Irritant Dermatitis Is The Most Common Adverse Reaction To Latex
Most adverse reactions to latex are irritant dermatitis, which is not an immediate allergic reaction. It results in rough, dry and scaly skin, sometimes with weeping sores. It is made worse by sweating and friction under rubber gloves, but can also occur from frequent hand washing with harsh soaps.
Even though irritant dermatitis is not an allergic reaction, absorption of latex through damaged skin increases the risk of developing latex allergy with ongoing exposure. Recognition and treatment of this condition is therefore recommended to reduce the risk of developing latex allergy.
Tdap Vaccine And Pregnancy
The CDC advises you get a Tdap vaccine in weeks 27 to 36 of each pregnancy you have. This vaccine helps protect your baby from contracting pertussis in the first weeks after birth.
Newborns who get pertussis have a high risk for needing hospital treatment. And in some cases, pertussis in newborns can lead to death. But newborns cant get their first vaccine against this disease until theyre age 2 months.
Having a Tdap vaccine, such as Boostrix, in the last trimester of your pregnancy causes your body to make a lot of antibodies against pertussis. During your pregnancy, the antibodies pass to your baby, helping protect them from pertussis after theyre born.
According to the CDC , studies have shown that getting the Tdap vaccine during pregnancy helps prevent pertussis in more than 75% of babies younger than 2 months old. For babies who do get the disease, 90% are protected from getting pertussis severe enough to require hospital treatment.
If youre pregnant or plan to become pregnant, talk with your doctor about the best time to have Boostrix or a different Tdap vaccine.
Ingredients Included In Johnson & Johnsons Janssen Covid
The includes the following ingredients: recombinant, replication-incompetent adenovirus type 26 expressing the SARS-CoV-2 spike protein citric acid monohydrate trisodium citrate dihydrate ethanol 2-hydroxypropyl–cyclodextrin polysorbate-80 sodium chloride. The Janssen COVID-19 vaccine does NOT include eggs, preservatives, or latex.
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What Severe Reactions Have Occurred In The Us
On Dec. 15, 2020, a nurse in Alaska became the first American to have an anaphylactic reaction to the Pfizer-BioNTech coronavirus vaccine. She got her shot at the Bartlett Regional Hospital in Juneau, where she works. The hospital emergency physician who treated her told a press briefing that the woman had a red rash on her face and experienced shortness of breath and an elevated heart rate. She was given epinephrine.
The nurse was admitted to the hospital, and put on an epinephrine drip and treated with steroids. A day later, she had recovered and was discharged.
On Dec. 24, 2020, a Boston doctor became the first to experience anaphylaxis to the Moderna vaccine. The doctor, who said his blood pressure dropped significantly, administered his own epinephrine auto-injector . He recovered and was discharged.
On Jan. 6, 2021 in its first report on allergic reactions to the mRNA vaccines, the CDC gave some details on 21 confirmed anaphylactic reactions reported in the first 1.5 weeks of vaccination program. Given the context that those reactions were out of 1.9 million doses administered, the CDC said a severe reaction to the COVID-19 vaccine appears to be a rare event.
Of the 21 patients who developed anaphylaxis , 17 had history of allergies or allergic reactions to drugs or to foods or insect stings. There was no common allergen, and all recovered with treatment. Most received epinephrine.
The CDCs Jan. 6 COVID-19 vaccine allergic reactions report says:
Side Effects Of The Flu Vaccine
It’s important to understand that the flu vaccine does not cause the flu. But some people will experience reactions to flu vaccination, and these can be similar to flu symptoms. Most of these side effects are mild and tend to resolve on their own within a day or two.
Though the flu shot and the FluMist nasal flu vaccine share some side effects, there are also differences:
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Sore throat
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Cough
These common side effects, however, are not necessarily symptoms of a serious reaction, like an allergy.
While there is a possibility of an allergic reaction to either type of flu vaccine, the actual incidence of flu vaccine allergy is low, affecting only one or two people out of every million doses, according to the Centers for Disease Control and Prevention .
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Are The Mrna Vaccines Safe For People With Egg Allergy
The CDC specifies that the two vaccines do not contain eggs.
There is no egg or egg-related component of the RNA vaccines, says Baker. Therefore, these vaccines are totally safe for egg-allergic individuals.
The egg allergy question likely arises in part because of common misunderstanding about this allergy in relation to the flu shot and the MMR vaccine. In both those cases, health authorities have investigated and recommend that these vaccines are safe and effective for those with egg allergy. For the flu shot see this link for the MMR see this link.
Drug Forms And Administration
Boostrix and Adacel both come as a suspension in a single-dose vial and a single-dose prefilled syringe. These vaccines are given by a healthcare provider as intramuscular injections in your upper arm.
Your doctor will advise you on how often you should receive Boostrix or Adacel. But theyll likely follow the recommendations from the Centers for Disease Control and Prevention for
* These lists contain side effects that were seen in clinical trials for Boostrix and Adacel. Only some side effects occurred for each drug. However, according to postmarketing reports, all of these side effects have been caused by both drugs.
Serious side effects
An example of a serious side effect that can occur with both Boostrix and Adacel is:
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What Are The Symptoms Of Allergic Reactions To Latex
Common early symptoms include swelling, redness and itching after contact with latex items:
- Itchy or swollen lips after blowing up a balloon
- Itchy, red or swollen skin after using a bandage
- Swelling or itching of the mouth or tongue after a dentist uses latex gloves
- Itching or swelling after vaginal or rectal exams
- Itching or swelling after using a condom or diaphragm
People highly allergic to latex may have severe reactions from contact with latex. They may even react to a small amount of latex in the air, such as being in a room near latex balloons or gloves. These more severe reactions can include:
- Hives
- Breathing problems including asthma symptoms
- Anaphylaxis
Anaphylaxis can be severe and life threatening. In rare cases, anaphylaxis to latex can cause death.
Do not ignore symptoms that suggest you may be allergic to latex. Continued contact with latex products can lead to more severe reactions. Prolonged exposure to latex can cause people to develop chronic conditions like occupational asthma.
Latex Allergy Home Triggers
An allergy to latex can become worse the more you come in contact with it. If you know you have this condition, be aware of products that may have the potential to cause a reaction. Ask your doctor if you need to avoid them.
Many items have latex in them. Read product labels carefully. You may need to ask product makers to be sure.
Home goods that are made with latex include:
- Rubber sink stoppers and sink mats
- Gloves for dishwashing and household cleaning
- Rubber or rubber-grip utensils
- Adult undergarments that contain rubber
- Waterproof bed pads containing rubber
- Undergarments, socks, and other clothing with elastic bands that contain rubber
- Adhesives such as glue, paste, art supplies, glue pens
- Older Barbie dolls and other dolls that are made of rubber
- Rubber bands, mouse and keyboard cords, desktop and chair pads, rubber stamps
- Mouse and wrist pads containing rubber
- Keyboards and calculators with rubber keys or switches
- Pens with comfort grip or any rubber coating
- Remote controllers for TVs or recording devices with rubber grips or keys
- Camera, telescope, or binocular eyepieces
- Bathing caps and elastic in bathing suits
- Some rain boots and raincoats
Outside the home, latex is also in many items, such as:
- Grocery store checkout belts
- Dental devices
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If You Get The Vaccine And Think Youre Experiencing Anaphylaxis
If you have known allergies and believe you experiencing symptoms of anaphylaxis, follow your emergency care plan: use your epinephrine auto-injector, then call 9-1-1.If you have never experienced a severe allergic reaction and dont carry epinephrine: call 9-1-1 and mention this is an anaphylactic reaction and that you need an ambulance carrying epinephrine.
Post treatment: Your severe reaction should be reported through the CDCs Vaccine Adverse Events Reporting System . Health-care providers are required to report such adverse events.
What Other Drugs Will Affect Flucelvax Quadrivalent
If you are using any of these medications, you may not be able to receive the vaccine, or may need to wait until the other treatments are finished:
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steroid medicine
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medications to treat psoriasis, rheumatoid arthritis, or other autoimmune disorders or
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medicines to treat or prevent organ transplant rejection.
This list is not complete. Other drugs may interact with Flucelvax Quadrivalent, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
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What Should I Do If I Have Latex Allergy
If you have an IgE-mediated latex allergy, work with your doctor to learn how to recognize anaphylaxis and how to treat it.
Prevent Allergic Reactions to Latex:
- Avoid latex. The only treatment for latex allergy is to prevent any contact with latex products.
- Get a letter about your latex allergy from your doctor.
- Ask co-workers to wear only non-latex gloves.
- Ask doctors, dentists and others health care workers to use latex-free gloves.
- Check labels to make sure products do not contain latex. Do not assume hypoallergenic products are latex-free.
Prepare for Anaphylaxis Due to Latex:
- Have a written anaphylaxis action plan. Your doctor will give you this step-by-step plan on what to do in an emergency.
- Learn how to self-inject epinephrine . It is the medicine of choice to treat an allergic reaction or anaphylaxis. Epinephrine is safe and comes in an easy-to-use device called an auto-injector. It injects a single dose of medicine when you press it against your outer thigh. Your doctor will show you how to use it. Epinephrine can save your life if you have a severe reaction. After using an epinephrine auto-injector, you must immediately call 911 and seek medical care.
- Always have two epinephrine auto-injectors near you at all times.
- Teach people who spend time with you how to use the auto-injector device.
- Wear medical alert identification or jewelry to tell others of latex allergy in an emergency.
What About Covid Vaccines And Food Allergy
There is still much to learn about the COVID-19 vaccines. To date, the CDC notes only two allergies, both of them involving additives. If you have an allergy to the food additive polysorbate, you should avoid the Johnson & Johnson vaccine. If you are allergic to polyethylene glycol, you should avoid any of the mRNA vaccines, including the Moderna and Pfizer vaccines.
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How Long Does Boostrix Last
The immunity that Boostrix produces lasts about 10 years. However, immunity to pertussis tends to lessen over this time.
According to the , studies have shown that getting a vaccine such as Boostrix will typically protect:
- 95% of people against diphtheria for about 10 years
- almost 100% of people against tetanus for about 10 years
- 70% of people against pertussis for the first year after vaccination
- 30% to 40% of people against pertussis 4 years after vaccination
If you have questions about how often youll need to get Boostrix or other vaccines, talk with your doctor.
Concurrent Or Recent Medication Including Biologics
Antibiotic therapy
Antibiotic therapy does not interfere with response to non-live vaccines or most live vaccines with the following exceptions:
- The Typh-O vaccine series should be finished at least 3 days before commencing, or initiated at least 3 days after completing, treatment with sulphonamides or other antibiotics active against S. typhi, or antimalarials. Exceptions include chloroquine, mefloquine and atovaquone/proguanil , as these antimalarials do not affect the immune response to Typh-O vaccine and can be administered at the same time as, or at any interval before or after Typh-O vaccine.
- Bacille Calmette-Guérin vaccine should not be administered to individuals receiving drugs with anti-tuberculous activity, including fluoroquinolones.
Anticoagulation
Antiviral therapy
Antiviral therapy does not interfere with response to non-live vaccines or most live vaccines with the following exceptions:
Recent administration of blood products containing antibodies
A risk-benefit assessment is needed for post-partum women who have received Rh immunoglobulin and require MMR or varicella vaccine. For more information, refer to Blood Products, Human Immunoglobulin and Timing of Immunization in Part 1.
Salicylates
While it is generally safe to be immunized when taking salicylates there are some exceptions:
Refer to Immunization of Persons with Chronic Diseases in Part 3 for additional information.
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Types Of Latex Allergies
There are three types of latex reactions:
1. Irritant contact dermatitis. This is the least-threatening type, and itâs not an allergic skin reaction. It usually happens due to repeated exposure to chemicals in latex gloves and leads to dryness, itching, burning, scaling, and skin problems. This generally starts 12-24 hours after contact.
2. Allergic contact dermatitis. This is a delayed reaction to additives used in latex processing. It results in the same type of reactions as irritant contact dermatitis. But the reaction is more severe, spreads to more parts of the body, and lasts longer. Symptoms can start anywhere from 1 to 4 days after you’ve come in contact with latex.
3. Immediate allergic reaction . This one is the most serious. It can show up as a nasal allergy with hay fever-like symptoms, conjunctivitis , cramps, hives, and severe itching. Itâs rare, but symptoms may also include rapid heartbeat, tremors, chest pain, trouble breathing, low blood pressure, or anaphylaxis, a severe allergic reaction that can be life-threatening.
If you have severe symptoms, call your doctor or 911 immediately, or go to the nearest emergency room.
Reducing The Risk Of Latex Allergy In The Future
Manufacturers have developed latex products containing less allergen and non-latex alternatives. As more of these products become available, the risk of reactions in latex sensitive people will decrease, and it is likely that fewer people will develop latex allergy. In the meantime, increased awareness of latex allergy and its risk factors should help to reduce the frequency of latex allergy.
ASCIA is the peak professional body of clinical immunology/allergy specialists in Australia and New Zealand.
ASCIA resources are based on published literature and expert review, however, they are not intended to replace medical advice. The content of ASCIA resources is not influenced by any commercial organisations.
For more information go to www.allergy.org.au
To donate to immunology/allergy research go to www.allergyimmunology.org.au
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What Is Flucelvax Quadrivalent
Flucelvax Quadrivalent is an inactivated influenza virus vaccine used for the prevention of influenza.
Influenza virus is a contagious disease caused by a virus that can spread from one person to another through the air or on surfaces. Flu symptoms include fever, chills, tiredness, aches, sore throat, cough, vomiting, and diarrhea. The flu can also cause sinus infections, ear infections, bronchitis, or serious complications such as pneumonia.
Influenza causes thousands of deaths each year, and hundreds of thousands of hospitalizations. Influenza is most dangerous in children, pregnant women, older adults, and people with weak immune systems or health problems such as diabetes, heart disease, or cancer.
Flucelvax Quadrivalent is used to prevent infection caused by influenza virus. The vaccine is redeveloped each year to contain specific strains of inactivated flu virus that are recommended by public health officials for that year.
The injectable Flucelvax Quadrivalent is made from “killed viruses.”
Flucelvax Quadrivalent works by exposing you to a small dose of the virus, which helps your body to develop immunity to the disease. This medicine will not treat an active infection that has already developed in the body.
Flucelvax Quadrivalent is for use in adults and children who are at least 6 months old.
Like any vaccine, Flucelvax Quadrivalent may not provide protection from disease in every person.
If You Had A Severe Allergic Reaction To A Covid
Anyone who has had a severe allergic reaction after receiving a particular type of COVID-19 vaccine should not get another dose of that type of vaccine. The vaccines made by Pfizer-BioNTech and Moderna are considered one type of COVID-19 vaccine. The COVID-19 vaccine made by Johnson & Johnson/Janssen is considered another type .
Learn about getting a different type of COVID-19 vaccine after an allergic reaction.
A severe allergic reaction can cause a rapid heartbeat, difficulty breathing, swelling of the throat, or a generalized rash or hives. A person with a severe allergic reaction needs to be treated with epinephrine and should seek immediate medical attention.
Learn about common side effects of COVID-19 vaccines and when to call a doctor.
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Flu Vaccine And People With Egg Allergies
Summary:
CDC and its Advisory Committee on Immunization Practices have not changed their recommendations regarding egg allergy and receipt of influenza vaccines. The recommendations remain the same as those recommended for the 2018-2019 season. Based on those recommendations, people with egg allergies no longer need to be observed for an allergic reaction for 30 minutes after receiving a flu vaccine. People with a history of egg allergy of any severity should receive any licensed, recommended, and age-appropriate influenza vaccine. Those who have a history of severe allergic reaction to egg should be vaccinated in an inpatient or outpatient medical setting , under the supervision of a health care provider who is able to recognize and manage severe allergic conditions.
Most flu shots and the nasal spray flu vaccine are manufactured using egg-based technology. Because of this, they contain a small amount of egg proteins, such as ovalbumin. However, studies that have examined the use of both the nasal spray vaccine and flu shots in egg-allergic and non-egg-allergic patients indicate that severe allergic reactions in people with egg allergies are unlikely. A recent CDC study found the rate of anaphylaxis after all vaccines is 1.31 per one million vaccine doses given.
For the 2021-2022 flu season, there are two vaccines licensed for use that are manufactured without the use of eggs and are considered egg-free:
Changes:
Questions & Answers: