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H1N1 Vaccine: Live, Attenuated Intranasal Spray (cont.)

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Can health care providers get the live attenuated influenza vaccine?

Yes. LAIV is a very good option for most health care providers who are healthy, younger than 50 years old, and not pregnant. However, health care providers should not get LAIV if they are providing medical care for patients who require special environments in the hospital because they are profoundly immunocompromised (e.g., those who work in bone marrow transplant units). Although no immunocompromised patient has been shown to be harmed by use of LAIV among health care workers, the recommendation against the use of LAIV in health care workers with this type of patient contact is intended as an extra precaution for fragile immunocompromised patients. Health care workers with this type of patient contact can get LAIV, but if they do, they should wait 7 days after being vaccinated before returning to duties that include care of severely immunocompromised patients in special environments.

Who should not be vaccinated with the 2009 H1N1 nasal-spray flu vaccine LAIV?

Certain people should not get a nasal spray flu vaccine, including the 2009 H1N1 nasal spray vaccine. This includes:

  • People younger than 2 years of age;

  • Pregnant women;

  • People 50 years of age and older;

  • People with a medical condition that places them at higher risk for complications from influenza, including those with chronic heart or lung disease, such as asthma or reactive airways disease; people with medical conditions such as diabetes or kidney failure; or people with illnesses that weaken the immune system, or who take medications that can weaken the immune system;

  • Children younger than 5 years old with a history of recurrent wheezing;

  • Children or adolescents receiving aspirin therapy;

  • People who have had Guillain-Barré syndrome (GBS), a rare disorder of the nervous system, within 6 weeks of getting a flu vaccine,

  • People who have a severe allergy to chicken eggs or who are allergic to any of the nasal spray vaccine components.

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