Question

During a routine conversation in early December, a 67-year-old patient/client who is in good health mentions that they would like to be vaccinated against influenza in time for the holidays but doesn’t think they can be because of an egg allergy. Which of the following would be the best way to counsel them about influenza vaccines?

“All of the flu vaccines can be safely given to people with egg allergies, and there are also egg-free flu shots.”
“Don’t bother getting a flu shot. They don’t cover all the types of flu viruses, so you could still get sick anyway.”
“Unfortunately, it’s too late to get vaccinated for the flu this year. It needs to be given during September or October.”
“I wouldn’t worry about it. You’re in good health so even if you got the flu you should be fine after a few days.”

Answer 1

“All of the flu vaccines can be safely given to people with egg allergies, and there are also egg-free flu shots.”

Reason: Current guidance (CDC/ACIP) states egg allergy is not a contraindication to any licensed, age-appropriate influenza vaccine — people with egg allergy can receive any influenza vaccine. Egg-free options also exist (recombinant and cell-culture vaccines). For a history of severe allergic reaction to eggs, vaccinate in a medical setting where staff can recognize and treat anaphylaxis and observe the patient; otherwise standard administration is fine. Also, for adults ≥65, offer the age‑appropriate (high‑dose or adjuvanted) flu vaccine.