Comments on: Egg Allergy and Influenza Vaccinations http://www.pediatricallergyindy.com/2009/10/08/egg-allergy-and-influenza-vaccinations/ Pediatric Allergist Frederick E. Leickly - Indianapolis, Indiana Wed, 01 Feb 2012 20:04:37 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Allergies: A Leickly Story » Blog Archive » H1N1 Influenza Vaccine and Egg Allergy http://www.pediatricallergyindy.com/2009/10/08/egg-allergy-and-influenza-vaccinations/comment-page-1/#comment-218 Allergies: A Leickly Story » Blog Archive » H1N1 Influenza Vaccine and Egg Allergy Wed, 09 Dec 2009 16:23:52 +0000 http://www.leicklystory.com/?p=494#comment-218 [...] I was able to get this supply for my population of children who have life-threatening reactions to egg. Remember- in accordance with the recommendations from the Centers for Disease Control the contraindication to the vaccine is a life-threatening reaction. Just having a positive allergy test to egg is not a contraindication nor is having a minor reaction ... [...] [...] I was able to get this supply for my population of children who have life-threatening reactions to egg. Remember- in accordance with the recommendations from the Centers for Disease Control the contraindication to the vaccine is a life-threatening reaction. Just having a positive allergy test to egg is not a contraindication nor is having a minor reaction … [...]

]]> By: Jennifer http://www.pediatricallergyindy.com/2009/10/08/egg-allergy-and-influenza-vaccinations/comment-page-1/#comment-199 Jennifer Wed, 28 Oct 2009 17:03:17 +0000 http://www.leicklystory.com/?p=494#comment-199 Hi, Thanks for the informative posting. My son (age 5) has a known allergy to eggs and his usual reaction is vomiting. In the past he has received flu vaccines with no issues. This year we gave his a seasonal flu vaccine and 48 hours later his arm swelled to twice it's normal size (we measured), was rock hard, and very warm to the touch. We saw his pediatriacian and administered Benadryl. The arm returned to normal after about another 48 hours. My question now is: Should he receive the H1N1 vaccine? I'm very hesitant to have him get one, especially with such a recent, extreme reaction. Thank you, Jen Hi, Thanks for the informative posting.

My son (age 5) has a known allergy to eggs and his usual reaction is vomiting. In the past he has received flu vaccines with no issues. This year we gave his a seasonal flu vaccine and 48 hours later his arm swelled to twice it’s normal size (we measured), was rock hard, and very warm to the touch. We saw his pediatriacian and administered Benadryl. The arm returned to normal after about another 48 hours. My question now is: Should he receive the H1N1 vaccine? I’m very hesitant to have him get one, especially with such a recent, extreme reaction. Thank you, Jen

]]> By: Fred Leickly http://www.pediatricallergyindy.com/2009/10/08/egg-allergy-and-influenza-vaccinations/comment-page-1/#comment-187 Fred Leickly Mon, 19 Oct 2009 16:51:01 +0000 http://www.leicklystory.com/?p=494#comment-187 Each child has their own potential for developing food allergy. Granted, your family has more than what would be considered a 'fair share' of food allergy issues. Check with comfort level of your primary caretaker as well as your own comfort level. The family history of food allergy is not on the decision tree for concerns with the influenza vaccine, it is the child's personal history of anaphylaxis (severe reaction) that dictates how this should be handled. I have not come across many children who have had a major allergic reaction to the influenza vaccination, thankfully. Let us know how we can help. FEL Each child has their own potential for developing food allergy. Granted, your family has more than what would be considered a ‘fair share’ of food allergy issues.
Check with comfort level of your primary caretaker as well as your own comfort level. The family history of food allergy is not on the decision tree for concerns with the influenza vaccine, it is the child’s personal history of anaphylaxis (severe reaction) that dictates how this should be handled.
I have not come across many children who have had a major allergic reaction to the influenza vaccination, thankfully.
Let us know how we can help.
FEL

]]> By: Betsy http://www.pediatricallergyindy.com/2009/10/08/egg-allergy-and-influenza-vaccinations/comment-page-1/#comment-185 Betsy Fri, 16 Oct 2009 16:18:45 +0000 http://www.leicklystory.com/?p=494#comment-185 Thank you! This does make sense. My oldest daughter is a patient of yours, Michaela. Should we just come see you to have the infant receive her flu shot, with the strong family history of food allergies? Thank you for writing your blog. It is very helpful. Keep up your great work! Thank you! This does make sense. My oldest daughter is a patient of yours, Michaela. Should we just come see you to have the infant receive her flu shot, with the strong family history of food allergies?

Thank you for writing your blog. It is very helpful.
Keep up your great work!

]]> By: fleickly http://www.pediatricallergyindy.com/2009/10/08/egg-allergy-and-influenza-vaccinations/comment-page-1/#comment-184 fleickly Thu, 15 Oct 2009 14:57:21 +0000 http://www.leicklystory.com/?p=494#comment-184 There are age restrictions in regards to who gets the vaccinations. The CDC recommendation for the seasonal flu immunization is all children over the age of 6 months. Now by the history she seems to have an allergic reaction to egg showing itself as urticaria. The recommendations are to use the desensitization protocol for someone who has a serious reaction including anaphylaxis according the AAP and to use the desensitization protocol for anaphylaxis according to the CDC. The egg reaction should be checked out. The reaction of urticaria that did not require any medical evaluation is not anaphylaxis. You have choices and they need to be melded with your comfort level and your health care provider's comfort level. Serious life-threatening reactions usually occur within three hours of the exposure. You could wait in the medical facility for that duration of time after the shot. My guess is that you have another child with a food allergy (am I correct??). You may already have a few tools on hand and some experience to deal with any untoward situations. Sometime having another with a food allergy makes a family a bit more brazen (bold) about reactions and in other instances it intensifies worry and concern. Many times it is not required, but the desensitization process safely gets one through this. The compromise is the 10% of the dose followed by 90% if there are no problems. Let me know if this make sense. FEL There are age restrictions in regards to who gets the vaccinations. The CDC recommendation for the seasonal flu immunization is all children over the age of 6 months.
Now by the history she seems to have an allergic reaction to egg showing itself as urticaria. The recommendations are to use the desensitization protocol for someone who has a serious reaction including anaphylaxis according the AAP and to use the desensitization protocol for anaphylaxis according to the CDC.
The egg reaction should be checked out. The reaction of urticaria that did not require any medical evaluation is not anaphylaxis.
You have choices and they need to be melded with your comfort level and your health care provider’s comfort level. Serious life-threatening reactions usually occur within three hours of the exposure. You could wait in the medical facility for that duration of time after the shot.
My guess is that you have another child with a food allergy (am I correct??). You may already have a few tools on hand and some experience to deal with any untoward situations. Sometime having another with a food allergy makes a family a bit more brazen (bold) about reactions and in other instances it intensifies worry and concern. Many times it is not required, but the desensitization process safely gets one through this. The compromise is the 10% of the dose followed by 90% if there are no problems.
Let me know if this make sense.
FEL

]]> By: Betsy http://www.pediatricallergyindy.com/2009/10/08/egg-allergy-and-influenza-vaccinations/comment-page-1/#comment-182 Betsy Thu, 15 Oct 2009 04:31:45 +0000 http://www.leicklystory.com/?p=494#comment-182 Does the age of the child also play a factor? I have a normal, healthy infant who just turned one last week. She has shown a sensitivity to boiled eggs. She ate about 5 to 6 small bites of boiled eggs at 11 months of age. Within 15 minutes of eating the eggs ( which she loved) she was breaking out with hives from her nose down to her ankles. She was not irritable. The hives were better with benadryl, but did not go away until the next day. Do I try boiled eggs again? Should she get the flu shot? If she could get the flu shot, should she get it where she would be closely monitored? Does the age of the child also play a factor?
I have a normal, healthy infant who just turned one last week. She has shown a sensitivity to boiled eggs. She ate about 5 to 6 small bites of boiled eggs at 11 months of age. Within 15 minutes of eating the eggs ( which she loved) she was breaking out with hives from her nose down to her ankles. She was not irritable. The hives were better with benadryl, but did not go away until the next day.

Do I try boiled eggs again? Should she get the flu shot? If she could get the flu shot, should she get it where she would be closely monitored?

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