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MHRA Limits IXCHIQ Chikungunya Vaccine to Adults 18–59 Without Certain Conditions

The move follows CHM advice after global reports of 28 serious reactions, including three deaths.

Overview

  • The vaccine should not be used in people aged 60 or over or in anyone with high blood pressure, heart disease, diabetes, or chronic kidney disease.
  • Use is also contraindicated in individuals who are immunodeficient or immunosuppressed, including IgA deficiency, and in those with a history of thymus disorder or thymectomy.
  • Healthcare professionals must conduct comprehensive benefit–risk assessments before offering IXCHIQ and exercise caution for patients with two or more chronic conditions.
  • As a precaution, vaccination is advised at least 30 days before travel so any serious reaction occurs while the person has access to UK healthcare.
  • MHRA will update patient information and urges reporting of side effects via the Yellow Card scheme, formalizing a June 2025 pause after a safety review.