An 18-month-old child with asthma and egg allergy; which immunizations should be given today?

An 18-month-old child with asthma and egg allergy; which immunizations should be given today?

• A. None, because the child is acutely ill
• B. DTaP, IPV, Hib, Prevnar, MMR, and Var
• C. DTaP, IPV, Hib, and Var
• D. DTaP, IPV, Hib, Prevnar, MMR, and Var

Answer: (B)

Egg allergy does not prevent giving MMR or varicella vaccines. These vaccines do not contain significant egg protein, so they’re safe for children with egg allergies. Asthma isn’t a contraindication to routine vaccines when the child is not acutely ill. At 18 months, this child should receive the standard catch‑up immunizations: DTaP, IPV, Hib, PCV (Prevnar), MMR, and varicella. With no acute illness and no other contraindications, all six vaccines can be given today.

Egg allergy does not prevent giving MMR or varicella vaccines. These vaccines do not contain significant egg protein, so they’re safe for children with egg allergies. Asthma isn’t a contraindication to routine vaccines when the child is not acutely ill. At 18 months, this child should receive the standard catch‑up immunizations: DTaP, IPV, Hib, PCV (Prevnar), MMR, and varicella. With no acute illness and no other contraindications, all six vaccines can be given today.