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H1N1 (Swine) Flu Vaccine FAQs

Vaccines are available to protect against H1N1 influenza. 

  • These vaccines are made just like seasonal flu vaccines.
  • They are expected to be as safe and effective as seasonal flu vaccines.
  • They will not prevent “influenza-like” illnesses caused by other viruses. 
  • They will not prevent seasonal flu. You should also get seasonal influenza vaccine, if you want to be protected against seasonal flu.

Frequently Asked Questions About the H1N1 Vaccine

What Are the H1N1 Vaccine Types?

There are two types of H1N1 Influenza Vaccine. You will find specific information for each using the links below:

Inactivated Vaccine (the "Flu Shot")

Inactivated vaccine (vaccine that has killed virus in it) is injected into the muscle, like the annual flu shot.
Some inactivated H1N1 vaccine contains a preservative called thimerosal to keep it free from germs. Some people have suggested that thimerosal might be related to autism. In 2004 a group of experts at the Institute of Medicine reviewed many studies looking into this theory, and found no association between thimerosal and autism. Additional studies since then reached the same conclusion.

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Live, Attenuated Intranasal Vaccine

Live, Attenuated Intranasal Vaccine or LAIV is sprayed into the nose.

The H1N1 LAIV does not contain thimerosal or other preservatives. It is licensed for people from 2 through 49 years of age.

The vaccine virus is attenuated (weakened) so it will not cause illness.

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Information About the H1N1 Inactivated Vaccine ("the Flu Shot")

Who Should Get the H1N1 Inactivated Vaccine (the "Flu Shot")?

  • Pregnant women
  • People who live with or care for infants younger than 6 months of age
  • Health care and emergency medical personnel
  • Anyone from 6 months through 24 years of age
  • Anyone from 25 through 64 years of age with certain chronic medical conditions or a weakened immune system

As more vaccine becomes available, these groups should also be vaccinated:

  • Healthy 25 through 64 year olds
  • Adults 65 years and older The Federal government is providing this vaccine for receipt on a voluntary basis. However, state law or employers may require vaccination for certain persons
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Who Should Not Get the Inactivated Vaccine or Should Wait?

You should not get H1N1 flu vaccine if you have a severe (life-threatening) allergy to eggs, or to any other substance in the vaccine. Tell the person giving you the vaccine if you have any severe allergies.
Also tell them if you have ever had:

  • A life-threatening allergic reaction after a dose of seasonal flu vaccine
  • Guillain Barré Syndrome (a severe paralytic illness also called GBS). These may not be reasons to avoid the vaccine, but the medical staff can help you decide.

If you are moderately or severely ill, you might be advised to wait until you recover before getting the vaccine. If you have a mild cold or other illness, there is usually no need to wait.

Pregnant or breastfeeding women can get inactivated H1N1 flu vaccine.

Inactivated H1N1 vaccine may be given at the same time as other vaccines, including seasonal influenza vaccine.

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When Should You Get the H1N1 Inactivated Vaccine (the "Flu Shot")?

Get vaccinated as soon as the vaccine is available.

Children through 9 years of age should get two doses of vaccine, about a month apart. Older children and adults need only one dose.

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What Are the Risks From the H1N1 Influenza Vaccine?

A vaccine, like any medicine, could cause a serious problem, such as a severe allergic reaction. But the risk of any vaccine causing serious harm, or death, is extremely small.

The virus in inactivated H1N1 vaccine has been killed, so you cannot get influenza from the vaccine.

The risks from inactivated H1N1 vaccine are similar to those from seasonal inactivated flu vaccine:

Mild Problems

  • Soreness, redness, tenderness, or swelling where the shot was given
  • Fainting (mainly adolescents)
  • Headache, muscle aches
  • Fever
  • Nausea

If these problems occur, they usually begin soon after the shot and last 1-2 days.

Severe Problems

  • Life-threatening allergic reactions to vaccines are very rare. If they do occur, it is usually within a few minutes to a few hours after the shot.
  • In 1976, an earlier type of swine flu vaccine was associated with cases of Guillain-Barré Syndrome (GBS). Since then, flu vaccines have not been clearly linked to GBS.

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Information About the H1N1 Live, Attenuated Intranasal Vaccine (LAIV)

Who Should Get the H1N1 LAIV Vaccine?

LAIV is approved for people from 2 through 49 years of age who are not pregnant and do not have certain health conditions (see nest question, below). Groups recommended to receive H1N1 LAIV first are healthy people who:

  • Are from 2 through 24 years of age,
  • Are from 25 through 49 years of age and
    • Live with or care for infants younger than 6 months of age, or
    • Are health care or emergency medical personnel.

As more vaccine becomes available, other healthy 25 through 49 year olds should also be vaccinated.

Note: While certain groups should not get LAIV (for example pregnant women, people with long-term health problems, and children from 6 months to 2 years of age), it is important that they be vaccinated. They should get the 2009 H1N1 flu shot.

The Federal government is providing this vaccine for receipt on a voluntary basis. However, state law or employers may require vaccination for certain persons.

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Who Should Not Get the LAIV Vaccine or Should Wait?

You should not get H1N1 LAIV if you have a severe (life-threatening) allergy to eggs, or to any other substance in the vaccine. Tell the person giving you the vaccine if you have any severe allergies.

H1N1 LAIV should not be given to the following groups.

  • Children younger than 2 and adults 50 years and older
  • Pregnant women
  • Anyone with a weakened immune system
  • Anyone with a long-term health problem such as:
    • Heart disease
    • Kidney or liver disease
    • Lung disease
    • Metabolic disease such as diabetes
    • Asthma
    • Anemia and other blood disorders
  • Children younger than 5 years with asthma or one or more episodes of wheezing during the past year
  • Anyone with certain muscle or nerve disorders (such as cerebral palsy) that can lead to breathing or swallowing problems
  • Anyone in close contact with a person with a severely weakened immune system (requiring care in a protected environment, such as a bone marrow transplant unit)
  • Children or adolescents on long-term aspirin treatment.

If you are moderately or severely ill, you might be advised to wait until you recover before getting the vaccine. If you have a mild cold or other illness, there is usually no need to wait.

Tell your doctor if you ever had:

  • A life-threatening allergic reaction after a dose of seasonal flu vaccine
  • Guillain-Barré syndrome (a severe paralytic illness also called GBS).

These may not be reasons to avoid the vaccine, but the medical staff can help you decide.

H1N1 LAIV may be given at the same time as most other vaccines. Tell your doctor if you got any other vaccines within the past month or plan to get any within the next month. H1N1 LAIV and seasonal LAIV should not be given together.

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When Should You Get the H1N1 LAIV Vaccine or Should Wait?

Get vaccinated as soon as the vaccine is available.

Children through 9 years of age should get two doses of vaccine, about a month apart. Older children and adults need only one dose.

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What Are the Risks From the H1N1 LAIV Vaccine?

A vaccine, like any medicine, could cause a serious problem, such as a severe allergic reaction. But the risk of any vaccine causing serious harm, or death, is extremely small.

The risks from H1N1 LAIV are expected to be similar to those from seasonal LAIV:

Mild Problems

Some children and adolescents 2-17 years of age have reported mild reactions, including:

  • Runny nose, nasal congestion or cough
  • Fever
  • Headache and muscle aches
  • Wheezing
  • Abdominal pain or occasional vomiting or diarrhea

Some adults 18-49 years of age have reported:

  • Runny nose or nasal congestion
  • Sore throat
  • Cough, chills, tiredness/weakness
  • Headache

Severe Problems

  • Life-threatening allergic reactions to vaccines are very rare. If they do occur, it is usually within a few minutes to a few hours after the vaccination.
  • In 1976, an earlier type of inactivated swine flu vaccine was associated with cases of Guillain-Barré Syndrome (GBS). LAIV has not been linked to GBS.
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How Can I Learn More?

Contact the Centers for Disease Control and Prevention (CDC)

This information was taken from the following original sources:

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Last Updated: 4/12/10