Most children can receive nasal flu vaccine. Please read contracindications below:
Contraindications to LAIV
• Anaphylaxis following a previous dose of any influenza vaccine or any of its constituents (other than ovalbumin)
• Asthma - current acute exacerbation of symptoms/increased wheezing and/or additional bronchodilator treatment in the previous 72 hours - seek specialist advice for those who require regular oral steroids or who had previous critical care admission for asthma
• Current use of aspirin/salicylates
• Influenza antiviral medication within the previous 48 hours
• On combination checkpoint inhibitors
• Pregnancy
• Severe neutropoenia
• Significant immunosuppression due to disease or treatment
• Children who live with an immunosuppressed person requiring isolation (e.g. post haematopoietic stem cell transplant)
• Those post cochlear implant until the risk of CSF leak has resolved - consult with the relevant specialist
• Those with a cranial CSF leak