| Vaccine | HIV/AIDS, Organ Transplantation, Severe Immunosuppressiona | Asplenia, Renal Failure, Alcoholism, and Alcoholic Cirrhosis |
|---|---|---|
| Live vaccines | ||
| BCG | Contraindicated | Use if indicated |
| Oral polio | Contraindicated | Use if indicated |
| Vaccinia | Contraindicated | Use if indicated |
| Typhoid, Ty21a | Contraindicated | Use if indicated |
| Yellow feverb | Contraindicated | Use if indicated |
| Killed or inactivated vaccines | ||
| Anthrax | Use if indicated | Use if indicated |
| Inactivated cholera | Use if indicated | Use if indicated |
| Inactivated polio | Use if indicated | Use if indicated |
| Japanese encephalitis | Use if indicated | Use if indicated |
| Plague | Use if indicated | Use if indicated |
| Typhoid, inactivated | Use if indicated | Use if indicated |
| Rabies | Use if indicated | Use if indicated |
a Severe immunosuppression can be the result of congenital immunodeficiency, HIV infection, leukemia, lymphoma, aplastic anemia, generalized malignancy, or therapy with alkylating agents, antimetabolites, radiation, large amounts of corticosteroids, or TNF-alpha blockers.
b Yellow fever vaccine should be considered for patients when exposure to yellow fever cannot be avoided.