Considered immune if 2 documented doses of vaccine or positive serology
BEFORE INITIATION OF IMMUNE SUPPRESSION
Contraindicated if plan to start therapy in < 4 weeks. Contraindicated in pregnancy. When rapid protection is required, a minimum interval of 4 weeks between the 2 doses is acceptable.
WHAT TO DO IF ALREADY IMMUNOSUPPRESSED (ON ANTI-TNF OR IMMUNOMODULATOR)