Influenza (cont.)
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Flu (influenza, conventional, and H1N1) facts
- What is influenza?
- What are the causes of the flu?
- What are flu symptoms in adults and in children?
- How is the flu diagnosed?
- What is the key to flu prevention?
- Are there any flu shot or nasal spray vaccine side effects in adults or in children?
- Why should the influenza vaccine be taken every year?
- What are some treatments an individual can do at home for the flu?
- When should a person go to the emergency department for the flu?
- Who should receive the flu vaccine, and who has the highest risk factors? When should someone get the flu shot?
- What is the prognosis (outlook) and complications for patients who get the flu?
- What is the bird (avian) flu?
- Do antiviral agents protect people from the flu?
- Is it safe to get a flu shot that contains thimerosal?
- Where can I find additional information about the flu?
- Slideshow: Finding Relief for Your Cough
- Pictures of Natural Cold & Flu Remedies - Slideshow
- Pictures of 10 Foods to Eat When You Have the Flu - Slideshow
Is it safe to get a flu shot that contains thimerosal?
Thimerosal is a preservative that contains mercury and is used in multidose vials of conventional flu vaccines to prevent contamination when the vial is repeatedly used to extract the vaccine. Although thimerosal is being phased out as a vaccine preservative, it is still used in flu vaccines in low levels. There is no data that indicates thimerosal in these vaccines has caused autism or other problems in individuals. However, flu vaccine that is produced for single use (not a multidose vial) contains no thimerosal; however, these vials are not as readily available to doctors and likely cost more to produce. Consequently, the FDA has published these two questions with clear answers that are quoted below:
"Is it safe for children to receive an influenza vaccine that contains thimerosal?"
"Yes. There is no convincing evidence of harm caused by the small doses of thimerosal preservative in influenza vaccines, except for minor effects like swelling and redness at the injection site."
"Is it safe for pregnant women to receive an influenza vaccine?"
"Yes. A study of influenza vaccination examining over 2,000 pregnant women demonstrated no adverse fetal effects associated with influenza vaccine. Case reports and limited studies indicate that pregnancy can increase the risk for serious medical complications of influenza. One study found that out of every 10,000 women in their third trimester of pregnancy during an average flu season, 25 will be hospitalized for flu-related complications."
However, as stated above, the FDA goes on to say that single-dose vial of conventional and other flu vaccines will not contain the preservative thimerosal, so that if a person wants to avoid the thimerosal, they can ask for vaccine that comes in a single-dose vial. The nasal spray vaccine contains no thimerosal, but it is not recommended for use in pregnant women. The CDC further states, that after numerous studies, there is no established link between flu shots with or without thimerosal and autism.
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