Influenza Vaccine Recommendations: Egg Allergies

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INFLUENZA VACCINE RECOMMENDATIONS: EGG ALLERGIES
                   
  Can the person eat lightly cooked egg (eg, scrambled egg) without reaction?*†  
 
Yes
 
Administer vaccine per usual protocol    
       
     
No
 
       
   
  After eating eggs or egg-containing foods, does the person experience ONLY hives?  
 
Yes
Administer RIV3,
if patient aged ≥18yrs
     OR
Administer IIV
Observe for reaction for at least
30 minutes after vaccination.
   
 
 
 
     
No
 
 
     
 

After eating eggs or egg-containing foods, does the person experience other symptoms such as:

• Cardiovascular changes (eg, hypotension)

• Respiratory distress (eg, wheezing)

• Gastrointestinal (eg, nausea/vomiting)

• Reaction requiring epinephrine

• Reaction requiring emergency medical attention

 
 
 
 
 
 
Yes
Administer RIV3,
if patient aged ≥18yrs
     OR
If RIV3 is not available, or patient is aged <18yrs, IIV should be administered by a physician with experience in the recognition and management of severe allergic conditions.
Observe for reaction for at least 30 minutes after vaccination.
 
 
 
 
 
                 
NOTES

Key: IIV = Inactivated Influenza Vaccine; RIV3 = Recombinant Influenza Vaccine, Trivalent

* Individuals with egg allergy may tolerate egg in baked products (eg, bread, cake). Tolerance to egg-containing foods does not exclude the possibility of egg allergy.

† For individuals who have no known history of exposure to egg, but who are suspected of being egg-allergic on the basis of previously performed allergy testing, consultation with a physician with expertise in the management of allergic conditions should be obtained prior to vaccination. Alternatively, RIV3 may be administered if the recipient is aged ≥18yrs.

REFERENCES

From: Summary* Recommendations: Prevention and Control of Influenza with Vaccines: Recommendations of ACIP, United States 2015–16 Influenza Season; http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6430a3.htm.

(Rev. 8/2015)

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