Table 4 Recommendations for vaccination of family members and for health care personnel.

From: Recommendations for vaccination in multiple myeloma: a consensus of the European Myeloma Network

Vaccine

Dose

Family member

Health care personnel

Supported by

Influenzae

One dose, assess response and repeat if insufficient (or use two doses without response assessment)

+++

+++

CDC

Hepatitis A

One dose, administer booster dose 6–36 months later

Only if traveling to endemic areas

+

 

Hepatitis B

One dose, assess response within 1–6 months, or administer three doses without assessment

If patient has active diseasea or plans traveling to endemic areas or has a sexual partner with chronic hepatitis B infection

+++

CDC

Pneumococci

PCV13 followed after ≥2 months by PV23

If age 65 years or older

If age 50 years or olderb

EMN

Meningococci

One dose with a booster every 5 years

Personnel handling

N. meningitis specimen

CDC

Varicella

Two doses 4 weeks apart

+++

If no preexisting immunity

CDC

Varicella zoster virus

Two doses of recombinant glycoprotein E

If age 65 years or older

If age 50 years or olderb

EMN

Diphtheria, tetanus, pertussis

One dose if not received in adulthood

Get booster ever 10 years (even if preexisting immunity)

+

If no preexisting immunity

+++

If no preexisting immunity

CDC

Mumps, measles, rubella

Two doses if no evidence of immunity

+

If no preexisting immunity

+++

If no preexisting immunity

CDC

  1. aHBV-DNA, HBs-AG, or HBe-Ag positive.
  2. bMay be considered, CDC Center of Disease Control, NCCN National Comprehensive Cancer Network, EMN European Myeloma Network, − not recommended, + recommended, +++ highly recommended.