Very helpful thank you

Some patients in the transplant
community wrestle with this question. Some chose to delay certain vaccines, and a small number decided not to proceed at all — usually after deep discussions with their transplant team.

After an autologous or allogeneic stem cell transplant, the immune system is essentially “reset.” That means the protection we built up from childhood vaccines is mostly gone. That’s why major centers like Centers for Disease Control and Prevention (CDC) and National Health Service (NHS) recommend revaccination as part of standard post-transplant care.

That said, people who chose not to re-vaccinate often mentioned a few things:

• Ongoing GVHD or immune suppression
• Concerns about side effects
• Wanting antibody titers checked first
• Personal beliefs or past vaccine reactions
• Feeling overwhelmed with everything else post-transplant
When it comes to re-vaccination after stem cell transplant, this is not a small decision. It feels small — just another injection — but after everything we’ve been through, nothing feels “routine” anymore.

After transplant, our immune system is like a newborn’s. The old immune memory is mostly wiped clean. That’s why organizations like the Centers for Disease Control and Prevention and transplant centers around the world recommend rebuilding protection step by step.

But here’s the part people don’t always say out loud:

Some survivors hesitate.

Not because they are careless.
Not because they don’t believe in medicine.
But because they are tired.

Tired of needles.
Tired of side effects.
Tired of feeling like a medical project.

Some delay because:
• Their counts are still unstable
• They are on maintenance therapy
• They have ongoing immune suppression
• They want antibody titers checked first

We survived the storm.
Now we rebuild the defenses of the ship.

Post-transplant infections can be more dangerous than before. Pneumonia, shingles, flu — these are not small inconveniences when your immune memory is erased.

“Do I feel like getting vaccinated?”

The real question is:
“What level of protection does my body currently have?”

That answer comes from:
• Honest discussion with your transplant team
• Reviewing your immune recovery labs
• Understanding which vaccines are inactivated vs live
• Knowing the timing matters (often 6–12 months post SCT depending on recovery)

This isn’t about fear.
It’s about strategy.

Captain doesn’t ignore the radar just because the sea looks calm.

If someone chooses not to re-vaccinate, it should be an informed decision — not an emotional reaction. And if someone chooses to proceed, it should be with understanding, not blind obedience.

Either way, the power is in knowledge.
🙏

My original question was related to credible resources to investigate.

No to all vaccinations do your research. Not much in western medicine is good. Pick and choose. It's the Rockefellar school and it isn't in our favor. Research, info out there. Think outside box if you want real results. Your doc may not know everything. Do they tell you to take supplements, eat organically, detox, avoid vaccines? No.

Multiple myeloma diagnosis . had stem cell transplant in May 2025.