Routine Immunization in Pediatrics — Case | Pediatric Infectious | SMLE Q#11403

SMLE Question #11403

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
A healthy 1-year-old boy presents for routine immunization. His 6-year-old sister had a renal transplant 2 months ago and is taking tacrolimus and prednisone; they live in the same household. Today he is scheduled to receive MMR, varicella, inactivated influenza vaccine, and a polio vaccine. Which vaccine should be avoided today because it can be transmitted to his immunosuppressed sibling?

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