Can I Get a Public Flu Vaccine After NSAID Allergy?

If you have a history of allergy to NSAIDs, can you receive the publicly funded influenza vaccine?

Last May, I experienced a drug allergy after taking two doses of a non-steroidal anti-inflammatory drug (NSAID) called Bone Agile, which resulted in a severe systemic urticaria that required an emergency visit.
I subsequently sought treatment for my allergies, but my condition did not improve and developed into chronic urticaria.
For the past year and a half, I have had to take antihistamines daily; otherwise, my hives will flare up! Given my current health status, is it possible that I would have an allergic reaction to the publicly funded flu vaccine? I do not have an allergy to eggs.

Wanfan, 50~59 year old female. Ask Date: 2016/11/30

Dr. Gao Jiankai reply Internal Medicine

Hello, thank you for your question.
Patients with chronic urticaria do not have a higher risk of developing allergic reactions to injections or medications, including publicly funded influenza vaccines.
Therefore, as long as you have not had an allergic reaction to the influenza vaccine in the past, do not have an egg allergy, and are not experiencing a fever, you should be able to receive the influenza vaccine.
This message is from the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare.
We care about your health.

Reply Date: 2016/11/30

More Info

Based on your medical history and current condition, it is understandable to have concerns about receiving the public flu vaccine, especially after experiencing a severe allergic reaction to NSAIDs (non-steroidal anti-inflammatory drugs) that resulted in widespread urticaria (hives). However, it is important to clarify a few points regarding your situation.

Firstly, having a history of NSAID allergy does not inherently increase your risk of having an allergic reaction to the flu vaccine. The components of the flu vaccine are different from those found in NSAIDs. The flu vaccine typically contains inactivated viruses or viral proteins, and while some vaccines may contain trace amounts of egg protein, you mentioned that you do not have an egg allergy. This is a significant factor, as individuals with egg allergies are often advised to consult with their healthcare provider before receiving certain vaccines.

Chronic urticaria, which you have been experiencing for the past year and a half, is a condition characterized by recurrent hives without an identifiable trigger in many cases. It is important to note that chronic urticaria itself does not predispose you to allergic reactions to vaccines. In fact, many patients with chronic urticaria can receive vaccinations without any adverse effects. The key considerations are whether you have had any previous allergic reactions to vaccines or their components.

If you have previously received the flu vaccine without any allergic reactions, this further supports the likelihood that you can safely receive it again. Additionally, if you are currently stable on antihistamines and have no acute allergic symptoms, it is generally considered safe to proceed with vaccination. However, it is always prudent to discuss your specific situation with your healthcare provider, who can assess your medical history in detail and provide personalized advice.

In summary, based on the information provided, it seems that you should be able to receive the public flu vaccine without significant risk of an allergic reaction, especially since you do not have an egg allergy and have not had prior reactions to vaccines. However, it is crucial to consult with your healthcare provider before proceeding, as they can offer the most tailored advice based on your health status and history. They may also recommend monitoring you for any immediate reactions post-vaccination, which is a standard practice for individuals with a history of allergies.

In conclusion, while your history of NSAID allergy and chronic urticaria raises valid concerns, it does not automatically contraindicate receiving the flu vaccine. With proper medical guidance and monitoring, you can likely receive the vaccine safely, contributing to your overall health and protection against influenza.

Similar Q&A

Can You Get the COVID Vaccine if You're Allergic to NSAIDs?

Is it safe to receive the COVID-19 vaccine if I am allergic to NSAIDs?

Dr. Chen Mingong reply Influenza
Hello Mr. Li! Yes, you can get vaccinated. After receiving the vaccine, please stay at the vaccination site for 20 to 30 minutes for observation before leaving.

Can Children with Allergies Receive the Flu Vaccine?

Hello, doctor! My 2-year-old child has been taking medication for nasal and bronchial allergies recently. Is it safe to administer the flu vaccine?

Dr. Pei Rensheng reply Pediatrics
Dear Mom, Hello! The contraindications for the influenza vaccine include: allergy to egg protein, fever, or other serious illnesses. Allergy medications do not affect the administration of the influenza vaccine. The physician will reassess before the vaccination. Wishing you ...

Lower Back Pain After Flu Vaccine: Is It a Side Effect?

Hello doctor, I received the flu vaccine on Friday afternoon, and since then my lower back has been very sore. Is this a side effect of the vaccine? I need to take care of my child, and especially after sitting in the car, my back feels even more sore. How many days should I wait...

Dr. Liao Zhongxin reply Internal Medicine
Dear readers: Regarding the question "<Is back pain after receiving the flu vaccine a side effect of the vaccine?>", here is the response: I. Please refer to the CDC's Q&A: http://www.cdc.gov.tw/qa.aspx? Q1: Is the flu vaccine safe? What side effects m...

Can You Get the Flu Vaccine with an Autoimmune Disease?

Hello doctor, I had blood tests this week in the rheumatology and immunology department to check for issues related to my immune system, but the results are not out yet. My symptoms are suggestive of reactive arthritis. I would like to ask if it turns out to be an autoimmune dise...

Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your question. I believe it is advisable. Individuals with immune system disorders should also receive the influenza vaccine, and the likelihood of experiencing side effects is not higher. This is a message from the Allergy, Immunology, and Rheumatology Depar...