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Who Needs a Flu Shot

Do your kids need a flu shot?

By Vincent Iannelli, M.D., About.com

Updated: October 4, 2006

About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD

Who Should Get a Flu Shot

There should't be any formal shortages this year and there aren't any restrictions on getting flu shots this year, so anyone who wants a flu shot can get one.

High risk groups who should get a flu shot this flu season include:

  • children aged 6–59 months
  • pregnant women
  • persons aged 50 years and older,
  • children and adults with most chronic health conditions, including asthma, diabetes, and immune system problems
  • residents of long-term care facilities
  • household contacts and out-of-home caregivers of children aged <6 months or in other high risk groups above
  • health-care personnel who provide direct patient care
Keep in mind that the 'household contacts' part places a lot of extra kids into a high risk group who should get a flu vaccine. For example, if you have a 3 year old and a 10 year old, they should both get a flu vaccine, because the 10 year old is a household contact of the 3 year old. Or if one child in your family has asthma, then everyone should get a flu vaccine. The child with asthma is in a high risk group and everyone else is a household contact of someone in a high risk group.

And remember that even if your child is not in a high risk group, he can still get a flu vaccine if you want to simply reduce his risk of getting the flu this year.

Other Vaccination Recommendations

  • Healthy persons who are 5-49 years of age and not pregnant, including health-care workers (except those who care for severely immunocompromised patients in special care units) and persons caring for children aged less than 6 months can be vaccinated with intranasally administered live, attenuated influenza vaccine (Flumist).
  • People should not get a flu vaccine if they have a severe allergy to chicken eggs, have had a severe reaction to an influenza vaccination in the past, have developed Guillain-Barre syndrome within 6 weeks of getting an influenza vaccine previously, if they are less than 6 months old, or if they have a moderate or severe illness with a fever.
One thing to keep in mind is that although thimerosal has been removed from all routinely recommended childhood vaccines, the flu vaccine does still contain thimerosal. This is not necessarily a reason to not get your child immunized though, especially if he is in a high risk group. And a limited amount of influenza vaccine that are thimerosal free or have a reduced thimerosal content will be available for the 2006-2007 influenza season. According to the CDC, 'the benefit of influenza vaccine with reduced or standard thimerosal content outweighs the theoretical risk, if any, from thimerosal.'

Updated for the 2006-2007 Flu Season.

For more information, please visit our guide to Kids and the Flu.

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