The influenza virus vaccine helps protect against influenza Influenza (Flu) Influenza (flu) is a viral infection of the lungs and airways with one of the influenza viruses. It causes a fever, runny nose, sore throat, cough, headache, muscle aches (myalgias), and a general... read more . Two types of influenza virus, type A and type B, regularly cause seasonal epidemics of influenza in the United States. There are many different strains within each type. The strains of virus that cause influenza outbreaks change each year. Thus, a new vaccine is needed each year. Each year's vaccine is directed against the 3 or 4 strains that scientists predict will be most common in the coming year.
Influenza can be mild, causing fever, aches, and fatigue, but it can be serious. Influenza can cause severe pneumonia, worsening of chronic heart and lung disorders, organ failure, and death. The number of deaths caused by influenza varies greatly from year to year, with about 20,000 to 50,000 deaths annually in the United States (see Centers for Disease Control and Prevention's [CDC] impact of influenza in past years). Occasionally, severe outbreaks, called pandemics, cause even more deaths, especially among young people. In 1918, influenza killed millions of people worldwide.
For more information, see the CDC's Live, Intranasal Influenza vaccine information statement and Inactivated Influenza vaccine information statement.
(See also Overview of Immunization Overview of Immunization Immunization (vaccination) helps the body defend itself against diseases caused by certain bacteria or viruses. Immunity (the ability of the body to defend itself against diseases caused by... read more .)
Administration of Influenza Vaccine
The influenza vaccine is recommended for
All people 6 months old and over
(See CDC: Child and Adolescent Immunization Schedule by Age and CDC: Recommendations for Ages 19 Years or Older.)
Influenza vaccine is usually given as an injection of inactivated virus into the muscle. It is also available as a nasal spray, which contains live but weakened (attenuated) virus.
Influenza epidemics usually begin in late December or midwinter. Therefore, the best time to get the vaccine is in September through November. A vaccine against avian influenza (bird flu Bird Flu Bird flu is a viral infection with strains of influenza virus that normally occur in wild birds and domestic poultry. The bird flu virus rarely spreads from animals to people (spread to people... read more ) has been developed in case that virus becomes able to spread from person to person.
An influenza vaccine that has a higher dose of inactivated virus is recommended for people 65 years old and over. It is given as an injection.
The main reason for not giving either influenza vaccine to someone is
A serious, life-threatening allergic reaction (such as an anaphylactic reaction Anaphylactic Reactions Anaphylactic reactions are sudden, widespread, potentially severe and life-threatening allergic reactions. Anaphylactic reactions often begin with a feeling of uneasiness, followed by tingling... read more ) to any component of the vaccine (except for eggs) or to a previous dose of any influenza vaccine
Certain other conditions may affect whether and when people are vaccinated (see also CDC: Who Should NOT Get Vaccinated With These Vaccines?). For example, the nasal spray vaccine, which contains weakened live virus, is not given to the following:
Children under age 2 years or people age 50 years and older
People with a weakened immune system, such as those with HIV infection
Pregnant women
People who do not have a spleen or their spleen does not work well
Children or adolescents taking aspirin or other drugs that contain salicylates
People in close contact with or caring for a person with a severely weakened immune system (unless contact is avoided for 7 days after being given the vaccine)
People who have taken antiviral medicine for influenza in the last 2 days
Children 2 to 4 years old if they have asthma or have had wheezing or asthma episodes in the past 12 months
If people have a temporary illness, doctors usually wait to give the vaccine until the illness resolves.
The influenza vaccine may contain small amounts of egg because many of the formulations are made from viruses grown in eggs. Recommendations for giving the vaccine to people with an egg allergy vary according to the severity of the allergy:
If the only reaction people have had is a rash (hives Symptoms Allergic reactions (hypersensitivity reactions) are inappropriate responses of the immune system to a normally harmless substance. Usually, allergies cause sneezing, watery and itchy eyes, a... read more
), a doctor can give them the influenza vaccine.If people have had other reactions to eggs, such as swelling under the skin (angioedema Angioedema Angioedema is swelling of areas of tissue under the skin, sometimes affecting the face and throat. Angioedema can be a reaction to a drug or other substance (trigger), a hereditary disorder... read more
), difficulty breathing, light-headedness, repeated vomiting, and reactions that required an epinephrine shot or other emergency treatment, they can get the influenza vaccine as long as it is given in a health care facility supervised by a health care practitioner who has experience recognizing and managing allergic reactions.If people had a severe allergic reaction after they were given the influenza vaccine, they are not given the influenza vaccine again.
Side Effects of Influenza Vaccine
Occasionally, the injection site becomes sore. Fever and muscle aches occur occasionally.
Whether the influenza vaccine increases the risk of developing Guillain-Barré syndrome Guillain-Barré Syndrome (GBS) Guillain-Barré syndrome is a form of polyneuropathy causing muscle weakness, which usually worsens over a few days to weeks, then slowly improves or returns to normal on its own. With treatment... read more , a progressive nerve disorder, is unclear. However, if this rare syndrome develops within 6 months after influenza vaccination, people should talk to their doctor about whether future vaccinations are advisable.
The live-virus nasal spray vaccine sometimes causes a runny nose, sore throat, and mild wheezing.
More Information
The following English-language resources may be useful. Please note that THE MANUAL is not responsible for the content of these resources.
Centers for Disease Control and Prevention (CDC): Live, intranasal influenza vaccine information statement
European Centre for Disease Prevention and Control (ECDC): Influenza: Recommended vaccinations
Drugs Mentioned In This Article
| Generic Name | Select Brand Names |
|---|---|
aspirin |
Anacin Adult Low Strength, Aspergum, Aspir-Low, Aspirtab , Aspir-Trin , Bayer Advanced Aspirin, Bayer Aspirin, Bayer Aspirin Extra Strength, Bayer Aspirin Plus, Bayer Aspirin Regimen, Bayer Children's Aspirin, Bayer Extra Strength, Bayer Extra Strength Plus, Bayer Genuine Aspirin, Bayer Low Dose Aspirin Regimen, Bayer Womens Aspirin , BeneHealth Aspirin, Bufferin, Bufferin Extra Strength, Bufferin Low Dose, DURLAZA, Easprin , Ecotrin, Ecotrin Low Strength, Genacote, Halfprin, MiniPrin, St. Joseph Adult Low Strength, St. Joseph Aspirin, VAZALORE, Zero Order Release Aspirin, ZORprin |
epinephrine |
Adrenaclick, Adrenalin, Auvi-Q, Epifrin, EpiPen, Epipen Jr , Primatene Mist, SYMJEPI, Twinject |
