Table 4.
Issues to Consider: Vaccination of Stem Cell Transplant Patients
| Most cases of viremia caused by reactivation from recipient |
| The donor is not irrelevant |
| Adoptive transfer of natural immunity |
| Adoptive transfer also achieved by immunization of donor |
| Vaccine given to recipient is recognized by donor cells after engraftment |
| Distinguish between studies giving vaccine to donor, or recipient, or both |