Contents

21 Varicella (chickenpox)

21.6 Contraindications and precautions

21.6.1 Contraindications

See section 1.4 for general contraindications for all vaccines.

Monovalent VV and MMRV vaccine are contraindicated for the following people:

There is also a relative contraindication for children on salicylates: because of the association between Reye syndrome, natural varicella infection and salicylates, the vaccine manufacturers advise against the use of salicylates for six weeks after varicella vaccine is given. There has been no reported association between the vaccine and Reye syndrome, but avoidance of salicylates is recommended as a precaution,24 and physicians need to weigh the theoretical risk of Reye syndrome from the vaccine against the known risk from varicella disease in children receiving long-term salicylate therapy.

See also section 11.6.1 for contraindications to MMR vaccines.

21.6.2 PrecautionsTop

On the advice of their specialist, varicella vaccine may be administered to:

For suggested intervals between receipt of human normal immunoglobulin or other blood products and varicella vaccine, see Table 1.3.

See also section 11.6.2 for precautions to MMR vaccines.