Tag: latex

Precautions vs Contraindications When Vaccinating Your Kids

Believe it or not, there are some anti-vaccine folks who believe that all vaccines are dangerous and unnecessary. And they believe that pediatricians push vaccines on kids in all situations, using a one-size-fits-all kind of immunization schedule.

Of course, neither is true.

Vaccines are safe and necessary.

There are some true medical contraindications and precautions to getting vaccinated though. Still, it is important to remember that even more things are simply “conditions incorrectly perceived as contraindications to vaccination.”

Contraindications To Vaccinating Your Kids

There are actually some good reasons to delay or skip one or a few of your child’s vaccines, but only in some very specific situations.

These very specific situations are called contraindications and are what count as medical exemptions.

“A vaccine should not be administered when a contraindication is present; for example, MMR vaccine should not be administered to severely immunocompromised persons.”

CDC on Vaccine Contraindications and Precautions

Fortunately, there are not that many of these contraindications, they are usually specific to just one or a few vaccines, and they are usually, but not always, temporary.

That’s why it would be really unusual to get a true permanent medical exemption for all vaccines. Even if you had a severe allergy to a vaccine that contained yeast, latex, or gelatin, since vaccines contain different ingredients, you would very likely be able to safely get the others.

Remember, your doctor can’t, or at least shouldn’t, just make up contraindications and exemptions to help you avoid getting your kids vaccinated and help you keep them in school.

“I do not believe vaccines had anything to do with my child’s autism. I never noticed any change in his speech, behavior or development with vaccines. I believe the protection and benefits of vaccines far outweigh the risks!”

Michele Han, MD, FAAP

Autism, for example, has been shown to not be associated with vaccines, so it is not a contraindication to getting vaccinated. That’s why many parents vaccinate and protect their autistic kids!

Precautions To Vaccinating Your Kids

In addition to contraindications to getting vaccinated, there is an accompanying list of  precautions.

“A precaution is a condition in a recipient that might increase the risk for a serious adverse reaction, might cause diagnostic confusion, or might compromise the ability of the vaccine to produce immunity (e.g., administering measles vaccine to a person with passive immunity to measles from a blood transfusion administered up to 7 months prior). A person might experience a more severe reaction to the vaccine than would have otherwise been expected; however, the risk for this happening is less than the risk expected with a contraindication. In general, vaccinations should be deferred when a precaution is present. However, a vaccination might be indicated in the presence of a precaution if the benefit of protection from the vaccine outweighs the risk for an adverse reaction.”

CDC on Vaccine Contraindications and Precautions

Again, we are fortunate that most of the conditions that are listed as precautions are temporary.

The vaccine information sheet that you get with each vaccine will list contraindications and precautions on who should not get the vaccine.
The vaccine information sheet that you get with each vaccine will list contraindications and precautions on who should not get the vaccine.

In fact, the most common is having a “moderate or severe acute illness with or without fever.”

Don’t want to get your child vaccinated when he or she has a severe illness?

Don’t worry.

Your pediatrician usually doesn’t want to vaccinate your child in that situation either.

It is easy enough to wait a few days or a week to get vaccinated, when the illness has passed, keeping in mind that a “mild acute illness with or without fever” is neither a precaution nor a contraindication to getting vaccinated. So you can still get your child their recommended vaccines if they just have a cold, stomach bug, or ear infection, etc.

What to Know About Precautions and Contraindications to Vaccines

Although there are some true medical exemptions or contraindications and precautions to getting vaccinated, most are vaccine specific and many are temporary, so they shouldn’t keep you from getting your child at least mostly vaccinated and protected.

More on Precautions and Contraindications to Vaccines

Latex Allergies and Vaccines

Can you get vaccines if you have a latex allergy?

The vial stoppers of some vaccines contain natural rubber latex.
The vial stoppers of some vaccines contain natural rubber latex.

“Dry, natural rubber is used in the tip of syringe plungers, the tip on prefilled syringes, vial stoppers,” and could cause a problem for some people with latex allergies.

Latex Allergies and Vaccines

According to the ACIP:

If a person reports a severe (anaphylactic) allergy to latex, vaccines supplied in vials or syringes that contain natural rubber latex should not be administered unless the benefit of vaccination clearly outweighs the risk for a potential allergic reaction. In these cases, providers should be prepared to treat patients who are having an allergic reaction.

For latex allergies other than anaphylactic allergies (e.g., a history of contact allergy to latex gloves), vaccines supplied in vials or syringes that contain dry, natural rubber or natural rubber latex may be administered.

General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices

Many vaccines use synthetic rubber or synthetic latex though, so getting vaccinated with one of these vaccines would be a good alternative if your child has a severe allergy to latex.

Keep in mind that you aren’t supposed to simply remove the latex stopper from a vaccine vial to try and avoid triggering an anaphylactic reaction. Still, that did work for one patient in the case report Anaphylaxis after hepatitis B vaccination though. She got her second dose using “rubber free technique” and didn’t have a reaction.

Most importantly, keep in mind that vaccine allergies because of latex don’t seem to be a big problem.

One study Vaccination of persons allergic to latex: a review of safety data in the Vaccine Adverse Event Reporting System (VAERS), in the journal Vaccine “revealed only 28 cases of possible immediate-type hypersensitivity reactions in vaccine recipients with a history of allergy to latex.” And only two of those required hospitalization.

Vaccines and Latex

If your child has had a severe anaphylactic allergy to latex, you might need to avoid these vaccines with latex:

  • Adacel and Boostrix
  • Bexsero
  • Engerix B and Recombivax
  • Havrix and Vaqta
  • Infanrix
  • Kinrix
  • Pediarix
  • Rotarix
  • Tenivac
  • Twinrix
  • VF-Vax
  • Flucelvax, Fluad and Fluvirin

Again, unless it is an anaphylactic reaction, your child can get these vaccines. And check the latest package insert to see if they still contain latex.

More on Latex Allergies and Vaccines