Flu shot Season

It is that time of year again. The 2013-2014 annual influenza vaccine is available. Here is a bit of information about the “flu” and the “flu shot.”

Influenza “flu” infection:

  • This is a contagious disease that spreads around the U.S. every winter, usually between October and May.

  • Caused by the influenza virus (types A & B), and can be spread by coughing, sneezing, and close contact.

  • Anyone can get flu, but the risk of is highest among children.

Symptoms come on suddenly and may last several days. They can include:

  • fever/chills

  • sore throat, headache

  • muscle aches, fatigue

  • cough

  • runny or stuffy nose

Flu can make some people much sicker than others. This includes young children, people 65 and older, pregnant women, and people with certain health conditions – such as heart, lung or kidney disease, or a weakened immune system. Flu vaccine is especially important for these individuals, and anyone in close contact with them.

Flu can also lead to pneumonia, and make existing medical conditions worse. It can cause diarrhea and seizures in children.

Each year thousands of people in the U.S. die from flu, and many more are hospitalized.

Influenza vaccine: There are two types of influenza vaccine:

  • Inactivated flu vaccine, which does not contain any live influenza virus. It is given by injection with a needle, and often called the “flu shot.”

  • Live, attenuated (weakened) influenza vaccine is sprayed into the nostrils.

Flu vaccine is recommended every year (as the virus strains can change and immune protection wanes). Children 6 months through 8 years of age should get two doses the first year they get vaccinated.

Flu viruses are always changing. Each year’s flu vaccine is made to protect from viruses that are most likely to cause disease that year. While flu vaccine cannot prevent all cases of flu, it is our best defense against the disease. Inactivated flu vaccine protects against 3 or 4 different influenza viruses.

It takes about 2 weeks for protection to develop after the vaccination, and protection lasts several months to a year.

Some illnesses that are not caused by influenza virus are often mistaken for flu. Flu vaccine will not prevent these illnesses. It can only prevent influenza.

A “high-dose” flu vaccine is available for people 65 years of age and older.

A standard-dose "intradermal" flu vaccine, injected into the skin instead of the muscle using a much smaller needle, is approved for adults 18-64.

There are also "quadrivalent" vaccines that protects against two influenza A viruses and two influenza B viruses.

Some inactivated flu vaccine contains a very small amount of a mercury-based preservative called thimerosal. Studies have shown that thimerosal in vaccines is not harmful, but flu vaccines that do not contain a preservative are available.

Some People should not get the flu vaccine.

  • If you have any severe (life-threatening) allergies. If you ever had a life-threatening allergic reaction after a dose of flu vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get a dose. Most, but not all, types of flu vaccine contain a small amount of egg.

  • If you ever had Guillain-Barré Syndrome (GBS) (a severe paralyzing illness), it may be reasonable to not receive this vaccine.

  • If you are not feeling well. They might suggest waiting until you feel better. But you should come back.

Risk of a Vaccine Reaction

  • With a vaccine, like any medicine, there is a chance of side effects. These are usually mild and go away on their own. Serious side effects are possible, but are very rare. Inactivated flu vaccine does not contain live flu virus, so getting flu from this vaccine is not possible.

  • Brief fainting spells and related symptoms (such as jerking movements) can happen after any medical procedure, including vaccination. Sitting or lying down for 15 minutes after a vaccination can help prevent fainting and injuries caused by falls. Tell your doctor if you feel dizzy or light-headed, or have vision changes or ringing in the ears.

Mild problems following inactivated flu vaccine:

  • soreness, redness, or swelling where the shot was given

  • hoarseness; sore, red or itchy eyes; cough

  • fever, aches, headache, fatigue

  • itching

If these problems occur, they usually begin soon after the shot and last 1 or 2 days.

Moderate problems following inactivated flu vaccine:

  • Young children who get inactivated flu vaccine and pneumococcal vaccine (PCV13) at the same time may be at increased risk for seizures caused by fever. Tell your doctor if a child who is getting flu vaccine has ever had a seizure.

Severe problems following inactivated flu vaccine:

  • A severe allergic reaction could occur after any vaccine (estimated less than 1 in a million doses).

  • There is a small possibility that inactivated flu vaccine could be associated with Guillain-Barré Syndrome (GBS), no more than 1 or 2 cases per million people vaccinated. This is much lower than the risk of severe complications from flu, which can be prevented by flu vaccine.

What if there is a serious reaction?

What should I look for?

  • Look for anything that concerns you, such as signs of a severe allergic reaction, very high fever, or behavior changes.

  • Signs of a severe allergic reaction can include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, and weakness. These would start a few minutes to a few hours after the vaccination.

What should I do?

  • If you think it is a severe allergic reaction or other emergency that can’t wait, call 911 or get the person to the nearest hospital.

  • Afterward, the reaction should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your doctor might file this report, or you can do it yourself through the VAERS website at: http://vaers.hhs.gov/index or call 1-800-822-7967.

How can I learn more?