Is it safe to administer Prevenar 20 (pneumococcal conjugate vaccine) to a patient with a known allergy to egg?

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Last updated: January 23, 2026View editorial policy

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Prevenar 20 and Egg Allergy

Prevenar 20 (pneumococcal conjugate vaccine) can be safely administered to patients with egg allergy without any special precautions, as it does not contain egg protein and is not manufactured using eggs.

Why Egg Allergy is Not a Concern for Prevenar 20

  • Prevenar 20 is a pneumococcal conjugate vaccine that is not produced using chicken eggs or egg-based manufacturing processes. 1

  • Egg allergy concerns are specific only to vaccines grown in chick embryos or embryonic tissues, such as influenza vaccines, yellow fever vaccine, and certain rabies vaccines. 1

  • The contraindications for pneumococcal vaccines do not include egg allergy—they are limited to severe allergic reactions to vaccine components or previous doses of the specific vaccine itself. 1

Standard Administration Protocol

  • Administer Prevenar 20 using standard vaccination protocols without any modifications for patients with egg allergy. 1

  • No skin testing with the vaccine is required. 1

  • No extended observation period beyond standard post-vaccination monitoring (typically 15 minutes) is necessary. 2

  • The vaccine should be administered in settings where personnel and equipment for rapid recognition and treatment of acute hypersensitivity reactions are available, as recommended for all vaccines regardless of allergy history. 2

Critical Distinction: Actual Contraindications to Prevenar 20

The only true contraindication to Prevenar 20 is a history of severe allergic reaction (anaphylaxis) to any component of the pneumococcal conjugate vaccine itself or to a previous dose of Prevenar 20. 2

Common Pitfall to Avoid

Do not confuse egg allergy considerations for influenza vaccines with pneumococcal vaccines. These vaccines have entirely different manufacturing processes—influenza vaccines are produced in embryonated chicken eggs, while pneumococcal conjugate vaccines like Prevenar 20 do not contain egg protein. 2, 1, 3

References

Guideline

Tdap Vaccine Administration in Individuals with Egg Allergy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Management of Vaccinations in Patients with Egg Allergy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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