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Immunization Record

Immunization Record

Ishamma T M

Vaccine Date Lot # Site Provider Source
Zoster vaccine (presumed Zostavax) ~2016 (approximate) Unknown Unknown Unknown Patient report (2026-04-17)

[!info] Zostavax vs. Shingrix
The vaccine given ~2016 was most likely Zostavax (live attenuated). Efficacy wanes significantly after 5–8 years. Shingrix (recombinant, 2-dose series) is the current standard and should be discussed with Bijay Prabhakaran Nair once immunosuppression resolves. Shingrix is recommended even for patients who previously received Zostavax.

Immunization gaps — critical for immunosuppressed patient

The following vaccinations are NOT documented and should be discussed with the treating oncologist:
- Influenza (annual)
- COVID-19 (per ACIP guidance)
- Pneumococcal (PCV20)
- Shingrix (deferred during active chemotherapy)

Live vaccines are CONTRAINDICATED during active Aza-Ven chemotherapy. Timing of inactivated vaccines relative to chemo cycles matters — coordinate with Bijay Prabhakaran Nair.