Fast Five Quiz: Herpes Zoster Prevention in Adults Who Are Immunocompromised

Heidi Moawad, MD


May 04, 2023

According to the Canadian Immunization Guide, the HZ live attenuated vaccine is contraindicated in patients with primary and acquired immunocompromised states; however, the HZ recombinant inactivated vaccine may be considered for patients who are immunocompromised and > 50 years of age on a case-by-case basis.

The live attenuated vaccine for HZ is contraindicated for minor B-cell deficiency and innate immune defects. Use of low-dose corticosteroids is usually not a contraindication for the live HZ vaccine.

Learn more about HZ vaccination requirements.


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