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CompletedNCT05028257COVALLUpdated Sep 17, 2026

Allergy and COVID-19 Vaccines

A Phase 3 interventional study of COVID-19 Vaccines in Anaphylactic Reaction and Vaccine Reaction, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
117
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Prospective and retrospective multicenter study to estimate the proportion of patients who tolerated continuation of COVID-19 vaccination (absence of anaphylactic manifestations).

secondly, to determine the proportion of definite anaphylactic reactions in cases of suspected anaphylaxis following administration of a COVID-19 vaccine.

Comprehensive allergological investigations involving clinical, skin and biological tests will enable us to determine whether or not vaccine components, and in particular excipients (PEG2000, PS80 and tromethamine), are responsible for anaphylactic reactions to COVID-19 vaccines.

A biological collection will be set up during this clinical study to study the immunological mechanisms, effector cells and signalling pathways involved in these reactions.

Read the detailed description

Eligible patients will be identified via the pharmacovigilance centers and allergology hotlines set up in each center, according to the organization specific to each hospital site. .

The patient identified in this way will be contacted by the secretariat of each allergology center to schedule an allergology consultation at least 3 to 5 weeks after the reaction (the usual delay before exploring an anaphylactic reaction to avoid the risk of false negatives). Then, in the framework of a collegial meeting ,the patient's file will be reviewed in order to specify the history of the allergic disease and the modalities of subsequent COVID-19 vaccination.

A follow-up telephonique call at 6months will be made systematically for patients who have continued vaccination to ensure that there are no significant adverse events related to the COVID-19 vaccine.

02

Conditions studied

  • Anaphylactic Reaction
  • Vaccine Reaction

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Keywords

  • Anaphylactic reactions
  • COVID-19 vaccines
  • PEG2000
  • tromethamine
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In context

Anaphylaxis

100 studies on the registry are indexed under Anaphylaxis; 20 are open to participants now.

This study's enrollment of 117 is above the median of 40 across 50 interventional studies indexed under Anaphylaxis.

Browse Anaphylaxis studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,592 studies on the registry; 1,033 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years
  • Anaphylactic reaction to a COVID-19 vaccine administered by Pfizer-BioNtech or Janssen or Vaxzevria or Moderna, at least 3 weeks old at the time of the allergology consultation.

An anaphylactic reaction is defined as the occurrence of any of the following systemic manifestations within a few hours of administration of a COVID-19 vaccine:

  • skin rash with urticaria and/or angiodema,
  • and/or associated with respiratory signs (dyspnea, bronchospasm, desaturation), and/or digestive disorders (intense abdominal pain, diarrhea, vomiting, nausea), and/or neurological disorders (loss of consciousness, feeling of malaise), and/or hypotension, tachycardia.
  • Affiliation to a Social Security system
  • Signature of the
  • Stop taking antihistamines at least 3 days before skin allergy tests are performed

Exclusion criteria

Exclusion Criteria:

  • Other non-anaphylactic systemic reactions after administration of COVID-19 mRNA vaccine (serum sickness, vasculitis, Guillain-Barré syndrome)
  • Pregnancy and lactation
  • Disorders of hemostasis or severe bleeding considered a to intramuscular injection
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
117 participants (actual)

Study arms

  • Experimental
    COVID-19 Vaccinated Patients

    Biological: COVID-19 Vaccines

Interventions

  • BiologicalCOVID-19 Vaccines

    Pursuit of vaccination in case of anaphylactic reaction

    Also known as: Janssen COVID19 vaccine, Astra Zeneca COVID19 vaccine, Comirnaty Pfizer COVID19 vaccine, Moderna COVID19 vaccine

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What researchers measure

Primary outcomes

  1. Describe the continuation of vaccination and its tolerance in case of negative allergological investigation.

    Proportion of patient without anaphylactic reaction during second vaccination

    Time frame: from Week 9 to Month 9

Secondary outcomes

  1. Determine the involvement of excipients in anaphylactic reactions

    Proportion of patient with positive skin tests for excipients (PEG2000, PS80) or COVID-19 vaccines

    Time frame: from Week 9 to Month 9

  2. To determine with certainty the diagnosis of anaphylaxis in the face of a suspected anaphylactic reaction during the administration of a COVID-19 vaccine.

    Proportion of patient with positive allergological explorations (anamnesis, skin tests or biological test for excipients or vaccines)

    Time frame: from Week 9 to Month 9

07

Study locations

1 site
  • Tenon Hospital APHP dermatology and allergology department
    Paris, 75020, France
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References and documents

Publications

  • Nicaise-Roland P, Granger V, Soria A, Barbaud A, Pallardy M, Chollet-Martin S, de Chaisemartin L. Immediate hypersensitivity to COVID-19 vaccines: Focus on biological diagnosis. Front Allergy. 2022 Sep 30;3:1007602. doi: 10.3389/falgy.2022.1007602. eCollection 2022. PubMed 36249342 ↗
  • de Chaisemartin L, Diep A, Gonnin C, Soria A, Barbaud A, Nicaise-Roland P. Immune parameters during anaphylaxis to messenger RNA coronavirus disease 2019 vaccines: Not the usual suspects? Ann Allergy Asthma Immunol. 2022 Mar;128(3):338-339. doi: 10.1016/j.anai.2021.11.012. No abstract available. PubMed 35216744 ↗
  • Soria A, Labella M, Dona I, Nicaise-Roland P, Chollet-Martin S, Autegarden JE, Castagna J, Le Thai C, de Chaisemartin L, Torres MJ, Barbaud A. Risk stratification through extensive allergy work-up in COVID-19-mRNA vaccine allergic reactions. Allergy. 2023 Aug;78(8):2320-2323. doi: 10.1111/all.15715. Epub 2023 Mar 27. No abstract available. PubMed 36971457 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05028257
Responsible party
Sponsor
First posted
Aug 31, 2021
Start date
Sep 15, 2021
Primary completion
May 22, 2023
Completion
May 22, 2023
Last update
Sep 17, 2026

Study contacts

Angèle SORIA, PUPH
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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