Revision as of 19:43, 9 December 2007

Prior to administration of vaccinations of children and adults, patients need be screened for potential contraindications and precautions. To minimize risk from vaccine administration, the Centers for Disease Control and Prevention (CDC) have release a report which delinates such situations.

Situations that may warrant precautions or contraindications to vaccine administration:

• Anaphylactic allergies
  • (e.g., allergies to eggs (influenza))
• Anaphylactic reaction to previous dose of any vaccine
• Anthrax (prior infection)
• Antimicrobial therapy (current)
• Eczema or atopic dermatitis in patient or household contact
• Guillian-Barré Syndrome, history of
• Hematopoietic stem cell transplant
• HIV (in recipient)
• Immune globulin (IG) administration, recent
• Illness (moderate to severe acute illness, fever, otitis, diarrhea, vomiting)
• Immunodeficiency:
  • Family history
  • In household contact
  • In recipient
• Neurologic disorder
• Pregnancy:
  • In mother or household contact of recipient
  • In recipient
• Reaction to previous vaccine dose
• Skin condition (acute, chronic or exfoliative)
• Thrombocytopenic purpura

Source: The CDC Contraindication and Vaccine Guide [1]

Contraindications by vaccine are also available. [2]

Other references:

Atkinson WL, et al. General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP). MMWR Feb 8 2002; 51(RR02):1-36[3]