Who Should and Who Should NOT Get a Flu Vaccine | CDC - CDC

People who can get a nasal spray flu vaccine: The nasal spray vaccine is approved for people 2 years through 49 years of age. Many people in this age group can receive the nasal spray vaccine. The nasal spray vaccine is not recommended for some groups, such as people who are pregnant and people with some medical conditions.

People who SHOULD NOT get a nasal spray vaccine:

• Children younger than 2 years of age.
• Adults 50 years of age and older.
• People who have had a severe or life-threatening allergic reaction to any ingredient in the nasal spray vaccine (other than egg proteins).
• People who have had a severe allergic reaction to any flu vaccine.
• Children and adolescents 2 through 17 years of age who are receiving aspirin- or salicylate-containing medications.
• People with weakened immune systems (immunosuppression) due to any cause, including (but not limited to) immunosuppression from medications, congenital or acquired immune disorders, HIV infection, or asplenia.
• People who care for or are close contacts of severely immunocompromised persons who require a protected environment (or otherwise avoid contact with those persons for 7 days after getting the nasal spray vaccine).
• Pregnant people.
• Children 2 years through 4 years who have asthma or who have had a history of wheezing in the past 12 months.
• People with cerebrospinal fluid (CSF) leaks (communication and leakage of fluid between the space surrounding the brain and the nose, throat, ear, or any other place in the head).
• People with cochlear implants.
• People who have recently taken influenza antiviral drugs. This depends on the specific influenza antiviral medication that was taken, and how recently the last dose was taken.

People who should talk to their health care provider before getting a nasal spray vaccine:

If you have one of the following conditions, talk with your health care provider. He or she can help decide whether vaccination is right for you, and select the best vaccine for your situation:

• People with asthma 5 years and older.
• People with other underlying medical conditions that can put them at higher risk of developing serious flu complications. These include conditions such as chronic lung diseases, heart disease (except isolated hypertension), kidney disease, liver disorders, neurologic and neuromuscular disorders, blood disorders, or metabolic disorders (such as diabetes).
• People with moderate or severe acute illness with or without fever.
• People with Guillain-Barré Syndrome after a previous dose of influenza vaccine.

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