There are some people who have never had chickenpox or the chickenpox vaccine. That means there is a possibility you can get the flu virus if you are exposed to their urine or feces during this period. It is important to know that if a family members receives this intranasal vaccine, they will shed virus for up to one week after the vaccination. The flu vaccine is also available as an intranasal spray, Flu Mist, which should not be used in people with MS since it is a live vaccine. The injectable flu vaccine has been studied extensively in people with MS and is considered safe for people getting a DMT for their MS. Flu vaccines are important because flu is common, can be unpleasant, and can be fatal. One of the most important vaccines is the influenza (flu) vaccine. It is recommended that you then wait one month after your last VZV immunization to let the vaccine work before starting fingolimod therapy. If immunity is not demonstrated by elevated VZV antibody levels, you will need the chicken pox (two-step) vaccination before starting fingolimod. Fingolimod (Gilenya) might increase the risk of a potentially life-threatening varicella zoster (VZV infections) so your provider will generally check for VZV antibodies before initiating fingolimod therapy. It is important to be up to date on your vaccinations before starting a disease modifying therapy (DMT) for your MS. They may contain (1) live viruses that have been attenuated (weakened or altered making them unable to cause illness) (2) inactivated or killed organisms or viruses (3) inactivated toxins (for bacterial diseases where toxins generated by the bacteria, and not the bacteria themselves, cause illness), such vaccines are more stable and safer than live vaccines or (4) merely segments of the pathogen (this includes both subunit and conjugate vaccines). Vaccines are made using several different processes. Let’s look at what vaccines are, who needs them, and some common questions or concerns people have about vaccines. Currently, there are vaccines available to protect children and adults against at least 17 serious diseases. Vaccines protect us from diseases without us having to experience the actual disease. Many questions come up when discussing the importance of vaccines for maintaining our health. ![]() Vaccines have been the focus of the news lately. Vaccines and Multiple Sclerosis: A Practical Guide VA Software Documentation Library (VDL). ![]()
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