Who Should NOT Get Vaccinated with these Vaccines?

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of any vaccine that protects against tetanus, diphtheria, or pertussis, or has any severe, life-threatening allergies
• Has had a coma, decreased level of consciousness, or prolonged seizures within 7 days after a previous dose of any pertussis vaccine (DTP or DTaP)
• Has seizures or another nervous system problem
• Has ever had Guillain-Barré Syndrome (also called “GBS”)
• Has had severe pain or swelling after a previous dose of any vaccine that protects against tetanus or diphtheria 

In some cases, your child’s health care provider may decide to postpone DTaP vaccination until a future visit.

Children with minor illnesses, such as a cold, may be vaccinated. Children who are moderately or severely ill should usually wait until they recover before getting DTaP vaccine.

Your child’s health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of hepatitis A vaccine, or has any severe, life-threatening allergies 

In some cases, your health care provider may decide to postpone hepatitis A vaccination until a future visit.

Pregnant or breastfeeding people should be vaccinated if they are at risk for getting hepatitis A. Pregnancy or breastfeeding are not reasons to avoid hepatitis A vaccination.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting hepatitis A vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of hepatitis B vaccine, or has any severe, life-threatening allergies

In some cases, your health care provider may decide to postpone hepatitis B vaccination until a future visit.

Pregnant or breastfeeding people who were not vaccinated previously should be vaccinated. Pregnancy or breastfeeding are not reasons to avoid hepatitis B vaccination.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting hepatitis B vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of Hib vaccine, or has any severe, life-threatening allergies 

In some cases, your health care provider may decide to postpone Hib vaccination until a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting Hib vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of HPV vaccine, or has any severe, life-threatening allergies
• Is pregnant—HPV vaccine is not recommended until after pregnancy 

In some cases, your health care provider may decide to postpone HPV vaccination until a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting HPV vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of influenza vaccine, or has any severe, life-threatening allergies
• Has ever had Guillain-Barré Syndrome (also called “GBS”) 

In some cases, your health care provider may decide to postpone influenza vaccination until a future visit.

Influenza vaccine can be administered at any time during pregnancy. People who are or will be pregnant during influenza season should receive inactivated influenza vaccine.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting influenza vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Is younger than 2 years or older than 49 years of age
• Is pregnant. Live, attenuated influenza vaccine is not recommended for pregnant people
• Has had an allergic reaction after a previous dose of influenza vaccine, or has any severe, life-threatening allergies
• Is a child or adolescent 2 through 17 years of age who is receiving aspirin or aspirin- or salicylate-containing products
• Has a weakened immune system
• Is a child 2 through 4 years old who has asthma or a history of wheezing in the past 12 months
• Is 5 years or older and has asthma
• Has taken influenza antiviral medication in the last 3 weeks
• Cares for severely immunocompromised people who require a protected environment
• Has other underlying medical conditions that can put people at higher risk of serious flu complications (such as lung disease, heart disease, kidney disease like diabetes, kidney or liver disorders, neurologic or neuromuscular or metabolic disorders)
• Does not have a spleen, or has a non-functioning spleen
• Has a cochlear implant
• Has a cerebrospinal fluid leak (a leak of the fluid that surrounds the brain to the nose, throat, ear, or some other location in the head)
• Has had Guillain-Barré Syndrome within 6 weeks after a previous dose of influenza vaccine 

In some cases, your health care provider may decide to postpone influenza vaccination until a future visit.

For some patients, a different type of influenza vaccine (inactivated or recombinant influenza vaccine) might be more appropriate than live, attenuated influenza vaccine.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting influenza vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of MMR or MMRV vaccine, or has any severe, life-threatening allergies
• Is pregnant or thinks they might be pregnant—pregnant people should not get MMR vaccine
• Has a weakened immune system, or has a parent, brother, or sister with a history of hereditary or congenital immune system problems
• Has ever had a condition that makes him or her bruise or bleed easily
• Has recently had a blood transfusion or received other blood products
• Has tuberculosis
• Has gotten any other vaccines in the past 4 weeks 

In some cases, your health care provider may decide to postpone MMR vaccination until a future visit. 

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting MMR vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of MMRV, MMR, or varicella vaccine, or has any severe, life-threatening allergies
• Is pregnant or thinks they might be pregnant—pregnant people should not get MMRV vaccine
• Has a weakened immune system, or has a parent, brother, or sister with a history of hereditary or congenital immune system problems
• Has ever had a condition that makes him or her bruise or bleed easily
• Has a history of seizures, or has a parent, brother, or sister with a history of seizures
• Is taking or plans to take salicylates (such as aspirin)
• Has recently had a blood transfusion or received other blood products
• Has tuberculosis
• Has gotten any other vaccines in the past 4 weeks 

In some cases, your health care provider may decide to postpone MMRV vaccination until a future visit or may recommend that the child receive separate MMR and varicella vaccines instead of MMRV. 

People with minor illnesses, such as a cold, may be vaccinated. Children who are moderately or severely ill should usually wait until they recover before getting MMRV vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of meningococcal ACWY vaccine, or has any severe, life-threatening allergies 

In some cases, your health care provider may decide to postpone meningococcal ACWY vaccination until a future visit.

There is limited information on the risks of this vaccine for pregnant or breastfeeding people, but no safety concerns have been identified. A pregnant or breastfeeding person should be vaccinated if indicated. 

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting meningococcal ACWY vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of meningococcal B vaccine, or has any severe, life-threatening allergies
• Is pregnant or breastfeeding 

In some cases, your health care provider may decide to postpone meningococcal B vaccination until a future visit.

Meningococcal B vaccination should be postponed for pregnant people unless the person is at increased risk and, after consultation with their health care provider, the benefits of vaccination are considered to outweigh the potential risks.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting meningococcal B vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of any type of pneumococcal conjugate vaccine (PCV13, PCV15, PCV20, or an earlier pneumococcal conjugate vaccine known as PCV7), or to any vaccine containing diphtheria toxoid (for example, DTaP), or has any severe, life-threatening allergies 

In some cases, your health care provider may decide to postpone pneumococcal conjugate vaccination until a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover.

Your health care provider can give you more information.

Tell your vaccine provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of PPSV23, or has any severe, life-threatening allergies.

In some cases, your health care provider may decide to postpone PPSV23 vaccination to a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting PPSV23.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of polio vaccine, or has any severe, life-threatening allergies 

In some cases, your health care provider may decide to postpone polio vaccination until a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting polio vaccine.

Not much is known about the risks of this vaccine for pregnant or breastfeeding people. However, polio vaccine can be given if a pregnant person is at increased risk for infection and requires immediate protection.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of rotavirus vaccine, or has any severe, life-threatening allergies
• Has a weakened immune system
• Has severe combined immunodeficiency (SCID)
• Has had a type of bowel blockage called “intussusception”

In some cases, your child’s health care provider may decide to postpone rotavirus vaccination until a future visit.

Infants with minor illnesses, such as a cold, may be vaccinated. Infants who are moderately or severely ill should usually wait until they recover before getting rotavirus vaccine.

Your child’s health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of any vaccine that protects against tetanus or diphtheria, or has any severe, life-threatening allergies
• Has ever had Guillain-Barré Syndrome (also called “GBS”)
• Has had severe pain or swelling after a previous dose of any vaccine that protects against tetanus or diphtheria 

In some cases, your health care provider may decide to postpone Td vaccination until a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting Td vaccine.

Your health care provider can give you more information.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of any vaccine that protects against tetanus, diphtheria, or pertussis, or has any severe, life-threatening allergies
• Has had a coma, decreased level of consciousness, or prolonged seizures within 7 days after a previous dose of any pertussis vaccine (DTP, DTaP, or Tdap)
• Has seizures or another nervous system problem
• Has ever had Guillain-Barré Syndrome (also called “GBS”)
• Has had severe pain or swelling after a previous dose of any vaccine that protects against tetanus or diphtheria 

In some cases, your health care provider may decide to postpone Tdap vaccination until a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting Tdap vaccine.

Your health care provider can give you more information.

Tell your vaccine provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of adenovirus vaccine, or has any severe, life-threatening allergies.
• Has a weakened immune system.
• Is younger than 17 or older than 50 years.
• Is pregnant or nursing, or planning to become pregnant.
• Is unable to swallow the vaccine tablets whole without chewing them.
• Is currently experiencing vomiting or diarrhea.

In some cases, your health care provider may decide to postpone adenovirus vaccination to a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting adenovirus vaccine.

Virus from the vaccine can be shed in the stool for up to 28 days after vaccination. To minimize the risk of spreading vaccine virus to other people during this period, observe proper personal hygiene, such as frequent hand washing, especially following bowel movements. This is especially important if you have close contact with children 7 years of age and younger, with anyone having a weakened immune system, or with pregnant women.

Your health care provider can give you more information.

Tell your vaccine provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of anthrax vaccine, or has any severe, life-threatening allergies.
• Is pregnant or thinks she might be pregnant.
• Has a weakened immune system.
• Has a history of anthrax disease.

In some cases, your health care provider may decide to postpone anthrax vaccination to a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting anthrax vaccine.

If you are receiving the vaccine because you have been exposed to anthrax, tell your health care provider if you are not feeling well.  You might need immediate medical care.

Your health care provider can give you more information.

Tell your vaccine provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of cholera vaccine, or has any severe, life-threatening allergies.
• Is pregnant or breastfeeding, or thinks she might be pregnant.
• Has a weakened immune system or has close contacts (e.g., household contacts) with a weakened immune system.
• Has recently taken antibiotics.
• Is taking anti-malaria drugs, or plans to start taking them in the next 10 days.

In some cases, your health care provider may decide to postpone cholera vaccination to a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting cholera vaccine.

Your health care provider can give you more information.

Always wash your hands thoroughly after using the bathroom and before preparing or handling food. Cholera vaccine is a live, attenuated (weakened) vaccine which can be shed in stool for at least 7 days.

Tell your vaccination provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of rabies vaccine, or has any severe, life-threatening allergies
• Has a weakened immune system
• Is taking or plans to take chloroquine or a drug related to chloroquine
• Has received rabies vaccine in the past (your provider will need to know when you received any rabies vaccine doses in the past)

In some cases, your health care provider may decide to postpone routine (pre-exposure) rabies vaccination until a future visit. Or your health care provider may perform a blood test before or after rabies vaccines are given to determine your level of immunity against rabies.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting a routine (pre-exposure) dose of rabies vaccine.  If you have been exposed to rabies virus, you should get vaccinated regardless of concurrent illnesses, pregnancy, breastfeeding, or weakened immune system.

Your health care provider can give you more information.

Tell your vaccine provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of typhoid vaccine, or has any severe, life-threatening allergies.
• Has a weakened immune system.
• Is pregnant or breastfeeding, or thinks she might be pregnant.
• Is taking or has recently taken antibiotics or anti-malarial drugs.

In some cases, your health care provider may decide to postpone typhoid vaccination to a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting typhoid vaccine.

Your health care provider can give you more information.

Discuss your itinerary with your health care provider before you get your yellow fever vaccination. You can visit CDC’s Travelers’ Health website at https://wwwnc.cdc.gov/travel to learn if yellow fever vaccination is recommended or required based on your travel location.

Tell your vaccine provider if the person getting the vaccine:

• Has had an allergic reaction after a previous dose of yellow fever vaccine, or has any severe, life-threatening allergies.
• Has a weakened immune system.
• Has had their thymus removed or been diagnosed with a thymus disorder.
• Is pregnant or
• Has gotten any other vaccines in the past 4 weeks.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting yellow fever vaccine.

In some cases, your health care provider may decide to postpone yellow fever vaccination to a future visit.

If you cannot get yellow fever vaccine for medical reasons and you are traveling to a country with a yellow fever vaccination entry requirement, your doctor will need to fill out the Medical Contraindications to Vaccination section of your yellow card. In addition, your doctor should give you a waiver letter. If you plan to use a waiver, you can contact the embassies of countries you plan to visit for more information.