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Which of the following vaccines can be adminis¬tered to a patient with known anaphylactic reactions to eggs?

A
Haemophilus influenzae type B vaccine
B
Influenza vaccine
C
Measles vaccine
D
Mumps vaccine
High-Yield Explanation
Haemophilus influenzae type B vaccine is not an egg based vaccine and is safe to administer to a patient with a history of anaphylactic reactions to eggs. Influenza, measles, mumps, and yellow fever vaccines are egg­based. Vaccines often contain materials other than the active-immunizing antigens, such as preservatives, antibiotics (e.g., neomycin, streptomycin) to prevent bacterial overgrowth, adjuvants to enhance immuno­genicity, and stabilizers. Patients who are allergic to neomycin should not receive the measles-mumps-ru­bella (MMR) and oral polio vaccines. Patients who are allergic to streptomycin should not receive the live or the killed polio vaccine.

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