I wrote to Frank Nice, who said the smallpox garu was John Grabenstein, PhD, FAPhA of the US Army.
This is the answer I got back, which makes sense, however if a mom really needs the vaccine I would think care could be taken to be sure this wasn't a problem.  I remember (way back folks, I'm older than dirt) some people used to have smallpox vac scars on the thigh, so I don't think the upper arm site is engraved in stone.  And besides it's the towards the back of the arm (OK everyone who's got one, look for your scar -that dates us, right?)  Of course when I was nursing a baby in the 60's and going overseas, no one questioned a new smallpox vac.  I just got it.  All food for thought, Sincerely, Pat in SNJ
  There is no evidence that vaccinia virus is transmitted in breast milk.  The issue is that a breast-feeding infant is very close to his/her mother's deltoid area (half the time, anyway) while breast feeding.  The little whippersnapper might come in contact with vaccinia viruses inadvertently on a mechanical, proximity, touch-transfer basis.  That's the reason.


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      Best, John Grabenstein