The U.S. Dept. of Health & Human Services (HHS) Guidance for COVID-19 concerning people with HIV recommends that people with HIV should receive COVID-19 vaccines, regardless of their CD4 or viral load, because the potential benefits outweigh the potential risks.
In addition to getting vaccinated and following guidance for fully vaccinated people, those who have HIV should be counseled about the potential for reduced immune responses to COVID-19 vaccines and to follow current prevention measures (including wearing a mask, staying 6 feet apart from others they don’t live with, and avoiding crowds and poorly ventilated indoor spaces) to protect themselves against COVID-19. Close contacts of people with HIV should be encouraged to be vaccinated against COVID-19.
The CDC recommends that people stay up to date with their vaccinations and get additional doses when eligible. The CDC has guidance for everyone 6 months and older based on age and medical condition.