Who should NOT receive vaccines according to standard guidelines?

Individuals who are allergic to eggs should be approached with caution regarding vaccinations, particularly with live attenuated vaccines like the influenza vaccine, which can be derived from chicken embryos. For this reason, standard guidelines recommend that individuals with a history of severe allergic reactions to eggs should consult with a healthcare provider about the risks versus benefits of vaccination. However, it is important to note that many vaccines are now available in egg-free formulations, and some individuals with mild egg allergies can still be vaccinated safely under medical supervision.

The other groups mentioned typically do receive vaccinations according to standard guidelines. Children under five are routinely vaccinated against various diseases to ensure their protection. Healthcare workers are advised to receive vaccines to protect not only themselves but also their patients from preventable diseases. Patients on hemodialysis are also encouraged to receive vaccines as they are at increased risk for infections and complications. Therefore, the concern for individuals with egg allergies is specific and subject to careful evaluation, distinguishing them in this context.