Which immunizations would be appropriate to administer today for a 5-year-old with egg allergy?

Which immunizations would be appropriate to administer today for a 5-year-old with egg allergy?

• A. DTaP, IPV, MMR, and varicella, as well as a PPD test (if warranted)
• B. DTaP and IPV, as well as a PPD test
• C. DTaP, IPV, and varicella, as well as a PPD test
• D. DTaP, IPV, MMR, varicella (if warranted), and pneumococcal vaccine (Pneumovax)

Answer: (A)

Egg allergy does not preclude receiving MMR or varicella vaccines. Both of these vaccines are safe for children with egg allergies, even when given at a 5-year-old visit. The vaccines routinely given around age 4–6 include DTaP and IPV, plus the measles-containing vaccines (MMR) and varicella. The PPD skin test is not a vaccine and is only used for TB screening if there are risk factors or exposures; it isn’t part of routine catch-up immunization. Pneumococcal vaccination is not routinely required at this age unless the child has not completed prior PCV13 doses or has specific risk factors. Therefore, administering DTaP, IPV, MMR, and varicella today is appropriate for a healthy 5-year-old with egg allergy, with a PPD only if indicated by risk factors.

Egg allergy does not preclude receiving MMR or varicella vaccines. Both of these vaccines are safe for children with egg allergies, even when given at a 5-year-old visit. The vaccines routinely given around age 4–6 include DTaP and IPV, plus the measles-containing vaccines (MMR) and varicella. The PPD skin test is not a vaccine and is only used for TB screening if there are risk factors or exposures; it isn’t part of routine catch-up immunization. Pneumococcal vaccination is not routinely required at this age unless the child has not completed prior PCV13 doses or has specific risk factors. Therefore, administering DTaP, IPV, MMR, and varicella today is appropriate for a healthy 5-year-old with egg allergy, with a PPD only if indicated by risk factors.