Is it safe to vaccinate children against varicella while they're in close contact with a pregnant woman?
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All healthy children without evidence of immunity to varicella who are living in a household with a susceptible pregnant woman should be vaccinated (strength of recommendation [SOR]: C, expert opinion). The risk of transmission of vaccine virus to household contacts is very low (SOR: B, observational studies). Transmission is higher, but still rare, among contacts of immunocompromised vaccinees (SOR: B, observational studies). Varicella infection has not been reported in unborn babies of women who had contact with a recently vaccinated person.
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