COVID-19 Vaccine Allergy Case Registry
If you are interested in contributing a COVID-19 vaccine reaction to the study, please click one of the buttons below:
We have created the COVID-19 Vaccine Allergy Case Registry as a community-wide effort to collect and share case reports on COVID-19 vaccine-related hypersensitivity reactions.
We are collecting:
➤ Cases of immediate and delayed vaccine reactions
➤ Cases of anaphylaxis
➤ Unique allergy cases
➤ Allergy testing and vaccination outcomes
These case reports are collected from:
➤ Health care professionals who wish to share their reports of vaccine hypersensitivity
The case report form:
- Is a secure online survey
- It will take approximately 10 to 20 minutes to complete
- You can save your work and finish at your own pace
- Only de-identified information and photos are collected. Information will be kept strictly confidential.
➤ Patients who wish to share their reports of vaccine hypersensitivity
The patient case report form:
- Is a secure online survey
- It will take approximately 5 to 10 minutes to complete
- You can save your work and finish at your own pace
- Only de-identified information and photos are collected. Information will be kept strictly confidential.
The information is only shared with health care professionals and researchers for managing and improving patient care and for expanding current knowledge on COVID-19 vaccine allergy.
For more information, contact us:
PI: Kimberly Blumenthal, MD, MS