[10.16.2024] Updated content, AnKing Step Deck/AnKingMed, ID 2294711

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Agree. Uworld QId: 3873 (Step 2) corroborates this.

The current recommendation is for those with HIV with CD4+ counts 200 to receive 2 doses of the single-antigen varicella vaccine (Varivax) which is a live-attenuated vaccine. (Varicella Vaccination for Specific Groups | Chickenpox (Varicella) | CDC)

Shingrix is also recommended for immunocompromised individuals, regardless of previous VZV vaccination status, but cannot be given sooner than 8 weeks after VZV vaccination with Varivax. (Clinical Considerations for Shingrix Use in Immunocompromised Adults Aged ≥19 Years | Shingles (Herpes Zoster) | CDC)

Recommendations on this topic will likely change in the future, so I believe it should be determined what is likely to show up on NBME exams so that the card does not become too confusing.