Table 9 Vaccine Recommendations for A-T

• If a person with A-T does not need gamma globulin replacement therapy, he/she should receive all standard childhood vaccines, including the live vaccines for measles, mumps, rubella and varicella-zoster viruses.

• The individual with A-T and all household members should receive the influenza (flu) vaccine every fall.

• People with A-T who are less than two years old should receive three doses of a pneumococcal conjugate vaccine (Prevnar) given at two month intervals.

• People older than two years who have not previously been immunized with Prevnar should receive two doses of Prevnar.

• At least 6 months after the last Prevnar has been given, and after the child is at least two years old, the 23-valent pneumococcal vaccine should be administered. Immunization with the 23-valent pneumococcal vaccine should be repeated approximately every five years after the first dose.