received the mRNA COVID-19 vaccine revealed that circulating anti-SARS-CoV-2 antibodies do not cross-react with pemphigus or pemphigoid autoantigens including desmoglein 1, desmoglein 3, envoplakin, BP180, BP230 and type VII collagen. 4 This argues against a link between SARS-CoV-2 vaccines and AIBDs with respect to disease-triggering antibody cross-reactivity.In conclusion, although further observational studies on that controversial topic are needed, current epidemiological and mechanistic data basically encourage COVID-19 vaccination in patients with AIBDs since benefits of vaccination far outweigh these reported uncommon, questionable, and otherwise manageable risks. This is of particular relevance in terms of patient counselling and physician endorsement, considering that SARS-CoV-2 vaccine hesitancy is prevalent across the AIBD population (approximately one third), with concern regarding immunobullous exacerbation representing a major factor contributing to hesitancy. 3