Table 1.

Vaccine recommendations for CKD and KT patients [1–12]

Vaccine	Type	Safe pre-transplant1	Safe post-transplant	Clinical response monitoring
Influenzaa	I (intradermal)	Yes	Yes	No
Influenza	LAIV (intranasal)	Yes	No	No
Hepatitis Bb	I	Yes	Yes	Yes
Hepatitis A	I	Yes	Yes	Yes
Tetanus/diphtheria	I	Yes	Yes	No
Pertussis	I	Yes	Yes	No
Measles, mumps, rubella	LAIV	Yes	No	Yes
Varicella	LAIV	Yes	No	Yes
Zoster (Zostavax)c	LAIV	Yes	No	No
Zoster (Shingrix)c	I	Yes	--	No
Pneumococcal (PCV13)	I	Yes	Yes	No
Pneumococcal (PPSV23)	I	Yes	Yes	No
Meningococcus	I	Yes	Yes	No
Human papillomavirus virus	I	Yes	Yes	No
Poliod (IPV)	I	Yes	Yes	No
Haemophilus influenza	I	Yes	Yes	No
Rabies	I	Yes	Yes	Yes
Typhoid ViCPS (Typhim Vi, Sanofi Pasteur)	I (intradermal)	Yes	Yes	No
Typhoid Ty21a (Vivotif, Swiss PaxVax)	LAIV (oral)	Yes	No	No
Cholera	LAIV	Yes	No	No
Japanese encephalitis	I	Yes	Yes	No
Yellow fever	LAIV	Yes	No	No

I, inactivated vaccine; LAIV, live attenuated vaccine

¹When indicated vaccination series are preferred to be completed prior to transplantation to increase efficacy

^aInfluenza higher dose influenza vaccination should be considered for transplant recipients

^bHepatitis B vaccine both HD patients and KT patients should receive the higher dose vaccine at 40 mcg of HBV surface antigen for Recombivax HB or Engerix-B

^cShingrix is the preferred Zoster vaccine per ACIP recommendation

^dPolio IPV only polio vaccine licensed for adults available in the USA