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Guide to Contraindications and Precautions to Commonly ...

Guide to Contraindications and Precautions to Commonly Used Vaccines1,*. Vaccine Contraindications Precautions Hepatitis B (HepB) Severe allergic reaction ( , anaphylaxis) after a previ- Moderate or severe acute illness with or without fever ous dose or to a vaccine component Infant weighing less than 2000 grams (4 lbs, oz)2. Hypersensitivity to yeast Rotavirus Severe allergic reaction ( , anaphylaxis) after a previ- Moderate or severe acute illness with or without fever (RV5 [RotaTeq], ous dose or to a vaccine component Altered immunocompetence other than SCID. RV1 [Rotarix]) Severe combined immunodeficiency (SCID) Chronic gastrointestinal disease3. History of intussusception Spina bifida or bladder exstrophy3. Diphtheria, tetanus, Severe allergic reaction ( , anaphylaxis) after a previ- Moderate or severe acute illness with or without fever pertussis (DTaP) ous dose or to a vaccine component Guillain-Barr syndrome (GBS) within 6 weeks after a previous dose of teta- For pertussis-containing vaccines: Encephalopathy nus toxoid-containing vaccine Tetanus, diphtheria, ( , coma, decreased level of consciousness, pro- History of Arthus-type hypersensitivity reactions after a previous dose of per)

Providers should consult ACIP recommendations for complete informa-tion on the use of specific live vaccines among persons on immune-suppressing medications or with immune suppression because of other reasons. 6. HIV-infected children 5 years of age or younger should receive measles vaccine if …

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