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Author Topic: Vaccine to prevent dieases for POZ people  (Read 2784 times)

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Offline atripla_2013

  • Member
  • Posts: 28
  • Diagnoised Jan 2013, start Atripla June 2013
Vaccine to prevent dieases for POZ people
« on: September 05, 2013, 10:19:01 PM »
Hi,

I hope to have your idea about vaccine The 2 sources state that: "the positive patient are recommended and should take the vaccine"

http://aidsinfo.nih.gov/contentfiles/recommended_immunizations_fs_en.pdf
http://www.immunize.org/catg.d/p4041.pdf

How do you think about take in the following vaccines?
Anyone has doctor`s instruction and experience about taking the following vaccines?

1. Influenza ----> (Flu)
2. Polysaccharide pneumococcal (PCV13, PPSV23) --->(Pneumonia)
3. Tetanus, Diphtheria,and Pertussis (Tdap,Td) ---> (Lockjaw, Diphtheria, Pertussis)
4. Haemophilus influenzae type B ---> (Bacterial meningitis)

Please advise
Male, 30
Diagnoised Jan 2013
Start Atripla June 2013
July.13: CD4: 351, VL: 85
May.13: CD4: 336, VL: 24100

Offline socalpoz

  • Member
  • Posts: 80
Re: Vaccine to prevent dieases for POZ people
« Reply #1 on: September 05, 2013, 10:34:56 PM »
I would recommend consulting your ID doctor, certain vaccines are highly recommended to people who are immune compromised. Prior to HIV diagnosis I always got my yearly flu shot, and remember the one year I didn't and got the flu I was sick for weeks. I will disclose that I now work in healthcare (TDAP and FLU is required), but due to being around others who are sick I also asked for the Pneumonia Vaccine as well.
Diagnosed Jan. 22, 2011
feb/11 cd4 547, cd4% 37, vl 527
mar/11 cd4 650, cd4% 37, vl 97
may/11 cd4 698, cd4% 37, vl 303
jul/11 cd4 744, cd4% 39, vl 239
aug/12 cd4 675, cd4% 39, Vl 42
Jun/13 cd4 594, cd4% 38, Vl 1860
Jul/3/13 started Stribild
Aug/13 cd4 758 cd4% 43, vl ??

Offline socalpoz

  • Member
  • Posts: 80
Re: Vaccine to prevent dieases for POZ people
« Reply #2 on: September 05, 2013, 10:42:40 PM »
I should have added live vaccines can be a big problem for immune compromised people. A healthy recipent of the vaccine is key and regardless hould be watched by your doctor. My doctor agreed  to give me the pneumonia vaccination because I was in good health. As a bonus most ID doc can administer all these vaccines during a routine visit.
Diagnosed Jan. 22, 2011
feb/11 cd4 547, cd4% 37, vl 527
mar/11 cd4 650, cd4% 37, vl 97
may/11 cd4 698, cd4% 37, vl 303
jul/11 cd4 744, cd4% 39, vl 239
aug/12 cd4 675, cd4% 39, Vl 42
Jun/13 cd4 594, cd4% 38, Vl 1860
Jul/3/13 started Stribild
Aug/13 cd4 758 cd4% 43, vl ??

Offline atripla_2013

  • Member
  • Posts: 28
  • Diagnoised Jan 2013, start Atripla June 2013
Re: Vaccine to prevent dieases for POZ people
« Reply #3 on: September 06, 2013, 06:58:12 AM »
Thank you for your sharing.

Up to now, my doctor only recommend me to take flu vaccine on this coming Oct.

How about taking in vaccine Pneumonia Vaccine? Is there any special advice?

Male, 30
Diagnoised Jan 2013
Start Atripla June 2013
July.13: CD4: 351, VL: 85
May.13: CD4: 336, VL: 24100

Offline J.R.E.

  • Member
  • Posts: 7,126
  • Joined Dec-2003 Living positive, since 1985.
Re: Vaccine to prevent dieases for POZ people
« Reply #4 on: September 06, 2013, 08:16:00 AM »
Hi,..

I'm with socalpoz on this,  this is something you need to consult with your doctor about.

Having said that, I've been HIV positive since 1985, and had no problems receiving the following immunizations :

( most were done in the mid to late 90's, and the flu, I get annually ) some of the repeats and boosters were done after 2005.

Influenza ( every year for the past 17 years, when available, and usually late October or the beginning of November, never the nasal dose, always the shot. That will be coming up before i know it  :P CORRECTION EDIT the last 3 years of flu shots were given in September, or the first week of October. EDIT    H1N1(FLU) IN 2009.

I did the series of HEP - B (3 shots) that was around 1997. Did this through the workplace.

Ive had the pneumonia shot around 2003, but  it was repeated again due to low CD-4 count.

I've had the Tetanus and Diphtheria. ( I have also had the ten year repeat in EDIT 2009 )

Measles, Mumps, and
Rubella (MMR-----------> I had those when I was a kid. I am not far from being 62.



I never had any issues receiving any of the above vaccinations.

Whatever vaccinations you get, make sure to keep a good record of them !


Ray





« Last Edit: September 06, 2013, 08:34:47 AM by J.R.E. »
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline J.R.E.

  • Member
  • Posts: 7,126
  • Joined Dec-2003 Living positive, since 1985.
Re: Vaccine to prevent dieases for POZ people
« Reply #5 on: September 06, 2013, 08:49:54 AM »
Just to add,... I have an appointment with my infectious disease doctor, next week.

I am going to question him about the Zoster vaccine.  I've had shingles several times( last time being in 2003) and know how painful they can be.

So, if this vaccine can prevent or lesson another outbreak in the future, that would be great. Not that I am expecting an outbreak !

So I will find out more next week on this and report back. I will be curious as to what he feels about this.

Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline mikeyb39

  • Member
  • Posts: 923
Re: Vaccine to prevent dieases for POZ people
« Reply #6 on: September 06, 2013, 10:53:47 AM »
I just had the flu shot from my doctor, they just come out with it.  I get one every year, this year it may me feel crappy for a few days, but not sick by no means.  this year it has 4 strains of the flu.

I've taken the pneumonia vaccine and also the HEP vacines as well.  I would take any vaccine that might keep me from getting sick
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD

Offline buginme2

  • Member
  • Posts: 2,843
Re: Vaccine to prevent dieases for POZ people
« Reply #7 on: September 06, 2013, 01:40:51 PM »
You really need to go over this with the help of your doctor.

The flu shot,ya you should get one every year.

You should be vaccinated for hep a and b (unless your already immune which your doctor can find out through specific blood tests).

The pneumonia vaccines are recommended for people living with HIV.  There are two different pneumonia vaccines, Prevnar 13 and Pneumovax 23.  You should receive both however they need to be administered in a particular order with a certain amount of time between them.

Doesn't your doctor keep track of all your vaccines and administer the ones you need?

Offline eric48

  • Member
  • Posts: 1,171
  • @HIVPharmaCure & tinyurl.com/HIVPharmaCure
Re: Vaccine to prevent dieases for POZ people
« Reply #8 on: September 06, 2013, 05:28:03 PM »
I am going to question him about the Zoster vaccine.  I've had shingles several times( last time being in 2003) and know how painful they can be.
So, if this vaccine can prevent or lesson another outbreak in the future, that would be great. Not that I am expecting an outbreak !

It has been noted that peple who are aging in an enviromnent with younger kids (kindergarten teachers, large family grand mothers) have a reduced risk of later age shingles.

My son got varicella (shingles) that made him stay home for 2 months. I suppose I thus got a 'natural' reboost against VZV. in a few years, I will certainly discuss it with the doc!

Good Luck for next visit

Eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline atripla_2013

  • Member
  • Posts: 28
  • Diagnoised Jan 2013, start Atripla June 2013
Re: Vaccine to prevent dieases for POZ people
« Reply #9 on: September 08, 2013, 12:33:41 AM »
Dear friends,

Thank you very much for your knowledge sharing.

I have just been advised by my doctor that I could take in the following vaccine AT THE SAME TIME:

1. Influenza
2. Pneumonia
3. Meningitis (meningococcal)
4. Tetanus

So my concern and question are:

- What should be the best timeline and order to take in the 4 vaccines into body to get have good solution? One week one vaccine or how? to make our body accept and deal good with the vaccines in the right way.

- Is Polysaccharide pneumococcal (PCV13, PPSV23) the Prevnar 13 and Pneumovax 23 that buginme2 mentioned? How should be a right ordor to take in this pneumococcal?

Hope to get your experience.
Male, 30
Diagnoised Jan 2013
Start Atripla June 2013
July.13: CD4: 351, VL: 85
May.13: CD4: 336, VL: 24100

Offline intaglio

  • Member
  • Posts: 176
  • Doesn't have to pay for vowels
Re: Vaccine to prevent dieases for POZ people
« Reply #10 on: September 08, 2013, 04:03:59 AM »
This is an article that recommends gay men get vaccinated against HPV. It seems I've seen a few articles recommending HIV+ people get this vaccine, too, but I don't have a handy citation for it.

After reading one of those about six months ago, I talked to my ID doc, and he didn't feel I should get this vaccine (he said I wasn't part of the target demographic).

So, do any of you here think this should be added to the recommended regimen or not?
Reality is frequently inaccurate.

Offline socalpoz

  • Member
  • Posts: 80
Re: Vaccine to prevent dieases for POZ people
« Reply #11 on: September 08, 2013, 08:18:05 AM »
In regards to the HPV vaccine the CDC and here is the link

http://www.cdc.gov/std/hpv/stdfact-hpv-and-men.htm

states that it is only effective if you are under 26. This link also give a lot more information regarding get tested for HPV etc.
Diagnosed Jan. 22, 2011
feb/11 cd4 547, cd4% 37, vl 527
mar/11 cd4 650, cd4% 37, vl 97
may/11 cd4 698, cd4% 37, vl 303
jul/11 cd4 744, cd4% 39, vl 239
aug/12 cd4 675, cd4% 39, Vl 42
Jun/13 cd4 594, cd4% 38, Vl 1860
Jul/3/13 started Stribild
Aug/13 cd4 758 cd4% 43, vl ??

Offline socalpoz

  • Member
  • Posts: 80
Re: Vaccine to prevent dieases for POZ people
« Reply #12 on: September 08, 2013, 08:40:03 AM »
Dear friends,

Thank you very much for your knowledge sharing.

I have just been advised by my doctor that I could take in the following vaccine AT THE SAME TIME:

1. Influenza
2. Pneumonia
3. Meningitis (meningococcal)
4. Tetanus

So my concern and question are:

- What should be the best timeline and order to take in the 4 vaccines into body to get have good solution? One week one vaccine or how? to make our body accept and deal good with the vaccines in the right way.

- Is Polysaccharide pneumococcal (PCV13, PPSV23) the Prevnar 13 and Pneumovax 23 that buginme2 mentioned? How should be a right ordor to take in this pneumococcal?

Hope to get your experience.

here's a link from the cdc with possible side effects of various vaccinations;

http://www.cdc.gov/vaccines/vac-gen/side-effects.htm

Personally I wouldn't take them all at once but would space them, the a couple of them I know are going to making you arm sore for a couple of days. Perhaps you doctor should give more direction, will his office being administering them? If you have insurance it should be covered with only paying for an office visit.
Diagnosed Jan. 22, 2011
feb/11 cd4 547, cd4% 37, vl 527
mar/11 cd4 650, cd4% 37, vl 97
may/11 cd4 698, cd4% 37, vl 303
jul/11 cd4 744, cd4% 39, vl 239
aug/12 cd4 675, cd4% 39, Vl 42
Jun/13 cd4 594, cd4% 38, Vl 1860
Jul/3/13 started Stribild
Aug/13 cd4 758 cd4% 43, vl ??

Offline aaware72

  • Member
  • Posts: 226
Re: Vaccine to prevent dieases for POZ people
« Reply #13 on: September 09, 2013, 01:21:40 PM »
Hi,

I hope to have your idea about vaccine The 2 sources state that: "the positive patient are recommended and should take the vaccine"

http://aidsinfo.nih.gov/contentfiles/recommended_immunizations_fs_en.pdf
http://www.immunize.org/catg.d/p4041.pdf

How do you think about take in the following vaccines?
Anyone has doctor`s instruction and experience about taking the following vaccines?

1. Influenza ----> (Flu)
2. Polysaccharide pneumococcal (PCV13, PPSV23) --->(Pneumonia)
3. Tetanus, Diphtheria,and Pertussis (Tdap,Td) ---> (Lockjaw, Diphtheria, Pertussis)
4. Haemophilus influenzae type B ---> (Bacterial meningitis)

Please advise

I have been vaccinated for all of the these.  Going through the second series of Hep B as the first round did not take.  Have also been vaccinated for Hep A.  I spoke with my ID about all of these and recently about Yellow Fever(meningitis) which we decided to vaccinate me for. 
"Yes, knowledge is power. Self-knowledge brings mastery of one's body."

Offline aaware72

  • Member
  • Posts: 226
Re: Vaccine to prevent dieases for POZ people
« Reply #14 on: September 09, 2013, 01:27:47 PM »
Dear friends,

Thank you very much for your knowledge sharing.

I have just been advised by my doctor that I could take in the following vaccine AT THE SAME TIME:

1. Influenza
2. Pneumonia
3. Meningitis (meningococcal)
4. Tetanus


Last month I was give 4 myself.  Mine were HepB(double dose), Pneumonia, Meningitis(yellow fever), and Tetanus.  So that was 5 shots 3 in one shoulder and 2 in another.  Had shoulder soreness for a few days and had some flu like symptoms for a couple of days.
"Yes, knowledge is power. Self-knowledge brings mastery of one's body."

Offline buginme2

  • Member
  • Posts: 2,843
Re: Vaccine to prevent dieases for POZ people
« Reply #15 on: September 09, 2013, 03:39:41 PM »
Dear friends,

Thank you very much for your knowledge sharing.

I have just been advised by my doctor that I could take in the following vaccine AT THE SAME TIME:

1. Influenza
2. Pneumonia
3. Meningitis (meningococcal)
4. Tetanus

So my concern and question are:

- What should be the best timeline and order to take in the 4 vaccines into body to get have good solution? One week one vaccine or how? to make our body accept and deal good with the vaccines in the right way.

- Is Polysaccharide pneumococcal (PCV13, PPSV23) the Prevnar 13 and Pneumovax 23 that buginme2 mentioned? How should be a right ordor to take in this pneumococcal?

Hope to get your experience.


why are you doing this on your own?  why isn't your doctor doing this?

both hep and pneumonia vaccines need to be taken in a specific order with specific spacing.  You shouldn't be doing this on your own or learning how to do it from strangers on the internet.


Offline J.R.E.

  • Member
  • Posts: 7,126
  • Joined Dec-2003 Living positive, since 1985.
Re: Vaccine to prevent dieases for POZ people
« Reply #16 on: September 09, 2013, 04:45:03 PM »
I spoke with my doctor today, to get his thoughts receiving the zoster vaccine.

He stated some HIV positive people are receiving the shot (S).  I asked if the vaccine is available through the VA, and he said not at this time.

Because the CDC doesn't yet approve it in HIV positive individuals, the VA is not permitted to give it out.

However, he knows of ( selected) HIV positive patients getting the vaccine, through Walgreens or another pharmacy, with no adverse reactons. ( This is a live virus). Tcell counts have to be over 200.

So, He didn't say "no" to me, but he didn't say "yes" either. He stated that even though my % is low, I am still stable to receive it.

At the end, I agreed to hold off on it.  My main point to him, was that I am now into my 60's, and having shingles several times already, I know how painful they were.

I am one of those daring individuals, and will give this some more thought later on.

Ray







« Last Edit: September 09, 2013, 04:48:57 PM by J.R.E. »
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline aaware72

  • Member
  • Posts: 226
Re: Vaccine to prevent dieases for POZ people
« Reply #17 on: September 09, 2013, 11:13:18 PM »
Last month I was give 4 myself.  Mine were HepB(double dose), Pneumonia, Meningitis(yellow fever), and Tetanus.  So that was 5 shots 3 in one shoulder and 2 in another.  Had shoulder soreness for a few days and had some flu like symptoms for a couple of days.

Let me clarify what I saying here.  When I say I'm getting a double dose I mean that I getting twice as much as the first time I had the series of vaccinations.  There is a series of shots for HepB that need to be take over a period of time.  first shot, then 30 days later, and then again 6 months later.  I was not implying that I was getting all these at the same time.  However I did get vaccinated for 4 different things at the same time.   
"Yes, knowledge is power. Self-knowledge brings mastery of one's body."

Offline leatherman

  • Member
  • Posts: 6,154
  • Google and HIV meds are Your Friends
Re: Vaccine to prevent dieases for POZ people
« Reply #18 on: September 10, 2013, 01:29:32 AM »
At the end, I agreed to hold off on it.  My main point to him, was that I am now into my 60's, and having shingles several times already, I know how painful they were.

I am one of those daring individuals, and will give this some more thought later on.
having had these same discussions (with my doctors), thoughts (about how well i am) and experience (shingles 3 or 4 times now), I am NOT one of those daring individuals at all. My thoughts are, if it ain't broke (been a long time since the last shingles) I don't wanna break anything. ;)

especially since breaking something would mean this vaccine induced another bout of shingles! You're either protected or you could be screwed. I don't like those odds enough ... at least not yet. LOL ;D
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline buginme2

  • Member
  • Posts: 2,843
Re: Vaccine to prevent dieases for POZ people
« Reply #19 on: September 11, 2013, 12:15:01 PM »
I'm getting the nasal spray flu shot this year, what's the worst that could happen?

 


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