Special Vaccine Recommendations

(Adapted from CDC recommendations, September 21, 2009)
(http://www.cdc.gov/h1n1flu/vaccination/clinicians_qa.htm)

Can seasonal influenza vaccine and 2009 H1N1 vaccine be given at the same visit?

Both seasonal and 2009 H1N1 vaccines are available as flu shot vaccine and nasal mist vaccine. The simultaneous and sequential administration of seasonal and 2009 H1N1 flu shot vaccines is currently being studied. However, existing recommendations are that two flu shot vaccine vaccines can be administered at any time before, after, or at the same visit as each other. Existing recommendations also state that a flu shot vaccine and nasal mist vaccine may be administered at any time before, after or at the same visit as each other.

The following may be given at any time before or after each other:
• Seasonal and 2009 H1N1 flu shot vaccines
• Seasonal flu shot vaccine and 2009 H1N1 nasal mist vaccine
• Seasonal nasal mist vaccine and flu shot vaccine 2009 H1N1

Seasonal and 2009 H1N1 nasal mist vaccines should NOT be administered at the same visit until further studies are done.

●●●Nasal mist vaccines must be separated by four weeks. ●●●

Can 2009 H1N1 vaccine be administered at the same visit as other vaccines?

Flu shot vaccine 2009 H1N1 vaccine can be administered at the same visit as any other vaccine, including pneumococcal polysaccharide vaccine. Live 2009 H1N1 nasal mist vaccine can be administered at the same visit as any other live or flu shot vaccine EXCEPT seasonal nasal mist influenza vaccine.

Will the 2009 H1N1 vaccine be recommended for patients who had
influenza-like illness since spring 2009? Yes.

Persons who think they had 2009 H1N1 (swine flu) infection should be vaccinated. Someone who was infected with the 2009 H1N1 virus and who is not severely immune compromised will likely have some immunity to subsequent infection with 2009 H1N1 virus. However, vaccination of a person with some existing immunity to the 2009 H1N1 virus will not be harmful. Additionally, persons recommended for seasonal vaccine should get a seasonal vaccine because infection with the 2009 H1N1 virus does not provide protection against seasonal influenza viruses.