Vaccinations
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| Vaccine/Immunobiologic | Precautions for Breastfeeding | Citation | |
|---|---|---|---|
| Immune globulins, pooled or hyper-immune | Immune globulin or specific globulin preparations | None | General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP) MMWR Vol 51, RR-2;1-36 2/8/2002 |
| Diphtheria-Tetanus | Toxoid | None | General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP) MMWR Vol 51, RR-2;1-36 2/8/2002 |
| Hepatitis A | Inactivated virus | Data on the safety of this vaccine in breastfeeding situations is not available. While it is unlikely that the vaccine would cause untoward effects in breastfed infants, consider administering immune globulin rather than vaccine. | Protection against viral hepatitis: Recommendations of the Immunization Practices Advisory Committee (ACIP) MMWR Vol 39, RR-2;1-26 2/0/1990 |
| Hepatitis B | Recombinant or plasma-derived | None | Protection against viral hepatitis: Recommendations of the Immunization Practices Advisory Committee (ACIP) MMWR Vol 39, RR-2;1-26 2/0/1990 |
| Influenza | Inactivated whole virus or subunit | None | Using Live, Attenuated Influenza Vaccine for Prevention and Control of Influenza MMWR Vol 52, RR-13;1-8 09/26/2003 |
| Live attenuated virus | Encourage the use of inactivated influenza vaccine when feasible for children aged 6 to 23 months, as well as for their close contacts and caregivers. | ||
| Japanese encephalitis | Inactivated virus | Data concerning the safety of this vaccine during breastfeeding is not available. Therefore, this vaccine should not be routinely administered. | Inactivated Japanese Encephalitis Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR Vol 42, RR-1;12-13 1/8/1993 |
| Measles | Live attenuated virus | None | General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP) MMWR Vol 51, RR-2;1-36 2/8/2002 |
| Meningococcal meningitis | Polysaccharide | None | Control and Prevention of Meningococcal Disease and Control and Prevention of Serogroup C Meningococcal Disease: Evaluation and Management of Suspected Outbreaks: Recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR Vol 46, RR-5;1-51 2/14/1997 |
| Mumps | Live attenuated virus | None | General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP) MMWR Vol 51, RR-2;1-36 2/8/2002 |
| Pneumococcal | Polysaccharide | Data concerning the safety of this vaccine during breastfeeding is not available. However, it is unlikely that the vaccination would cause untoward effects in breastfed infants. | Prevention of Pneumococcal Disease: Recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR Vol 46, RR-8;1-24 4/4/1997 |
| Polio, inactivated | Inactivated virus | None | General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP) MMWR Vol 51, RR-2;1-36 2/8/2002 |
| Rabies | Inactivated virus | Data concerning the safety of this vaccine for breastfeeding infants is not available. However, this vaccine is commonly given to nursing mothers without observed untoward effects in breastfed infants. | General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP) MMWR Vol 51, RR-2;1-36 2/8/2002 |
| Rubella | Live attenuated virus | None |
Measles, Mumps, and Rubella — Vaccine Use and Strategies for Elimination of Measles, Rubella, and Congenital Rubella Syndrome and Control of Mumps: Recommendations of the Advisory Committee on Immunization Practices (ACIP) |
| Smallpox (Vaccinia) | Live attenuated virus | Do not administer this vaccine to nursing women. If a smallpox outbreak occurs, contact your state health department for further recommendations. |
Recommendations for Using Smallpox Vaccine in a Pre-Event Vaccination Program Supplemental Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Healthcare Infection Control Practices Advisory Committee (HICPAC) Smallpox Vaccination Information for Women Who Are Pregnant or Breastfeeding |
| Tuberculosis (BCG) | Attenuated mycobacterial | Data concerning the safety of this vaccine during breastfeeding is not available. | |
| Typhoid (ViCPS) | Polysaccharide | Data concerning the safety of this vaccine during breastfeeding is not available. However, the vaccine may be used when the risk of exposure to typhoid fever is high. | Breastfeeding and Maternal Medication, Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs [PDF-609KB] |
| Typhoid (Ty21a) | Live bacterial | Data concerning the safety of this vaccine during breastfeeding is not available. However, the vaccine may be used when the risk of exposure to typhoid fever is high. | Breastfeeding and Maternal Medication, Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs [PDF-609KB] |
| Varicella | Live attenuated virus | None | Prevention of Varicella: Recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR Vol 45, No RR-11;1-25 07/12/1996 |
| Yellow fever | Live attenuated virus | Avoid administering this vaccine to nursing mothers due to the theoretical risk of transmitting 17D virus to the breastfed infant. However, when nursing mothers travel to high-risk yellow fever-endemic areas, vaccinations can not be avoided or postponed. | Yellow Fever Vaccine Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2002 MMWR Vol 51, No RR17;1-10 11/08/2002 |
| Centers for Disease Control and Prevention. Health Information for International Travel 2003-2004. Atlanta: US Department of Health and Human Services, Public Health Service, 2003. | |||
- Page last reviewed: August 25, 2015
- Page last updated: August 25, 2015
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