In which client would the MMR vaccine be contraindicated?

Question

1. A client with an allergy to neomycin
2. A client with an allergy to mold
3. A client with an allergy to yeast
4. A client with an allergy to milk

Answer 1

Correct Answer: 1
Rationale 1: Allergy to neomycin is a contraindication to the administration of the MMR vaccine.
Rationale 2: Allergy to mold would affect other medications, primarily antibiotics.
Rationale 3: Allergy to yeast would affect administration of the hepatitis B vaccine.
Rationale 4: There is no reason to withhold MMR from a client who is allergic to milk.
Global Rationale: Persons reporting an allergy to neomycin or gelatin should not receive MMR because the vaccine contains these substances. Persons reporting egg allergy have a very low risk of allergic reaction but it is recommended that these patients be observed for 90 minutes following immunization. Allergy to mold, yeast, or milk does not preclude this vaccination.