Measles, mumps, and rubella vaccination in a child with suspected egg allergy

We thank Duncan et al and Elliman et al for their welcome and
constructive responses to our article.

With respect to the point raised by Elliman et al, the word
constraints of the article constrained any detailed discussion about the
types of vaccine related reactions that may warrant a specialist
assessment/vaccination under specialist supervision. In any case, due to
the array of possible adverse reactions to various vaccinations it would
be impractical and ill-advised to attempt to provide any exhaustive list.
Rather, given that GPs and their teams have considerable experience with
vaccinating infants, we suggest that any reactions that cause clinicians
undue concern should be discussed with a specialist colleague before
administration of further vaccinations. We agree that in the majority of
cases it will ultimately prove safe to proceed with further vaccinations.