Every announcement made by every federal agency is posted in The Federal Register, the daily journal of the national government, which is published by the National Archives and Records Administration on every business day. This is where all proposed rules, changes to laws, or notices of interest to the general public are published.

It is a lot to slog through - believe me - but if the CDC put out an advisory, it MUST be in The Federal Register.

when her children got their vaccines, so he wasn't aware of it -- and different auto-immune diseases run in our family.

It really should be more the doctors' job to keep up with these things, rather than the parents, right?

The fact that the children didn't have a reaction at the time isn't all that reassuring, since auto-immune diseases can take years before they appear. I wish I knew what research was behind this. Are they worried about short-term reactions, long term risks, or what?

What's done is done. But maybe some other DU parents, if they see this, will know to ask their doctors before their baby has the vaccine, rather than afterwards.

Still it's important for people to know about this, and I agree the advice is vague.

when a grandson got it, but maybe I missed it.

His mother has an auto immune condition, and I have a different one, so . . .

and I get all my vaccines (flu shot every year and booster for Tetanus last year).

My daughter has received all her vaccines on schedule. (Though she hasn't had flu vaccine this year.)

I think the notice is for more severe issues.

Since she has no allergies to any of the ingredients, I'm happy with contributing to herd immunity and also happy that she will have protection against some serious illnesses. A bout of a thyroid disorder or out autoimmune disorders is less scary than some Pertussis in a child. Small pox. Polio.

If a sibling has a compromised immune system due to a genetic factor, a new sibling might also have that factor.

This is a reminder that doctors already know

The CDC's information page also lists brain damage as a possible reaction:

"Risks of a vaccine reaction: After MMR vaccination, a person might experience. . . . Long-term seizures, coma, or lowered consciousness; Brain damage"

https://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html?fbclid=IwAR1AnckUqlkWcnOtM5pCGaCwgaDXVFB3Nl5PnDLWdD79obOdsi2sAI7R_FU

I wonder how many physicians share this with their patients?

It’s because it’s a live virus as opposed to dead virus like other vaccines.

My grandson had the vaccine less than a year ago, and his mother and I have different auto-immune diseases.

regards if the patient is immunocompromised, along with other possible contradictions.

Has your grandson been diagnosed as having an autoimmune disease?

If your grandson has an autoimmune disease, but there are no symptoms, and no evidence of him being immunocompromised, it still might be prudent to consider the vaccine verses the risk of not having it since the time may occur when the disease progress to a point where he needs one of the metabolic or biologic drugs in a few years. Being on those class of drugs would definitely be a contradiction to having the live vaccine, but not a vaccine which isn't live.

Since your grandson had the MMR vaccine over a year ago, and I assume did not get ill from that vaccine, most likely means his immune system handled it fine.

I suspect if he is given the test to see if he had antibodies to MMR, they would show up, which would mean his immune system did exactly what it was suppossed to do

The warning is about children with a parent or brother or sister with a non-specific immune system disease.

My grandson doesn't, but his mother and I have been (with different diseases). I just think doctors need to be more aware of this. Auto immune diseases can take years to develop and they still don't know what triggers them most of the time.

I think my grandchildren will be fine, but I also think doctors should be aware of what appears to be a new recommendation and they should give parents a heads up, and more specific information.

The problem is, insurance won’t cover that test. It’s cheaper to just hit everyone with the vaccine than to test and find out if the individual has a normal or abnormal response to having had one in the past! And when people get tested at their own expense, more are finding that they didn’t have a normal immune response than was ever suspected.

“I suspect he would have the antibodies” is not good enough. Especially for anything that is being made mandatory, doctors and the government have a responsibility to be sure it’s safe appropriate for everyone they give it to.

insurance

No drug would, so that's not a realistic bar to set for vaccines.

a live vaccine can be a risk factor for a household contact (i.e. a parent or sibling) with immune-compromise, because they can get the virus from the vaccine. This is extremely rare and occurs in people with AIDS (not just HIV), those on major chemotherapy, the extremely elderly or non-breast fed newborns. Every time a vaccine is given, there is a consent form from the vaccine manufacturer that is signed by the parents. Hopefully a nurse or doctor goes over it with the parents, but I do realize that this does not always happen. In most practices, the physician knows the family structure and who lives at home with the patient.

Years ago, we had two un-immunized elderly relatives (who had lived in an isolated rural area), so we decided to get our baby vaccinated with the killed polio vaccine instead of the live vaccine the doctors were still pushing. We couldn't get the killed vaccine injection at our doctor's office, but I called around and found out that we could get it at the health department, so we went there for the initial shot and all the boosters.

By the time our second child came along, the official recommendation was for the killed vaccine for everyone, which made things easier!

is now recommended to be given to everyone in the U.S.


Makes things very clear, thanks doctor

Same thing for the varicella vaccine. People don’t read those things when they sign them. I promise you that this is not new.

My sister died of encephalitis the day after she had a DPT vaccine, so I am VERY careful to read the vaccine paperwork.

And I've posted here older documents that did NOT include this warning, for example, the World Health org saying there were NO contraindications.

But your definition of "new" and mine might not be the same.

is because it is a live vaccine.

That is standard protocol. People who have compromised immune systems should NOT have live vaccines.

an auto immune illness. This wasn't listed as a contraindication in the past, and our doctor didn't mention it. I'd like to know what specific auto-immune conditions are a problem, and what research led them to this.

Note that the 2nd link below refers to a "severe immunosuppression" but doesn't extend the warning to a family member with an immune related disease.

https://www.who.int/immunization/policy/contraindications.pdf

There are no contraindications for measles vaccination.

• During SIAs, health workers or volunteers may encounter children who have had a dose of measles vaccine less than four weeks previously. This is not a
contraindication to measles vaccination and these children should receive a dose of measles during SIAs.
• Children aged 9 months to 14 years who are admitted to hospital while SIAs are in progress should receive measles vaccination.

http://www.immunize.org/askexperts/experts_mmr.asp

Contraindications and Precautions
What are the contraindications and precautions for MMR vaccine?
Contraindications:
• history of a severe (anaphylactic) reaction to neomycin (or other vaccine component) or following previous dose of MMR
• pregnancy
• severe immunosuppression from either disease or therapy
Precautions:
• receipt of an antibody-containing blood product in the previous 3–11 months, depending on the type of blood product received. See www.cdc.gov/vaccines/hcp/acip-recs/general-recs/timing.html, Table 3–5 for more information on this issue
• moderate or severe acute illness with or without fever
• history of thrombocytopenia or thrombocytopenic purpura
Important details about the contraindications and precautions for MMR vaccine are in the current MMR ACIP statement, available at www.cdc.gov/mmwr/pdf/rr/rr6204.pdf

Or no vaccination at all? I'm just curious, that's all...

when caring for the vaccinated child who was given a live vaccine, such as when changing diapers, etc., and washing hands.

In the case of MMR, adults can be checked if they have the antibodies to MMR, which would mean they had the vaccination when they were younger, and they still have protection against MMR

This is very important information that as you said, doctors should KNOW! They should be the ones who bring up these issues to each parent whose child is scheduled to have the vaccination. But all too often it is up to the parents or grandparents to try to determine what risks there are for their child or grandchild. I feel like we're on our own to educate ourselves and hope we stumble upon the right information at the right time when it comes to medical issues.

So it is about the child him or herself and not the people he or she comes in contact with after being vaccinated.


VACCINE CONTRAINDICATIONS: SIX PEOPLE WHO SHOULD NOT BE VACCINATED
2. Children born to a mother with an autoimmune disease
In the same respect, children of mothers with an autoimmune disease are more likely to already have a malfunctioning immune system. Children born to mothers with fibromyalgia, digestive disorders, severe allergies, eczema, asthma, or neurological disorders should not be vaccinated, according to Dr. Campbell-McBride.

Because immune dysfunction is not always visible upon birth, it is best to avoid them altogether for infants born to mothers suffering from these conditions.

[link:https://www.thefamilythathealstogether.com/vaccine-contraindications-six-people-not-vaccinated/|

It is the live vaccines that are contradicted in such cases.

The OPs question actually is referring to the parent or gardian whose child was given the live vaccine.

That is why only the inactivated polio vaccine is now given in the U.S., and the live oral polio vaccine isn't, because of the small risk of the parent or guardian getting polio, unless they have been previously vaccinated

In fact the Physician who commented in this thread answeredd the question quite well:


https://www.democraticunderground.com/?com=view_post&forum=1002&pid=11536714

"The pathogenesis of the disease in its early stages is associated largely with the presence of viable bacteria at the site of inflammation, whereas in the later stages of disease, autoimmune features seem to contribute significantly."

https://www.ncbi.nlm.nih.gov/pubmed/15214872

Mothers passing borrelia and co. to their children in the womb and then shooting the infants up with mmr a year later is not a good idea.