flu vaccination


33 Posts
Reply Posted on: Sep 24, 2014 at 10:22pm
1. IN the immunology support group, we have been discussing flu vaccinations. People who go to you say that you do not recommend them until the second trimester. Does the flu vaccination raise cytokines and so forth?

2. Some of us are healthcare professionals and must get the flu vaccination or we will not be allowed to work. For those who have transfers in November, is it safe to get a flu vaccination right now or not?
Thanks in advance for your help!

Dr. Braverman

2026 Posts
RE: flu vaccination Posted on: Sep 25, 2014 at 5:07am
Ok now mind you there is no data on this, i.e the effect of the flu vaccine in the first trimester in those women with immune related implantaton issues(I dont have a problem with it in those without a history of such).
But there is a cytokine rise as the first problem so of course our goal is to allow for complete vessel development in these high risk group of patients and hence many are on immuno suppressive meds, I dont want to interfere with this by introducing a vaccine that will raise the cytokines and acitvate the immune response.
Second the response to the vaccine itself may be attenuated while on these immuno suppressants as well so it may not be as effective.
Please understand however that the rise in cytokines with the vaccine is short and far less risky then the rise you will get with the real flu, and hence I do advocate the vaccine but after the first trimester.
Ultimately everyone must follow the advice of their doctors this is just a suggestion for my patients, and there is no data on this.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.