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Posted on: Fri, 05/18/2007 - 7:24am
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

My dd had titres also. She got her first MMR at 12 months, because at that time she had never eaten egg, so she did not have a history of an ana reaction to egg. It is the history of an ana reaction that is the contraindication. When she was ready for kindergarten, she had titres done, and her measles titre was fine, but her rubella titre was low. Since she then had the history of the ana reaction to egg, she could not get the immunization. When she outgrew her egg allergy at age 9 and passed her challenge, she went back to the ped and got just a rubella shot, since her measles titre was fine. She also now gets flu shots now that she has passed her egg challenge, although we stayed for awhile after the first flu shot.

Posted on: Sun, 05/20/2007 - 2:00am
austin2001's picture
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Joined: 05/03/2002 - 09:00

my son has a history of anaphylaxis to egg. at age 1 1/2 Rast score for egg was about 57. he rec'd mmr with out problems, and at that time we didn't know about his egg allergy. At age 4, Rast was around 18 for egg and we went to the allergist to get the shot. the allergist did various skin pricks and intradermals to determine the correct dosages of MMR that were tolerable. He rec'd the complete MMR vaccine in 5 doses every 15 minutes. We waited in the office and had no reaction. He recently had the flu shot done the same way. He is now 6 and has a RAST score of 7 to egg white.
If your allergist is willing to take the time to determine the point at which the vaccine is tolerable, I think it is worth getting the shots....been there and done that with the flu....not much fun for a child with asthma as well....

Posted on: Sun, 05/20/2007 - 3:58am
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

That`s an interesting approach; however, it isn`t consistent with the current recommendations. It isn`t about the allergist taking the time; it is about following what is recommended. Just like I wouldn`t allow a test on my child to see how much peanut she could tolerate and then have it given to her five times, I would not have allowed my dd to have a shot that is contraindicated due to history of anaphylaxis. I`m glad it worked out for you. The insert does state it is contraindicated in those with a history of anaphylaxis to egg. If it were safe to give by divided doses, the insert would state that. Also, the American Academy of Pediatrics states, "Skin testing of egg allergic children with vaccine has not been predictive of which children will have an immediate hypersensitivity reaction." Also, the AAP states, "Persons are not at increased risk if they have egg allergies that are not anaphylactic, and they should be vaccinated in the usual manner." So most on this thread would not have a problem with MMR, but if your child has a history of anaphylaxis to egg it is a different situation.
I`m glad it worked out for you.
[This message has been edited by Carefulmom (edited May 20, 2007).]

Posted on: Sun, 05/20/2007 - 11:42am
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Joined: 12/14/2006 - 09:00

my son is anaphylaxic to egg, he has had a reaction to meragne pie and also to cake batter. His neck started squeezing immediently after dipping his finger into both(and tasting)....but contradictory to the insert(going off carefulmom's post) he has received the MMR and the flu shot with no problems. I am unsure if his brother and sister are anaphylaxic to egg, they tested postive, but they too have recieved both vaccine. But based on my oldest son's reaction history, he still had no problems with the flu shot. I decided(along with our allergist and ped) that the flu shot was important and posed little risk(for us only) my 3yr old had previously been in the hospital with RSV, so I don't mess around with flu. None of my kids have had it, thankfully and I believe it is because of the flu vaccine every winter.
I would never tell anyone to go ahead and do it, we all have to base our decisions on medical opinions, knowlege of our children and reaction history. But when you take all into consideration, you'll know what you need to do for your particular child, just like I did with all mine. Some may shake thier head at me, and I may diasagree with those that avoid these vaccines...but that's okay...to each their own, right??!!! HUGS [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
------------------
Chanda(mother of 4)
Sidney-8 (beef and chocolate, grasses, molds, weeds, guinea pig & asthma)
Jake-6 (peanut, all tree nuts, eggs, trees, grasses, weeds, molds, cats, dogs, guinea pig & eczema & asthma)
Carson-3 1/2 (milk, soy, egg, beef and pork, cats, dog, guinea pig and EE)
Savannah-1 (milk and egg)
[This message has been edited by chanda4 (edited May 20, 2007).]

Posted on: Sun, 05/20/2007 - 12:48pm
Corvallis Mom's picture
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Joined: 05/22/2001 - 09:00

FWIW, DD is probably one of the most sensitive kids around w/r to her egg allergy (she react to traces on shared lines, and is aerosol sensitive) and has recieved MMR without any trouble whatsoever.
IF this vaccine contains egg at all (and there is some doubt as to whether it even does anymore, at least routinely) it is a small fraction of what flu vaccines do, so if your physician feels it is the right thing to do, it probably is.
More recent research suggests that MOST, if not all, of the severe reactions resulting from MMR vaccination are actually reactions to [i]gelatin.[/i] Not egg.

Posted on: Mon, 05/21/2007 - 1:35pm
becca's picture
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Joined: 05/22/2001 - 09:00

Our allergist(on staff at Children's in Boston) says it is safe to have the MMR vaccine with egg allergy. he did do it in his office per the ped's request, but all was fine. We waited 2 hours to be sure she would be fine. We then did the follow up with the regular ped ofice(at my own request!). I had plenty of my own epi. All was fine. becca

Posted on: Tue, 05/29/2007 - 3:14am
austin2001's picture
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Joined: 05/03/2002 - 09:00

Here's something of interest that I found regarding egg allergies and vaccines....its a transcript from CNN. If you read about 1/2 thru it, there is a question asked to Dr. Hugh Sampson ( A LEADING RESEARCHER IN FOOD ALLERGIES):
GUPTA: OK, don't test this at home without talking to the doctor first. Another e-mail on egg allergy. Specifically Siobhan from Woodbridge, Virginia asks, "My son has a severe egg allergy. Can he get a flu shot?" A lot of people asking about flu shots now. Doctor, what is the relationship here?
SAMPSON: Right. The flu vaccine is actually grown in egg protein. So there is some residual egg protein in the vaccine. There is a difference from lot to lot. Some lots have very low levels.
Typically, you can go to your allergist and they will test a particular lot and see whether or not it can activate the allergic reaction. If there's very little egg it can be given, otherwise we can actually do a desensitization routine, so that even a highly egg allergic patient could still receive the flu vaccine.
Thought that this was interesting...
Here is the link to read more....
transcripts.cnn.com/TRANSCRIPTS/0510/22/hcsg.01.html

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