Any significant acute or chronic medical illness Other acute or chronic medical or psychiatric condition Acute or chronic liver or renal disease Acute or chronic medical or psychological illnesses that prevent endoscopy procedures Acute or chronic skin and/or microvascular disorders Stable medical condition, including the absence of acute exacerbations of chronic illnesses, serious infections or major surgery within 28 days prior to study enrollment Documented malabsorptive syndromes including enteropathies, gastroenteritis (acute or chronic) or diarrhea (acute or chronic) Subjects with acute or chronic skin disorders that will interfere with injection into the skin of the extremities or subsequent assessment of potential skin reactions will be excluded Other severe acute or chronic medical condition Systemic rheumatic or autoimmune diseases or acute or chronic infections Acute VOC ending 7 days prior to first dosing Acute viral or active autoimmune, alcoholic, or other types of acute hepatitis Patients must not have received any prior systemic therapy for ALL, except for the acute management of hyperleukocytosis or acute symptoms (e.g., corticosteroids, cytarabine, etc.) Be undergoing treatment for acute or chronic hepatitis C. Acute or chronic pancreatic disease within the last year prior to enrollment Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Acute or chronic skin disorders that would interfere with subcutaneous injection of the vaccine or subsequent assessment of potential skin reactions Acute, severe infection (e.g., sepsis and opportunistic infections), or active, chronic or persistent infection that might worsen with immunosuppressive treatment (e.g., herpes zoster). Any acute or chronic psychiatric problems Stable medical condition, including the absence of acute exacerbations of chronic illnesses, serious infections or major surgery within 28 days prior to study enrollment Subjects with any acute infection or severe or uncontrolled that requires systematic antibiotic therapy; acute therapy must have been completed at least seven days prior to study enrollment Patients with acute or chronic skin disorders that will interfere with injection into the skin of the extremities or subsequent assessment of potential skin reactions will be excluded Acute or sub-acute intestinal obstruction Evidence of active acute or chronic infection Ongoing acute or chronic inflammatory skin disease. Chronic immunosuppression Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Be undergoing treatment for acute or chronic hepatitis C. Prostate abscess, chronic or acute prostatitis, or neurogenic bladder Patients with acute myelofibrosis are excluded Significant acute or chronic infections Have malabsorptive syndromes, enteropathies, gastroenteritis (acute or chronic), or diarrhea (acute or chronic). Acute or chronic liver, pancreatic or severe renal disease Ongoing acute or chronic inflammatory skin disease. Acute or chronic pancreatic disease Acute or chronic liver or severe renal disease Active (acute or chronic) or uncontrolled severe infections (not responding to antibiotics), including acute pelvic inflammatory disease Subjects with acute or chronic skin disorders that will interfere with injection into the skin of the extremities or subsequent assessment of potential skin reactions will be excluded Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Active (acute or chronic) or uncontrolled severe infection Acute or chronic liver or pancreatic disease. Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer No evidence of acute infection Significant acute or chronic infections, including: Acute or chronic medical or psychological illnesses that prevent endoscopy procedures Patients with acute or chronic infection Ongoing acute or chronic inflammatory skin disease. Procedures that occur during acute hospitalization. Acute nephritis Has an Acute Physiology and Chronic Health Evaluation (APACHE) II score < 10 Skin toxicity including but not limited to erythema, rash, ulceration, and open wound that is still clinically present and considered as acute or chronic. Acute or chronic skin disorders that will interfere with subcutaneous injection of the vaccine or subsequent assessment of potential skin reactions Have a chronic underlying infection Significant acute or chronic medical illness. History of functionally limiting chronic or acute cardiac, pulmonary, or neuromuscular disease Sepsis and/or acute, chronic, or ongoing infections that are currently being treated with systemic antimicrobials Patients with acute chronic obstructive disease exacerbation as the primary etiology for respiratory failure Acute suicidal behavior. Acute medical conditions, such as acute flare-up of joint condition or infection Acute abdomen Known chronic aspiration Chronic immunosuppression Acute or chronic respiratory disease Other known causes of significant liver disease including chronic or acute hepatitis B, acute hepatitis A, hemochromatosis, or homozygote alpha-1 antitrypsin deficiency acute respiratory failure, acute myocarditis or acute systemic infection and Acute prostatitis within the last 6 months Patients suffering from active acute or chronic prostatitis Have an acute or a chronic hematoma and/or acute ecchymosis of the thyroid; Symptomatic acute prostatitis AND with one or more of the following highly prevalent ambulatory-sensitive chronic conditions (diabetes, hypertension, chronic lung disease, chronic kidney disease, depression, or heart disease). Not in acute crisis