Live childhood vaccinations when still immunosuppressed
My husband is a few months over 3 years post stem call transplant. He has had acute then chronic GVHD ever since. He is currently on all of the medications he left hospital on, including ciclosporin 125mgs bd and is once again attempting to reduce steroids from a dose 40mgs (this time) now on 10mgs very slowly, as GvHD continues to flare. He has been on fortnightly ECP for over 2.5 years. During lockdown this was reduced to monthly and he worsened with scleroderma and breathlessness.The GvHD is only just being held at bay in terms of developing further but has left potentially active sites in addition to several other problems that he has including DVT & pulmonary embolisms (pre AZ!).
He has had both Covid jabs (AZ) with no problems and has been shown to have some antibodies. In addition he is working through his childhood vaccinations so far with no problems. However the issue of live vaccinations leaves us somewhat concerned. He has been told it is ok to have live MMR. I am concerned it may upset the balance which is somewhat precarious, causing GvHD exacerbation.
Can anyone help with this please?