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Influenza vaccination of the egg-allergic individual: 2012 update

Raymond J Mullins and Michael S Gold
Med J Aust 2012; 196 (11): 682.
doi:
10.5694/mja12.10659

To the Editor: Recent studies have highlighted the safety of administering influenza vaccine derived from embryonated chicken eggs to egg-allergic individuals,1-3 as long as the vaccine contains no more than 1 µg of egg ovalbumin per dose.

Raymond J Mullins, Consultant Physician, Clinical Immunology and Allergy1
Michael S Gold, Associate Professor2
1 John James Medical Centre, Canberra, ACT.
2 School of Paediatrics and Reproductive Health, University of Adelaide, Adelaide, SA.
Article References: 
Reference Text: 
Mullins RJ, Kemp A, Gold M. Influenza vaccination of the egg-allergic individual [editorial]. Med J Aust 2010; 193: 254-255.
Reference Order: 
1
PubMed ID: 
20819039
Reference Text: 
Mullins RJ, Gold MS. Influenza vaccination of the egg-allergic individual [letter]. Med J Aust 2011; 195: 52-53.
Reference Order: 
2
PubMed ID: 
21728947
Reference Text: 
Greenhawt MJ, Li JT, Bernstein DI, Blessing-Moore J, Cox L, Khan D, et al. Administering influenza vaccine to egg allergic recipients: a focused practice parameter update. Ann Allergy Asthma Immunol 2011; 106: 11-16.
Reference Order: 
3
PubMed ID: 
21195939
Reference Text: 
Australasian Society of Clinical Immunology and Allergy. Influenza vaccination of the egg allergic individual. http://www.allergy.org.au/health-professionals/papers/influenza-vaccination-of-the-egg-allergic-individual (accessed May 2012).
Reference Order: 
4
Reference Text: 
Fung I, Spergel JM. Administration of influenza vaccine to pediatric patients with egg-induced anaphylaxis. J Allergy Clin Immunol 2012; 129: 1157-1159.
Reference Order: 
5
PubMed ID: 
22236726
Reference Text: 
Australian Government Department of Health and Ageing. Australian immunisation handbook 9th Ed. http://www.health.gov.au/internet/immunise/publishing.nsf/content/handbook-home (accessed May 2012).
Reference Order: 
6
Reference Text: 
Owens G, MacGinnitie A. Higher-ovalbumin-content influenza vaccines are well tolerated in children with egg allergy. J Allergy Clin Immunol 2011; 127: 264-265.
Reference Order: 
7
PubMed ID: 
21094520

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