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Who Should Not Get The Senior Flu Shot

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Can The Flu Vaccine Give Me The Flu

Report says 30 percent of people 65 and older chose not to get a flu shot last year

A common worry is that the flu vaccine can give you the flu. This isnt possible.

The flu vaccine is made from an inactivated form of the influenza virus or virus components that cant cause infection. Some individuals do experience side effects that will typically go away in a day or so. These include:

  • low-grade fever

Is It Ok To Get The Flu Vaccine More Than Once In The Same Flu Season

Studies have not shown there is any benefit for most adults getting more than one dose of vaccine in the same flu season. However, its recommended that some people get 2 doses of the flu vaccine in one season:

  • children under 9 years old who have not ever been vaccinated against the flu
  • people who are having flu vaccination for the first time after a stem cell transplant or organ transplant
  • pregnant women, who may be vaccinated with the next seasons influenza vaccine if it becomes available in the latter part of their pregnancy, even if they had the previous seasons vaccine
  • overseas travellers who are going to the northern hemisphere winter

Can My Child Get The Flu Vaccine At The Same Time As Another Childhood Vaccine Including The Covid

Yes. It is safe to get the seasonal flu vaccine at the same time as any childhood vaccine, including the COVID-19 vaccine. Many children are behind with their childhood vaccines or boosters because of the COVID-19 pandemic and getting the vaccines at the same time can help them catch up more quickly.

For children 5 to 11 years old, it may be best to wait at least 14 days between the COVID-19 and other vaccines. The reason for this is that if any side effects happen, doctors will know which vaccine they are related to. But only space out vaccines if you are sure that no other vaccines your child needs will be given late.

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Groups Who Should Especially Get The Vaccine

The flu shot can protect you against the flu. Because of this, it can reduce your chances of being infected with COVID-19 and the flu at the same time. This can lead to serious complications. You should especially receive the flu vaccine this season if youre:

  • at high risk of severe COVID-19 related illness
  • capable of spreading the flu to those at high risk of severe illness related to COVID-19

The flu vaccine is especially important for the following groups.

What Is The Nasal Flu Vaccine

Everyone Should Get A Flu Shot: Riverside County Health ...

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.

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Still Getting The Flu

Sometimes you can get the flu shot and still come down with the flu. It takes around 2 weeks after receiving the vaccination for your body to develop immunity. During this time, you can still get catch the flu.

Another reason why you can still catch the flu is if there wasnt a good vaccine match. Researchers need to decide which strains to include in the vaccine many months before flu season actually starts.

When theres not a good match between the selected strains and the strains that actually end up circulating during flu season, the vaccine isnt as effective.

Side Effects And Risks

It is much safer to get the flu vaccine than to get the flu. Flu vaccines are safe and well-tolerated. Side effects are usually mild and last a few days. Common side effects include pain, redness and swelling at the injection site headache, fever, muscle aches, joint pain or feeling tired. Side effects in children include irritability, drowsiness or loss of appetite.

In rare cases, serious allergic reactions can occur. Seek medical attention if you have trouble breathing, rash or swelling of the face and throat. Allergic reactions can be treated and are usually temporary. The risk of Oculo-Respiratory Syndrome or Guillain-Barré Syndrome after flu vaccination is very low, about one case in a million flu shots.

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Why Do I Need A Flu Vaccine Every Year

  • A flu vaccine is needed every season for two reasons. First, a persons immune protection from vaccination declines over time, so an annual vaccine is needed for optimal protection. Second, because flu viruses are constantly changing, flu vaccines may be updated from one season to the next to protect against the viruses that research suggests may be most common during the upcoming flu season. For the best protection, everyone 6 months and older should get vaccinated annually.

Whats New And Resources For The 2021

Get a flu shot to help avoid ‘twindemic’ of flu season and COVID-19, experts warn

The CDC maintains a page dedicated to the current flu season. There is a section for the public and also a section for providers. This is a good place to get up-to-date information on influenza and influenza vaccination. You can find it here:

Note that the CDCs Flu FAQ page currently includes lots of information about influenza and COVID-19, such as how to tell them apart, why its safe to be vaccinated for both at the same time, and more.

The CDC also provides information specific to older adults here:

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Flu Vaccines For Older Adults

Flu short for influenza is a virus that can cause fever, chills, sore throat, stuffy nose, headache, and muscle aches. Flu is very serious when it gets in your lungs. Older adults are at a higher risk for developing serious complications from the flu, such as pneumonia.

The flu is easy to pass from person to person. The virus also changes over time, which means you can get it again. To ensure flu vaccines remain effective, the vaccine is updated every year.

Everyone age 6 months and older should get an annual flu vaccine, but the protection from a flu vaccine can lessen with time, especially in older adults. Still, you are less likely to become seriously ill or hospitalized because of the flu if you get the vaccine. A flu vaccine is especially important if you have a chronic health condition such as heart disease or diabetes.

You should get your vaccine ideally by the end of October each year so you are protected when the flu season starts. It takes at least two weeks for the vaccine to be effective. However, if you have not received your flu vaccine by the end of October, its not too late as flu season typically peaks in December or January. As long as the flu virus is spreading, getting vaccinated will help protect you.

Flu Vaccine Side Effects

Flu vaccines are very safe. All adult flu vaccines are given by injection into the muscle of the upper arm.

Most side effects are mild and only last for a day or so, such as:

  • slightly raised temperature
  • muscle aches
  • sore arm where the needle went in this is more likely to happen with the vaccine for people aged 65 and over

Try these tips to help reduce the discomfort:

  • continue to move your arm regularly
  • take a painkiller, such as paracetamol or ibuprofen some people, including those who are pregnant, should not take ibuprofen unless a doctor recommends it

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Which Influenza Vaccination Is Best For Older Adults

Looking at the list of available flu shots can be overwhelming. In looking at this years CDC table of available influenza vaccines, I counted eight options that are available for people aged 65 or older:

  • 4 standard-dose quadrivalent inactivated vaccines
  • 1 standard-dose quadrivalent inactivated vaccine manufactured with a newer cell culture-based technology
  • 1 high-dose quadrivalent inactivated vaccine
  • 1 standard-dose quadrivalent adjuvanted inactivated vaccine
  • 1 quadrivalent recombinant vaccine

Only Fluzone High-Dose Quadrivalent and Fluad Quadrivalent carry an age indication specific to 65 years or older.

However, the CDC does not recommend any influenza vaccine over another, for adults aged 65 or older.

So if you are an older adult, or if youre trying to arrange a flu shot for an aging relative, which flu vaccine should you try to get?

My take is this: if you have a choice, go for one of the vaccines designed for older adults.

Why? Because we know that as people get older, their immune systems tend to respond less vigorously to immunization. And because research suggests that the high-dose flu shot generates higher antibody titers and has been associated with better influenza outcomes.

We do have more research and experience for Fluzone High-Dose than for Fluad, so unless you are enrolling in a clinical trial of Fluad, I would suggest going with the Fluzone High-Dose.

Bottom line:

Should My Child Get A Flu Shot

Older people should get high dose flu shot

Yes. All children over 6 months old should get a flu shot each year.

Babies and children 6 months to 9 years of age who have never had a flu shot will need 2 doses of the vaccine, given at least 4 weeks apart.

Those who have had one or more doses of the regular seasonal flu shot in the past, or children 9 years of age and older, will only need 1 dose per year.

The vaccine is especially important for children and youth who are at high risk of complications from the flu, including those who:

  • are between 6 months and 5 years of age.
  • have chronic heart or lung disorders serious enough to need regular medical follow-up.
  • have chronic conditions that weaken the immune system, such as immune deficiencies, cancer, HIV or a treatment that causes immune suppression.
  • have diabetes or other metabolic diseases.
  • have chronic kidney disease.
  • have to take acetylsalicylic acid on a daily basis.
  • live in a chronic care facility.
  • live in First Nation or Inuit communities.
  • live with another child or adult who is at risk of complications from the flu.

Children under 5 years old are at higher risk of complications from the flu such as high fever, convulsions and pneumonia. If you have children younger than 5 years old or who have health complications, everyone living in the house should get a flu shot. This is especially important if you have children under 6 months old or if a member of your household is pregnant.

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How Does Influenza Spread

Influenza spreads easily from person to person through coughing, sneezing or having face-to-face contact. The virus can also spread when a person touches tiny droplets from the cough or sneeze of an infected person or object and then touches their own eyes, mouth or nose before washing their hands.

Symptoms can begin about 1 to 4 days, or an average of 2 days, after a person is first exposed to the influenza virus. Fever and other symptoms usually last 7 to 10 days, but the cough and weakness may last 1 to 2 weeks longer.

An infected person can spread the influenza virus even before feeling sick. An adult can spread the virus from about 1 day before to 5 days after symptoms start. Young children and people with weakened immune systems may be able to spread the virus for a longer period of time.

When Should Seniors Get The Influenza Vaccine

It is important for seniors to get the influenza vaccine before the influenza season starts.

In B.C., the influenza vaccines are usually available in October. For best protection, you should try to get the vaccine as soon as possible. This gives your body enough time, about 2 weeks, to build immunity before the influenza season starts. This immunity typically lasts through the influenza season which usually ends in April.

In addition to the influenza vaccine, seniors should be immunized against pneumococcal disease. The pneumococcal vaccine protects against infections of the brain, bloodstream, lungs and ear. It is safe to get the influenza and pneumococcal vaccines at the same time. Most people only need 1 dose of pneumococcal vaccine and will not need a booster dose.

For information about pneumococcal infection and the vaccine, see HealthLinkBC File #62b Pneumococcal Polysaccharide Vaccine.

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Is It Too Late To Get A Flu Shot

You know getting your flu shot is the best way to avoid getting the flu , a potentially life-threatening respiratory infection that can cause fever, a dry cough, headache, muscle aches, and fatigue.

But September, October, and even November have already passed and you still havent gotten your vaccine. Are you too late?

Mild Side Effects Of The Flu Vaccine

Who Should Get the Flu Shot? with Marguerite Demarest Sandow, MD

Most side effects from the flu vaccine are mild and dont last longer than two days. They are relatively common and are not a cause for concern.

  • Painful, sore, redness at the injection site is the most common side effect. It could be said that most people experience it, but it does not last for more than two days typically.
  • Aches and pains throughout the entire body and is similar to the pain at the injection site but includes the rest of the body. It also does not typically last longer than two days and pain relievers can help alleviate some of the pain.
  • Low-grade fever of 101 degrees or less is another mild side effect that affects a number of people. Like the others, it should go away within a day or two.
  • Headaches, dizziness, and fainting are more common in children, but also occur in older adults as well. People that experience this once, often experience it every time that they get shots, so it is a good idea to mention it to the person administering your vaccine.
  • Nausea is a relatively common side effect from the flu vaccine as well. It is considered mild and typically goes away not long after receiving the shot.

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Why Should Older Adults Get The Flu Shot

The flu shot is especially important for older adults because they tend to have weaker immune systems.

When the immune system isnt strong, it becomes harder for the body to fight off infections. Likewise, a weaker immune system can lead to flu-related complications.

Secondary infections that can develop with the flu include:

  • ear infections
  • bronchitis
  • pneumonia

People ages 65 and older are at higher risk for serious complications. In fact, its estimated that as many as 85 percent of seasonal flu-related deaths occur in people ages 65 and older. Plus, up to 70 percent of seasonal flu-related hospitalizations occur in people ages 65 and older.

If you become ill after getting a vaccination, a flu shot may lessen the severity of symptoms of the illness.

Protecting yourself from the flu is increasingly important while COVID-19 is a factor.

What We Know About Covid

Q: How are COVID-19 and influenza similar and how are they different?

A: COVID-19 and influenza have many similarities, but also many differences.

The main similarities are:

  • Both viruses are mostly spread through an airborne route. This means that steps you take to protect yourself from COVID-19, such as social distancing measures and avoiding crowded indoor spaces, will likely reduce your risk of catching influenza as well.
  • The initial symptoms of infection have a lot in common. Namely, both often start with upper respiratory symptoms such as cough, runny nose, fatigue, fever, and body aches. This means it will be difficult to tell the two conditions apart, unless laboratory testing is used.
  • Both are more likely to cause severe illness in people who are older or frail.

Even though both viruses often cause viral pneumonia, there are significant differences between the two. They are actually quite different types of viruses. The differences include:

In short, influenza and COVID-19 are similar in terms of how they spread and common initial symptoms. But COVID-19 has so far caused more serious disease, and at this time, remains harder to treat, in part because it seems to affect the body in more significant ways than influenza usually does.

For more on the similarities and differences between influenza and COVID-19:

Q: Is it possible to get influenza and COVID-19 at the same time? How do they affect each other?

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Common Flu Shot Side Effects

Repeat: The flu vaccine won’t give you the flu, but you can experience mild symptoms because of how the vaccine works.

“The flu vaccine is designed to stimulate your immune system to build antibodies to the virus. That stimulation can cause a low-grade fever, a decrease in appetite, loose stool, mild fatigue or myalgia and even a scant cough,” Teague says.

According to Teague, these symptoms usually resolve after a few days and are no cause for alarm. You may also experience some redness, swelling or soreness where the shot was injected, which is also normal.

The CDC says you can experience “flulike” symptoms after getting the vaccine, such as:

  • Soreness, redness, and/or swelling at the injection site
  • Headache
  • Nausea
  • Muscle aches

The symptoms listed above should resolve in a few days. Also, keep in mind not everyone has symptoms, but those are the most common. When it comes to other symptoms, or symptoms that last longer, it’s important to keep in mind that you can still catch a cold, or other virus, right after you get the flu shot.

So if you experience other symptoms that seem like the flu, it could be another illness and it doesn’t mean the shot made you sick. The flu shot also takes about two weeks to become effective at protecting you from the flu, so you could technically catch the flu within that two-week window.

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