Vaccinations
NHS Choices

Children's flu vaccine FAQs

Does my child have to have the nasal spray flu vaccine? 

Why can't under-twos have the nasal spray flu vaccine? 

Why is it just younger children who are being given the nasal spray flu vaccine? 

How many doses of the nasal spray flu vaccine do children need?

Why aren't children being vaccinated with the flu injection instead of the nasal spray? 

Are there any children who aren't suitable for the nasal spray flu vaccine? 

How do I arrange for my child to have the flu vaccine? 

Will the flu vaccine give my child flu?  

The nasal vaccine contains products derived from pigs. Do my beliefs prevent me from giving my child the nasal spray flu vaccine?

Can my child have the injected vaccine that doesn’t contain gelatine instead?

Does my child have to have the nasal spray flu vaccine?

No. As with all immunisations, flu vaccinations for children are optional but strongly recommended. Remember, this vaccine will protect them from what can be an unpleasant illness, as well as stopping them spreading flu to vulnerable friends and relatives.

Read more about flu.

Why can’t under-twos have a nasal spray flu vaccine?

The nasal spray vaccine, Fluenz® Tetra, isn’t licensed for children younger than two because there are studies showing high rates of wheezing in recipients under two years of age.

Why are only younger children routinely being given the nasal spray flu vaccine?

The children’s flu vaccination programme is being rolled out in stages.

It is routinely offered this year (2017/18) to all children aged two and three years old, plus children in reception class and school years 1, 2, 3 and 4 in primary schools.  The programme will be gradually extended to include children in other age groups.

All children aged between six months and two years who are at risk of flu because of an underlying health condition or treatment are eligible for the inactivated flu vaccine (the injection) on the NHS.

How many doses of the flu vaccine do children need?

Most children only need a single dose of the nasal spray each year.

The patient information leaflet provided with Fluenz® Tetra suggests children should be given two doses of this vaccine if they've not had a flu vaccine before. However, the NHS vaccination programme advises that healthy children only need a single dose of Fluenz® Tetra, as a second dose provides little additional protection.

Children aged two to nine years, who are at risk of flu because of an underlying health condition or treatment and who have not received a flu vaccine before, should have two doses of Fluenz ® Tetra (given at least four weeks apart).

Why aren’t children being given the injected flu vaccine instead of a nasal spray?

The nasal spray flu vaccine is more effective than the injected flu vaccine in children aged two and over.

Is the nasal flu vaccine suitable for all children?

Nasal spray flu vaccine is not suitable for children aged under two years old.

Nasal spray flu vaccine isn’t suitable for a small number of children, including those with:

  • a severely weakened immune system
  • a severe egg allergy which has previously required intensive care
  • severe asthma (children with mild or moderate asthma are able to have the flu nasal spray)
  • active wheezing at the time of vaccination or in the previous 72 hours

These children may be able to have the injectable flu vaccine instead.

How do I arrange for my child to have a flu vaccine?

Depending on their age, you should be contacted about your child’s flu vaccination by their GP surgery or their school.

If your child is not yet in school talk to your GP surgery, or otherwise your child’s school nurse if you want more information about when and how your child will be vaccinated against flu.

Will the flu vaccine give my child flu?

No. The vaccine contains viruses that have been weakened to prevent them causing flu. After having the nasal spray, your child will build up resistance to flu, just as they would naturally after having the illness.

The nasal vaccine contains animal products. Do my beliefs prevent me from giving my child the nasal spray flu vaccine?

The nasal spray flu vaccine does contain traces of a highly processed form of gelatine derived from pigs. This means that some parents may be concerned about their child having the nasal spray vaccine on ethical or religious grounds. Opinion does differ within individual faiths on this matter. For example, most, but not all, Jewish authorities agree that medicines containing ingredients derived from pork may be taken in the form of an injection or a nasal spray.

The final decision about whether to have your child vaccinated is yours.  In order to come to an informed decision you may wish to consider the advantages and disadvantages of having your child vaccinated and you may wish to discuss this with your  faith leaders or other community leaders before deciding on this matter.

Can my child have the injected vaccine that doesn’t contain gelatine instead?

The nasal spray flu vaccine does contain traces of a highly processed form of gelatine derived from pigs. This means that some parents may be concerned about their child having the nasal spray vaccine on ethical or religious grounds. Opinion does differ within individual faiths on this matter. For example, most, but not all, Jewish authorities agree that medicines containing ingredients derived from pork may be taken in the form of an injection or a nasal spray.

The final decision about whether to have your child vaccinated is yours.  In order to come to an informed decision you may wish to consider the advantages and disadvantages of having your child vaccinated and you may wish to discuss this with your  faith leaders or other community leaders before deciding on this matter.

Leaflets

Click here to see all vaccination leaflets.

 

Video

To watch the Beat Flu Protect your child 2016-17 video - click here


Last Updated: 01/04/2017 09:00:00