Who Should NOT Get Vaccinated with these Vaccines?

Some people should not get adenovirus vaccine:

• Anyone with a severe (life-threatening) allergy to any component of the vaccine. Tell the doctor if you have any severe allergies.
• Pregnant women or nursing mothers.
• Anyone who is unable to swallow the vaccine tablets whole without chewing them.
• Anyone younger than 17 or older than 50 years of age.

Other precautions:

• Talk with a doctor if:
  • you have HIV/AIDS or another disease that affects the immune system, or
  • your immune system is weakened because of cancer or other medical conditions, a transplant, or radiation or drug treatment (such as steroids or cancer chemotherapy).
• Women should not become pregnant for 6 weeks following vaccination.
• Vaccination should be postponed for anyone with vomiting or diarrhea.
• Virus from the vaccine can be shed in the stool for up to 28 days after vaccination. To minimize the risk of spreading vaccine virus to other people during this period, observe proper personal hygiene, such as frequent hand washing, especially following bowel movements. This is especially important if you have close contact with children 7 years of age and younger, with anyone having a weakened immune system, or with pregnant women.

• Anyone who has had a serious allergic reaction to a previous dose of anthrax vaccine should not get another dose.
• Anyone who has a severe allergy to any vaccine component should not get a dose. Tell your provider if you have any severe allergies, including latex.
• If you have ever had Guillain Barré syndrome (GBS), your provider might recommend not getting anthrax vaccine.
• If you have a moderate or severe illness your provider might ask you to wait until you recover to get the vaccine. People with mild illness can usually be vaccinated.
• Vaccination may be recommended for pregnant women who have been exposed to anthrax and are at risk of developing inhalation disease. Nursing mothers may safely be given anthrax vaccine.

• Children with minor illnesses, such as a cold, may be vaccinated. But children who are moderately or severely ill should usually wait until they recover before getting DTaP vaccine.
• Any child who had a life-threatening allergic reaction after a dose of DTaP should not get another dose.
• Any child who suffered a brain or nervous system disease within 7 days after a dose of DTaP should not get another dose.
• Talk with your doctor if your child:
  • had a seizure or collapsed after a dose of DTaP,
  • cried non-stop for 3 hours or more after a dose of DTaP,
  • had a fever over 105°F after a dose of DTaP.

Ask your doctor for more information. Some of these children should not get another dose of pertussis vaccine, but may get a vaccine without pertussis, called DT.

Tell the person who is giving you the vaccine:

• If you have any severe, life-threatening allergies.
  If you ever had a life-threatening allergic reaction after a dose of hepatitis A vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get vaccinated. Ask your health care provider if you want information about vaccine components.
• If you are not feeling well.
  If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.

Tell the person who is giving the vaccine:

• If the person getting the vaccine has any severe, life-threatening allergies.
  If you ever had a life-threatening allergic reaction after a dose of hepatitis B vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get vaccinated. Ask your health care provider if you want information about vaccine components.
• If the person getting the vaccine is not feeling well.
  If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.

Hib vaccine should not be given to infants younger than 6 weeks of age.

A person who has ever had a life-threatening allergic reaction after a previous dose of Hib vaccine, OR has a severe allergy to any part of this vaccine, should not get Hib vaccine. Tell the person giving the vaccine about any severe allergies.

People who are mildly ill can get Hib vaccine. People who are moderately or severely ill should probably wait until they recover. Talk to your healthcare provider if the person getting the vaccine isn’t feeling well on the day the shot is scheduled.

• Anyone who has had a severe (life-threatening) allergic reaction to a dose of HPV vaccine should not get another dose.
• Anyone who has a severe (life threatening) allergy to any component of HPV vaccine should not get the vaccine.
  Tell your doctor if you have any severe allergies that you know of, including a severe allergy to yeast.
• HPV vaccine is not recommended for pregnant women. If you learn that you were pregnant when you were vaccinated, there is no reason to expect any problems for you or your baby. Any woman who learns she was pregnant when she got HPV vaccine is encouraged to contact the manufacturer’s registry for HPV vaccination during pregnancy at 1-800-986-8999. Women who are breastfeeding may be vaccinated.
• If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.

Tell the person who is giving you the vaccine:

• If you have any severe, life-threatening allergies.
  If you ever had a life-threatening allergic reaction after a dose of flu vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get vaccinated. Most, but not all, types of flu vaccine contain a small amount of egg protein.
• If you ever had Guillain-Barré Syndrome (also called GBS).
  Some people with a history of GBS should not get this vaccine. This should be discussed with your doctor.
• If you are not feeling well.
  It is usually okay to get flu vaccine when you have a mild illness, but you might be asked to come back when you feel better.

Some people should not get LAIV because of age, health conditions, or other reasons. Most of these people should get an injected flu vaccine instead. Your healthcare provider can help you decide.

Tell the provider if you or the person being vaccinated:

• have any allergies, including an allergy to eggs, or have ever had an allergic reaction to an influenza vaccine.
• have ever had Guillain-Barré Syndrome (also called GBS).
• have any long-term heart, breathing, kidney, liver, or nervous system problems.
• have asthma or breathing problems, or are a child who has had wheezing episodes.
• are pregnant.
• are a child or adolescent who is receiving aspirin or aspirin-containing products.
• have a weakened immune system.
• will be visiting or taking care of someone, within the next 7 days, who requires a protected environment (for example, following a bone marrow transplant).

Sometimes LAIV should be delayed. Tell the provider if you or the person being vaccinated:

• are not feeling well. The vaccine could be delayed until you feel better.
• have gotten any other vaccines in the past 4 weeks. Live vaccines given too close together might not work as well.
• have taken influenza antiviral medication in the past 48 hours.
• have a very stuffy nose.

• Anyone who has had a severe (life-threatening) allergic reaction to a dose of JE vaccine should not get another dose.
• Anyone who has a severe (life threatening) allergy to any component of JE vaccine should not get the vaccine.

  Tell your doctor if you have any severe allergies that you know of.

• Pregnant women should usually not get JE vaccine. If you are pregnant, check with your doctor.

If you will be traveling for fewer than 30 days, especially if you will be staying in urban areas, tell your doctor. You might not need the vaccine.

• Anyone who has ever had a life-threatening allergic reaction to the antibiotic neomycin, or any other component of MMR vaccine, should not get the vaccine. Tell your doctor if you have any severe allergies.
• Anyone who had a life-threatening allergic reaction to a previous dose of MMR or MMRV vaccine should not get another dose.
• Some people who are sick at the time the shot is scheduled may be advised to wait until they recover before getting MMR vaccine.
• Pregnant women should not get MMR vaccine. Pregnant women who need the vaccine should wait until after giving birth. Women should avoid getting pregnant for 4 weeks after vaccination with MMR vaccine.
• Tell your doctor if the person getting the vaccine:
  • Has HIV/AIDS, or another disease that affects the immune system
  • Is being treated with drugs that affect the immune system, such as steroids
  • Has any kind of cancer
  • Is being treated for cancer with radiation or drugs
  • Has ever had a low platelet count (a blood disorder)
  • Has gotten another vaccine within the past 4 weeks
  • Has recently had a transfusion or received other blood products

Any of these might be a reason to not get the vaccine, or delay vaccination until later.

Children should not get MMRV vaccine if they:

• Have ever had a life-threatening allergic reaction to a previous dose of MMRV vaccine, or to either MMR or varicella vaccine.
• Have ever had a life-threatening allergic reaction to any component of the vaccine, including gelatin or the antibiotic neomycin. Tell the doctor if your child has any severe allergies.
• Have HIV/AIDS, or another disease that affects the immune system.
• Are being treated with drugs that affect the immune system, including high doses of oral steroids for 2 weeks or longer.
• Have any kind of cancer
• Are being treated for cancer with radiation or drugs

Check with your doctor if the child:

• Has a history of seizures, or has a parent, brother or sister with a history of seizures.
• Has a parent, brother or sister with a history of immune system problems.
• Has ever had a low platelet count, or another blood disorder.
• Recently had a transfusion or received other blood products.
• Might be pregnant.

Children who are moderately or severely ill at the time the shot is scheduled should usually wait until they recover before getting MMRV vaccine. Children who are only mildly ill may usually get the vaccine.

Ask your doctor for more information.

Tell the person who is giving you the vaccine:

• If you have any severe, life-threatening allergies.
  If you have ever had a life-threatening allergic reaction after a previous dose of meningococcal ACWY vaccine, or if you have a severe allergy to any part of this vaccine, you should not get this vaccine. Your provider can tell you about the vaccine’s ingredients.
• If you are pregnant or breastfeeding.
  There is not very much information about the potential risks of this vaccine for a pregnant woman or breastfeeding mother. It should be used during pregnancy only if clearly needed.

If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.

Tell the person who is giving you the vaccine:

• If you have any severe, life-threatening allergies.
  If you have ever had a life-threatening allergic reaction after a previous dose of serogroup B meningococcal vaccine, or if you have a severe allergy to any part of this vaccine, you should not get the vaccine. Tell your health care provider if you have any severe allergies that you know of, including a severe allergy to latex. He or she can tell you about the vaccine’s ingredients.
• If you are pregnant or breastfeeding.
  There is not very much information about the potential risks of this vaccine for a pregnant woman or breastfeeding mother. It should be used during pregnancy only if clearly needed.

If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.

Anyone who has ever had a life-threatening allergic reaction to a dose of this vaccine, to an earlier pneumococcal vaccine called PCV7, or to any vaccine containing diphtheria toxoid (for example, DTaP), should not get PCV13.

Anyone with a severe allergy to any component of PCV13 should not get the vaccine. Tell your doctor if the person being vaccinated has any severe allergies.

If the person scheduled for vaccination is not feeling well, your healthcare provider might decide to reschedule the shot on another day.

• Anyone who has had a life-threatening allergic reaction to PPSV should not get another dose.
• Anyone who has a severe allergy to any component of PPSV should not receive it. Tell your provider if you have any severe allergies.
• Anyone who is moderately or severely ill when the shot is scheduled may be asked to wait until they recover before getting the vaccine. Someone with a mild illness can usually be vaccinated.
• Children less than 2 years of age should not receive this vaccine.
• There is no evidence that PPSV is harmful to either a pregnant woman or to her fetus. However, as a precaution, women who need the vaccine should be vaccinated before becoming pregnant, if possible.

Tell the person who is giving the vaccine:

• If the person getting the vaccine has any severe, life-threatening allergies.
  If you ever had a life-threatening allergic reaction after a dose of IPV, or have a severe allergy to any part of this vaccine, you may be advised not to get vaccinated. Ask your health care provider if you want information about vaccine components.

• If the person getting the vaccine is not feeling well.
  If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.

Talk with a doctor before getting rabies vaccine if you:

1. ever had a serious (life-threatening) allergic reaction to a previous dose of rabies vaccine, or to any component of the vaccine; tell your doctor if you have any severe allergies,
2. have a weakened immune system because of:
   • HIV/AIDS or another disease that affects the immune system,
   • treatment with drugs that affect the immune system, such as steroids,
   • cancer, or cancer treatment with radiation or drugs.

If you have a minor illnesses, such as a cold, you can be vaccinated. If you are moderately or severely ill, you should probably wait until you recover before getting a routine (non-exposure) dose of rabies vaccine.

If you have been exposed to rabies virus, you should get the vaccine regardless of any other illnesses you may have.

A baby who has had a life-threatening allergic reaction to a dose of rotavirus vaccine should not get another dose. A baby who has a severe allergy to any part of rotavirus vaccine should not get the vaccine. Tell your doctor if your baby has any severe allergies that you know of, including a severe allergy to latex.

Babies with “severe combined immunodeficiency” (SCID) should not get rotavirus vaccine.

Babies who have had a type of bowel blockage called “intussusception” should not get rotavirus vaccine.

Babies who are mildly ill can get the vaccine. Babies who are moderately or severely ill should wait until they recover. This includes babies with moderate or severe diarrhea or vomiting.

Check with your doctor if your baby’s immune system is weakened because of:

• HIV/AIDS, or any other disease that affects the immune system
• treatment with drugs such as steroids
• cancer, or cancer treatment with x-rays or drugs

A person should not get shingles vaccine who:

• has ever had a life-threatening allergic reaction to gelatin, the antibiotic neomycin, or any other component of shingles vaccine. Tell your doctor if you have any severe allergies.
• has a weakened immune system because of current:
  • AIDS or another disease that affects the immune system,
  • treatment with drugs that affect the immune system, such as prolonged use of high-dose steroids,
  • cancer treatment such as radiation or chemotherapy,
  • cancer affecting the bone marrow or lymphatic system, such as leukemia or lymphoma.
• is pregnant, or might be pregnant. Women should not become pregnant until at least 4 weeks after getting shingles vaccine.

Someone with a minor acute illness, such as a cold, may be vaccinated. But anyone with a moderate or severe acute illness should usually wait until they recover before getting the vaccine. This includes anyone with a temperature of 101.3°F or higher.

• A person who has ever had a life-threatening allergic reaction after a previous dose of any tetanus or diphtheria containing vaccine, OR has a severe allergy to any part of this vaccine, should not get Td vaccine. Tell the person giving the vaccine about any severe allergies.
• Talk to your doctor if you:
  • had severe pain or swelling after any vaccine containing diphtheria or tetanus,
  • ever had a condition called Guillain Barré Syndrome (GBS),
  • aren’t feeling well on the day the shot is scheduled.

• A person who has ever had a life-threatening allergic reaction after a previous dose of any diphtheria, tetanus or pertussis containing vaccine, OR has a severe allergy to any part of this vaccine, should not get Tdap vaccine. Tell the person giving the vaccine about any severe allergies.
• Anyone who had coma or long repeated seizures within 7 days after a childhood dose of DTP or DTaP, or a previous dose of Tdap, should not get Tdap, unless a cause other than the vaccine was found. They can still get Td.
• Talk to your doctor if you:
  • have seizures or another nervous system problem,
  • had severe pain or swelling after any vaccine containing diphtheria, tetanus or pertussis,
  • ever had a condition called Guillain Barré Syndrome (GBS),
  • aren’t feeling well on the day the shot is scheduled.

Inactivated typhoid vaccine (shot)

• Should not be given to children younger than 2 years of age.
• Anyone who has had a severe reaction to a previous dose of this vaccine should not get another dose.
• Anyone who has a severe allergy to any component of this vaccine should not get it. Tell your doctor if you have any severe allergies.
• Anyone who is moderately or severely ill at the time the shot is scheduled should usually wait until they recover before getting the vaccine.

Live typhoid vaccine (oral)

• Should not be given to children younger than 6 years of age.
• Anyone who has had a severe reaction to a previous dose of this vaccine should not get another dose.
• Anyone who has a severe allergy to any component of this vaccine should not get it. Tell your doctor if you have any severe allergies.
• Anyone who is moderately or severely ill at the time the vaccine is scheduled should usually wait until they recover before getting it. Tell your doctor if you have an illness involving vomiting or diarrhea.
• Anyone whose immune system is weakened should not get this vaccine. They should get the typhoid shot instead. This includes anyone who:
  • has HIV/AIDS or another disease that affects the immune system,
  • is being treated with drugs that affect the immune system, such as steroids for 2 weeks or longer,
  • has any kind of cancer,
  • is taking cancer treatment with radiation or drugs.
• Oral typhoid vaccine should not be given until at least 3 days after taking antibiotics.

Ask your doctor for more information.

• People should not get chickenpox vaccine if they have ever had a life-threatening allergic reaction to a previous dose of chickenpox vaccine or to gelatin or the antibiotic neomycin.
• People who are moderately or severely ill at the time the shot is scheduled should usually wait until they recover before getting chickenpox vaccine.
• Pregnant women should wait to get chickenpox vaccine until after they have given birth. Women should not get pregnant for 1 month after getting chickenpox vaccine.
• Some people should check with their doctor about whether they should get chickenpox vaccine, including anyone who:
  • Has HIV/AIDS or another disease that affects the immune system
  • Is being treated with drugs that affect the immune system, such as steroids, for 2 weeks or longer
  • Has any kind of cancer
  • Is getting cancer treatment with radiation or drugs
• People who recently had a transfusion or were given other blood products should ask their doctor when they may get chickenpox vaccine. Ask your provider for more information.

Ask your doctor for more information.

• Anyone with a severe (life-threatening) allergy to any component of the vaccine, including eggs, chicken proteins, or gelatin, or who has had a severe allergic reaction to a previous dose of yellow fever vaccine should not get yellow fever vaccine. Tell your doctor if you have any severe allergies.
• Infants younger than 6 months of age should not get the vaccine.
• Tell your doctor if:
  • You have HIV/AIDS or another disease that affects the immune system.
  • Your immune system is weakened as a result of cancer or other medical conditions, a transplant, or radiation or drug treatment (such as steroids, cancer chemotherapy, or other drugs that affect immune cell function).
  • Your thymus has been removed or you have a thymus disorder, such as myasthenia gravis, DiGeorge syndrome, or thymoma.

  Your doctor will help you decide whether you can receive the vaccine.

• Adults 60 years of age and older who cannot avoid travel to a yellow fever area should discuss vaccination with their doctor. They might be at increased risk for severe problems following vaccination.
• Infants 6 through 8 months of age, pregnant women, and nursing mothers should avoid or postpone travel to an area where there is risk of yellow fever. If travel cannot be avoided, discuss vaccination with your doctor.

If you cannot get the vaccine for medical reasons, but require proof of yellow fever vaccination for travel, your doctor can give you a waiver letter if he considers the risk acceptably low. If you plan to use a waiver, you should also contact the embassy of the countries you plan to visit for more information.