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Egg allery and mmr vaccination

(18 Posts)
calypsoblue Mon 21-Sep-09 13:33:31

My Ds is 16 months old and is overdue his mmr vaccination he has egg allergy the prick and blood test showed him to be more allergic to the yolk than the egg white which i have been told is unusual, I am in Spain and went to talke him to have his vaccination the other day having consulted his peadiatrician who said it would be ok, I mentioned his egg allergy to the doctor or nurse that was giving him the injection and she said she didnt know if it would be ok as the vaccine is produced using egg, and she consequently went to have a talk to my ds peadiatrician, they had an argument between themselves and the nurse came back saying she wouldnt give my ds the vaccine ,he has to go to the hospital, none of this really fills ne with any confinence as i was nervous enough about giving him the vaccine in the first place!does anyone have any experience of their children having the mmr vaccine when they have a severe egg allergy and were there any consequences, sorry about the long winded post.

newgirl Mon 21-Sep-09 13:37:52

I not a doc so best get some advice from your gp

but our experience is that my dd2 had the mmr without any problems at all. She was later identified with an egg allergy. The mmr jab did not cause any problems at all so I dont know if there are some not based in egg? or perhaps so mild as not to cause a reaction anyway.

girlsyearapart Mon 21-Sep-09 13:40:38

HI
My dd also tested positive for egg white and yolk allergy on blood and skin tests. She is 1 and has never eaten egg yet.

I asked the dietitian about MMR and she e mailed a hospital consultant about it. He said he'd be happy for her to have it(she's a 3 on RAST bloods and 6mm skin reaction) if the GP gave it the go ahead.

I called the surgery and they have requested us to come for an apt to discuss.

If the GP is unhappy for her to have it she'll go to have it in hospital.

Doesn't really help you much but at least you know someone else is in the same boat!

babybarrister Mon 21-Sep-09 14:30:43

yes - severe egg allergy - had MMR and is fine. they are just covering themselves ....

AcademicMum Mon 21-Sep-09 19:51:47

DS1 used to have a severe egg allergy (he's outgrown it now -yipee!), but he was fine with the MMR. We did check with his allergy consultant before we booked him in for the booster vaccine (we didn't know he was egg allergic when he had the first dose aged 12 months) and the consultant said that the MMR had now been shown to be OK for egg allergic children.

HTH.

wrongsideof40 Mon 21-Sep-09 20:43:26

I know someone whose child had severe allergy and was given MMR in the hospital and not allowed home for 2 hours after so that would be in right place if problems. Would seem sensible precaution.

fretaway Mon 21-Sep-09 22:36:58

calypso we had exactly the same experience, went around in circles because nobody could agree on what to do with dd's MMR. Eventually it went to head of immunisations of se london pct and she said yes it would be fine to administer it as normal in the gp practice, as long as there are at least 2 GPs on site in case she suffered a reaction and needed to treat her (the first time we were booked in it was snowing and there was only one doctor in surgery and she refused). It was also suggested I stayed with her in the waiting room for half an hour after they gave the jab so if anything did happen we would be on site.
dd had her first dose in March and her second dose a couple of weeks ago and everything was fine. Just make sure when she is booked in that her allergies are mentioned so they are prepared.

calypsoblue Mon 21-Sep-09 23:28:17

Thanks everyone that all sounds positive , will have the vaccine done in a hospital and let you know how it goessmile

KerryMumbles Mon 21-Sep-09 23:35:04

product insert for mmr states that a contraindication is anaphylaxis to egg. DS1 has analphylaxis to egg. AND YET gp says it's okay to give it to him, albeit in hospital, in case he goes into anaphylaxis.

FUCK THE FUCK OFF

calypsoblue Tue 22-Sep-09 09:41:39

Thanks kerry mumbles had a look at the product insert

is as follows

M-M-R® II

(MEASLES, MUMPS, and

RUBELLA VIRUS VACCINE LIVE)

Anaphylactic or anaphylactoid reactions to neomycin (each dose of reconstituted vaccine contains

approximately 25 mcg of neomycin).

Hypersensitivity to Eggs

Live measles vaccine and live mumps vaccine are produced in chick embryo cell culture. Persons with

a history of anaphylactic, anaphylactoid, or other immediate reactions (e.g., hives, swelling of the mouth

and throat, difficulty breathing, hypotension, or shock) subsequent to egg ingestion may be at an

enhanced risk of immediate-type hypersensitivity reactions after receiving vaccines containing traces of

chick embryo antigen. The potential risk to benefit ratio should be carefully evaluated before considering

vaccination in such cases. Such individuals may be vaccinated with extreme caution, having adequate

treatment on hand should a reaction occur (see PRECAUTIONS).45

However, the AAP has stated, "Most children with a history of anaphylactic reactions to eggs have no

untoward reactions to measles or MMR vaccine. Persons are not at increased risk if they have egg

allergies that are not anaphylactic, and they should be vaccinated in the usual manner. In addition, skin

testing of egg-allergic children with vaccine has not been predictive of which children will have an

immediate hypersensitivity reaction...Persons with allergies to chickens or chicken feathers are not at

increased risk of reaction to the vaccine."44

Hypersensitivity to Neomycin

The AAP states, "Persons who have experienced anaphylactic reactions to topically or systemically

administered neomycin should not receive measles vaccine. Most often, however, neomycin allergy

manifests as a contact dermatitis, which is a delayed-type (cell-mediated) immune response

PRECAUTIONS

General

Adequate treatment provisions including epinephrine injection (1:1000), should be available for

immediate use should an anaphylactic or anaphylactoid reaction occur.

General

Adequate treatment provisions including epinephrine injection (1:1000), should be available for

immediate use should an anaphylactic or anaphylactoid reaction occur.

KerryMumbles Tue 22-Sep-09 10:00:39

i'm in republic of ireland. I will dig up the product insert if necessary (it's at the bottom or one drawer or another) but it explicitly stated anaphylaxis to egg is contraindicated for administration of mmr.

KerryMumbles Tue 22-Sep-09 10:01:04

Priorix or something. is name of it. can't remember exactly.

Koumak Tue 22-Sep-09 10:06:33

My son had this as well. He had the vaccine late at around 2 years and the nurse kept us at the surgery after the vaccine for observation just to be sure that he was fine. There were no problems with 1st or 2nd dose. He is 4.5 now and has outgrown the egg allergy!

The doctors/nurses used to be worried as the vaccine used to be “grown” in the egg or something but from what I know now it’s not the case so the vaccines are safe for allergy sufferers.

calypsoblue Tue 22-Sep-09 10:12:31

It is a mine field and theres always the question of What if my child is the one that does get affected and if you really are getting all the information! I guess you have to weigh up the risks of your child being affected by one of the diseases that the mmr is protecting your child against or the chances of having an adverse reaction to the injection. My ds only had a tiny tiny bit of scrambled eeg touch his tongue once and he broke out in hives and started throwing up he has not had any egg or egg based products since,

what would you do have the MMr or not under these conditions?it would be done in a hospital under supervision.

snorkie Tue 22-Sep-09 11:00:25

ds had a bad egg allergy & had mmr under supervision in hospital with no problems.

AcademicMum Tue 22-Sep-09 11:09:49

Calypsoblue, I was in your position in that ds1 had egg allergy with facial and lip swelling and vomitting even if he ate products that contained small amounts of cooked egg. He also previously had asthma and has nut allergy which are all "danger signs" for potential anaphylaxis. His consultant OK'd him to have mmr in the GP's surgery and he was fine.

The official line is given on this website here www.kch.nhs.uk/services/childrens-services/allergy/mmr-egg-allergy/.

MumOfTwoToo Tue 22-Sep-09 11:46:48

My son has a severe egg allergy as well as asthma and carries an epipen because of this. He is also allergic to dairy. We have chosen not to have the MMR at this time because of his allergy. He is now 13 years old. Our GPs surgery now refer him to hospital for other vaccinations (their choice rather than mine) and he had the Meningitis vaccine there. We have not given him the flu vaccine although offered it for the same reason.

calypsoblue Tue 22-Sep-09 20:34:22

Thankyou for your replies have been looking into this quite a lot today and the good news is that so far have not come accross anybody with egg allergy that has had a bad reaction to the mmr vaccine so will be going ahead but will still be having it done in the hospital

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