Covid-19 vaccination in atopic patients

Not necessarily, as with any vaccine it is a possibility. However, if it does occur, it will be very moderate.

For patients receiving treatment

Whether the treatment is topical with corticosteroids or tacrolimus, or systemic with methotrexate, cyclosporin, or biotherapies, it is in no way a contraindication to vaccination whatever the vaccine.

For patients with a history of contact, food, or respiratory allergies 

Getting vaccinated does not pose any specific risks for patients with allergies to dust, dust mites, animal hair, food, or contact products.

For patients with a history of allergies to wasp stings (Hymenoptera) 

Irrespective of the severity of the reaction to these stings, it is not a contraindication to covid-19 vaccination.

In the case of a delayed reaction after taking a drug

"Delayed" means several hours or days after taking the drug. There is no contraindication to vaccination.

Pregnancy 

There is no contraindication; on the contrary, pregnant women have priority from the 2nd trimester of pregnancy.

In the event of associated comorbidities

There is no contraindication; on the contrary, these patients have priority (hypertension, diabetes, obesity, stroke...)

In the case of contact with immunocompromised family members or friends

There is no contraindication; on the contrary, any family atopic or not, living with a severely immunocompromised individual should get vaccinated. It is authorized by the French National Authority for Health for individuals aged 16 and over.

If the patient has already had covid-19 

There is no contraindication, however, a single dose is recommended within 3 to 6 months, nearer 6 months if possible.

Before vaccination:

• If known allergy to polysorbate or PEG 
• If history of shock-type reactions, generalized urticaria, or asthma attack a few minutes after the injection of any vaccine or unidentified drug

After vaccination, in the event of reactions such as anaphylactic shock, generalized urticaria, or asthma attack in the 15 minutes following the first injection of a dose of covid-19 vaccine.

• Polysorbate 80 is used as an additive in the food industry: E 433. When taken by mouth, it cannot cause a serious allergic reaction. It is also a drug excipient that can be allergenic when injected.
• PEG (polyethylene glycol) is an ingredient with various functions, largely used in the cosmetics, pharmaceutical, and food industries. It is also known as macrogol in the medical field. It is used for its thickening and gelling properties or as a solvent or food additive. It can cause rare side effects which can be allergic. 

To date, a third dose is only recommended for severely immunocompromised patients, which is not the case of atopic patients:

• due to their atopy, their immune system is already hyper-productive, it does too much... so they are not immunocompromised!
• regarding the use of systemic treatments (methotrexate, cyclosporin, or biotherapy), the doses used are not immunosuppressive but immunomodulating, in other words, lower than the dose of methotrexate used in chemotherapy for example. It is just a question of dampening an overactive immune system.

Nevertheless, it is at the sole discretion of the prescribing physician to discuss it with their patient, particularly if there are other comorbidities.

The answer is "no".

Pain or fever is not that common, so there is no point in taking any medication without any symptoms.