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.