For the 2018-2019 influenza immunization season, AAP recommends flu shot
The American Academy of Pediatrics recommends pediatricians give children inactivated influenza vaccine (flu shot) in the upcoming season and use live attenuated vaccine (intranasal flu vaccine, aka Flumist) only as a last resort.
- Annual influenza vaccination is recommended for everyone 6 months and older.
- For the 2018-’19 season, the AAP recommends inactivated influenza vaccine (IIV3/4) as the primary choice for all children because the effectiveness of LAIV4:
- was inferior against A/H1N1 during past seasons; and
- is unknown against A/H1N1 for this upcoming season.
- LAIV4 may be offered for children who would not otherwise receive an influenza vaccine (and for whom it is appropriate by age and health status).
- As always, families should receive counseling on these revised recommendations for the 2018-’19 season.