Guidance for Administering Biologics for Severe Asthma and Allergic Conditions

Table 2

Types of vaccines and whether to administer with a biologic [4, 5, 6, 8, 9, 45].

Vaccine type	Examples of available vaccines^a	OK to receive a vaccine with continued biologic use?
Inactivated	Influenza, hepatitis A, rabies	✔
Live-attenuated	MMR, rotavirus, varicella	✔
		Except dupixent and cinqair^b
mRNA	Pfizer-BioNTech COVID-19, Moderna COVID-19	✔
Conjugate, subunit, recombinant, polysaccharide	Hepatitis B, HPV, pneumococcal, meningococcal, shingles	✔
Toxoid	Diphtheria, tetanus	✔
Viral vector	Johnson & Johnson COVID-19, Oxford-AstraZeneca COVID-19, Verity Pharmaceuticals-Serum Institute of India COVID-19	✔

HPV: human papillomavirus; MMR: measles, mumps, and rubella; mRNA: messenger ribonucleic acid. ^aTable is not comprehensive; review all vaccine product information before administering. ^bDupixent and Cinqair doses should be held for 1 month before the live vaccine administration and reinitiated at least 2 weeks postvaccination.