RT Journal Article T1 COVID-19  vaccination in patients receiving allergen immunotherapy (AIT) or biologicals-EAACI recommendations. A1 Jutel, Marek A1 Torres, Maria J A1 Palomares, Oscar A1 Akdis, Cezmi A A1 Eiwegger, Thomas A1 Untersmayr, Eva A1 Barber, Domingo A1 Zemelka-Wiacek, Magdalena A1 Kosowska, Anna A1 Palmer, Elizabeth A1 Vieths, Stefan A1 Mahler, Vera A1 Canonica, Walter G A1 Nadeau, Kari A1 Shamji, Mohamed H A1 Agache, Ioana K1 Covid-19 K1 Allergen K1 Allergy K1 Biologicals K1 Immunotherapy K1 mRNA vaccines AB Immune modulation is a key therapeutic approach for allergic diseases, asthma and autoimmunity. It can be achieved in an antigen-specific manner via allergen immunotherapy (AIT) or in an endotype-driven approach using biologicals that target the major pathways of the type 2 (T2) immune response: immunoglobulin (Ig)E, interleukin (IL)-5 and IL-4/IL-13 or non-type 2 response: anti-cytokine antibodies and B-cell depletion via anti-CD20. Coronavirus disease 2019 (COVID-19) vaccination provides an excellent opportunity to tackle the global pandemics and is currently being applied in an accelerated rhythm worldwide. The vaccine exerts its effects through immune modulation, induces and amplifies the response against the severe acute respiratory syndrome coronavirus (SARS-CoV-2). Thus, as there may be a discernible interference between these treatment modalities, recommendations on how they should be applied in sequence are expected. The European Academy of Allergy and Clinical Immunology (EAACI) assembled an expert panel under its Research and Outreach Committee (ROC). This expert panel evaluated the evidence and have formulated recommendations on the administration of COVID-19 vaccine in patients with allergic diseases and asthma receiving AIT or biologicals. The panel also formulated recommendations for COVID-19 vaccine in association with biologicals targeting the type 1 or type 3 immune response. In formulating recommendations, the panel evaluated the mechanisms of COVID-19 infection, of COVID-19 vaccine, of AIT and of biologicals and considered the data published for other anti-infectious vaccines administered concurrently with AIT or biologicals. PB John Wiley & Sons YR 2022 FD 2022-08-06 LK http://hdl.handle.net/10668/19898 UL http://hdl.handle.net/10668/19898 LA en NO Jutel M, Torres MJ, Palomares O, Akdis CA, Eiwegger T, Untersmayr E, et al. COVID-19 vaccination in patients receiving allergen immunotherapy (AIT) or biologicals-EAACI recommendations. Allergy. 2022 Aug;77(8):2313-2336 DS RISalud RD Apr 18, 2025