Wednesday, December 14, 2005

MMR Vaccine for Children with an Egg Protein Allergy

In a previous post I mentioned that my son has several anaphylactic allergies, including egg protein. He turned one on October 28th and was due for his MMR vaccination. He was sick at the time so the appointment for his vaccination was postponed until he was over his cold. In the meantime, we had his allergy testing and discovered his allergy to egg white protein. Our family Doctor now does not want to give Liam his MMR vaccination as the vaccine is grown in egg white and she is afraid of an allergic reaction.

However, after researching this topic I found that the American Academy of Allergy, Asthma, and Immunology (www.aaaai.org) feels this vaccine is quite safe for those with egg protein allergies:

“In regard to the MMR, the RED BOOK is an excellent resource for Pediatricians and Family Practice physicians in regard to vaccines that are or are not an issue for children with food allergies. Specifically in regard to egg and MMR, the book indicates, based upon original research articles, that the MMR does not contain significant egg protein and is therefore not a particular risk for persons with egg allergy (there are other vaccines with appreciable egg protein). Children with egg allergy had about the same risk of an immediate allergic reaction to the vaccine as persons without an egg allergy (e.g., anyone could have a reaction to a vaccine, those with egg allergy were not at extra risk).
-Dr. Scott Sicherer of the Mt. Sinai School of Medicine in New York.

I brought this information, and additional evidence that I found, to my family physician’s attention. Well, to the attention of her nurse at any rate. Unfortunately, she still feels uncomfortable giving the vaccination in her office.
This is a problem for me because it means I need to contact my allergist, who is difficult to get a hold of, and book an appointment to have the vaccination done there – its inconvenient.

I wonder if the only reason my family physician does not want to give the vaccination is that she is not prepared to handle a possible anaphylactic allergy – all Drs. offices should be prepared for that.

I think my biggest issue with all of this is that it is obvious my family physician is not up to date on current research, or even not so current research. So here is the question, do I give up a family doctor, which is increasingly hard to find these days, just for this reason? Or do I stay with a doctor who may not be providing me, and my family, with the right medical advice because she is not aware of current findings/changes/updates in medical research? Tough choice.

7 Comments:

At 12:40 PM, Blogger Raywat Deonandan said...

Sounds like MMR is being attacked on all sides again. First it was the unfounded thimerosal accusations.

You are correct, it seems, that the evidence on balance suggests that egg allergy is not a disqualifier for the vaccine:

http://www.pslgroup.com/dg/15d9f6.htm

 
At 7:04 PM, Blogger Hope Senechal said...

Thank you for the support Ray. Yes, you are right, our poor MMR vaccine always gets the bum rap. It's too bad that some family physicians are not up to date on current research.

(Psssss...is that smart enough for you?)

 
At 7:14 AM, Blogger Raywat Deonandan said...

It's spelled, S-M-A-H-T

 
At 2:04 PM, Blogger JEB said...

Pay attention! My son had his MMR shot yesterday - he is 5. Dr. didn't tell me about the egg.( My son is very allergic.) We returned in an hour - my son was covered from head to toe in hives...vomiting later...luckily,there was no need for the epi-pen. I would definitely have an allergist adm. next time.

 
At 2:13 PM, Blogger Hope Senechal said...

Hi Jeb,

I haven't updated my blog in a very, very, very long time. Thanks for the comment.

Just to let you know, we did have the MMR shot at the allergists office and guess what...he had a bad reaction! Our allergist administered Reactine and the hives went down, thank god we didn't have to use the epi-pen either.

Thank you for posting your experience...I am going to updated my post.

Hope

 
At 10:02 AM, Blogger martha said...

Sounds like you have a very responsible doctor. Our pediatrician is at the other end of the spectrum(he said rotovirus was not grown in eggs!) Well, it is, and my son had a moderate allergic reaction. Now we are looking at MMR shots since he turned one this month. I wish my son had your family doctor so that I could rely on his sense of responsible medical advise.

 
At 9:43 PM, Blogger Jon said...

Watch out for flu shots though! My daughter is anaphylactic to egg, and we did okay with MMR. At the allergist, they dilute it first and do a scratch test before proceeding. She has never passed the scratch test, even at the 1/1000 dilution for the flu shot, though many kids with egg allergies are able to.

 

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