The best replacement for attenuated is inactivated vaccine.


The best alternatives to attenuated are rated as following:
★★★★★  inactivated vaccine
★★  modified live vaccine
★★  inactivated
★  inactivated vaccines
★  killed
★  inactivated influenza vaccine

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No companions for attenuated have been suggested so far.
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attenuated
inactivated vaccine
modified live vaccine