Who Should NOT Get Vaccinated with these Vaccines?

Because of age, health conditions, or other factors, some people should not get certain vaccines or should wait before getting them. Read the guidelines below for each vaccine.

Regularly Recommended Vaccines

Some children should not get DTaP vaccine or should wait.

DTaP is only for children younger than 7 years old. DTaP vaccine is not appropriate for everyone – a small number of children should receive a different vaccine that contains only diphtheria and tetanus instead of DTaP.

Tell your health care provider if your child:

  • Has had an allergic reaction after a previous dose of DTaP, or has any severe, life-threatening allergies.
  • Has had a coma or long repeated seizures within 7 days after a dose of DTaP.
  • Has seizures or another nervous system problem.
  • Has had a condition called Guillain-Barré Syndrome (GBS).
  • Has had severe pain or swelling after a previous dose of DTaP or DT vaccine.

In some cases, your health care provider may decide to postpone your child’s DTaP vaccination to 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 health care provider can give you more information.

This information was taken directly from the DTaP VIS

Some people should not get this vaccine.

Tell the person who is giving you the vaccine:

  • If you have any severe, life-threatening allergies.
    If you ever had a life-threatening allergic reaction after a dose of hepatitis A vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get vaccinated. Ask your health care provider if you want information about vaccine components.
  • If you are not feeling well.
    If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.

This information was taken directly from the Hepatitis A VIS.

Talk with your health care provider.

Tell your vaccine 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 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 hepatitis B vaccine.

Your health care provider can give you more information.

This information was taken directly from the Hepatitis B VIS.

Some people should not get this vaccine.

Tell your vaccine 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 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 Hib vaccine.

Your health care provider can give you more information.

This information was taken directly from the Hib VIS

Some people should not get this vaccine.

Tell your vaccine 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.

In some cases, your health care provider may decide to postpone HPV 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 HPV vaccine.

Your health care provider can give you more information.

This information was taken directly from the HPV (Human Papillomavirus) VIS

Talk with your health care provider.

Tell your vaccine 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 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 influenza vaccine.

Your health care provider can give you more information.

This information was taken directly from the Inactivated Influenza VIS

Talk with your health care provider.

Tell your vaccine provider if the person getting the vaccine:

  • Is younger than 2 years or older than 49 years of age.
  • Is pregnant.
  • 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-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.
  • Has taken influenza antiviral medication in the previous 48 hours.
  • Cares for severely immunocompromised persons who require a protected environment.
  • Is 5 years or older and has asthma.
  • Has other underlying medical conditions that can put people at higher risk of serious flu complications (such as lung disease, heart disease, kidney disease, kidney or liver disorders, neurologic or neuromuscular or metabolic disorders).
  • 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 to 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.

This information was taken directly from the Live Influenza VIS

Talk with your health care provider.

Tell your vaccine 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 she might be pregnant.
  • 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 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 MMR vaccine.

Your health care provider can give you more information.

This information was taken directly from the MMR VIS

Talk with your health care provider.

Tell your vaccine 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 she might be pregnant.
  • 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 to 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.

This information was taken directly from the MMRV VIS

Talk with your health care provider.

Tell your vaccine 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 to a future visit.

Not much is known about the risks of this vaccine for a pregnant woman or breastfeeding mother. However, pregnancy or breastfeeding are not reasons to avoid meningococcal ACWY vaccination. A pregnant or breastfeeding woman should be vaccinated if otherwise 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.

This information was taken directly from the Meningococcal ACWY Vaccines VIS

Talk with your health care provider.

Tell your vaccine 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 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 meningococcal B vaccine.

Your health care provider can give you more information.

This information was taken directly from the Meningococcal B VIS.

Some people should not get this vaccine.

Tell your vaccine provider if the person getting the vaccine:

  • Has had an allergic reaction after a previous dose of PCV13, to 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 PCV13 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 PCV13 .

Your health care provider can give you more information.

This information was taken directly from the PCV13 VIS

Some people should not get this vaccine.

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.

This information was taken directly from the PPSV VIS

Some people should not get this vaccine.

Tell your vaccine 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 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 polio vaccine.

Your health care provider can give you more information.

This information was taken directly from the IPV VIS.

Some babies should not get this vaccine.

Tell your vaccine 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 to 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.

This information was taken directly from the Rotavirus VIS

Some people should not get this vaccine.

  • A person who has ever had a life-threatening allergic reaction after a previous dose of any tetanus or diphtheria containing vaccine, OR has a severe allergy to any part of this vaccine, should not get Td vaccine. Tell the person giving the vaccine about any severe allergies.
  • Talk to your doctor if you:
    • had severe pain or swelling after any vaccine containing diphtheria or tetanus,
    • ever had a condition called Guillain Barré Syndrome (GBS),
    • aren’t feeling well on the day the shot is scheduled.

This information was taken directly from the Td VIS

Some people should not get this vaccine.

  • A person who has ever had a life-threatening allergic reaction after a previous dose of any diphtheria, tetanus or pertussis containing vaccine, OR has a severe allergy to any part of this vaccine, should not get Tdap vaccine. Tell the person giving the vaccine about any severe allergies.
  • Anyone who had coma or long repeated seizures within 7 days after a childhood dose of DTP or DTaP, or a previous dose of Tdap, should not get Tdap, unless a cause other than the vaccine was found. They can still get Td.
  • Talk to your doctor if you:
    • have seizures or another nervous system problem,
    • had severe pain or swelling after any vaccine containing diphtheria, tetanus or pertussis,
    • ever had a condition called Guillain Barré Syndrome (GBS),
    • aren’t feeling well on the day the shot is scheduled.

This information was taken directly from the Tdap VIS

Talk with your health care provider.

Tell your vaccine provider if the person getting the vaccine:

  • Has had an allergic reaction after a previous dose of varicella vaccine, or has any severe, life-threatening allergies.
  • Is pregnant, or thinks she might be pregnant.
  • Has a weakened immune system, or has a parent, brother, or sister with a history of hereditary or congenital immune system problems.
  • Is taking 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 varicella 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 varicella vaccine.

Your health care provider can give you more information.

This information was taken directly from the Varicella VIS

Some people should not get shingles vaccine or should wait.

Tell your vaccine provider if the person getting the vaccine:

  • Has had an allergic reaction after a previous dose of live shingles vaccine or varicella vaccine, or has any severe, life-threatening allergies.
  • Has a weakened immune system.
  • Is pregnant or thinks she might be pregnant.
  • Is currently experiencing an episode of shingles.

In some cases, your health care provider may decide to postpone shingles 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 live shingles vaccine.

Your health care provider can give you more information.

This information was taken directly from the Live Shingles VIS

Some people should not get shingles vaccine or should wait.

Tell your vaccine provider if the person getting the vaccine:

  • Has had an allergic reaction after a previous dose of recombinant shingles vaccine, or has any severe, life-threatening allergies.
  • Is pregnant or breastfeeding.
  • Is currently experiencing an episode of shingles.

In some cases, your health care provider may decide to postpone shingles 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 recombinant shingles vaccine.

Your health care provider can give you more information.

This information was taken directly from the Recombinant Shingles VIS

Travel & Special Circumstance Vaccines

Some people should not get adenovirus vaccine:

  • Anyone with a severe (life-threatening) allergy to any component of the vaccine. Tell the doctor if you have any severe allergies.
  • Pregnant women or nursing mothers.
  • Anyone who is unable to swallow the vaccine tablets whole without chewing them.
  • Anyone younger than 17 or older than 50 years of age.

Other precautions:

  • Talk with a doctor if:
    • you have HIV/AIDS or another disease that affects the immune system, or
    • your immune system is weakened because of cancer or other medical conditions, a transplant, or radiation or drug treatment (such as steroids or cancer chemotherapy).
  • Women should not become pregnant for 6 weeks following vaccination.
  • Vaccination should be postponed for anyone with vomiting or diarrhea.
  • 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.

Note: Adenovirus vaccine is approved for use only among military personnel.

This information was taken directly from the Adenovirus VIS

Some people should not get anthrax vaccine.

Tell your vaccine provider if you:

  • Have any severe, life-threatening allergies. A person who has ever had a life-threatening allergic reaction after a dose of anthrax vaccine, or has a severe allergy to any part of this vaccine, may be advised not to be vaccinated. Ask your health care provider to explain the components of the vaccine. 
  • Are pregnant, or think you might be pregnant. Vaccination is not routinely recommended for pregnant women, but may be recommended for pregnant women who have been exposed to anthrax. 
  • Are not feeling well. If you are receiving the vaccine because you are at risk of exposure to anthrax bacteria and have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise.

    If you are receiving the vaccine because you have been exposed to anthrax and are not feeling well, you should seek medical care immediately.

This information was taken directly from the Anthrax VIS

Some people should not get this vaccine or should wait

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.

This information was taken directly from the Cholera VIS

 Tell your vaccine provider if the person getting the vaccine:

Tell your vaccine provider if the person getting the vaccine:

  • Has had an allergic reaction after a previous dose of JE vaccine, or has any severe, life-threatening allergies.
  • Is pregnant. Pregnant women should usually not get JE vaccine.
  • Will be traveling for fewer than 30 days and only traveling to urban areas. You might not need the vaccine.

In some cases, your health care provider may decide to postpone JE 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 JE vaccine.

Your health care provider can give you more information.

This information was taken directly from the Japanese Encephalitis VIS

Talk with a doctor before getting rabies vaccine if you:

  1. ever had a serious (life-threatening) allergic reaction to a previous dose of rabies vaccine, or to any component of the vaccine; tell your doctor if you have any severe allergies,
  2. have a weakened immune system because of:
    • HIV/AIDS or another disease that affects the immune system,
    • treatment with drugs that affect the immune system, such as steroids,
    • cancer, or cancer treatment with radiation or drugs.

If you have a minor illnesses, such as a cold, you can be vaccinated. If you are moderately or severely ill, you should probably wait until you recover before getting a routine (non-exposure) dose of rabies vaccine.

If you have been exposed to rabies virus, you should get the vaccine regardless of any other illnesses you may have.

This information was taken directly from the Rabies VIS

This medication guide replaces the Smallpox VIS. It is to be used before one receives the vaccination. Medical Guide for vaccination with ACAM2000 pdf icon[6 pages]external icon (10/1/09)

Some people should not get typhoid vaccine or should wait.

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.

This information was taken directly from the Typhoid VIS

Who should not get the yellow fever vaccine?

  • Anyone with a severe (life-threatening) allergy to any component of the vaccine, including eggs, chicken proteins, or gelatin, or who has had a severe allergic reaction to a previous dose of yellow fever vaccine should not get yellow fever vaccine. Tell your doctor if you have any severe allergies.
  • Infants younger than 6 months of age should not get the vaccine.
  • Tell your doctor if:
    • You have HIV/AIDS or another disease that affects the immune system.
    • Your immune system is weakened as a result of cancer or other medical conditions, a transplant, or radiation or drug treatment (such as steroids, cancer chemotherapy, or other drugs that affect immune cell function).
    • Your thymus has been removed or you have a thymus disorder, such as myasthenia gravis, DiGeorge syndrome, or thymoma.

    Your doctor will help you decide whether you can receive the vaccine.

  • Adults 60 years of age and older who cannot avoid travel to a yellow fever area should discuss vaccination with their doctor. They might be at increased risk for severe problems following vaccination.
  • Infants 6 through 8 months of age, pregnant women, and nursing mothers should avoid or postpone travel to an area where there is risk of yellow fever. If travel cannot be avoided, discuss vaccination with your doctor.

If you cannot get the vaccine for medical reasons, but require proof of yellow fever vaccination for travel, your doctor can give you a waiver letter if he considers the risk acceptably low. If you plan to use a waiver, you should also contact the embassy of the countries you plan to visit for more information.

This information was taken directly from the Yellow Fever VIS

Page last reviewed: August 15, 2019