Dr. Kolsky believes it's important for parents to become educated
on the vaccine and how it can help keep your family healthy through the
holidays and into the new year.
Is it too late to get the Flu vaccine?
Flu season runs from October to May, with most cases happening
from late December to early March. But the flu vaccine is usually offered from
September until mid-November. Getting vaccinated before the flu season is in
full force gives the body a chance to build up immunity to (protection from)
the virus.
Even though it's best to get vaccinated as soon as the flu
vaccine is available, getting the vaccine later can still be helpful. Even as
late as January, there are still a few months left in the flu season, so it's
still a good idea to get protected.
Who Should Get the Flu Vaccine?
The flu vaccine is recommended for everyone age 6 months and
older. It's especially important for people who are at greater risk of
developing health problems from the flu to get vaccinated. They include:
- all kids 6 months through 4 years old (babies younger than 6 months are also considered high risk, but they cannot receive the flu vaccine)
- anyone 65 years and older
- all women who are pregnant, are considering pregnancy, have recently given birth, or are breastfeeding during flu season
- anyone whose immune system is weakened from medications or illnesses (like HIV infection)
- residents of long-term care facilities, such as nursing homes
- anyone (adults, teens, and kids) with a chronic medical condition, such as asthma
- kids or teens who take aspirin regularly and are at risk for developing Reye syndrome if they get the flu
- caregivers or household contacts of anyone in a high-risk group (like children younger than 5 years old, especially those younger than 6 months, and those with high-risk conditions)
- Native Americans and Alaskan Natives
Kids under 9 years old who are getting the flu vaccine for the first time will receive two separate doses at least a month apart. Those under 9 who have received the flu vaccine before still might need two doses if they did not receive at least two vaccines since July 2010, or if the number of doses they've received since July 2010 is unknown. This is to ensure that all kids are vaccinated against the H1N1 flu strain that surfaced in 2009. Kids older than 9 years old only need one dose of the vaccine.
It can take 1 to 2 weeks for the flu vaccine to become effective,
so it's best to get vaccinated as soon as possible.
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Types of Flu Vaccine
Different types of vaccines are available. One type (called
trivalent) protects against three strains of the flu virus (usually, two types
of influenza A viruses and one influenza B virus). Another (called
quadrivalent) protects against four strains.
The vaccine can be given to kids in two different ways: by
injection with a needle (the flu shot), or sprayed into the nostrils (nasal
spray or nasal mist).
Both ways of delivering the vaccine are effective, but recent
studies show that the nasal spray may work better in younger children. So
experts recommend that healthy kids 2 to 8 years old get the nasal spray
vaccine when available. If it's not available, the flu shot should be given
(kids should not wait for the nasal spray to get vaccinated). The nasal spray
isn't recommended for kids with certain medical conditions or pregnant women.
Some vaccines are approved only for adults at this time, such as
egg-free vaccines and intradermal shots, which are injected into the skin
(instead of muscle) with a smaller needle.
Those Who Should Not Get the Vaccine
Certain things might prevent a person from getting the vaccine.
Talk to your doctor to see if the vaccine is still recommended if your child:
- has ever had a severe reaction to a flu vaccination
- has Guillain-Barré syndrome (a rare condition that affects the immune system and nerves)
In the past, it was recommended that anyone with an egg allergy
talk to a doctor about whether receiving the flu vaccine was safe because it is
grown inside eggs. But health experts now say that the amount of egg allergen
in the vaccine is so tiny that it (but not the nasal mist) is safe even for
kids with a severe egg allergy. This is especially important during a severe
flu season.
Still, a child with an egg allergy should get the flu shot in a
doctor's office, not at a supermarket, drugstore, or other venue. And if the
allergy is severe, it might need to be given in an allergist's office.
If your child is sick and has a fever, talk to your doctor about
rescheduling the flu vaccine.
Are There Side Effects?
Most people do not have any side effects from the flu shot. Some
have soreness or swelling at the site of the shot or mild side effects, such as
headache or low-grade fever.
Some people who get the nasal spray vaccine may develop mild
flu-like symptoms, including runny nose, headache, vomiting, muscle aches, and
fever.
Where Can My Family Get the Vaccine?
The flu vaccine is available at:
- many health care settings, including doctors' offices and public, employee, and university health clinics
- some pharmacies
- some supermarkets
- some community groups or centers
- some schools
If you have an HMO insurance plan, be sure to check with your
primary care doctor before having your kids vaccinated outside the office,
since most HMOs will pay for shots only if they're given through.