Influenza Vaccine Recommendations: Egg Allergies

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INFLUENZA VACCINE RECOMMENDATIONS: EGG ALLERGIES
All vaccination providers should be familiar with the office emergency plan and have current certification in cardiopulmonary resuscitation. Epinephrine and emergency equipment for airway maintenance must be readily available for immediate use.

                   
  Did the person have a previous severe allergic reaction to influenza vaccine?  
 
Yes
 
Future receipt of influenza vaccine is contraindicated    
       
     
No
 
       
   
  After eating eggs or egg-containing foods, does the person experience ONLY hives?  
 
Yes
 
Administer IIV, RIV4, or LAIV4 (any formulation appropriate for recipient's age and health status)    
 
 
 
     
No
 
 
     
 

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

• Angioedema

• Respiratory distress

• Lightheadedness

• Recurrent emesis

• Reaction requiring epinephrine

• Reaction requiring emergency medical attention

 


Yes
 
Administer IIV, RIV4, or LAIV4 (any formulation appropriate for recipient's age and health status)

Vaccine should be administered in an inpatient or outpatient medical setting (eg, hospitals, clinics, health departments, physician offices), under the supervision of a healthcare provider who is able to recognize and manage severe allergic reactions.
 
 
 
 
 
                 
NOTES

Key: IIV = Inactivated Influenza Vaccine; LAIV4 = Live Attenuated Influenza Vaccine, Quadrivalent; RIV4 = Recombinant Influenza Vaccine, Quadrivalent

REFERENCES

Grohskopf LA. Sokolow LZ, Broder KR, et al. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2018-2019 Influenza Season. MMWR Recomm Rep. 2018;67(No. RR-3):1-20. https://www.cdc.gov/mmwr/volumes/67/rr/m6703a1.htm.

(Rev. 9/2018)

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