We have created the COVID-19 Vaccine Allergy Patient Case Registry as an effort to collect reports on COVID-19 vaccine hypersensitivity reactions from patients. We are collecting reports of vaccine hypersensitivity or allergic reactions to any of the COVID-19 vaccines, including any photographic evidence of the reactions.

The case report form will take approximately 5-10 minutes to complete. The case report form allows you to save your work and finish at your own pace. Your information will be kept strictly confidential. Data will be stored on a secure server at Massachusetts General Hospital, a teaching hospital of the Harvard University Medical School. The information is only shared with our research group for managing and improving patient care and to better understand the occurrence and symptoms resulting from COVID-19 vaccine allergy.

Thank you for contributing to this endeavor in expanding the current understanding on COVID-19 vaccine reactions. The success of this collaborative effort depends on your active participation, and the accuracy and reliability of the information provided.

Please share the case report survey link with your family, friends, and colleagues who may be interested in sharing their vaccine hypersensitivity or allergy reactions.

Please be reminded that your participation in this research study is voluntary. Whether or not you participate will have no effect on any healthcare that you receive.

If you’d like to speak to someone not involved in this research about your rights as a research subject, or any concerns or complaints you may have about the research, contact the Mass General Brigham Human Research Committee at 857-282-1900.

Thank you for participating in this community-wide effort to improve our knowledge and understanding of COVID-19 vaccine reactions. Your willingness to return the completed questionnaire will indicate your consent for using the information you provided for research to improve the current knowledge on COVID-19 vaccine allergy.

Kimberly Blumenthal, MD, MSc, Massachusetts General Hospital

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