May influenza vaccines be given at the same time as other vaccines, including COVID-19 vaccines?

Yes, influenza vaccines may be coadministered with other recommended vaccines.

The live attenuated nasal spray influenza vaccine (FluMist, LAIV) may be given on the same day as any other live or inactivated vaccines. However, if two live vaccines are not given on the same day, they should be separated by at least 4 weeks.

There are now several vaccines containing nonaluminum adjuvants recommended for adults (including Shingrix [zoster], Heplisav-B [HepB], Arexvy [RSV] and Fluad [aIIV, influenza]). Because of the limited data on the safety or reactogenicity of simultaneous administration of two or more vaccines containing nonaluminum adjuvants and the availability of nonadjuvanted influenza vaccine options, ACIP advises considering a nonadjuvanted influenza vaccine in situations in which influenza vaccine and another vaccine containing a nonaluminum adjuvant are due at the same visit. However, influenza vaccination should not be delayed if a specific vaccine is not available.