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. 2021 Jun 29;10(13):2877. doi: 10.3390/jcm10132877

Table 3.

Basic rules and timing of vaccination against COVID-19 in transplant recipients and candidates—summary based on references [30,31,32,33,34,35]. Abbreviations: aHUS, atypical haemolytic uremic syndrome; AR, acute rejection; ASTS, American Society of Transplant Surgeons; IS, immunosuppression; Tx, transplant.

(1) Candidates for solid organ transplantation on a waiting list should be vaccinated before transplantation
(2) Patients after Tx should be vaccinated if there are no strong contraindications
(3) COVID-19 vaccination of patients early after Tx with standard IS regiment should be deferred for +/− 3–6 months after Tx (1 month in Poltransplant recommendation)
(4) COVID-19 vaccination of patients early after Tx with IS regiment consisting of T cell ablative therapy should be deferred for +/− 3–6 months after Tx
(5) After treatment of AR, vaccination should be deferred +/− 1 month
(6) COVID-19 vaccination of patients after Tx who underwent B cell ablative therapy (RTX) should be deferred for +/− 3–6 months and B cell screen should be performed (count of B cells in peripheral blood sample)
(7) mRNA vaccines are considered not to increase the risk of AR; however, there is lack of evidence of immunoresponsiveness for vaccination in patients after Tx
(8) Patients with aHUS and kidney transplant on eculizumab should be vaccinated against COVID-19
(9) There is lack of recommendations for vector based vaccines; however, the ASTS underlines that up to now, they have not recommended live viral vector vaccines for transplant patients