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Author Topic: Hep a and b vaccines  (Read 10052 times)

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Offline BubbaT

  • Member
  • Posts: 267
Hep a and b vaccines
« on: May 06, 2015, 01:42:38 pm »
I was wondering about the vaccines for hep A and B?

Have you taken them during treatment, did your Dr. Advise you to take them?
or did you have them before treatment?
Age 57 male
Infected late 70's
Diagnosed 95
1a, 2 prev biopsy 95, 2004
Ct 2007, 2015
Treatment Naive
F4 A3. Fibrosure/ CT 2-5-15. Ammonia 222
VL 2.2 mil.
Started Harvoni  3-3-15. 12weeks, finished 5-26-15
4 week VL undetected
12 week EOT undetected

Offline Bituman

  • Member
  • Posts: 157
Re: Hep a and b vaccines
« Reply #1 on: May 06, 2015, 01:51:47 pm »
It was one of the first things my doc recommended after I was diagnosed in 2007.  I followed his advice immediately.  Obviously, this was 8 years before treatment. 

Bob
Age = 59, male, infected likely 1975
DX 07/07 GT 1a
Biopsy 2007:  GR 1, stage 0, HAI = 2/18
Since 2007:  1.48 MM < VL < 11 MM, avg = 5.64 MM
IL28B=CT
1/26/15, AST=43, ALT=55, VL=3.59 MM
2/5 Start Harvoni 12 weeks; Treat naive
2/20 AST=29, ALT=24, VL=59
3/6 AST=29, ALT=25, VL<15
3/19 AST=24, ALT=22, VL=undet
4/3 AST=29, ALT=25, VL=undet
4/30 EOT, AST=22, ALT=20, VL=undet
5/29 EOT+4, AST=20, ALT=19, VL=undet SVR
7/24 EOT+12, AST=23, ALT=18, VL=undet SVR
10/16 EOT+24, AST=22, ALT=17, VL=undet SVR

Offline Lee

  • Member
  • Posts: 31
Re: Hep a and b vaccines
« Reply #2 on: May 06, 2015, 02:02:17 pm »
My doctor told me to get vaccinated while I was waiting to start Harvoni, so I have had two of the three shots so far.  I think I had one in January, one in February, (started Harvoni in April) and then the last one will be in August.
Female
Infected mid-1970's
Diagnosed 2013
Viral load prior to treatment: 6.6 million
Genotype: 1a
Started Harvoni: 4/20/15
Four week viral load: <20 too low to quantify
Eight week viral load: undetected

Offline ponygirl

  • Member
  • Posts: 39
Re: Hep a and b vaccines
« Reply #3 on: May 06, 2015, 09:34:48 pm »
Over the past 12 years I have been told by 5 different gastroenterologists that I no longer need the Hep B vaccine. Last year by my Group Health doc, 4 years before by my Virginia Mason doc, and before that by my University of Washington doc. I believe that University of WA was involved in the Gilead testing.

I am going to ask my Gastro again.

Offline Bituman

  • Member
  • Posts: 157
Re: Hep a and b vaccines
« Reply #4 on: May 06, 2015, 10:21:21 pm »
Age = 59, male, infected likely 1975
DX 07/07 GT 1a
Biopsy 2007:  GR 1, stage 0, HAI = 2/18
Since 2007:  1.48 MM < VL < 11 MM, avg = 5.64 MM
IL28B=CT
1/26/15, AST=43, ALT=55, VL=3.59 MM
2/5 Start Harvoni 12 weeks; Treat naive
2/20 AST=29, ALT=24, VL=59
3/6 AST=29, ALT=25, VL<15
3/19 AST=24, ALT=22, VL=undet
4/3 AST=29, ALT=25, VL=undet
4/30 EOT, AST=22, ALT=20, VL=undet
5/29 EOT+4, AST=20, ALT=19, VL=undet SVR
7/24 EOT+12, AST=23, ALT=18, VL=undet SVR
10/16 EOT+24, AST=22, ALT=17, VL=undet SVR

Offline sabre

  • Member
  • Posts: 77
Re: Hep a and b vaccines
« Reply #5 on: May 06, 2015, 11:10:01 pm »
It makes sense to get the vaccinations, but that is a good question regarding whether to get them while on Tx.

My doc recommended them to me after initial diagnosis in '08, but alas, I did nothing...
Infected 1980 / Diagnosed 2008
GT 1 / Treatment naive / VL 190,000
Biopsy 2008: stage 0 grade 1
Fibroscan 2015: F2 mild fibrosis
Chronic kidney disease (due to HCV) / Proteinuria

12 weeks Harvoni began on 03/28/2015
End of treatment: 06/19/2015
Labs on 06/17/2015: Undetected
Labs on 09/21/2015: Undetected (SVR12)

Offline ponygirl

  • Member
  • Posts: 39
Re: Hep a and b vaccines
« Reply #6 on: May 07, 2015, 02:48:21 am »
Sorry. I forgot to mention that I had Hepatitis B in 1984. My doctor says that I already have the anti-bodies so I do not need the vaccination. I have some Ribavirin "brain fog" so I sort of forget important information.

Offline dearprudence

  • Member
  • Posts: 121
Re: Hep a and b vaccines
« Reply #7 on: June 10, 2015, 11:21:04 am »
saw doc on 6/4 - next week blood test will be testing for a/b antibodies. If I need vaccine it will be done after vpak/riba treatment ends the beginning of august. Also suggested shingles vaccine after treatment. Don't know if this has anything to do with hep c virus. I already had a pneumonia vaccine due to chronic bronchitis so will just get a booster at age 65 (next year!)

Offline ponygirl

  • Member
  • Posts: 39
Re: Hep a and b vaccines
« Reply #8 on: June 11, 2015, 03:08:09 am »
Dearprudence. The Shingles vac is just for us old people.  I am getting mine after treatment is done on August. Those of us older folks (HAH) had chicken pox because there was no vaccine when we were kids. Shingles is caused by dormant chicken pox virus. My cousin and two of my friends have had Shingles...they were in severe pain and my cousin told me...get the vaccination. He was off work for over two weeks.

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,544
  • Get tested, get treated, get cured, fight Hep c!
Re: Hep a and b vaccines
« Reply #9 on: June 11, 2015, 03:14:31 am »
I am trying to decide about what to do about the shingles and chicken pox vaccines. I missed the chicken pox when I was a kid and was never vaccinated either like you say no vaccine back then.

I did have the pneumonia vaccine when I was 50 when I was diagnosed with cirrhosis and will be having the new pneumonia vaccine Prevnar13 when I get around to it.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

 


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