An attenuated vaccine (or a live attenuated vaccine, LAV) is a vaccine created by reducing the virulence of a pathogen, but still keeping it viable (or "live").[1] Attenuation takes an infectious agent and alters it so that it becomes harmless or less virulent.[2] These vaccines contrast to those produced by "killing" the pathogen (inactivated vaccine).
Attenuated vaccines stimulate a strong and effective immune response that is long-lasting.[3] In comparison to inactivated vaccines, attenuated vaccines produce a stronger and more durable immune response with a quick immunity onset.[4][5][6] They are generally avoided in pregnancy and in patients with severe immunodeficiencies.[7] Attenuated vaccines function by encouraging the body to create antibodies and memory immune cells in response to the specific pathogen which the vaccine protects against.[8] Common examples of live attenuated vaccines are measles, mumps, rubella, yellow fever, and some influenza vaccines.[3]