Although research scientists are working to develop safer vaccines, people who are diagnosed with atopic dermatitis (eczema) should not receive the current smallpox vaccine.
According to the Centers for Disease Control and Prevention (CDC), people who have been diagnosed with atopic dermatitis are more likely to develop a serious complication if they are exposed to the virus from the smallpox vaccine.
People with atopic dermatitis should exercise caution when coming into close physical contact with a person who has recently been vaccinated. People who have atopic dermatitis and have had physical contact with a vaccinated person's unhealed vaccination site, their bedding, or other items that might have touched that site, should notify their doctor, particularly if they develop a new or unusual rash.
During a smallpox outbreak, vaccination recommendations may change. People with atopic dermatitis who have been exposed to smallpox should consult their doctor about vaccination.