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[MMR vaccine and egg allergy. Experience in a hospital immunization unit]
F Fina Avilés1, M Campins Martí, X Martínez Gómez
1Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España.
Insights
The measles, mumps, and rubella (MMR) vaccine is safe for children with egg allergies. This study found no significant adverse reactions in children with a history of egg allergy who received the MMR vaccine.
Area of Science:
- Pediatric Allergy and Immunology
- Vaccinology
- Public Health
Context:
- Egg allergy is a common concern for parents considering childhood vaccinations.
- The measles, mumps, and rubella (MMR) vaccine is a critical public health tool.
- Previous concerns existed regarding the safety of egg-derived vaccines in allergic individuals.
Purpose:
- To evaluate the safety and reactogenicity of the measles, mumps, and rubella (MMR) vaccine in children with a history of egg allergy.
- To present data from a prospective observational study conducted in a hospital immunization setting.
- To assess adverse reactions following MMR vaccination in this specific pediatric population.
Summary:
- A prospective study evaluated 121 children with egg allergy receiving the MMR vaccine.
- While 75.7% of patients experienced reactions to egg ingestion, only mild local symptoms (17.8%) were observed post-MMR vaccination.
- No significant adverse events were recorded, indicating a favorable safety profile.
Impact:
- Provides evidence supporting the safe administration of the MMR vaccine to children with egg allergy.
- Informs clinical practice guidelines for vaccinating allergic populations.
- Contributes to maintaining high vaccination rates and preventing vaccine-preventable diseases.
Introduction:
We review the scientific evidence on the safety of the measles, mumps, and rubella (MMR) vaccine (produced in chicken embryo cell culture) in children with egg allergy. Data on the reactogenicity observed with this vaccine in a large series of children with this type of allergy immunized in an hospital immunization unit are presented.
Material And Methods:
An observational prospective study was performed in the International Immunization Unit of the Epidemiology and Preventive Medicine Service of the Vall d'Hebron University Hospital from March 2004 to December 2005. Demographic variables, clinical history of allergy, and the adverse reactions observed 30 minutes after vaccine administration were analyzed.
Result:
A total of 140 patients (106 referred for the first MMR vaccine dose, and 34 for the second) were evaluated. Of these, 75.7 % showed clinical signs after egg ingestion (severe reactions were described in only seven patients: respiratory distress in six and systemic anaphylaxis in one). The MMR vaccine was administered to 121 children. No significant adverse reactions were observed (17.8 % of the vaccinated children developed mild local symptoms).
Conclusions:
According to current scientific evidence and the data obtained in this study, the MMR vaccine is safe in patients with egg allergy.
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