Despite the advantages of live, attenuated vaccines, there are some
downsides. It is the nature of living things to change, or mutate, and
the organisms used in live, attenuated vaccines are no different. The
remote possibility exists that an attenuated microbe in the vaccine
could revert to a virulent form and cause disease. Also, not everyone
can safely receive live, attenuated vaccines. For their own
protection, people who have damaged or weakened immune
systems—because they’ve undergone chemotherapy or have HIV,
for example—cannot be given live vaccines.