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How should I manage health care workers who develop a rash after varicella vaccination?

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How should I manage health care workers who develop a rash after varicella vaccination?

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A rash following vaccination occurs in 4% to 6% of vaccine recipients and typically less than 10 lesions develop. Generally, if rash develops within two weeks of vaccination, it is more likely to be a wild-type varicella infection than a vaccine-associated rash. Vaccinated people who develop a rash caused by vaccine have a small risk of transmitting vaccine virus to healthy contacts, but immunocompromised people may have a higher risk of being infected with the vaccine virus. HCWs who develop a rash following vaccination should not have direct patient contact until scabs develop on all lesions.

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