Pregnant women are at high risk for influenza related complications and are a priority group for vaccination. The FDA has classified Fluzone and Afluria as "Pregnancy Category B", indicating that animal reproduction studies have not demonstrated a fetal risk, but there are no controlled studies in pregnant women.
The ACIP, the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Family Physicians recommends the use of injectable influenza vaccine for immunization of pregnant women because the benefit of protection outweighs the potential risk of any adverse event.
According to the ACIP and the American Academy of Pediatrics (AAP):
Children aged 6 months to 8 years who are receiving the influenza vaccine for the first time or whose previous vaccination status is unknown should receive two (2) doses of vaccine separated by at least four weeks.
Children aged 6 months through 8 years who have NOT received two (2) or more total doses of seasonal influenza vaccine since July 2010 should receive two (2) doses of vaccine separated by at least four weeks.
Children aged 6 months through 8 years who received two (2) or more total doses of seasonal influenza vaccine since July 2010 and all children 9 and older should receive one dose of seasonal influenza vaccine.
Yes. The live vaccine (FluMist®) may suppress a positive response to a tuberculin skin testing (TST or PPD) in a person who is infected with tuberculosis (TB), resulting in a false negative skin test. If a person needs TB skin testing and LAIV, you can correctly administer both in one of three ways
Fluzone®, Fluzone® Pediatric, Fluzone® High-Dose (HD), and Fluzone® Intradermal are inactivated injectable influenza virus vaccines manufactured by Sanofi-Pasteur. Presentations available this year include a multi-dose vial and a thimerosal-free single-dose syringe.
Fluzone and Fluzone Pediatric are licensed for persons aged 6 months and older, Fluzone HD is licensed for persons aged 65 years and older and Fluzone Intradermal is licensed for persons aged 18 through 64 years. DoD only contracted for Fluzone and Fluzone Pediatric this season.
ACIP recommends the use of injectable vaccines for immunization of persons described as eligible in manufacturer package inserts and for whom the live virus vaccine (FluMist®) is contraindicated.
The following populations should not be immunized with the Live Attenuated Intranasal Vaccine: