What Is The Cell
The production of influenza vaccines traditionally involves hens eggs. However, there is a different method for cell-based influenza vaccines such as Flucelvax Quad, the only cell-based flu vaccine approved for use in Australia. Its approved for use in people aged 9 years and older but has not been added to the National Immunisation Program schedule.
Studies show that cell-based vaccines have a similar efficacy and safety profile to standard flu vaccines. Normally, neither type is recommended over the other.
However, standard flu vaccines are preferred for use in pregnancy because a large body of evidence supports their safety for pregnant women. The safety of cell-based flu vaccines during pregnancy hasnt been assessed.
Types Of Flu Vaccines For Adults 65 Years And Older
People 65 years and older should get a flu shot, not a nasal spray vaccine. There are several different flu shots available to older adults. These include standard-dose flu shots and two flu vaccines designed specifically for people 65 years and older. Older adults can get any flu shot approved for use in their age group.
Older people have weaker immune systems that may not respond as well to standard-dose flu shots because they do not produce as high of an antibody response after the flu vaccination compared to younger people. People with low antibody levels may be at a higher risk of becoming infected with the flu. To help improve the antibody response, people 65 years and older have the option of getting either a high-dose or adjuvanted flu vaccine. These two vaccines are specifically formulated for older adults and in studies have demonstrated better protection against flu for this age group than the standard-dose shot.
Why The Flu Vaccine Is Reformulated Every Year
Welcome to National Influenza Vaccination Week, established in 2005 by the Centers for Disease Control and Prevention to promote vaccination awareness to the general public. In that spirit, Dr. Sebeen Razzaq-Ahmed and the team here at East Meadow Medical P.C. remind you to get your annual flu vaccine. You may be one of the many people we hear ask why they need to get vaccinated each year. Well, were here to answer that for you!
Its no secret that influenza, commonly called the flu, is inconvenient, nasty, and downright deadly. The 2017-2018 flu season was among the worst on record, afflicting and killing more Americans about 80,000 than in any season dating back more than three decades. Because the flu is so common, not to mention so deadly, we always recommend that anyone whos able to gets an updated vaccine each year.
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When Should I Get Vaccinated
The simple answer is sooner rather than later.
The flu season changes every year. While it typically peaks in January or February, in years past it has begun as early as October and calmed down as late as May.
The CDC recommends getting the vaccine as soon as it becomes available, as its protection lasts throughout the flu season.
Vaccine manufactures are expected to make 135 to 139 million vaccination doses this year. During last years flu season, which affected 48 states, many areas reported vaccine shortages in February because of rushes when the flu seasons peak was worse than expected.
The flu shot is offered at doctors offices, pharmacies, and other healthcare centers nationwide.
What Should Seniors Know About The Inactivated Influenza Vaccine

Influenza vaccines are a safe and effective way to help people stay healthy, prevent illness and even save lives. As people age, they may be at higher risk of complications from influenza. For this reason, seniors age 65 years and older are advised to get an inactivated influenza vaccine or flu shot each year.
The inactivated influenza vaccine is provided free to seniors age 65 years and older. Contact your health care provider to get your influenza vaccine.
The inactivated influenza vaccine is safe. It contains killed influenza viruses that cannot cause influenza. Common reactions to the vaccine include redness, soreness or swelling where the vaccine was given.
Mild symptoms may occur in some people after being immunized, especially those receiving the vaccine for the first time. Symptoms can include fever, headache, aching muscles and fatigue that may last 1 to 2 days. These symptoms are less severe and last a shorter time compared to influenza infection.
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Reasons Why Flu Vaccines Are So Importantfor Seniors
1. Seniors and caregivers are at higher risk for fluCold and flu season is here again. Two of the most at-risk populations are seniors and caregivers.
Many seniors are vulnerable to seasonal flu because their immune systems are weaker due to age and often made worse by chronic illness.
Getting a flu shot protects older adults against serious illness and complications.
For caregivers, the chronic stress of taking care of your older adult impairs your immune system and makes you more vulnerable to illness.
And spending a lot of time with your older adult means passing germs back and forth.
When you get a flu shot, youll reduce the risk that youll get sick and infect your older adult. It will also save you the misery of being sick while continuing to care for them.
2. Flu is a serious health risk for seniorsFor seniors, the flu can quickly develop into a severe illness and could cause death.
In fact, the CDC estimates that 70 85% of flu-related deaths and 50 70% of flu-related hospitalizations happen in people who are age 65 and older.
3. Getting the flu shot reduces flu risk and severityEven if the flu vaccine isnt 100% effective, its still worthwhile. Research shows that if someone who is vaccinated does get the flu, they will have a milder case.
People 65 and older are at high risk of serious flu complications and account for the majority of flu hospitalizations and deaths each year.
Is The Flu Dangerous For Pregnant People
Yes. Flu can be very dangerous for pregnant people and their babies. The changes in immune, heart and lung function during pregnancy make you more likely to get seriously ill from the flu. If you get the flu while pregnant, it also increases your chance for complications, such as premature labor and delivery, and birth defects.
Getting a flu shot during your pregnancy helps protect both you and your baby. When you get vaccinated, your body makes antibodies that are passed to your baby, which helps protect them during their first few months of life, before they are able to start getting their own annual flu vaccinations.
Flu shots have safely been given to millions of people, including pregnant people, over many years. Numerous studies show that the flu vaccine is safe and effective for pregnant people and their babies.Pregnancy experts strongly recommend that all pregnant people get a flu shot. You can safely get the flu shot during any trimester.
Click here to view/download VYFs handout Flu Vaccination During Pregnancy.Learn more about flu and other vaccines recommended during pregnancy.
Learn More
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Where To Get A Flu Shot: Find A Local Clinic
Flu shots are available in many convenient locations, like major drugstores, health clinics, and doctors offices.
That makes getting a flu shot quick and easy most of these locations dont even require an appointment, you can walk in anytime.
This year, the nationwide online vaccine finder has been dedicated to locating Covid-19 vaccines.
To find a flu shot near you, contact your doctors office or use online flu vaccine finders from major drugstore pharmacies including:
Iv5 Additional Vaccine Safety Considerations
Influenza vaccine is safe and well tolerated. Contraindications, precautions, and common AEs are described in Section II. Additional information regarding egg-allergic individuals and GBS is provided below.
Egg-allergic individuals
After careful review of clinical and post-licensure safety data, NACI has concluded that egg-allergic individuals may be vaccinated against influenza using any influenza vaccine, including egg-based vaccines and LAIV, without prior influenza vaccine skin test and with the full dose, irrespective of a past severe reaction to egg and without any particular consideration, including vaccination setting. The amount of trace ovalbumin allowed in influenza vaccines that are authorized for use in Canada is associated with a low risk of AE. The observation period post-vaccination is as recommended in Vaccine Safety in Part 2 of the CIG. As with all vaccine administration, vaccine providers should be prepared with the necessary equipment, knowledge, and skills to respond to a vaccine emergency at all times.
Refer to the Statement on Seasonal Influenza Vaccine for 20182019 for safety data supporting this recommendation for IIV and LAIV.
Guillain-Barré syndrome
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Iv2 Live Attenuated Influenza Vaccine
LAIV contains standardized quantities of FFU of live attenuated influenza virus reassortants. The virus strains in LAIV are cold-adapted and temperature sensitive, so they replicate in the nasal mucosa rather than the lower respiratory tract, and they are attenuated, so they do not produce ILI. There have been no reported or documented cases, and no theoretical or scientific basis to suggest transmission of vaccine virus would occur to the individual administering LAIV. As a live replicating whole virus formulation administered intranasally, it elicits mucosal immunity, which may more closely mimic natural infection.
Vaccine currently authorized for use:
- FluMist® Quadrivalent
Efficacy and effectiveness
After careful review of the available Canadian and international LAIV VE data over many influenza seasons, NACI concluded that the current evidence is consistent with LAIV providing comparable protection against influenza to that afforded by IIV and does not support a recommendation for the preferential use of LAIV in children 217 years of age.
Refer to the Statement on Seasonal Influenza Vaccine for 20182019 for detailed information supporting this recommendation.
Immunogenicity
LAIV4 has shown non-inferiority based on immunogenicity compared to LAIV3 in both children and adults. The immune response to the B strain found only in the quadrivalent formulation was better in children who received the quadrivalent vaccineFootnote 177Footnote 178Footnote 179.
Safety
Vaccines For Adults 65+
Influenza can make older adults very sick. Two vaccines are approved just for seniors to give better protection against the flu. A high-dose flu vaccine is the preferred choice for adults 65 years and older. It protects against four strains of the influenza virus. If this vaccine is not available, then Fluad® is recommended. Both of these vaccines may cause more soreness, redness and swelling where the vaccine was given, lasting a few days longer than the standard vaccine. If neither of these vaccines are available, do not delay in getting vaccinated. All flu vaccines provide good protection.
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Ii3 Vaccine Products Authorized For Use In Canada
This section describes the influenza vaccine products that are authorized for use in Canada for the 20212022 season. All influenza vaccines available in Canada have been authorized by Health Canada. However, not all products authorized for use are necessarily available in the marketplace. The vaccine manufacturers determine whether they will make any or all of their products available in a given market. Provincial and territorial health authorities then determine which of the products available for purchase will be used in their respective publicly funded influenza immunization programs and for which population groups.
The antigenic characteristics of circulating influenza virus strains provide the basis for selecting the strains included in each year’s vaccine. Vaccine selection by the WHO generally occurs more than 6 months prior to the start of the influenza season to allow time for the vaccine manufacturers to produce the required quantity of vaccine. All manufacturers that distribute influenza vaccine products in Canada confirm to Health Canada that the vaccines to be marketed in Canada for the upcoming influenza season contain the WHOs recommended antigenic strains for the Northern Hemisphere. Vaccine producers may use antigenically equivalent strains because of their growth properties. The strains recommended for egg-based products may differ somewhat from the strains chosen for cell-culture based products to account for differences in the production platforms.
Who Is Most At Risk

Complications from the flu can include serious conditions, like pneumonia or heart attacks and, in some cases, death. Flu causes about 12,200 hospitalizations and 3,500 deaths in Canada each year.
Some people are more vulnerable to complications and hospitalization from the flu:
- babies under 6 months old are too young to get the flu shot, but they’ll get some protection if their parent got the flu shot while they were pregnant
- children under 5 years of age, because their immune systems are developing, and their airways are small and more easily blocked
- people 65 years old and older, because their immune systems are weaker and they are more likely to have an underlying condition that increases their risk
- pregnant people, because their immune system, heart and lungs change especially later in pregnancy making them more likely to get seriously ill from the flu
- people with underlying health conditions, such as asthma, heart disease or diabetes
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Sometimes I Get The Flu Despite Having Had The Flu Shot Why Should I Bother
Flu vaccination prevents illness in up to 6 in 10 healthy adults under the age of 65. Because the vaccine is not effective in absolutely every case, some people may still catch the virus after having the flu shot. But the risk of illness is still reduced.
Although most people who get the flu recover without lasting effects, the flu can be very serious in some people and may require hospitalisation. In some cases, it can even be fatal. Its not possible to predict who will be severely affected.
Vaccination against the flu both reduces your chances of getting it and the severity of the symptoms if you do. So its still important to have the shot.
Is It True That The Flu Vaccine Can Cause Febrile Seizures In Young Children
A is a convulsion in a child with a fever . They can occur in up to 1 in 20 children aged between 6 months and 6 years old. Febrile seizures usually last around 1 to 2 minutes with loss of consciousness, but nearly all children will recover quickly, regardless of the cause.
Influenza itself can cause fever and results in more febrile seizures than vaccination. In one study, more than 1 in 20 children hospitalised with the flu in Australia had a febrile seizure. In comparison, only 1 in 20,000 children will have a febrile seizure related to fever following a flu shot.
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Type Of Flu Vaccine For Older People
You will be offered the adjuvanted Quadrivalent Influenza Vaccine . It’s also known by the brand name Fluad Tetra. This is a 1 dose vaccine.
Fluad Tetra is the recommended flu vaccine for people aged 65 and older. As we get older, our immune systems may not respond to vaccines the same way. ‘Adjuvanted’ means that the vaccine has an extra ingredient that makes it more effective for people aged 65 and older.
But, it is also safe to get the Quadrivalent Influenza Vaccine. All flu vaccines offer protection against flu and reduce the impact of flu if you were to catch it.
What You Need To Know About Getting A High
Canadians continue to hear about the importance of getting the influenza vaccine this year as the healthcare system prepares to tackle COVID-19, the flu and other respiratory viruses, but everyone should consider getting the vaccination as soon as possible.
The sooner you can get it into a patient, the better for the patient, Jaspreet Chager, senior manager with Pharmacy Innovation of Pharmasave East told Yahoo Canada.
This year, the high-dose influenza vaccine for seniors age 65 and older is available at pharmacies, something Ontario Premier Doug Ford stressed as a particularly important achievement at a press conference on Tuesday.
The only criteria is that they are 65-plus because in that age group is where we’re seeing the evidence to suggest that it provides greater protection, Chager said.
As the rule of thumb is to get the flu shot as soon as possible, there may be circumstances where a seniors may be better off getting the regular vaccine, due to availability.
If you go into a pharmacy and they do not have the high dose, you may still be just better off getting any kind of influenza vaccination than not getting the high dose, Chager explained. If they don’t have it, then have that conversation with the pharmacist to see what their best options are.
I would recommend patients…call their pharmacy to make sure that they have high dose in stock or even influenza vaccination and in stock, and take it from there.
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Ii Canadian Immunization Guide Chapter On Influenza: Clinical Information For Vaccine Providers
The Canadian Immunization Guide is written primarily for health care providers but it is also used by policy makers, program planners, and the general public. The CIG has been a trusted, reader-friendly summary of the vaccine statements provided by NACI since 1979.
The information in this section replaces the influenza chapter of the CIG and is adapted for inclusion in the NACI Statement on Seasonal Influenza Vaccine. With a new NACI Statement on Seasonal Influenza Vaccine required each year, readers will have quick access to the information that they require within one document, whether it is the relevant influenza vaccine information written primarily for frontline vaccine providers as is found in this section, or the more detailed technical information that is found in the rest of this statement, commencing in Section III.
What Are The Side Effects Of The High
The high-dose and adjuvanted flu vaccines may result in more of the temporary, mild side effects that can occur with standard-dose seasonal shots. Mild side effects can include pain, redness or swelling in the area where the shot was given. Some people may develop body aches or a low-grade fever. These symptoms are usually mild and quickly go away on their own.
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