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The objectives of this systematic review were to assess the global prevalence and clinical manifestations of cutaneous adverse reactions following COVID\u201019 vaccination. PubMed and Scopus databases were searched for articles published from 1 January 2019 to 31 December 2021, and reference lists for each selected article were screened. Case reports, case series, observational studies and randomized controlled trials that provided information on cutaneous adverse reactions following COVID\u201019 vaccines were included. A total of 300 studies were included in a systematic review of which 32 studies with 946\u2009366 participants were included in the meta\u2010analysis. The pooled prevalence of cutaneous manifestations following COVID\u201019 vaccination was 3.8% (95% CI, 2.7%\u20135.3%). COVID\u201019 vaccines based on the mRNA platform had a higher prevalence than other platforms at 6.9% (95% CI, 3.8%\u201312.3%). Various cutaneous manifestations have been reported from injection site reactions, which were the most common (72.16%) to uncommon adverse reactions such as delayed inflammatory reactions to tissue filler (0.07%) and flares of pre\u2010existing dermatoses (0.07%). Severe cutaneous reactions such as anaphylaxis have also been reported, but in rare cases (0.05%). In conclusion, cutaneous adverse reactions are common, especially in those receiving mRNA vaccines. Most reactions are mild and are not contraindications to subsequent vaccination except for anaphylaxis, which rarely occurs. COVID\u201019 vaccination may also be associated with flares of pre\u2010existing dermatoses and delayed inflammatory reactions to tissue filler. Patients with a history of allergies, pre\u2010existing skin conditions or scheduled for filler injections should receive additional precounselling and monitoring. A better understanding of potential side\u2010effects may strengthen public confidence in those wary of new vaccine technologies.<\/jats:p>","DOI":"10.1111\/jdv.18294","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T15:58:58Z","timestamp":1654531138000},"page":"1947-1968","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Global prevalence and clinical manifestations of cutaneous adverse reactions following COVID\u201019 vaccination: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"36","author":[{"given":"C.","family":"Washrawirul","sequence":"first","affiliation":[{"name":"Division of Dermatology, Department of Medicine, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Triwatcharikorn","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Phannajit","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"Division of Clinical Epidemiology, Department of Medicine, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"King Chulalongkorn Memorial Hospital Thai Red Cross Society  Bangkok Thailand"},{"name":"Research Unit for Metabolic Bone Disease in CKD Patients, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ullman","sequence":"additional","affiliation":[{"name":"Department of Research Affairs Chulalongkorn University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Susantitaphong","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"King Chulalongkorn Memorial Hospital Thai Red Cross Society  Bangkok Thailand"},{"name":"Research Unit for Metabolic Bone Disease in CKD Patients, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2051-5573","authenticated-orcid":false,"given":"P.","family":"Rerknimitr","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"Skin and Allergy Research Unit Chulalongkorn University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2002032"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines9050467"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17744"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12291-021-00968-z"},{"key":"e_1_2_9_6_1","unstructured":"World Health Organization. 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