Contraindications and Precautions to Influenza Vaccine
2018-2019 Advisory Committee on Immunization Practices Recommendations
Download a printable version of recommendations and contraindications.
Vaccine Type
|
Contraindications
|
Precautions
|
Inactivated Influenza Vaccine (IIV)
|
- History of severe allergic reaction to any component of the vaccine† or after a previous dose of any influenza vaccine
|
- Moderate or severe acute illness with or without fever
- History of Guillain-Barré syndrome within 6 weeks of receipt of influenza vaccine
|
Recombinant Influenza Vaccine (RIV)
|
- History of severe allergic reaction to any component of the vaccine
|
- Moderate or severe acute illness with or without fever
- History of Guillain-Barré syndrome within 6 weeks of receipt of influenza vaccine
|
Live Attenuated Influenza Vaccine (LAIV)
|
- History of severe allergic reaction to any component of the vaccine† or after a previous dose of any influenza vaccine
- Concomitant aspirin- or salicylate-containing therapy in children and adolescents
- Children aged 2 through 4 years who have received a diagnosis of asthma or whose parents or caregivers report that a health care provider has told them during the preceding 12 months that their child had wheezing or asthma or whose medical record indicates a wheezing episode has occurred during the preceding 12 months
- Children and adults who are immunocompromised due to any cause (including immunosuppression caused by medications or by HIV infection)
- Close contacts and caregivers of severely immunosuppressed persons who require a protected environment
- Pregnancy
- Receipt of influenza antiviral medication within the previous 48 hours
|
- Moderate or severe acute illness with or without fever
- History of Guillain-Barré syndrome within 6 weeks of receipt of influenza vaccine.
- Asthma in persons aged >5 years
- Other underlying medical conditions that might predispose to complications after wild-type influenza infection (e.g., chronic pulmonary, cardiovascular [except isolated hypertension], renal, hepatic, neurologic, hematologic, or metabolic disorders [including diabetes mellitus])
|
† History of severe allergic reaction (e.g., anaphylaxis) to egg is a labeled contraindication to the use of IIV and LAIV. However, ACIP recommends that any licensed, recommended, and age-appropriate influenza vaccine (IIV, RIV, or LAIV) may be administered to persons with egg allergy of any severity.
Source: Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2018-2019 Influenza Season