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  • There are two types of flu vaccine available for children in 2019/20 – the ‘live’ nasal spray vaccine and the inactivated injected flu vaccine. This chart indicates which vaccine children should have


  • Those aged 2 and 3 years old on 31 August 2019 (but not 4 years) are eligible for flu vaccination in general practice.
  • All primary school aged children (those aged 4 to 10 years old on 31 August 2019) are eligible for flu vaccination in school.
  • At-risk children include those who have long-term health conditions such as asthma and other respiratory diseases, liver, kidney and neurological conditions including learning disabilities, even if well managed.
  • The nasal spray vaccine is a ‘live’ vaccine but the viruses in it have been weakened so they cannot cause flu. It is not suitable for all children including those who are severely immunocompromised, or are on salicylate therapy.
  • Specialist advice should be sought for children who have needed intensive care due to asthma or egg allergic anaphylaxis, or have been taking regular oral steroids for asthma.
  • Children who are wheezy at the time of vaccination or have been wheezy in the past 72 hours, should be offered a suitable injected flu vaccine to avoid a delay in protection.
  • See the Green Book Chapter 19 Influenza for details:www.gov.uk/government/publications/influenza-the-green-book-chapter-19


Which flu vaccine should children get

Which flu vaccine should children have?

Full guideline:

© Crown copyright 2019 Public Health England. Which flu vaccine should children have? Updated August 2019. Available from: www.gov.uk/government/publications/which-flu-vaccine-should-children-have

Contains public sector information licensed under the Open Government Licence v3.0.