Your Child's Immunizations: Influenza Vaccine

Your Child's Immunizations: Influenza Vaccine

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Influenza — what most of us call "the flu" — is a highly contagious viral infection of the respiratory tract.

Immunization Schedule

Flu season runs from October to May. It's best to get a flu vaccine as early in the season as possible, as it gives the body a chance to build up immunity to (protection from) the flu. But getting a flu vaccine later in the season is still better than not getting the vaccine at all.

The Centers for Disease Control and Prevention (CDC) now recommends a flu vaccine for everyone 6 months of age and older (instead of just certain groups, as was recommended before).

But it's especially important that those in higher-risk groups get vaccinated to avoid health problems as a result of the flu. They include:

Babies younger than 6 months can't get the vaccine, but if their parents, other caregivers, and older kids in the household get it, that will help protect the baby. This is important because infants are more at risk for serious complications from the flu.

Talk to your doctor about how many doses your child needs.

Types of Vaccines

Different types of vaccines are available. One type (called trivalent) protects against three strains of the flu virus (usually, two types of influenza A viruses and one influenza B virus). Another (called quadrivalent) protects against four strains.

The vaccine can be given to kids in two different ways: by injection with a needle (the flu shot), or sprayed into the nostrils (nasal spray or nasal mist).

Both ways of delivering the vaccine are safe and effective, and experts don't recommend one type over the other, except for kids with certain medical conditions or pregnant women, who should not get the nasal spray.

Some vaccines are approved only for adults at this time, such as egg-free vaccines and intradermal shots, which are injected into the skin (instead of muscle) with a smaller needle.

Vaccine shortages and delays sometimes happen, so check with your doctor about availability and to see which vaccine is right for your kids.

Why the Vaccine Is Recommended

While the flu vaccine isn't 100% effective, it still greatly reduces a person's chances of catching the flu, which can be very serious. It also can make symptoms less severe if someone does still get the flu after immunization.

Even if you or your kids got the flu vaccine last year, that won't protect you this year, because flu viruses constantly change. That's why the vaccine is updated each year to include the most current strains of the virus.

Sometimes the same strains are included in the vaccine one year after the next. In this case, it's still important to get a seasonal flu shot because the body's immunity against the influenza virus declines over time.

Possible Side Effects

Usually given as an injection in the upper arm, the flu shot contains killed flu viruses that will not cause someone to get the flu, but can cause mild side effects like soreness, redness, or swelling at the injection site. A low-grade fever and aches are also possible.

The nasal spray flu vaccine contains weakened live flu viruses, so it may cause mild flu-like symptoms, including runny nose, headache, vomiting, muscle aches, and fever. Very rarely, the flu vaccine can cause a severe allergic reaction.

When to Delay or Avoid Immunization

Certain things might prevent a person from getting the flu vaccine. Talk to your doctor to see if the vaccine is still recommended if your child:

In the past, it was recommended that anyone with an egg allergy talk to a doctor about whether receiving the flu vaccine was safe because it is grown inside eggs. But health experts now say that the amount of egg allergen in the vaccine is so tiny that it (but not the nasal mist) is safe even for kids with a severe egg allergy. This is especially important during a severe flu season.

Still, a child with an egg allergy should get the flu shot in a doctor's office, not at a supermarket, drugstore, or other venue. And if the allergy is severe, it might need to be given in an allergist's office.

If your child is sick and has a fever, talk to your doctor about rescheduling the flu shot.

Caring for Your Child After Immunization

Check with your doctor to see if you can give either acetaminophen or ibuprofen for pain and fever and to find out the appropriate dose.

A warm, damp cloth or a heating pad at the injection site also may help ease soreness. Moving or using the limb that has received the injection often reduces the soreness as well.

When to Call the Doctor

Call if:

Reviewed by: Elana Pearl Ben-Joseph, MD
Date reviewed: September 2015

Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

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Related Resources
Web SiteCDC: Vaccines & Immunizations The CDC's site has information on vaccines, including immunization schedules, recommendations, FAQs, and more.
OrganizationImmunization Action Coalition This organization is a source of childhood, adolescent, and adult immunization information as well as hepatitis B educational materials.
Web SiteCDC: Preteen and Teen Vaccines CDC site provides materials in English and Spanish for parents, teens, preteens, and health care providers about vaccines and the diseases they prevent.
Web SiteCDC: Flu (Influenza) The CDC's site has up-to-date information on flu outbreaks, immunizations, symptoms, prevention, and more.
Web SiteThe History of Vaccines The History of Vaccines is an informational, educational website created by The College of Physicians of Philadelphia, the oldest professional society in the United States.
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