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May 22, 2013
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Flu Vaccine (cont.)

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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. 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.

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