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

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Should the nasal-spray flu vaccine be given to patients with chronic diseases other than those specifically listed above?

No. The nasal-spray flu vaccine is approved for use only in healthy* people 2 years to 49 years of age who are not pregnant.

Are there any contraindications to giving breastfeeding mothers the 2009 H1N1 swine flu vaccine?

Breastfeeding is not a contraindication for the nasal spray flu vaccine. Women who are breastfeeding can get the nasal spray vaccine, including 2009 H1N1 swine flu vaccine.

Can pregnant women be in contact with someone who has gotten the nasal spray swine flu vaccine (LAIV)?

Yes. A pregnant woman can be in close contact with someone who has gotten the nasal spray flu vaccine (LAIV). A pregnant woman can also administer (give) a nasal spray vaccine (LAIV). Because the viruses in the nasal spray vaccine are attenuated or weakened, vaccine viruses are unlikely to cause any illness symptoms, even if an unvaccinated person inadvertently gets vaccine viruses in their nose. The nasal spray vaccine against seasonal influenza viruses has been used in millions of school children and healthy adults since it was licensed, and there have been no reports of pregnant women becoming ill after exposure to their vaccinated children or other family members.

While it's OK for her contacts to get the nasal spray vaccine, this vaccine should not be given to pregnant women. While LAIV is not known to be a safety risk for pregnant women, there have not been studies of LAIV among pregnant women to assess safety and effectiveness for use in this group. LAIV can be given to women after they have delivered, even if they are nursing.

CDC recommends that pregnant woman get both the 2009 H1N1 flu shot and the seasonal flu shot. Flu shots are made with a killed virus, and have not been shown to cause harm to pregnant women or their babies.

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