|no childhood vaccinations
Feb 11, 2001
I have just learned that I am HIV+ and that I have full blown AIDS (CD4 count 113 and Viral Load at 236,000) I have started Zerit, empivar, and Kalestra, as well as sulfate to prevent pneumonia. (Being at work, I may be off on these names) I have no symptoms. It occurred to me today that I have had virtually no childhood immunizations due to my parents religious beliefs. I am 38. I did have an oral Polio vaccine back in the late 70's when there was an outbreak in their church. I have just gotten a Hep A vaccine and I had a case of Hep B back about 6 years ago. Is there any other vaccinations I should have? Is there any danger if my memory is wrong and I have had another vaccination or two during my "rebellious" teen years?? Thanks for your help
| Response from Dr. Pavia
There is no real risk to getting vaccinated again, just because you may have been vaccinated as a teenager.
All people with HIV should get the pneumonia vaccine (pneumovax) and an annual flu shot is a good idea. Hep A vaccine, and if you never had the disease, Hep B vaccine are recommended. If you were never vaccinated against measles, it is a good idea, but you should probably wait until your T cell count goes up to well above 200, since it is a live vaccine. The risk of complications is low, but would be a lot lower once your immune system improves (say in about a year), especially if there are no outbreaks in your area. If you never had a tetanus vaccine, at least one dose of it (Td) is a good idea, since any puncture wound with dirt in it can potentially cause tetanus.
Thanks for the question.
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