Common vaccine administration, including consent and delivery
Vaccine types - the distinction that drives every decision
| Type | Examples | Key rule |
|---|---|---|
| Live attenuated | MMR, varicella, zoster (Zostavax), yellow fever, oral typhoid, BCG, rotavirus, live attenuated influenza | *Contraindicated in significant immunosuppression and in pregnancy* |
| Inactivated / subunit / toxoid | dTpa, polio (IPV), hepatitis A and B, HPV, influenza, pneumococcal conjugate and polysaccharide, meningococcal, Shingrix (recombinant zoster), Hib, rabies, Q fever, JE (inactivated) | Safe in immunosuppression and pregnancy - response may be reduced |
| mRNA / viral vector | COVID-19 | Not live; safe in immunosuppression |
- *"Zoster vaccine" is ambiguous - Zostavax is LIVE, Shingrix is recombinant and non-live.* Shingrix is now the preferred and funded product and is the one safe in immunocompromised adults
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