Flu Vaccination for Children 2 years +

The children's flu vaccine helps protect against flu. It's offered to children aged 2 to 3 years, school-aged children (Reception to Year 11) and children with certain long-term health conditions.

Why children are offered the flu vaccine

Flu can be very unpleasant for children and can sometimes cause serious problems, such as pneumonia.

Each winter in the UK, thousands of children who do not have a health condition need hospital care because of flu.

Children can catch and spread flu easily. Vaccinating them also helps protect others who are at higher risk of getting seriously ill from flu, such as babies, anyone who's pregnant and older people.

Who should have the children's flu vaccine

The children's flu vaccine is offered on the NHS every year in autumn or early winter.

It's recommended for:

• children aged 2 or 3 years

• children aged 4 years who have not started school yet

• school-aged children (Reception to Year 11)

• children aged 6 months to 17 years with certain long-term health conditions

If your child is 17 years old and over, and does not have a long-term health condition, they are not eligible for the flu vaccine.

Who cannot have the children's flu vaccine

Most children who are eligible for a flu vaccine can have the nasal spray.

But some children may be offered the injected flu vaccine instead if they:

• are under 2 years of age

• have had a serious allergic reaction (anaphylaxis) to a previous dose of the nasal spray vaccine

• have had a serious allergic reaction to an ingredient in the nasal spray vaccine, including gelatine, neomycin or gentamicin

• have a severe egg allergy that's needed intensive care hospital treatment

• have a severely weakened immune system, or live with someone who has a severely weakened immune system (for example, someone who has had a bone marrow transplant)

• have asthma that's being treated with long-term steroid tablets or has needed intensive care treatment in hospital

• have had a flare-up of asthma symptoms in the past 72 hours, including wheezing or needing to use a reliever inhaler more than usual

• are having salicylate therapy

If you think your child may need the injected flu vaccine you can speak to your GP, practice nurse or the school immunisation team.

Getting vaccinated if your child is unwell

If your child has a high temperature, wait until they're feeling better before having the flu vaccine.

If they have a very blocked or runny nose, they may have to wait to get the nasal spray vaccine until they're feeling better, or they may be offered an injected flu vaccine instead.

Children's flu vaccine ingredients

Most children are offered the nasal spray flu vaccine. It is the preferred vaccine for children aged 2 to 16 years (as well as children aged 17 who have certain long-term health conditions).

You can check the ingredients in the patient leaflet:

Fluenz nasal spray flu vaccine patient leaflet (Electronic Medicines Compendium website)

The nasal spray vaccine contains a small amount of gelatine from pigs (porcine gelatine).

A flu vaccine injection is available that does not contain gelatine. If you do not want your child to have the nasal spray vaccine, speak to the person vaccinating your child or ask for the flu vaccine injection on the school consent form.

Children who cannot have the nasal spray vaccine and children under the age of 2 years will also be offered a flu vaccine injection.

You can check the flu vaccine injection ingredients in the patient leaflet:

Cell-based influenza vaccine patient leaflet (Electronic Medicines Compendium website)

How the children's flu vaccine is given

The children's flu vaccine is usually given as a quick and painless nasal spray in each nostril.

Children who cannot have the nasal spray vaccine will get a different flu vaccine, given as an injection into the upper arm or thigh.

Some children with certain long-term health conditions who have not had a flu vaccine before might need to have a 2nd dose 4 weeks later.

Having the children's flu vaccine at the same time as other vaccines

Children can get the flu vaccine at the same time as other vaccines.

Side effects of the children's flu vaccine

The most common side effects of the children's flu vaccine are mild and get better in 1 to 2 days.

Side effects of the nasal spray flu vaccine can include:

• a blocked or runny nose

• loss of appetite

• feeling tired

• a headache

Side effects of the flu vaccine injection can include:

• pain or soreness where the injection was given

• a slightly raised temperature

• an aching body

More serious side effects such as a severe allergic reaction (anaphylaxis) are very rare. The person who vaccinates your child will be trained to deal with allergic reactions and treat them immediately.

You cannot get flu from any of the flu vaccines.

How well the children's flu vaccine works and how long it lasts

The children's flu vaccine aims to protect children against the most common types of flu viruses.

There's still a chance your child might get flu after getting vaccinated, but they're less likely to get seriously ill or need to go to hospital.

The vaccine usually takes up to 14 days to work.

Protection from the flu vaccine goes down over time and the types of flu the vaccine protects against are updated each year. This is why it's important to get the flu vaccine every year.