Guidelines for the Diagnosis and Management of Food Allergy in the ...

MANAGEMENT OF NONACUTE ALLERGIC REACTIONS AND PREVENTION OF FOOD ALLERGY
The Advisory Committee on Immunization Practices (ACIP), the American
Academy of Pediatrics (AAP) Red Book, and vaccine manufacturer’s package
inserts (PIs) provide recommendations for giving vaccines to patients with
egg allergy (summarized in table D). The recommendations are based on
the amount of egg protein in the vaccine and the patient’s history of allergic
reactions.
TABLE D. 2010 ACIP and AAP Red Book recommendations and PI information
for administering vaccines to patients with egg allergy
Vaccine ACIP AAP Red Book PI
Measles, mumps, May be used May be used May be used with
rubella/measles, caution
mumps, rubella,
and varicella
Infuenza Consult a physician Contraindicated Contraindicated
Rabies Use caution No specifc May be used with
recommendation caution
Yellow fever Contraindicated, but Contraindicated, but Skin testing and
desensitization protocols desensitization protocols desensitization protocols
may be used to give the may be used to give the provided in the PI
vaccine if necessary vaccine if necessary
AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices; PI, package insert.
In some cases, your healthcare professional may choose to use a desensitization
protocol, a method that involves administering a single dose of vaccine in two
or more portions to reduce the potential risk of an allergic reaction.
Guideline 31 recommends that children with egg allergy, even those with a
history of severe reactions, receive vaccines for measles, mumps, and rubella
(MMR) and for MMR with varicella (MMRV).
What else you should know: MMR and MMRV vaccines are safe because the
egg protein content of these vaccines is very low.
NIAID I SUMMARY FOR PATIENTS, FAMILIES, AND CAREGIVERS
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