So, you are asking about two things, right? The TB test shouldn't affect you but there's no way to predict that, like you said, because of an immune system that doesn't work well. The TB test can be positive if you've had the vaccine (have you?) or have been exposed to TB "in the past." It doesn't necessarily mean you have TB at the moment. No test is completely accurate for TB and clinical symptoms and chest imaging also have to be taken into consideration. You probably already know all of this.

The Pneumovax shot is dangerous. My Mom had it last year and she had an immune reaction that damaged one of her nerves. She couldn't use her arm/hand well for months (hand looked contorted!). With PT and Sublingual B12 in high doses (helps heal peripheral nerves), she recovered. If you've had one bad reaction, you should NOT have the shot again. It's sort of the same as allergic responses. Each time there is exposure to the protein or, in this case, the shot, the response can be exponentially worse the next time. There's no way to predict that.

You have the right to say no to anything. They can't "force" you to do this test. Is it in your contract that you "have to" have the TB test? In immunocompromised people or people who "overreact" to drugs because their immune system is whack, it is not advisable to push that envelope.

Have you had a conversation with your boss about all of this? Do you know what the laws are in your state that address this situation?

I personally do everything I can to keep my immune system happy. I don't get vaccines, mainly due to the "additives" like thimerosal or mercury or squalene. Especially the squalene!

Stand up for what you need. No one has the right to endanger your health.

Annie