- All healthcare and law enforcement personnel, and all who work with children should be immunized.
- Pregnant women should be immunized. The immunity can pass across the placenta to the unborn baby and provide useful immunity in the first 6 months of life.
- Children with egg allergy can safely receive flu shots. No special precautions are required.
- Vaccination is safe for breastfeeding mothers and infants.
- Children under age 3 should receive 2 doses of 0.25 cc vaccine at least 1 month apart in their first month immunized. In subsequent years, only one 0.25 cc dose is required less than 3 years.
- Children 3-9 years should receive two doses of 0.5 cc at least 1 month apart the first year immunized. In subsequent years, they only need one 0.5 cc dose.
- Above age 9, people required one dose 0.5 cc each year.
- Injected, inactivated vaccine (“IIV4”) is the vaccine of choice. Note that since this is inactivated, there is no risk of infection from this shot.
- Live, attenuated “quadrivalent” vaccine (“LA4”)–nasal spray–can be used in selected situations (greater than 2 years of age, no health problems). As this vaccine is less effective against H1N1, I have chosen to not stock this form.
As flu season is very unpredictable, AAP recommendations stress that the earlier the better to be immunized. If possible, by the end of October.
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