October 2009 Reprinted from www.aidsinfo.nih.gov En español
Recommended for all adults with HIV
HBV vaccine for hepatitis B virus (3 shots over 6 months)
Recommended unless there’s evidence of immunity or active hepatitis. Checking HBV antibody levels with a blood test should be done after completing series of shots. More shots may be needed if antibody levels are too low.
Influenza vaccine for flu (1 shot)
Must be given every year. Only injectable flu vaccine should be given to people with HIV. The nasal spray vaccine (FluMist/LAIV) should not be used. (For more information, read Project Inform’s publication, Flu Season and Living with HIV.)
PPSV vaccine for pneumonia (1 or 2 shots)
Should be given soon after HIV diagnosis, unless taken within past 5 years. If CD4 count is below 200 when the vaccine is given, another should be given when CD4 count is above 200. Repeat once after 5 years.
Td vaccine for lockjaw and diphtheria (1 shot)
Given every 10 years.
Tdap vaccine for lockjaw, diphtheria and pertussis (1 shot)
Recommended for adults 64 years old or younger and should be given in place of next Td booster. Can be given as soon as 2 years after last Td for health care workers and persons in close contact with babies under 12 months.
Recommended for some adults with HIV
HAV vaccine for hepatitis A virus (2 shots over 1 or 1.5 years)
Recommended for health care workers, men who have sex with men, injection drug users, people with chronic liver disease (including chronic hepatitis B or C), hemophiliacs and people traveling to certain parts of the world. (For more information, read Project Inform’s publication, Hepatitis A.)
HAV/HBV combined vaccine for hepatitis A and B (3 or 4 shots over 1 year)
Can be used in those who need both HAV and HBV immunization. (For more information, read Project Inform’s publication, Hepatitis A.)
Haemophilus influenzae type B for bacterial pneumonia (1 shot)
Adults with HIV and their health care providers should discuss whether this vaccine is needed.
HPV vaccine for human papillomavirus (3 shots over 6 months)
Recommended for females ages 9–26, but not recommended during pregnancy.
MMR vaccines for measles, mumps and German measles (1 or 2 shots)
People born before 1957 do not need to take this vaccine. HIV-positive adults with CD4 counts below 200, a history of AIDS-defining illness, or clinical symptoms of HIV should not get the MMR vaccine. Each part can be given separately if needed.
Meningococcal vaccine for bacterial meningitis (1 shot)
Recommended for college students, military recruits, people without spleen, and those traveling to certain parts of the world.
Varicella vaccine for chickenpox (2 shots over 4–8 weeks)
People born before 1980 do not need to take this. Recommended unless evidence of immunity or CD4 count is 200 or below. Not recommended during pregnancy.
Not recommended for adults with HIV
Anthrax vaccine for anthrax
Although the current anthrax vaccine is not a live vaccine, the Advisory Committee on Immunization Practices does not recommend routine anthrax vaccination.
Smallpox vaccine for smallpox
The current smallpox vaccine is a live viral vaccine. Some live vaccines are not recommended for people with HIV.
Zoster vaccine for shingles
Immunization for adults 60 years of age and older.