title: Vaccine safety: medical contraindications, myths, and risk communication.
abstract: On the basis of first principles, anaphylaxis to a vaccine or vaccine component is a contraindication to future receipt of that vaccine. • On the basis of strong evidence, live viral vaccines should not be administered to severely immunocompromised children. • On the basis of some evidence with consensus, children with egg allergies may receive inactivated influenza vaccine. • On the basis of strong evidence, neither measles-mumps-rubella vaccine nor thimerosal causes autism. • On the basis of some evidence with consensus, alternative vaccination schedules have no benefit and receipt of human papillomavirus vaccines does not result in promiscuity. • On the basis of first principles and consensus, vaccine risk communication requires a tailored approach to each individual family.
authors.affiliation: Division of Pediatric Infectious Diseases, University of Louisville School of Medicine, Louisville, KY.
authors.forename: Michael
authors.initials: M
authors.lastname: Smith
mesh_terms: D002648:Child; D000075202:Contraindications; D003376:Counseling; D019317:Evidence-Based Medicine; D006801:Humans; D007115:Immunization Schedule; D010290:Parents; D000072143:Pediatricians; D010819:Physician's Role; D012307:Risk Factors; D014481:United States; D014611:Vaccination / Q000009:adverse effects*; D014612:Vaccines / Q000009:adverse effects*
chemical_list: D014612:Vaccines