PATEINTS ON CHEMOTHERAPY & IMMUNIZATIONS

 

PATIENTS MAY RECEIVE PNEUMOVAX AND FLU VACCINATION AS INDICATED

  • Efficacy of immunizations may be decreased in patients on chemotherapy.
  • Best time to give immunizations is right after the start of a cycle, when your blood counts are usually at their best.

AVOID CONTACT WITH CHILDREN THAT HAVE RECEIVED VACCINATION WITH LIVE VACCINES

  • If you are receiving chemotherapy, and may be exposed to young children who are being immunized, especially with live vaccines (oral polio, mumps, measles, rubella, varicella, yellow fever)—avoid contact as recommended.
  • If contact is unavoidable, discuss with the child’s pediatrician regarding possibility of delaying the immunization.
  • Some of the specific recommendations are as follows:
    • Polio (IPV or CPV):  Given at 2 months, 4 months, 6 months, 5 years/age
      1. If contact with child cannot be avoided, injectable (shot) polio vaccine is recommended instead of oral (mouth) polio because there is less risk to you with the injectable vaccine.
      2. If child received oral polio and you are receiving chemotherapy, you must avoid child for at least 8 weeks.
      3. Please advise your child’s pediatrician of this recommendation prior to giving polio vaccine as it is usually given orally (mouth).
    • Measle, mumps, rubella (MMR):     Given at 12 months, 5 years/age

If child received MMR and you are receiving chemotherapy, you must avoid the child for at least 28 days following injection of the vaccine.

  • Chicken pox vaccine (VZV): Given at 2 years, 12 years, or at the pediatrician’s                     discretion

If child received a chicken pox vaccine and you are receiving chemotherapy, you must avoid the child for at least 6 weeks following injection of the vaccine.

 

These precautions are for close family members where physical contact is close.  For further precautions outside of your family, avoid prolonged contact with children.

 

If you have any questions or concerns as vaccines are changing and being developed on a regular basis, please call us or the pediatrician.

 

 

 

Live/attenuated Vaccine Killed/recombinant/antigen only
BCG (Theracys, Tice)

 

Haemophilus B conjugate (ProHIBIT, Pedvax HIB, Comvax, ActHIB, OmniHIB, TriHIBit, HibTiter)
Measle Virus Vaccine Live (Attenuvax, M-R-Vax Hepatitis A (attenuated-inactivated/non-infectious) (Vaqta, Havrix)
Mumps Virus Vaccine Live (Mumpsvax, Biavax II) Hepatitis B (Recombivax, Engerix)

 

Rubella virus vaccine live (Meruvax II, M-R-Vax II, Biavax II) Influenza
MMR Japanese Encephalitis Vaccine Inactivated
Oral Polio (Orimune) Lyme Disease (Lymerix)
Smallpox Vaccine (Dryvax) Meningococcal Polysaccharide (Menomune)
Oral Typhoid (Vivotef Berma) Plague vaccine
Varicella Virus Vaccine Live (Varivax) Pneumococcal Vaccine (Pnu-Imune, Pneumovax)
Yellow Fever Vaccine (YF-Vax) Poliovirus Inactivated (IPOL)
  Rabies Virus Vaccine
  Typhoid inactivated/capsular (Typhim Vi, Typhoid vaccine)
  Cholera
  Tetanus-diptheria