Can FluMist be given to contacts of immunosuppressed patients?

With rare exceptions, yes. Like other live vaccines, FluMist should not be administered to immunosuppressed people. ACIP has stated a preference for using inactivated influenza vaccine for all close contacts of severely immunosuppressed individuals (for example, patients with hematopoietic stem cell transplants) during those periods in which the immunosuppressed person requires care in a protective environment because of the theoretical risk that the live attenuated vaccine virus could be transmitted to the severely immunosuppressed individual and cause disease. Healthcare personnel or other people who have close contact with people with lesser degrees of immunosuppression (for example, people with diabetes, people with asthma taking corticosteroids, or people living with HIV) who are otherwise eligible for FluMist may receive it. No special precautions need to be taken by the vaccinated person.