center, School of Medicine of Santa Casa de Misericórdia of Vitória, Espírito Santo, Brazil
Faculty of Medicine, Fundacion Jimenez Diaz, CIBERES, Autonoma University of Madrid, Madrid, Spain
Department of Health Services Research, Department of Family Medicine Caphri - Care and Public Health Research Institute, Maastricht University, Maastrich, Netherlands
PROMISE Department, University of Palermo, Palermo, Italy
Department of Immunology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
Immunomodulation and Tolerance Group, Imperial College London, London, United Kingdom
Allergy and Clinical Immunology, Imperial College London, London, United Kingdom
Usher Institute, The University of Edinburgh, Edinburgh, United Kingdom
Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
Department of Clinical Immunology, Wroclaw Medical University, Wroclaw, Poland
ALL-MED Medical Research Institute, Wroclaw, Poland
Christine Kühne - Center for Allergy Research and Education, CK-CARE, Davos, Switzerland
MEDCIDS – Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal
Department of Respiratory Medicine, University Hospital Olomouc, Olomouc, Czech Republic
Pulmonary Division, Heart Institute (InCor, Hospital da Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil
Department of Dermatology and Venerology, Medical University of Graz, Graz, Austria
Austria Outpatient Allergy Clinic Reumannplatz, Vienna, Austria
Department of Respiratory Medicine, Copenhagen University Hospital-Hvidovre, Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
Imunoalergologia, Centro Hospitalar Universitário de Coimbra and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
Health Planning Unit, Department of Social Medicine, Faculty of Medicine, University of Crete, Crete, Greece
International Primary Care Respiratory Group IPCRG, Aberdeen, United Kingdom
Allergy Unit, Málaga Regional University Hospital-IBIMA, Málaga, Spain
Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
Federal University of Pampa, Uruguaiana, Brazil
Faculty of Medicine, Vilnius University, Institute of Clinical Medicine & Institute of Health Sciences, Vilnius, Lithuania
European Academy of Paediatrics (EAP/UEMS-SP, Brussels, Belgium
Aix-Marseille University, IRD, APHM, MEPHI, Marseille, France
IHU Méditerranée Infection, Marseille and IDESP, INSERM, University of Montpellier, Montpellier, France
Nova Southeastern University, Fort Lauderdale, FL, United States
Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland
Department of Otolaryngology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
Department of Pulmonary Diseases, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
The Allergy and Asthma Institute, Islamabad, Pakistan
Universidad Católica de Córdoba, Universidad Nacional de Villa Maria, Villa Maria, Argentina
University Clinic of Respiratory and Allergic Diseases, Golnik, Slovenia
School of Medicine, University CEU San Pablo, Madrid, Spain
Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
Department of Otolaryngology, Head and Neck Surgery, Universitätsmedizin Mainz, Mainz, Germany
Center for Rhinology and Allergology, Wiesbaden, Germany

Department of Dermatology and Allergy
University Hospital Montpellier
MACVIA-France
Faculty of Medicine
Department of Geriatrics
Department of Clinical Immunology
ALL-MED Medical Research Institute
University of Bari Medical School
Department of Medical Sciences and Public Health
Department of Geriatrics
Allergy Unit
Department of Internal Medicine
Medical Consulting Czarlewski
Department of Pediatrics
Microbiology Department
Department of Allergy
Primary Care and Population Sciences
Institut Desbrest dEpidémiologie et Santé Publique (IDESP)
Faculty of Medicine
Upper Airways Research Laboratory
International Airway Research Center
Division of ENT Diseases
Department of ENT Diseases
Division of Service de Dermatologie et Allergologie
Division of Equipe PEPITES
Department of Respiratory Medicine
Allergology and Clinical Immunology
Clinical Emergency Hospital for Children MS Curie
Department of Dermatology and Allergy Centre
Institute of Translational Pharmacology
Woolcock Institute of Medical Research
Woolcock Emphysema Centre
Department of Dermatology and Allergy Biederstein
Department of Medical Sciences
Department of Pediatrics
Department of Biomedical Sciences
IRCCS Humanitas Research Hospital
Allergy Section
ARADyAL Research Network
Serviço de Imunoalergologia
Faculdade de Ciências Médicas (FCM)
Regional Ministry of Health of Andalusia
Division of Allergy/Immunology
Pediatric Allergy Unit
SOS Allergology and Clinical Immunology
Geriatria
Faculty of Public Health
Department of Medicine and Health Research Methods
Fundação ProAR
Medical Faculty
Pediatric Allergy and Immunology Unit
Clinical Research Center for Allergy and Rheumatology
LANUA International Healthcare Consultancy
Allergy Department Hospital Clínico San Carlos
Department of Otorhinolaryngology
EUFOREA
Faculdade de Medicina
Allergy Unit
Department of Allergology
Service Gériatrie Clinique
Department of Internal Medicine
Division of Immunology and Allergic Diseases
Department of Pulmonary Diseases
Center of Allergy and Immunology
Service de Gériatrie
Skin and Allergy Hospital
Institute of Pathophysiology and Allergy Research
Department of Respiratory Diseases and Allergy
Institute of Clinical Medicine
Department of Clinical Immunology and Allergy
Department of Public Health and Research and Development Unit
Department of Internal Medicine and Infectious Diseases
President of Kazakhstan Association of Allergology and Clinical Immunology
Servicio de Alergia e Immunologia
Tartu University Institute of Clinical Medicine
Ukrainina Medical Stomatological Academy
National Research Center
Departments of Immunology and Dermatology/Allergology
Department of Otorhinolaryngology
Division of Internal Medicine
Institute of Biomedical Sciences
Institute of Clinical Medicine
Department of Dermatology and Allergology
University of Medicine and Pharmacy
Department of Infectiology
Division Paediatric Allergology
Department of Pulmonary Medicine
Faculty of Health Sciences
Paul-Ehrlich-Institut
Emeritus Geriatrician and of Medical Gerontology Population Health Sciences I
Immunoallergology Unit
Clinic for Pulmonary Diseases
Allergy Center
Rhinology Unit & Smell Clinic
Clinical & Experimental Respiratory Immunoallergy
Pediatrics and Child Health Research Institute
Director of Center of Allergy
Hospital of the Hospitaller Brothers in Buda
Department of Allergology
EFA European Federation of Allergy and Airways Diseases Patients’ Associations
Department of Allergy
Department of Otorhinolaryngology
Department of Infection and Immunity
Department of Dermatology and Allergy Center
Department of Biochemistry and Molecular Biology
Allergy Department
Department of Immunology and Allergology
Allergy and Respiratory Diseases
Division of Allergy and Clinical Immunology
Department of Internal Medicine and Paediatrics
Department of Otorhinolaryngology
Ecole polytechnique Palaiseau
Children’s Hospital Srebrnjak
School of Medicine
University Hospital
Asian Hospital and Medical Center
Allergy and Clinical Immunology Unit
Institute of Immunology
Faculty of Medicine
Medical University of Graz
Gérontopôle de Toulouse
Oasi Research Institute-IRCCS
Fondazione Mediterranea GB Morgagni
Allergy Unit
Allergy Research Group
Division of Allergy Asthma and Clinical Immunology
Rappaport Faculty of Medicine
Department of Otolaryngology-Head and Neck Surgery
Société Française de Gériatrie et Gérontologie
Department of Prevention of Environmental Hazards
Department of Women and Childrens Health (Paediatric Allergy)
Peter Gorer Department of Immunobiology
Childrens Allergy Service
Asthma UK Centre for Allergic Mechanisms in Asthma
Asthma Reference Center
Faculty of Medicine
Department of Health Services Research
PROMISE Department
Department of Immunology
Immunomodulation and Tolerance Group
Allergy and Clinical Immunology
Usher Institute
Royal Brompton and Harefield NHS Foundation Trust
Department of Clinical Immunology
ALL-MED Medical Research Institute
Christine Kühne - Center for Allergy Research and Education
MEDCIDS – Department of Community Medicine
Department of Respiratory Medicine
Pulmonary Division
Department of Dermatology and Venerology
Austria Outpatient Allergy Clinic Reumannplatz
Department of Respiratory Medicine
Imunoalergologia
Health Planning Unit
International Primary Care Respiratory Group IPCRG
Allergy Unit
Institute of Pathophysiology and Allergy Research
Federal University of Pampa
Faculty of Medicine
European Academy of Paediatrics (EAP/UEMS-SP
Aix-Marseille University
IHU Méditerranée Infection
Nova Southeastern University
Department of Occupational Diseases and Environmental Health
Department of Otolaryngology
Department of Pulmonary Diseases
The Allergy and Asthma Institute
Universidad Católica de Córdoba
University Clinic of Respiratory and Allergic Diseases
School of Medicine
Swiss Institute of Allergy and Asthma Research (SIAF)
Department of Otolaryngology
Center for Rhinology and Allergology

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