Sunday, February 25, 2024

Flu Shot With Egg Allergy

Is The Flu Vaccine Safe For People With Egg Allergy

Ask the Allergist: Egg Allergy and Flu/COVID-19 Vaccines

Yes. If you have a current or past egg allergy, you can get the flu vaccine, even if you have had severe allergic reactions to egg. The same is true for children.

The following organizations recommend getting the flu shot every year, even if you have an egg allergy:

  • Asthma and Allergy Foundation of America
  • Centers for Disease Control and Prevention
  • American Academy of Pediatrics
  • American Academy of Allergy, Asthma, and Immunology
  • American College of Allergy, Asthma, and Immunology

You can get any flu vaccine, even if you have a history of mild or severe egg allergy. You can get the shot or nasal spray. You no longer need to be observed in a doctors office for 30 minutes after getting the vaccine if you have or had an egg allergy.

AAFA recommends the following:

  • Ages 6 months to 4 years should get the flu shot.
  • Ages 4 and older: If your asthma is under control with no symptoms, you can get the flu shot or the nasal spray vaccine.
  • Ages 4 and older: If you have recent asthma episodes or wheezing, get the flu shot.

Patient Ratings And Reviews Are Not Available

Children’s Hospital Colorado partners with NRC Health to gather star ratings and reviews from patients, residents and family survey data.This provider either practices in a department or specialty that we currently do not survey, or does not have at least 10 ratings in the last 12 months. Learn more about patient ratings and reviews.

What Is Recombinant Flu Vaccine

Recombinant influenza vaccines are produced using recombinant technology. This method does not require an egg-grown vaccine virus and does not use chicken eggs in the production process.

Recombinant flu vaccine was first licensed by the FDA in the United States in 2013. Currently, the recombinant flu vaccine and the cell culture-based flu vaccine are the only egg-free flu vaccines licensed for use in the United States.

There is one quadrivalent recombinant flu shot available for the 20222023 influenza season.

Don’t Miss: Best Allergy Medicine For Fluid In Ears

The Flu Shot And Egg Allergy

The influenza vaccine, also known as a flu shot, is a vaccine that protects against seasonal influenza . The CDC recommends everyone over the age of 6 months get the flu shot.

There is some confusion about who should not be vaccinated against influenza, particularly among those with an allergy to chicken egg. Influenza vaccines typically contain a small amount of egg protein. Fortunately, recent studies have shown that even people with egg allergy can safely receive the flu vaccine. The American Academy of Allergy Asthma and Immunology and the American Academy of Pediatrics states that no special precautions are required for the administration of influenza vaccine to egg-allergic patients no matter how severe the egg allergy. Normal precautions for giving vaccines should still be followed as rare case of allergic reactions to vaccines of any type do still occur.

The Allergy Department at the Boulder Medical Center recognizes many patients and parents of pediatric patient with egg-allergy may be reluctant to immunize against the flu. Along with your primary are provider, we can help determine the appropriate type of flu shot for each patient given your age, health history and allergy status. We also are trained in recognizing and treating allergic reactions. The Allergy Department offers flu administration with monitoring for such individuals. Please contact us for more information and to schedule an appointment at 303-440-3083.

Madeline Hoglund, NP-C

Naci Recommendation: Administration Of Live Attenuated Influenza Vaccine To Egg Allergic Individuals

New flu vaccine for people allergic to eggs

After careful review of recently published studies, NACI concludes that egg allergic individuals may be vaccinated against influenza using the low ovalbumin-containing live attenuated influenza vaccine licensed for use in Canada. The full dose of LAIV may be used without prior vaccine skin test and in any settings where vaccines are routinely administered. LAIV also appears to be well tolerated in individuals with a history of stable asthma or recurrent wheeze however, it remains contraindicated for individuals with severe asthma or for those with medically attended wheezing in the 7 days prior to immunization. The waiting period post immunization is as recommended in the Canadian Immunization Guide. As with all vaccine administration, immunizers should be prepared with the necessary equipment, knowledge and skills to respond to a vaccine emergency at all times.

The use of LAIV in egg allergic individuals is a change from previous NACI statements.

Don’t Miss: Allergy Partners Of Northern Virginia

Nasal Flu Vaccines May Be Safe For Kids With Egg Allergies

– Nasal-spray flu vaccines appear to be safe for children over age two who have egg allergies or asthma, say UK researchers.

No systemic or severe allergic reactions were seen among 282 egg-allergic children who received the vaccine. Eight kids had mild reactions, such as a runny nose and 26 reported coughing or wheezing up to three days after the vaccine.

Intranasal live attenuated influenza vaccine is cultured in chicken eggs and contains traces of egg proteins.

“On the basis of this data, we do think the intranasal flu vaccine is safe in children with egg allergy,” said Paul Turner, who led the new study, in an email.

“We still need to analyze our data with regards to safety in children who also have asthma, but the preliminary data indicates that children with well-controlled asthma who are well at the time of vaccination do not experience any significant respiratory problems following LAIV,” said Turner, an allergy and immunology researcher at Imperial College London.

Egg allergy is one of the most common food allergies in childhood, affecting an estimated 2% of preschool-age children, Turner and his colleagues write in the Journal of Allergy and Clinical Immunology February 13.

The U.S. Centers for Disease Control recommends nasal flu vaccines for healthy children between two and eight years old, but also excludes those with asthma or allergies to eggs.

Flu Shots Ok For People With Egg Allergy

American Academy of Allergy, Asthma & Immunology Says Few People Get Reactions to Vaccine

Oct 14, 2010 — For years, people with egg allergy were told to avoid the flu vaccine because it contains egg protein and could trigger a reaction, but this advice no longer stands. People with egg allergies can — and should — get the flu shot this year, according to a new report by the American Academy of Allergy, Asthma & Immunology.

About 1.5% of young children have an egg allergy, but most will outgrow it over time, according to the Food Allergy and Anaphylaxis Network in Fairfax, Va.

Why the change?

“We now know with confidence that most people with egg allergy can receive the flu shot without reaction,” says the reportâs author, James T. Li, MD, PhD, an allergist at the Mayo Clinic in Rochester, Minn.

There is a “detectable, but very low” amount of egg protein in the H1N1 and seasonal flu vaccines, and studies have shown that the majority of people with egg allergy do not have an allergic reaction to the flu shot, he says.

“The number of reactions wasn’t zero, but it was low, and most reactions were not serious,” Li tells WebMD.

Skin testing is not necessary either unless the person with egg allergy has had a reaction to the flu vaccine in the past, Li says. The flu vaccine can be given in two doses or as a single dose if someone has an egg allergy.

Read Also: Best Air Purifier For Allergies Consumer Reports

Flu Vaccines Found To Be Relatively Safe For People With Egg Allergies

The ACAAI recommends flu shots for everyone, including people with egg allergies. Many studies that have been published over the last several years have shown that flu shots given to thousands of children with egg-allergieseven those with severe reactions to eggscaused no reactions.

Research also suggests that risk of catching the flu is much greater than having a reaction from the vaccine. Adults and children with asthma are especially encouraged to get a flu shot because of their higher risk for dangerous flu-related complications.

In This Episode Our Experts Discuss:

Report: People With Egg Allergies Can Get Flu Shot
  • Lessons learned from past research on the safe administration of flu vaccine to food-allergic patients
  • Egg proteins present in flu vaccine and risks to egg-allergic patients
  • Importance of giving the flu vaccine to children with asthma or allergies
  • How pediatricians should approach flu vaccination in children with a history of egg allergy
  • Recommendations for giving the flu vaccine and COVID-19 vaccine around the same time

You May Like: Allergy Eye Drops Safe For Pregnancy

Possible Side Effects Of Influenza Vaccination

You may experience minor side effects following vaccination. Most reactions are mild and last no more than a couple of days and you will recover without any problems.

Common side effects of influenza vaccines include:

  • pain, redness, swelling or hardness where the needle went in
  • fever, tiredness, body aches.

Talk to your immunisation provider about possible side effects of the influenza vaccines, or if you or your child have side effects that worry you.

The Consumer Medicine Information available on the Therapeutic Goods Administration website lists the ingredients and side effects of each vaccine.

Can You Receive The Flu Shot If You Have An Egg Allergy

Many individuals with egg allergies are still following the outdated protocol of not receiving a flu vaccine due to their egg allergy.

Based on the 2018-2019 recommendations from the CDC, Centers for Disease Control and Prevention, and its Advisory Committee on Immunization Practices, individuals with a known egg allergy may receive the flu vaccine shot or nasal spray and those recommendations have not changed for the current 2019-2020 flu season.

The Link Between Flu Vaccines and Eggs

For over 70 years, the most common method of manufacturing flu vaccines has been through the process of incubating and growing the flu virus in a chicken egg. There have since been other methods for manufacturing the flu vaccine that do not require the use of eggs however, the egg-based method continues to be the most commonly used process.

Naturally, very small amounts of egg protein may be found within flu vaccines, however, the amount is so small and has been modified to such a degree that it poses no greater risk of vaccine reactions to egg allergic individuals than it does to the general population.

In fact, the amount of egg protein contained in the 2011-2015 influenza vaccines was less than 1 µg/0.5 mL dose for flu shots and 0.24 µg/0.2 mL dose for the nasal spray.

Flu Vaccine Guidelines for Egg Allergic Individuals

Of course, all individuals should speak with their physician to determine a healthcare plan based on their individual needs and concerns.

Also Check: Food Allergy Testing At Home

What Changed And Why

Recent studies have shown that the chance of allergic reaction after a vaccine is incredibly low. According to the CDC, “In a Vaccine Safety Datalink study, there were ten cases of anaphylaxis after more than 7.4 million doses of inactivated flu vaccine, trivalent given without other vaccines, . Most of these cases of anaphylaxis were not related to the egg protein present in the vaccine. CDC and the Advisory Committee on Immunization Practices continue to review available data regarding anaphylaxis cases following flu vaccines.”

This means that out of 7.4 million people that received a flu shot, only ten people experienced anaphylaxisthe most serious type of allergic reactionand most of those were not related to an egg allergy.

This is a case where the benefit outweighs the risk. The chance of having a true, serious allergic reaction to a flu shot is miniscule. The benefits are far greater. Although it is still possible to get the flu after you have been vaccinated, the chances of having severe symptoms and complications are much lower. Most people who get the flu after having received the flu shot experience a shorter duration of the illness and milder symptoms.

Should My Child With An Egg Allergy Get The Flu Shot

Should my child with an egg allergy get the flu shot?
Topics in this Post

An egg allergy is the second most common food allergy in the U.S. after a milk allergy. Egg allergies affect about 1.3% of all children and 0.2% of all adults.

Some signs or symptoms of an egg allergy include:

  • Tight, hoarse throat, or trouble swallowing
  • Swelling of the tongue, affecting the ability to talk or breathe
  • Vomiting or stomach cramps
  • Pale or blue coloring of skin
  • Dizziness or feeling faint
  • Anaphylaxis a potentially life-threatening reaction that can impair breathing and send the body into shock

If your child has an egg allergy, the Centers for Disease Control and Prevention recommends flu vaccination. If your child has a severe allergic reaction to egg, your child should be vaccinated in a medical setting under the supervision of a health care provider who can recognize and manage severe allergic conditions.

The risk of adverse reaction to flu vaccination in people with an egg allergy is low, with 10 cases of anaphylaxis in 7.4 million doses of the flu vaccine, according to the CDC. Most cases of anaphylaxis were not related to the egg protein present in the vaccine.

However, if your child has had a previous severe allergic reaction to the flu vaccine, a flu vaccination is not recommended, according to the CDC.

The best way to prevent flu is by getting vaccinated each year.

Adela Taylor, M.D., is an allergist in Eau Claire and Rice Lake, Wisconsin.

Topics in this Post

Also Check: Which Allergy Medicine Is Best

Flu Shots And Egg Allergies

The Centers for Disease Control and Prevention recommends that everyone ages six months and older should get an annual flu shot. However, people with egg allergies need to take special precautions, since almost all influenza vaccines are cultured in chicken eggs.

There’s one flu vaccineFlublok, made by Protein Sciences Corporationthat does not use chicken eggs during manufacturing. Flublok is approved for anyone ages 18 and up, so if you’re allergic to eggs and fall into that age range, you should ask specifically for Flublok.

For children and teens under age 18 with egg allergy, the CDC urges them to get the regular flu shot, but only under the direct care of a healthcare provider with expertise in handling severe allergic reactions. Read more about whether people with egg allergies should get the influenza vaccine.

Rabies Vaccine And Egg Allergies

Rabies is a dangerous virus transmitted through bites from infected animals. Once symptoms begin, the disease is almost always fatal.

There are various different vaccines on the market for rabies that can be administered after you’ve been exposed to the virus. However, most of the vaccines are cultured in chicken embryos and aren’t considered safe for people who have severe egg allergies.

Fortunately, there is one option for the egg-allergic: Imovax, which is not cultured in chick embryos.

Don’t Miss: Symptoms Of Tree Pollen Allergies

Should You Get A Flu Shot If You Have An Egg Allergy

For many years, flu shots were not recommended for people with egg allergies. The vaccine is grown in chicken eggs and it was thought that this could cause a serious allergic reaction in people with egg allergies. For this reason, flu shots were avoided by people with egg allergies. However, current research and data show that the risk of this type of reaction, even in people with significant egg allergies, is extremely low.

What You Can Do

Flu Shots Are Now Safe For People With Egg Allergies

If you have a known egg allergy and have experienced severe symptoms in the past, after being vaccinated for the flu, talk to your healthcare provider about two egg-free flu shots approved by the FDA:

  • Flublok quadrivalent
  • Flucelvax quadrivalent

Any severe allergic reaction to a flu vaccine, whether it contained egg protein or not, is serious. Talk to your doctor about whether it would be safe to consider a flu vaccine in the future.

If you’ve had an adverse reaction following a vaccination, report it to the Vaccine Adverse Event Reporting System . This not only provides the CDC with valuable information to ensure future vaccine safety, but it is also the first step toward formally recording the incident if you decide to file a claim.

Claims can be filed with the National Vaccine Injury Compensation Program, a no-fault initiative that allows you to resolve vaccine injury cases without the cost of legal representation. Even if a finding isn’t made, you may still be eligible to receive financial compensation through a settlement.

You May Like: Coastal Allergy And Asthma Savannah

Are Flu Shots Safe For People With Egg Allergies

If you or your child have been diagnosed with an egg allergy, you know first-hand how many places this sneaky allergen can hide. But did you know that some vaccines also contain egg proteins, including many flu shots?

In this post, well discuss why for most people with egg allergies, vaccines like the flu shot should pose no problem.

What is an Egg Allergy?

Certain types of reactions to egg or egg-containing products can indicate an egg allergy. Egg allergy is diagnosed with a consistent medical history of immediate symptoms after eating eggs or egg-containing foods, plus skin and/or blood testing for immunoglobulin E focused on egg proteins. Some people with egg allergies can tolerate eggs cooked in certain ways but not others .

Egg allergies affect about 1.3% of all children in the U.S. and just 0.2% of all adults.

Egg Protein in the Flu Vaccine

Most flu vaccines today contain a small amount of egg protein called ovalbumin due to being produced using an egg-based manufacturing process. Not all manufacturers tell how much ovalbumin they put in their vaccines. However, from those that have, we estimate that there is a very small amount, less than or equal to 1 µg, of ovalbumin in each flu shot dose. There is even less egg protein in the flu nasal spray vaccine. Furthermore, there are now manufacturers that produce flu vaccines without using eggs at all in the manufacturing process.

Flu Vaccines Without Egg Proteins

Latest news
Related news