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  • There are two types of flu vaccine available for children in 2018/19—the ‘live’ nasal spray vaccine and the inactivated injected flu vaccine. This chart indicates which vaccine children should get


  • Those aged 2 and 3 years old on 31 August 2018 (but not 4 years) are eligible for flu vaccination in general practice
  • Children in reception class and school years 1, 2, 3, 4 and 5 (those aged 4–9 on 31 August 2018) are eligible for flu vaccination in school
  • At-risk children include those who have a 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 can not cause flu. It is not suitable for all children, including those who are severely asthmatic or immunocompromised, or are on salicylate therapy. Children with egg allergy can have the nasal vaccine. However, parents whose children have a history of severe egg allergy with anaphylaxis should seek specialist advice
  • The vaccine will continue to be offered to all primary school-aged children in former pilot areas


Which flu vaccine should children get

full guideline available from…

Public Health England. Which flu vaccine should children have? August 2018.
© Crown copyright. Reproduced with permission of Public Health England.
First included: September 2015 (updated December 2018).