Flu Vaccine and Steroid Allergy - Alert or not to Alert?

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Zachary Allen W...
Zachary Allen Wallace's picture
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Joined: 05/11/2018 - 10:24
Flu Vaccine and Steroid Allergy - Alert or not to Alert?

Some influenza vaccines may contain residual amounts of steroid (e.g., less than 0.0015 mcg hydrocortisone per dose in Fluarix). Our EHR vendor-supplied CDSS data currently flags a drug-allergy interaction for every flu vaccine (even those without listed residual steroid) in patients with a steroid allergy.

From initial research, it doesn't appear that reactivity is known/clear. You could imagine the amount of alert fatigue during the flu season especially.

Wondering if others have had this alert and assessed pros/cons of possible suppression?

Thank you,
Zach