Last update: Oct. 28, 2014

Yellow Fever 17D Vaccine

High Risk probable for breastfeeding


Poorly safe.
Evaluate carefully.
Use a safer alternative.
Read the Comment.

Live attenuated vaccine. Not indicated for infants younger than 6 months. It is considered to be safe for breastfed infants after 6-9 months of age.

Several cases of YF vaccine-virus transmission to breastfed infants younger than 1 month who developed symptoms of meningo-encephalitis due to yellow fever virus after mother vaccination have been documented.

Mothers of infants older than 9 months who are traveling to endemic areas are recommended to be immunized with anti-yellow fever virus vaccine.

Traveling to endemic areas of infants younger than 9 months is not recommended because a higher risk of meningo-encephalitis due to vaccination.

In case a travel should not be delayed, nursing mothers with children younger than 9 months are recommended to get vaccinated and pump and dump breast milk for 14 days, which is the period of active virus shedding after immunization.

Mothers living in endemic areas are recommended to delay vaccination after the child is 6 months old.

WHO Model List of Essential Drugs (2002): Compatible with breastfeeding

Alternatives

We do not have alternatives for Yellow Fever 17D Vaccine.

Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Group

Yellow Fever 17D Vaccine belongs to this group or family:

Tradenames

Main tradenames from several countries containing Yellow Fever 17D Vaccine in its composition:

References

  1. Sachs HC; Committee On Drugs. The transfer of drugs and therapeutics into human breast milk: an update on selected topics. Pediatrics. 2013 Sep;132(3):e796-809. Abstract Full text (link to original source) Full text (in our servers)
  2. Raney EC, El-Ibiary SY. Immunizations and pregnancy: an update for pharmacists. J Am Pharm Assoc. 2012 Abstract Full text (in our servers)
  3. National Center for Immunization and Respiratory Diseases. General recommendations on immunization --- recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011 Abstract Full text (in our servers)
  4. Kuhn S, Twele-Montecinos L, MacDonald J, Webster P, Law B. Case report: probable transmission of vaccine strain of yellow fever virus to an infant via breast milk. CMAJ. 2011 Abstract Full text (in our servers)
  5. Traiber C, Coelho-Amaral P, Ritter VR, Winge A. Infant meningoencephalitis caused by yellow fever vaccine virus transmitted via breastmilk. J Pediatr (Rio J). 2011 Abstract
  6. Centers for Disease Control and Prevention (CDC). Transmission of yellow fever vaccine virus through breast-feeding - Brazil, 2009. MMWR Morb Mortal Wkly Rep. 2010 Abstract Full text (in our servers)
  7. Chen LH, Zeind C, Mackell S, LaPointe T, Mutsch M, Wilson ME. Yellow fever virus transmission via breastfeeding: follow-up to the paper on breastfeeding travelers. J Travel Med. 2010 Abstract Full text (in our servers)
  8. Staples JE, Gershman M, Fischer M; Centers for Disease Control and Prevention (CDC). Yellow fever vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2010 Abstract Full text (in our servers)
  9. Imbert P, Moulin F, Mornand P, Méchaï F, Rapp C. [Should yellow fever vaccination be recommended during pregnancy or breastfeeding?]. Med Trop (Mars). 2010 Abstract
  10. Chen LH, Zeind C, Mackell S, LaPointe T, Mutsch M, Wilson ME. Breastfeeding travelers: precautions and recommendations. J Travel Med. 2010 Jan-Feb;17(1):32-47. Abstract Full text (link to original source) Full text (in our servers)
  11. WHO / UNICEF. BREASTFEEDING AND MATERNAL MEDICATION Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs. Department of Child and Adolescent Health and Development (WHO/UNICEF) 2002 Full text (link to original source) Full text (in our servers)
  12. Pabst HF, Spady DW, Pilarski LM, Carson MM, Beeler JA, Krezolek MP. Differential modulation of the immune response by breast- or formula-feeding of infants. Acta Paediatr. 1997 Abstract
  13. [No authors listed] General recommendations on immunization. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 1994 Abstract Full text (in our servers)

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