| Deferral period | The day of immunisation is Day 0. Day 1 commences at one minute past midnight on the day after immunisation. |
| Diseases Protected against | Comments and example trade names of adult preparations | Minimum deferral period?* | |
|---|---|---|---|
| Anthrax | Rarely given | Non-Live | No |
| Cholera | There are two vaccines available to prevent cholera: Dukoral® and Vaxchora®; see rows below. Ensure the correct guidance is applied depending on the vaccine given. If vaccine name not certain, treat as a Live vaccine. |
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| Vaxchora® | Live | 28 days | |
| Dukoral® | Non-Live | No | |
| COVID-19 (SARS-CoV-2) | All COVID-19 vaccines licensed in the UK are Non-Live. | Non-Live | No |
| Dengue | Qdenga®, Dengvaxia® | Live | 28 days |
| Haemophilus influenza type b (Hib) | Menitorex® | Non-Live | No |
| Hepatitis A | May be combined with typhoid or hepatitis B. Hepatitis A only: Vaqta®, Avaxim®, Havrix® Combined with typhoid: ViATIM® Combined with hepatitis B: Ambirix®, Twinrix® |
Non-Live | 14 days |
| Hepatitis B | May be combined with hepatitis A. If unexposed and more than 14 days from last immunisation, accept. See: Hepatitis B – Immunisation Engerix®, Fendrix®, HBvaxPRO®, PreHevBri®, Ambirix®, Twinrix® |
Non-Live | 14 days |
| Human papillomavirus (HPV) | Cervarix®, Gardasil® | Non-Live | No |
| Influenza, intra-nasal | Live vaccine given by intra-nasal spray, age 2-18. Fluenz Tetra® |
Live | 28 days |
| Influenza, injection | Annual ‘flu jab’, given by injection. Several preparations, updated annually. |
Non-Live | No |
| Japanese Encephalitis | Travel. Ixiaro® | Non-Live | 14 days |
| Measles, Mumps, Rubella | MMR vaccines. M-M-RvaxPro®, Priorix® | Live | 28 days |
| Meningitis | Meningococcal group C: NeisVac-C®, Menjugate Kit® Meningococcal group B: Bexsero®, Trumenba® MenACWY Quadrivalent vaccine: Menveo®, Nimenrix®, MenQuadfi® Combined with H. influenzae type b (Hib): Menitorix® |
Non-Live | No |
| Mpox (formerly known as Monkeypox) | Imvanex® / MVA-BN is a live attenuated non-replicating Smallpox vaccine. It may be used for pre-exposure Mpox prophylaxis in healthcare workers or for post-exposure prophylaxis in contacts of Mpox cases. If given for Mpox vaccination, treat as a non-live vaccine. See DSG entry for Mpox |
Non-Live | No |
| Pertussis | Usually pregnant women, given in combination with Diphtheria, Tetanus and Polio vaccine or in combination with Diphtheria and Tetanus vaccine. | Non-Live | No |
| Pneumococcal disease | Given to people with specific risks: for example, people who have had a splenectomy or people over 65. Pneumovax®23 | Non-Live | No |
| Polio, injected | Given in combination with other vaccines including, depending on the preparation, Diphtheria, Tetanus, Pertussis and Haemophilus influenzae. | Non-Live | No |
| Polio, oral | Not in routine use in UK. May be used abroad | Live | 28 days |
| Rabies | Given to non-exposed individuals if occupation or activity has an exposure risk, or for some travellers to endemic areas. Rabipur®, Verorab® |
Non-Live | No |
| Respiratory Syncytial Virus (RSV) | Abrysvo®, Arexvy® | Non-Live | No |
| Shingles | There are two vaccines available to prevent shingles: Zostavax® and Shingrix®; see rows below. Please note, Shingrix® has replaced Zostavax® in the UK vaccination programme for individuals aged 60-79 years. |
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| Zostavax® for shingles prevention | Live | 28 days | |
| Shingrix® for shingles prevention | Non-Live | No | |
| Smallpox | Note this live vaccine requires an 8-week deferral. If given, see DSG entry for Smallpox Immunisation. See also Mpox (above). |
Live | 56 days |
| Tetanus | Given in combination with other vaccines including, depending on the preparation, Diphtheria, Tetanus, Pertussis and Haemophilus influenzae. | Non-Live | No |
| Tick-borne encephalitis (TBE) | TicoVac® | Non-Live | No |
| Tuberculosis | BCG vaccine | Live | 28 days |
| Typhoid, injected | Typhim Vi® Combined with hepatitis A: ViATIM® |
Non-Live | No |
| Typhoid, oral | Given in capsule form. Vivotif® | Live | 28 days |
| Varicella (chickenpox) | Usually given to healthcare workers. Varilrix®, Varivax® | Live | 28 days |
| Yellow Fever | Stamaril® | Live | 28 days |
| * Minimum deferral period after immunisation if donor has not been exposed to the infection. For immunisation post-exposure, refer to the relevant WB-DSG entry. |
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This page was last updated in WB-DSG Edition 203 Release 78.