Saturday, September 30, 2023

How Much Flu Vaccine To Administer

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Seasonal Influenza Vaccines Pricing

The flu vaccine: explained

The Medicare Part B payment allowance limits for seasonal influenza vaccines are 95% of the Average Wholesale Price , as reflected in the published compendia.

In hospital outpatient departments, payment is based on reasonable cost.

Annual Part B deductible and coinsurance amounts dont apply for the influenza virus vaccinations. All physicians, non-physician practitioners, and suppliers who administer these vaccinations must take assignment on the claim for the vaccine.

Annual Influenza Vaccine season starts on August 1 and ends on July 31 of the following year.

Evergreen Flu Vaccine Ingredients: The Preservatives And Additives

Beyond the three to four viral components, a number of additives and preservatives are required to make vaccines effective and to keep them from going bad. These ingredients, sometimes covered as trade secrets by drug companies in less public drugs, have led to many a conspiracy theory that anti-vaxxers would have you latch onto. Its really much more boring than that.

Here are some of the ingredients you will find in the 2022-2023 flu vaccine and why theyre there.

The Ingredient: Aluminum Salts

Use: Boosts bodys response to the vaccine

The Ingredient: Sugar or gelatin

In: Most vaccines

In: Few flu vaccines only multi-dose vials

Use: Preservative

The CDC says: Thimerosal has a different form of mercury than the kind that causes mercury poisoning . Its safe to use ethylmercury in vaccines because its processed differently in the body and its less likely to build up in the body and because its used in tiny amounts. Even so, most vaccines do not have any thimerosal in them.

The Ingredient: Egg proteins

In: Some vaccines

Use: Growing the vaccine

The CDC says: Because influenza and yellow fever vaccines are both made in eggs, egg proteins are present in the final products. However, there are two new flu vaccines now available for people with egg allergies.

Where Do Americans Get Vaccines And How Much Does It Cost To Administer Them

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NOTE: This analysis was updated in March 2022.

The initial roll out of COVID-19 vaccines in the United States has been mired with distribution challenges. State and local governments, health systems, and other providers have at many times faced shortages and other times been left with unused vaccines. One of the vaccines authorized thus far, the Pfizer-BioNTech vaccine, has specific storage requirements, which also creates challenges for some locations. Priority groups eligible to get vaccinated have found the process difficult to navigate. Communication between federal and local officials might have improved recently, but vaccine supply bottlenecks remain and racial disparities in access have emerged. Understanding where adults got vaccinated before the pandemic can inform the massive state and federal efforts to vaccinate Americans against COVID-19. Accessibility of vaccination locations is one component that will influence equity in COVID-19 vaccination rates.

In early April 2022, the U.S. federal government will run out of funds to pay for COVID-19 vaccines and vaccine administration costs for uninsured and underinsured people.

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A Staff Member Inadvertently Administered The Wrong Dosage Of Influenza Vaccine How Do We Correct This

If a smaller than recommended dose of any inactivated influenza product is inadvertently administered, additional vaccine should be given so that the patient receives a full dose. The amount of vaccine that should be administered is based on when the patient is available to be revaccinated. For example:

  • If a partial dose of an inactivated influenza vaccine product is administered and revaccination can occur on the same clinic day, the patient should receive a remaining volume to total the correct dosage. For example, if the correct dosage for the patient is 0.5 mL and they received only 0.25 mL, an additional 0.25 mL should be given if revaccination can occur on the same day.
  • If the patient cannot be revaccinated until the next day or later, a full dose of inactivated influenza vaccine should be administered as soon as the patient can return.
  • If a larger dose of influenza vaccine is inadvertently administered, count the dose as valid. Revaccination with additional vaccine is not needed.

Giving an incorrect dose is considered a vaccine administration error. Healthcare personnel should take steps to determine how the error occurred and put strategies in place to prevent it from happening in the future.

What Should I Do If I Have Had A Serious Reaction To Seasonal Flu Vaccine

How Long Does It Take for the Flu Shot to Be Effective?

Tell your doctor what happened, the date and time it happened, and when you got the flu shot.

Ask your doctor, nurse, or health department to file a Vaccine Adverse Event Reporting System form, or call VAERS at 1-800-822-7967. Reports are welcome from all concerned individuals: patients, parents, health care providers, pharmacists and vaccine manufacturers.

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Who Should Not Get The Nasal Flu Vaccine

  • Children less than 2 years old .
  • Those who are pregnant and people who have weakened immune systems. It is a live virus vaccine.
  • People who have to take acetylsalicylic acid on a daily basis.
  • People with severe asthma who have been treated with steroids or had severe wheezing in the past 7 days .

These people should get the injected vaccine.

What Is The Difference Between Covid

Influenza and COVID-19, the illness caused by the coronavirus that’s led to the current pandemic, are both infectious respiratory illnesses. Although the symptoms of COVID-19 and the flu can look similar, the two illnesses are caused by different viruses. Research so far indicates that COVID-19 spreads more easily and has a higher death rate than the flu.

  • COVID-19: Caused by one virus, the novel 2019 coronavirus, now called severe acute respiratory syndrome coronavirus 2, or SARS-CoV-2.
  • Influenza: Caused by any of several different types and strains of influenza viruses.
  • Loss of taste or smell

*Upper respiratory symptoms, like runny nose and sinus congestion, are very uncommon in COVID-19.

The severity of COVID-19 symptoms ranges from mild to severe. If you suspect you have COVID-19, call Intermountain Healthcares 24-hour hotline, Health Answers, at to talk with an Intermountain clinician who can review your symptoms and give specific care recommendations. If your symptoms are mild you will likely be directed to stay home to protect others from illness and follow the CDCs recommended guidance for self-care. If youre referred to a testing site or medical facility, remember to call ahead and let them know your symptoms before you go in. for more detailed information on coronavirus.

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Does A Flu Vaccine Increase Your Risk Of Getting Covid

  • There is no evidence that getting a flu vaccine increases your risk of getting sick from a coronavirus, like the one that causes COVID-19.

  • You may have heard about a study published in January 2020 that reported an association between flu vaccination and the risk of four commonly circulating seasonal coronaviruses, but not the one that causes COVID-19. This report was later found to be incorrect.

  • The results from that initial study led researchers in Canada to look at their data to see if they could find similar results in their population. The results from Canadas study showed that flu vaccination did not increase the risk for these seasonal coronaviruses. The Canadian findings highlighted the protective benefits of flu vaccination.

  • The Canadian researchers also identified a flaw in the methods of the first study, noting that it violated the part of the study design that compares vaccination rates among patients with and without flu . This flaw led to the incorrect association between flu vaccination and seasonal coronavirus risk. When these researchers reexamined data from the first study using the correct methods, they found that flu vaccination did not increase the risk for infection with other respiratory viruses, including seasonal coronaviruses.

Im Pregnant Is It Safe To Get The Flu Shot

Live, Attenuated Influenza Vaccine (LAIV)

Yes, the flu shot is safe. Those who are pregnant should be immunized. Infants born during flu season to mothers who got a flu shot are usually protected against the flu for a few months. The flu shot is also safe and highly recommended for those breastfeeding. Since infants less than 6 months of age cannot get the flu shot , antibodies against the flu are transferred through breast milk.

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What Is The Nasal Flu Vaccine

This type of flu vaccine is given as a nose spray instead of injection. Healthy children over the age of 2 can get the nasal flu vaccine. If your child has a chronic condition or illness, you should speak to your doctor to find out if the nasal flu vaccine is appropriate. The vaccine is given in 1 or 2 doses. Each dose is one squirt into each nostril.

  • If your child is under 9 years of age and has received any flu vaccine before, they will only need 1 dose.
  • If your child is under 9 years of age and hasnt received a flu vaccine before, they will need 2 doses, given at least 4 weeks apart.

This type of flu vaccine is not covered by all provincial or territorial health plans, which means you may have to pay for it.

Flu Vaccine Recommendations And Dosages

Virtual Mentor.

About 10 to 20 percent of US residents contract the influenza virus each year, resulting in an average of 114,000 hospitalizations and 36,000 deaths annually.1 The influenza virus causes flu, a serious respiratory disease that may present with symptoms similar to those of the common cold but is caused by a different virus. Common flu symptoms are:

  • Sore throat,
  • Nasal congestion and body aches.

The flu is most common during the winter months for North America the flu season is from November to March. Although anyone may get the flu, some people are more vulnerable to serious complications from contracting the virus. It is recommended that people at high risk for flu-related complications get an influenza vaccine each year in October or November.2

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Most People Get Flu Vaccines At A Doctors Office Or Retail Health Clinic

About half of American adults reported getting a flu shot during the 2019-2020 flu season with differences in uptake across a variety of demographic groups. In 2018 survey data , most adults reported getting a flu shot at a doctors office or a retail pharmacy or store health clinic . The remaining adults who reported getting a flu shot received it through their workplace or school , through a public health department clinic or community health center , or at a hospital .

Because some in-person workplaces and schools have been closed due to social distancing recommendations, federal and local officials will need to consider how to get COVID-19 vaccines to those who would have generally gotten vaccinated at workplaces or schools. Schools and other community sites can be used as mass vaccination sites as well.

Flu Shots Are Recommended For All Patients Who: 3

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  • Are 50 years old or older
  • Are 6 months to 49 years old with 1 or more of the following conditions:
  • a chronic pulmonary or cardiovascular disorder including asthma,
  • a chronic blood, kidney, or immune system disease including HIV,
  • diabetes that has required medical follow-up or hospitalization in the past year,
  • a 2nd or 3rd trimester of pregnancy during flu season,
  • a child or teenager on long-term aspirin therapy.
  • Reside in nursing homes or other chronic care facilities
  • Are likely to transmit the virus to a person at high risk such as:
  • health care workers, caregivers, or household members with a high-risk condition,
  • children 0-23 months of age or caretakers of children of this age
  • Are 6-23 months of age
  • Any other person older than 6 months who wishes to reduce the likelihood of getting the flu and does not have any contraindications.
  • Patients should not get the flu vaccine if they have had serious reactions to eggs or to a previous influenza vaccine or to one of its components. Healthy, nonpregnant people who are between 5 and 49 years old may receive the live attenuate influenza vaccine . Persons with chronic diseases that may put them at high risk when exposed to the wild virus should not be offered LAIV. People who are in close contact with immunosuppressed people should be given the inactivated influenza virus .

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    What Are The Types Of Flu Vaccines

    Two types of flu vaccine are available for the 20212022 flu season:

    • the flu shot, which is injected with a needle
    • the nasal spray, a mist that gets sprayed into the nostrils

    Both protect against the four types of influenza virus that are causing disease this season.

    In the past, the nasal spray vaccine wasn’t recommended for kids because it didn’t seem to work well enough. The newer version appears to work as well as the shot. So either vaccine can be given this year, depending on the child’s age and general health.

    The nasal spray is only for healthy people ages 249. People with weak immune systems or some health conditions and pregnant women should not get the nasal spray vaccine. It should also be avoided in kids who take aspirin regularly, who have a cochlear implant, or who have recently taken antiviral medicine for the flu.

    Can My Child Get Flu From A Flu Vaccine

    No, flu vaccines do not cause flu. Flu vaccines are currently made in two ways: the vaccine is made either with

  • flu viruses that have been inactivated and are therefore not infectious, or
  • using only a single gene from a flu virus in order to produce an immune response without causing infection.
  • Flu vaccine protects your child from flu illness. However, flu shots can sometimes cause mild side effects that may be mistaken for flu. Keep in mind that it will take about 2 weeks after getting a vaccine for your child to build protection against flu.

    The Centers for Disease Control and Prevention, American Academy of Family Physicians, and American Academy of Pediatrics strongly recommend children receive all vaccines according to the recommended vaccine schedule.

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    The Typical Payment For Administering A Vaccine Is About $25 And Vaccines Requiring Two Doses Could Cost $50 To Administer In Total

    The federal government has stated the COVID-19 vaccines will be available to Americans at zero cost, regardless of their insurance status. Where people end up receiving the vaccine may affect whether their insurance is billed for the cost of administering the dose.

    With millions of doses being administered, administration costs will add up. Some COVID vaccines include a two-dose schedule. While the cost of administering other vaccines might not be perfectly analogous, it could give a general idea of how much administering each individual dose might cost.

    This chart shows the cost of administering all adult vaccines. We did not limit this chart to only flu shots because insurers payments to providers for administering a shot are similar regardless of the vaccine.

    Among non-elderly adults with private health insurance through a large employer, plan payments for administering a vaccine at a doctors office ranged from $13 at the 10th percentile to $48 at the 90th percentile with a median payment of $25 in 2018. This suggests that COVID vaccines with two doses will likely cost private insurers around $50 to administer per person in sum.

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    Is There More Than One Type Of Flu Shot Available

    Multidose Vial (MDV)

    Yes. There are different flu vaccine manufacturers and multiple flu vaccines that are licensed and recommended for use in the United States.

    CDC recommends use of any licensed, age-appropriate flu vaccine during the 2022-2023 flu season.

    Available flu vaccines include:

    • Standard-dose, unadjuvanted quadrivalent influenza shots that are manufactured using virus grown in eggs. These include Afluria Quadrivalent, Fluarix Quadrivalent, FluLaval Quadrivalent, and Fluzone Quadrivalent. Quadrivalent flu vaccines protect against four different flu viruses.
    • A quadrivalent cell-based influenza shot containing virus grown in cell culture, which is licensed for people 6 months and older. This vaccine is egg-free.
    • Recombinant quadrivalent influenza shot , an egg-free vaccine, approved for people 18 years and older.
    • A quadrivalent flu shot using an adjuvant , Fluad Quadrivalent, approved for people 65 years of age and older.
    • A quadrivalent high-dose influenza vaccine Fluzone High-Dose, which contains a higher dose of antigen to help create a stronger immune response, licensed for people 65 years and older.
    • A live attenuated influenza vaccine , which is given intranasally with a nasal sprayer, instead of with a needle like other influenza vaccines. This vaccine is approved for people 2 through 49 years of age. Live attenuated influenza vaccine should not be given to people who are pregnant, immunocompromised persons, and some other groups.

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    Spacing Of Multiple Doses Of The Same Antigen

    Vaccination providers should adhere to recommended vaccination schedules . Administration at recommended ages and in accordance with recommended intervals between doses of multidose antigens provides optimal protection.

    Administration of doses of a multidose vaccine using intervals that are shorter than recommended might be necessary in certain circumstances, such as impending international travel or when a person is behind schedule on vaccinations but needs rapid protection. In these situations, an accelerated schedule can be implemented using intervals between doses that are shorter than intervals recommended for routine vaccination . The accelerated or minimum intervals and ages for scheduling catch-up vaccinations. Vaccine doses should not be administered at intervals less than these minimum intervals or at an age that is younger than the minimum age.*

    Certain vaccines produce increased rates of local or systemic reactions in certain recipients when administered more frequently than recommended . Careful record keeping, maintenance of patient histories, use of immunization information systems , and adherence to recommended schedules can decrease the incidence of such reactions without adversely affecting immunity.

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