Table 4.

Whether to give or defer non–live attenuated vaccinations in patients taking glucocorticoids regardless of disease activity

	Influenza vaccination	Other non–live attenuated vaccinations
Prednisone ≤10 mg daily*	Give	Give
Prednisone >10 mg and <20 mg*	Give	Give
Prednisone ≥20 mg daily*	Give	Defer†

= Strong recommendation.

= Conditional recommendation.

^*Or the equivalent dose of any other glucocorticoid formulation, or the equivalent pediatric dose.

^†Defer vaccination until glucocorticoids are tapered to the equivalent of prednisone <20 mg daily.