{"id":176285,"date":"2021-04-15T00:00:00","date_gmt":"2021-04-14T22:00:00","guid":{"rendered":"https:\/\/www.bcfi.be\/vaccins-covid-19-quelles-allergies-necessitent-des-precautions-particulieres\/"},"modified":"2026-04-02T19:10:26","modified_gmt":"2026-04-02T17:10:26","slug":"vaccins-covid-19-quelles-allergies-necessitent-des-precautions-particulieres","status":"publish","type":"post","link":"https:\/\/h.cbip.be\/fr\/vaccins-covid-19-quelles-allergies-necessitent-des-precautions-particulieres\/","title":{"rendered":"Vaccins COVID-19: quelles allergies n\u00e9cessitent des pr\u00e9cautions particuli\u00e8res?"},"content":{"rendered":"<p>Le <strong>12\/04\/21<\/strong> ont \u00e9t\u00e9 publi\u00e9es les <strong>recommandations belges r\u00e9vis\u00e9es concernant les allergies qui n\u00e9cessitent des pr\u00e9cautions suppl\u00e9mentaires avant l&#39;administration des vaccins COVID-19<\/strong>: voir le <a href='https:\/\/www.health.belgium.be\/fr\/avis-9618-vaccination-covid19-anaphylaxie'>site Web du Conseil Sup\u00e9rieur de la Sant\u00e9<\/a>&#x002C; cliquez <strong><a href='https:\/\/www.health.belgium.be\/sites\/default\/files\/uploads\/fields\/fpshealth_theme_file\/20210409_css-9618_annexe2_anaphylaxis_vweb_0.pdf'>ici<\/a><\/strong> pour \u00eatre dirig\u00e9 directement vers le document en question. Le pr\u00e9sent article est une mise \u00e0 jour de notre communiqu\u00e9 \u00ab\u00a0Bon \u00e0 savoir\u00a0\u00bb paru dans les <a href='https:\/\/www.cbip.be\/fr\/articles\/3553?folia=3549'>Folia de mars 2021<\/a>.<br \/> Vous trouverez dans ces recommandations:<\/p>\n<ul>\n<li>\n<p>une <b>stratification des risques <i>avant <\/i>la premi\u00e8re dose<\/b>&#x002C; d\u00e9taillant (1) les situations dans lesquelles le patient ne peut pas* \u00eatre vaccin\u00e9 avant d\u2019avoir \u00e9t\u00e9 orient\u00e9 vers un allergologue&#x002C; (2) les situations n\u00e9cessitant des pr\u00e9cautions \u00e9lev\u00e9es&#x002C; et (3) les situations dans lesquelles les pr\u00e9cautions standard suffisent;<\/p>\n<\/li>\n<li>\n<p>une <b>stratification des risques <i>apr\u00e8s<\/i> la premi\u00e8re dose<\/b>&#x002C; avec \u00e0 nouveau (1) les situations dans lesquelles le patient ne peut pas* \u00eatre vaccin\u00e9 avant d\u2019avoir \u00e9t\u00e9 orient\u00e9 vers un allergologue&#x002C; (2) les situations n\u00e9cessitant des pr\u00e9cautions \u00e9lev\u00e9es&#x002C; et (3) les situations dans lesquelles les pr\u00e9cautions standard suffisent;<\/p>\n<\/li>\n<li>\n<p>les stratifications des risques sont \u00e9galement propos\u00e9es sous forme d&#39;<b>arbre d\u00e9cisionnel.<\/b><\/p>\n<\/li>\n<\/ul>\n<p>* Parmi ces situations dans lesquelles les vaccins COVID-19 <b>ne doivent pas \u00eatre administr\u00e9s avant l\u2019avis d&#39;un allergologue<\/b>&#x002C; on compte l\u2019hypersensibilit\u00e9 connue \u00e0 l\u2019un des composants du vaccin&#x002C; en particulier au <b>poly\u00e9thyl\u00e8ne glycol (PEG)<\/b> dans le cas des vaccins \u00e0 ARNm (Comirnaty\u00ae&#x002C; COVID-19 Vaccine Moderna\u00ae) et au <b>polysorbate 80<\/b> dans le cas des vaccins \u00e0 vecteur viral (Vaxzevria\u00ae&#x002C; COVID-19 Vaccine Janssen\u00ae). Voici la liste des <b>excipients<\/b> mentionn\u00e9s dans les <b>RCP des diff\u00e9rents vaccins:<\/b><\/p>\n<div class='detailed-content'>\n<ul>\n<li><b>Comirnaty<\/b>\u00ae\u00a0(Pfizer\/BioNTech):\n<ul>\n<li>((4-hydroxybutyl)azanediyl)bis(hexane-6&#x002C;1-diyl)bis(2-hexyld\u00e9canoate) (ALC-0315)<\/li>\n<li>2-[(poly\u00e9thyl\u00e8ne glycol)-2000]-N&#x002C;N-dit\u00e9trad\u00e9cylac\u00e9tamide (ALC-0159)<\/li>\n<li>1&#x002C;2-dist\u00e9aroyl-sn-glyc\u00e9ro-3-phosphocholine (DSPC)<\/li>\n<li>Cholest\u00e9rol<\/li>\n<li>Chlorure de potassium<\/li>\n<li>Phosphate monopotassique<\/li>\n<li>Chlorure de sodium<\/li>\n<li>Phosphate disodique dihydrat\u00e9<\/li>\n<li>Saccharose<\/li>\n<li>Eau pour pr\u00e9parations injectables<\/li>\n<\/ul>\n<\/li>\n<li><b>COVID-19 Vaccine Moderna<\/b>\u00ae\u00a0(Moderna Biotech Spain):\n<ul>\n<li>Lipide SM-102<\/li>\n<li>Cholest\u00e9rol<\/li>\n<li>1&#x002C;2-dist\u00e9aroyl-sn-glyc\u00e9ro-3-phosphocholine (DSPC)<\/li>\n<li>1&#x002C;2-dimyristoyl-rac-glyc\u00e9ro-3-m\u00e9thoxypoly\u00e9thyl\u00e8ne glycol-2000 (PEG2000 DMG)<\/li>\n<li>Trom\u00e9thamol<\/li>\n<li>Chlorhydrate de trom\u00e9thamol<\/li>\n<li>Acide ac\u00e9tique<\/li>\n<li>Ac\u00e9tate de sodium trihydrat\u00e9<\/li>\n<li>Saccharose<\/li>\n<li>Eau pour pr\u00e9parations injectables<\/li>\n<\/ul>\n<\/li>\n<li><strong>Vaxzevria\u00ae (vaccin AstraZeneca&#x002C; auparavant appel\u00e9 COVID-19 Vaccine AstraZeneca\u00ae):<\/strong>\n<ul>\n<li><strong>\u200b<\/strong>L-histidine<\/li>\n<li>Chlorhydrate de L-histidine monohydrat\u00e9<\/li>\n<li>Chlorure de magn\u00e9sium hexahydrat\u00e9<\/li>\n<li>Polysorbate 80 (E 433)<\/li>\n<li>\u00c9thanol<\/li>\n<li>Saccharose<\/li>\n<li>Chlorure de sodium<\/li>\n<li>\u00c9d\u00e9tate disodique (dihydrat\u00e9)<\/li>\n<li>\u00c9d\u00e9tate disodique (dihydrat\u00e9)<\/li>\n<\/ul>\n<\/li>\n<li><strong>COVID-19 Vaccine Janssen\u00ae (vaccin de Johnson&#038;Johnson):<\/strong>\n<ul>\n<li><strong>\u200b<\/strong>2-hydroxypropyl-\u03b2-cyclodextrine (HBCD)<\/li>\n<li>Acide citrique monohydrat\u00e9<\/li>\n<li>\u00c9thanol<\/li>\n<li>Acide chlorhydrique<\/li>\n<li>Polysorbate 80<\/li>\n<li>Chlorure de sodium<\/li>\n<li>Hydroxyde de sodium<\/li>\n<li>Citrate trisodique dihydrat\u00e9<\/li>\n<li>Eau pour pr\u00e9parations injectables<\/li>\n<\/ul>\n<\/li>\n<\/ul><\/div>\n<p><b>Note. <\/b>Pour tous nos articles relatifs aux m\u00e9dicaments dans la COVID-19: voir\u00a0<a href='https:\/\/www.cbip.be\/fr\/gows\/3334'>Actualit\u00e9s COVID-19<\/a>\u00a0sur notre site Web.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le 12\/04\/21 ont \u00e9t\u00e9 publi\u00e9es les recommandations belges r\u00e9vis\u00e9es concernant  [&#8230;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,31],"tags":[48,20213,20224,20226],"class_list":["post-176285","post","type-post","status-publish","format-standard","hentry","category-actualites","category-2021-fr","tag-actualites-covid-19","tag-import_tags","tag-import_tags-nl","tag-covid-19-update"],"_links":{"self":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts\/176285","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/comments?post=176285"}],"version-history":[{"count":1,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts\/176285\/revisions"}],"predecessor-version":[{"id":178864,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts\/176285\/revisions\/178864"}],"wp:attachment":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/media?parent=176285"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/categories?post=176285"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/tags?post=176285"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}