Matthew J. Greenhawt, M.D., M.B.A., from the University of Michigan Health System in Ann Arbor, and colleagues randomly assigned 31 children with a history of a severe reaction after eating eggs (45.1 percent with a history of anaphylaxis) and an antibody response to egg to receive either 0.1 mL of influenza vaccine or saline followed by the remainder of the age-appropriate dose or the full dose after 30 minutes if there was no reaction. An additional retrospective study was conducted of 112 children (77.6 percent with a history of anaphylaxis) who had declined to participate in the trial and who had received either a split dose or a single dose of TIV.
The researchers found that none of the children in the randomized or retrospective studies developed an allergic reaction after receiving TIV. The use of split dosing was found to be unnecessary.
Abstract
Full Text (subscription or payment may be required)