Cutaneous Adverse Events Following COVID-19 Vaccination in Japan: A Questionnaire Survey

We conducted a nationwide survey in Japan to clarify the clinical spectrum of these events. An initial questionnaire was sent to 126 dermatology facilities, and responses were obtained from 66 (52.4%). Among these responding facilities, the most commonly identified cutaneous adverse events after COVID-19 vaccination were urticaria (49 (74.2%)), delayed local reactions (37 (56.1%)), erythema multiforme (31 (47.0%)), and alopecia (30 (45.5%)). In the detailed survey, the primary adverse events were EM (19 (20.9%)), bullous pemphigoid (7 (7.7%)), and alopecia (6 (6.6%)). The mean latency from vaccination to onset was 13.1 days, and the mean duration of symptoms was 74.2 days. Although this study cannot establish a direct causal relationship between vaccination and adverse events, it highlights the need for dermatologists to recognize potential cutaneous reactions and provide appropriate care.

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Publication Details

Journal
Cureus
Published
2025-03-08
DOI
https://doi.org/10.7759/cureus.80257
Primary Topic
Dermatological and COVID-19 studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Cutaneous Adverse Events Following COVID-19 Vaccination in Japan: A Questionnaire Survey

Chisa Nakashima, S. Imafuku, Akihiko Yuki, Saeko Nakajima et al.
Cureus
Dermatological and COVID-19 studies
article

Cutaneous Adverse Events Following COVID-19 Vaccination in Japan: A Questionnaire Survey

Chisa Nakashima, S. Imafuku, Akihiko Yuki, Saeko Nakajima, Yumiko Kubota, Yoko Fuyuno, Susumu Fujiwara, Yayoi Tada, Chiaki Takahashi, Hisao Kawahira, Nana Kagawa, Takeshi Nakahara, Kotaro Hayashi, Atsushi Otsuka, Akihisa Yamamoto, Yumi Aoyama, Hayato Takahashi, Riichiro Abe, Masahito Yasuda, Daisuke Tsuruta, Ayaki Matsumoto, Emi Sato, Risa Matsuo, Daisuke Watanabe, Y Yamamura, Norito Katoh
article en

Abstract

We conducted a nationwide survey in Japan to clarify the clinical spectrum of these events. An initial questionnaire was sent to 126 dermatology facilities, and responses were obtained from 66 (52.4%). Among these responding facilities, the most commonly identified cutaneous adverse events after COVID-19 vaccination were urticaria (49 (74.2%)), delayed local reactions (37 (56.1%)), erythema multiforme (31 (47.0%)), and alopecia (30 (45.5%)). In the detailed survey, the primary adverse events were EM (19 (20.9%)), bullous pemphigoid (7 (7.7%)), and alopecia (6 (6.6%)). The mean latency from vaccination to onset was 13.1 days, and the mean duration of symptoms was 74.2 days. Although this study cannot establish a direct causal relationship between vaccination and adverse events, it highlights the need for dermatologists to recognize potential cutaneous reactions and provide appropriate care.

CureusVol. 17(3)
Kagoshima University (JP), Kyushu University (JP), Asahikawa Medical University (JP), Aichi Medical University (JP), Gunma University (JP), Kyoto Prefectural University (JP), Kawasaki Medical School (JP), Keio University (JP), Kyoto University (JP), Fukuoka University (JP), Kyoto Prefectural University of Medicine (JP), Fukuoka Hospital (JP), Kyushu University Hospital (JP), Kagoshima University Hospital (JP), North Medical Center (JP), Takarazuka City Hospital (JP), Fukuoka City Hospital (JP), Kobe University (JP), Niigata University (JP), Teikyo University (JP), Kindai University (JP), The University of Osaka (JP)
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Openalex Percentile: Top 91%
Dermatological and COVID-19 studies
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