Multiple sclerosis (MS): vaccination guidelines
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Multiple sclerosis (MS): vaccination guidelines. Annual influenza vaccinations are recommended even in pregnancy. Fully referenced neurology checklist.
General vaccination guidelines
- Annual influenza vaccinations are recommended even in pregnancy
- Pneumococcal vaccination is recommended on immunosuppressants
- Immunizations should be deferred during relapses
Live attenuated vaccines guidelines
Locked: subscribe to see this section.
Human papilloma virus (HPV) vaccine recommendations: before
Locked: subscribe to see this section.
Herpes zoster virus recombinant vaccine recommendations: before
Locked: subscribe to see this section.
Vaccine-induced antibody titre monitoring: 1-2 months after the last dose of
Locked: subscribe to see this section.
Timings of inactivated vaccines
Locked: subscribe to see this section.
Timings of live attenuated vaccines
Locked: subscribe to see this section.
Other vaccine recommendations
Locked: subscribe to see this section.
References
- Farez MF, Correale J, Armstrong MJ, et al. Practice guideline update summary: Vaccine-preventable infections and immunization in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 2019; 93:584-594.
- Lebrun C, Vukusic S; French Group for Recommendations in Multiple Sclerosis (France4MS) and the Société Francophone de la Sclérose En Plaques (SFSEP). Immunization and multiple sclerosis: recommendations from the French multiple sclerosis society. Mult Scler Relat Disord 2019; 31:173-188.
- Otero-Romero S, Lebrun-Frénay C, Reyes S, et al. European Committee for Treatment and Research in Multiple Sclerosis and European Academy of Neurology consensus on vaccination in people with multiple sclerosis: Improving immunization strategies in the era of highly active immunotherapeutic drugs. Eur J Neurol 2023 (Online ahead of print).
