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Vaccines
Vaccines for kidney patients and transplant recipients: which are OK?
"No vaccines after transplant" is a myth — only live vaccines are off-limits; the rest matter even more.
- 1Kidney disease and dialysis weaken immunity, and infection is a leading cause of hospitalisation; guidelines advise influenza (yearly), pneumococcal, hepatitis B and COVID-19 vaccination.
- 2After transplant, live attenuated vaccines are contraindicated: MMR, varicella, the older live zoster vaccine, yellow fever, nasal-spray influenza.
- 3Inactivated vaccines can and should be given: injectable influenza, pneumococcal, hepatitis B, COVID-19, tetanus — usually starting 3–6 months after transplant.
- 4Shingles: the recombinant (non-live) zoster vaccine can be used in immunocompromised adults; CDC recommends it for immunocompromised people aged ≥19 — ask your transplant team about timing.
- 5Best to complete vaccines before transplant or dialysis (the weaker the kidneys, the weaker the response); vaccinating household members adds another layer of protection.
Bring your vaccination record and ask: "What am I missing, and which ones must I avoid?"
Legenda (pronta para colar)
"No vaccines after transplant" is a myth — only live vaccines are off-limits; the rest matter even more. 1. Kidney disease and dialysis weaken immunity, and infection is a leading cause of hospitalisation; guidelines advise influenza (yearly), pneumococcal, hepatitis B and COVID-19 vaccination. 2. After transplant, live attenuated vaccines are contraindicated: MMR, varicella, the older live zoster vaccine, yellow fever, nasal-spray influenza. 3. Inactivated vaccines can and should be given: injectable influenza, pneumococcal, hepatitis B, COVID-19, tetanus — usually starting 3–6 months after transplant. 4. Shingles: the recombinant (non-live) zoster vaccine can be used in immunocompromised adults; CDC recommends it for immunocompromised people aged ≥19 — ask your transplant team about timing. 5. Best to complete vaccines before transplant or dialysis (the weaker the kidneys, the weaker the response); vaccinating household members adds another layer of protection. Bring your vaccination record and ask: "What am I missing, and which ones must I avoid?" Fontes: Danziger-Isakov L, Kumar D; AST ID Community of Practice. Vaccination of solid organ transplant candidates and recipients — Clin Transplant 2019;33:e13563; KDIGO 2024 CKD Guideline — Kidney Int 2024;105(4S):S117–S314; CDC/ACIP — Recombinant zoster vaccine for immunocompromised adults ≥19 y — MMWR 2022;71:80–84 Verificado em: 2026-10-16 Os cards e roteiros são informações gerais de educação em saúde, organizadas a partir de diretrizes clínicas públicas. Eles não são aconselhamento médico individual e não substituem a avaliação do seu médico, farmacêutico ou nutricionista. Ao compartilhar, mantenha as fontes e este aviso; esta página traz a versão mais atual. https://beyondckd.com/pt/cards/vaccines-ckd-transplant
Roteiro de vídeo curto de 60 segundos
Lista de cenas e narração. Vertical 9:16; legendas recomendadas no terço inferior. Cada fala corresponde às fontes na coluna da esquerda.
| s | Tela | Narração |
|---|---|---|
| 0–5 | Vaccine vial + question mark | No vaccines after a transplant? Actually, it is the opposite. |
| 5–16 | Shield icons: flu, pneumococcal, hep B, COVID | Kidney disease and dialysis weaken immunity, and infection is a leading cause of hospital stays. Guidelines advise flu, pneumococcal, hepatitis B and COVID-19 vaccines. |
| 16–27 | Red ✗: MMR, varicella, live zoster, yellow fever, nasal flu | What you really must avoid after transplant are live attenuated vaccines: MMR, chickenpox, the older live shingles vaccine, yellow fever, nasal-spray flu. |
| 27–37 | Green ✓: injectable flu, pneumococcal, hep B, COVID; "after 3–6 months" | Inactivated vaccines can and should be given: injectable flu, pneumococcal, hepatitis B, COVID-19, tetanus — usually from three to six months after transplant. |
| 37–46 | "Recombinant zoster vaccine (non-live)" | For shingles there is a recombinant, non-live vaccine. CDC recommends it for immunocompromised adults nineteen and over. Ask your transplant team about timing. |
| 46–55 | Timeline: complete before transplant; household too | Best to complete them before transplant or dialysis — the weaker the kidneys, the weaker the response. Vaccinate the household too for an extra layer. |
| 55–60 | Site logo + URL + QR | Bring your record and ask: what am I missing? More at Beyond CKD. |
Fontes (cada ponto do card corresponde a uma)
- Danziger-Isakov L, Kumar D; AST ID Community of Practice. Vaccination of solid organ transplant candidates and recipients — Clin Transplant 2019;33:e13563
- KDIGO 2024 CKD Guideline — Kidney Int 2024;105(4S):S117–S314
- CDC/ACIP — Recombinant zoster vaccine for immunocompromised adults ≥19 y — MMWR 2022;71:80–84
Verificado em: 2026-10-16