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Flu Vaccine (cont.)

Indications for the Nasal-Spray Flu Vaccine (FluMist, Live Attenuated Influenza Virus or LAIV)

The nasal-spray is approved for use in healthy people 2-49 years of age who are not pregnant. The term FluMist is used for the seasonal flu nasal spray vaccine. The H1N1 nasal-spray vaccine had essentially the same indications for vaccination and precautions as the seasonal nasal-spray vaccine. LAIV does not contain thimerosal or other preservatives. The 2014-15 nasal-spray vaccine is the quadrivalent vaccine. According to the CDC, the following people should not get the nasal-spray vaccine:

  • People less than 2 years of age
  • People 50 years of age and over
  • People with a medical condition that places them at high risk for complications from influenza, including those with chronic heart or lung disease, such as asthma or reactive airways disease; people with medical conditions such as diabetes or kidney failure; or people with illnesses that weaken the immune system or who take medications that can weaken the immune system
  • Children <5 years of age with a history of recurrent wheezing
  • Children or adolescents receiving aspirin therapy
  • People with a history of Guillain-Barré syndrome that occurred after receiving influenza vaccine
  • Pregnant women
  • People who have a severe allergy to chicken eggs or who are allergic to any of the nasal-spray-vaccine components

In addition, the package insert states that people allergic to gentamycin, arginine, or gelatin should not use the nasal spray. These recommendations also apply to the new quadrivalent vaccines.

Medically Reviewed by a Doctor on 9/2/2014

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