Vaccinations in Crohn’s Disease
Most vaccines are the same as for any teen — with a few that need extra planning.
With one exception, you should follow the same vaccination schedule as the rest of the pediatric and adolescent population. Your medical team will know which vaccines are recommended for individuals with Crohn’s disease. The main thing to keep in mind: live virus vaccines should be avoided if you are immunocompromised or planning to start specific medications.
Why Vaccinations Matter
Don’t they have the opposite effect?
It’s a common worry, but the answer is no. If your medications weaken your immune system, you’re more prone to severe infections — which is exactly why staying protected matters. The flu and other illnesses can hit harder when your immune system is being treated, so vaccines do the opposite of harm: they protect you when you need it most.
Recommended Vaccinations
Routine for teens
Check that your childhood vaccinations are up-to-date
Age- and situation-specific vaccines
Pneumococcus — for the general population: usually under 5 or over 65.
Also for some teens and adults: Pneumococcus may also be recommended for people of any age who take medications that suppress the immune system. Your medical team will let you know if this applies to you.
Shingrix (shingles): may be recommended for immunocompromised patients age 19 and up; ask your team if it applies to you.
Only for patients without immunosuppression
These are live vaccines, so they are only safe if you are not immunocompromised:
• MMR (measles, mumps, rubella)
• Varicella (chickenpox)
Important: Only safe if you are not currently taking medications that suppress your immune system. Always check with your medical team first.