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Should some people not get the live, attenuated nasal spray vaccine?

Certain people should not get a nasal spray flu vaccine (includes live, attenuated virus). 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.

Last Reviewed: 10/18/2010

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