Marty, Susan, Angie and Jeanie, thank you for your input. It is greatly 
appreciated.

I will wait until I meet with my Hematologist in January and pass this 
question by him.
I'll let you know what he says.

Thanks,
Peter


On Wednesday, December 10, 2014 4:03:15 PM UTC-5, wa2yyx wrote:
>
> Hi Peter,
>
> Just for your information. I recently had that vaccine and it had to be 
> done in order for me to be on the kidney transplant list. I am listed at 
> three different transplant hospitals in Florida, and only one had asked 
> that I get it. 
>
> Since I had a bone marrow transplant more then 25 years ago I lo longer 
> have CML and my tests are always PCRU. I know that I have a depressed 
> immune system and that shingles vaccine had no adverse effects on me except 
> for general swelling and some pain at the injection site that lasted for 
> several days.. 
>
> By the way that shot is very expensive and it not covered by my Medicare 
> but my secondary was able to pick a small amount up which surprised me 
> because they usually won't pay anything unless Medicare picks it up at 80% 
> first which I already mentioned that they did not.
>
> I think that you may want to run it by your ONC because if you do get the 
> Shingles you will be in some horrible pain.
>
> Good luck.
>
> 18's,
>
> Marty
>
> On Wed, Dec 10, 2014 at 11:06 AM, Peter <[email protected] <javascript:>> 
> wrote:
>
>> Hi everybody.
>> Has anyone here received the shingles vaccine Zostavax?
>> The question is whether it is safe for CML patients. The info I have 
>> found is not 100% clear. The answers range from "should not" to "not 
>> recommended" to "may be given..". (See below)
>>
>> *Manufacturer (Merck)*
>> http://www.merck.com/product/usa/pi_circulars/z/zostavax/zostavax_ppi.pdf
>> You should not get ZOSTAVAX if you have a weakened immune system (for 
>> example, 
>> an immune deficiency, leukemia, lymphoma, or HIV/AIDS). 
>>
>> *Public Health Canada*
>> http://www.phac-aspc.gc.ca/publicat/cig-gci/p04-herp-zona-eng.php
>> HZ vaccine is contraindicated in people with immunodeficiency due to 
>> acute or chronic leukemia. However, persons with leukemia in remission and 
>> who have not received immunosuppressive chemotherapy or radiation for at 
>> least 3 months and who do not have defects in T cell function can receive 
>> HZ vaccine; consultation with an immunologist may be required.
>>
>> *Centers for Desease Control*
>> http://www.cdc.gov/vaccines/hcp/vis/vis-statements/shingles.pdf
>> A person should not get shingles vaccine who cancer affecting the bone 
>> marrow or lymphatic 
>> system, such as leukemia or lymphoma.
>>
>> *Mayo Clinic*
>>
>> http://www.mayoclinic.org/diseases-conditions/shingles/expert-answers/shingles-vaccine/faq-20057859
>> The shingles vaccine isn't recommended if you have cancer that affects 
>> the bone marrow or lymphatic system, such as leukemia or lymphoma.
>>
>> *National CML Society*
>> http://www.nationalcmlsociety.org/faq/immunizations
>> Using the most current infectious disease guidelines, Zostavax (shingles 
>> vaccine) may be given to CML patients who are stable and not experiencing 
>> any evidence of relapse or progression, and who do not have other immune 
>> suppressive issues such as recent requirements for high dose 
>> corticosteroids. 
>> Individuals with CML who have restored and stable immune systems are 
>> eligible to receive the shingles vaccine if APPROVED BY THEIR CML 
>> SPECIALIST, since it contains elements of live virus. It is safe, however, 
>> for family members or those in close contact with CML patients to receive 
>> the vaccination.
>>
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>

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