Flu Vaccination

The flu vaccine is recommended for the following categories of patients:

	Children with chronic disorders of the pulmonary or cardiovascular systems requiring regular medical follow-up or hospitalization in the preceding year (including children with asthma)
	Children who have received regular medical follow-up or hospitalization during the last year because of chronic metabolic disorders (including diabetes mellitus), renal dysfunction, hemoglobinopathies, or immunosuppression.
	Children and teenagers (ages 6 months to 18 years) who are receiving long-term aspirin therapy and therefore may be at risk for developing Reye's Syndrome after influenza infection.
	Physicians, nurses, and others in the outpatient setting who have contact with high-risk patients

The flu vaccine is counterindicated for the following individuals:

	Infants under 6 months of age.
	Individuals with a history of egg allergy.
	Persons with acute febrile illnesses.
	Persons with acute febrile illnesses can receive the vaccine once symptoms have abated. Children with minor illnesses, with or without fever, such as mild upper respiratory infections or allergic rhinitis may be vaccinated.

Age and Dose

9 years and older	0.5 mL (1 dose)
3-8 years	0.5 mL (1 or 2 doses)*
6-35 months	0.25 mL (1 or 2 doses)*
*A single dose is sufficient for those under 9 years who have received the flu vaccine in the past. A 2 dose regimen is recommended for children under 9 years of age who have never received the flu vaccine.

Related Topics:

General Immunization Schedule
RSV Prophylaxis (and Respigam Calculator)
Neonatal Hepatitis
Tetanus after Injury

Infectious Disease

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Last modification: December 4, 1998