TABLE 3

Recommendations for Administering Egg-Containing Vaccines to Egg-Allergic Patients3

VaccineRecommendationNotes
MMR or MMRVSafe for children with egg allergy, even those with a history of severe reactions
Influenza (inactivated or live-attenuated)Not recommended for patients who have a history of severe reactions to egg or egg protein; severe reactions include a history of hives, angioedema, allergic asthma, or systemic anaphylaxis to egg or chicken proteins; less-severe or local manifestations of allergy to egg or feather are not contraindicationsLive-attenuated vaccine is not licensed for use in patients with asthma72
Yellow feverDo not administer to patients with a history of hives, angioedema, allergic asthma, or systemic anaphylaxis to egg proteins unless an allergy evaluation and testing with the vaccine are performed first
RabiesDo not administer to patients with a history of hives, angioedema, allergic asthma, or systemic anaphylaxis to egg proteins unless an allergy evaluation and testing with the vaccine are performed first1 rabies vaccine (Imovax [Sanofi Pasteur, Swiftwater, PA]) is not made in chick embryos and does not contain egg protein; this vaccine is not contraindicated in egg-allergic people
  • MMR indicates measles, mumps, and rubella; MMRV, MMR with varicella.