immunodeficiency (e.g., from hematologic and solid tumors, receipt of
chemotherapy, congenital immunodeficiency, long-term
immunosuppressive therapy or patients with HIV infection who are
severely immunocompromised). Pregnancy Family history of altered
immunocompetence.
Precautions: Recent (<
11 months) receipt
of antibody-containing blood product
(specific interval depends on product)
Moderate or severe acute illness with or
without fever. Receipt of specific antiviral
drugs (acyclovir, famciclovir, or valacyclovir)
24 hours before vaccination (avoid use of
these antiviral drugs for 14 days after
vaccination) Use of aspirin or aspirin
containing products.
Contraindications: Severe
allergic reaction (e.g.,
anaphylaxis) after a previous
dose or to a vaccine
component Hypersensitivity
to yeast.
Precautions:
Moderate or
severe acute
illness with or
without fever
Flu vaccine
(yearly for everyone 6 months and older)
Influenza
Soreness, redness, and swelling where shot is given, fever, muscle
aches, and headache can happen after influenza (inactivated) vaccine.
There may be a very small increased risk of Guillain-Barré Syndrome
(GBS) after inactivated influenza vaccine. Runny nose or nasal
congestion, wheezing and headache can happen after LAIV. Vomiting,
muscle aches, fever, sore throat and cough are other possible side
effects.
Precautions: (IIV) GBS <6 weeks after a previous dose of influenza
vaccine Moderate or severe acute illness with or without fever Egg
allergy other than hives, e.g., angioedema, respiratory distress,
lightheadedness, recurrent emesis; or required epinephrine or another
emergency medical intervention (IIV may be administered in an
inpatient or outpatient medical setting and under the supervision of a
health care provider who is able to recognize and manage severe
allergic conditions).

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- Fall '19