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Stay current! Every week, IAC Express is delivered directly to your email box. It features important immunization developments, such as the latest vaccine recommendations and licensures, important journal articles, practical vaccination resources, conference announcements, and more.
READ CURRENT ISSUE: IAC Express Special Edition
Ask the Experts: CDC Experts Answer Your Questions
Issue 1446: September 13, 2019
As a thank-you to our loyal IAC Express readers, we periodically publish extra editions such as this one, with new and updated "Ask the Experts" Q&As answered by CDC experts. These questions all relate to influenza vaccination.
IAC extends thanks to our experts: Andrew T. Kroger, MD, MPH; Mark S. Freedman, DVM, MPH, DACVPM; Tina S. Objio, MSN, MHA, RN; Candice L. Robinson, MD, MPH; Raymond A. Strikas, MD, MPH, FACP, FIDSA; and JoEllen Wolicki, BSN, RN, all from the National Center for Immunization and Respiratory Diseases, CDC.
Influenza Vaccines
Q: What's new in the 2019–2020 influenza vaccine recommendations?
Q: Which influenza vaccines will be available during the 2019–2020 influenza season?
Q: What are the differences between trivalent and quadrivalent influenza vaccines?
Q: If quadrivalent vaccine includes one additional strain, why isn't it preferred for use over trivalent vaccine?
Q: Which formulations of influenza vaccines (e.g., nasal spray live attenuated influenza vaccine (LAIV), inactivated injectable high-dose, inactivated injectable standard-dose, adjuvanted inactivated injectable, and recombinant injectable) are licensed for various age groups?
Q: We are unsure about when to start our influenza vaccination promotion, and when to ideally vaccinate our patients. Does protection from seasonal influenza vaccine decline or wane during the influenza season? Should I wait until later in the year to vaccinate my elderly or medically frail patients?
Q: Which influenza vaccines can we give to children?
Q: Please provide details about the use of inactivated influenza vaccines in children younger than age 3 years.
Q: Which children younger than age 9 years will need 2 doses of influenza vaccine in this influenza season?
Q: Do any children age 9 years and older need two total doses during an influenza season?
Q: Can a child age 6–35 months who needs 2 doses of influenza vaccine this season receive a combination of Afluria, Fluzone, FluLaval, Fluarix, or FluMist vaccine?
Q: If a child receives Fluzone Quadrivalent vaccine (0.25 mL) at age 34 or 35 months for the first time and then returns for the second dose at age 37 months, should we give another 0.25 mL dose of Fluzone Quadrivalent or should we give the 0.5 mL dose that is indicated for age 3 years and older?
Q: Is influenza vaccine recommended for pregnant women?
Q: If a patient was vaccinated earlier in the influenza season and later becomes pregnant during the same season, should she be revaccinated due to her pregnancy?
Q: Please tell me about Fluad, one of the influenza vaccines for people age 65 years and older.
Q: Sometimes patients age 65 years and older who have received the standard-dose influenza vaccine hear about the high-dose (Fluzone High-Dose) or adjuvanted vaccine (Fluad) and want to receive that, too. Is this okay to administer?
Q: Which healthcare personnel should be vaccinated against influenza?
Q: What is the preferred anatomic site for administration of inactivated influenza vaccine (IIV) and recombinant influenza vaccine?
Q: For whom is inactivated influenza vaccine contraindicated?
Q: What are the contraindications for live attenuated influenza vaccine (LAIV, FluMist)?
Q: What is the latest ACIP guidance on influenza vaccination and egg allergy?
Q: Is the Influenza Vaccine Information Statement (VIS) changing for the 2019–2020 influenza season?
Q: When administering influenza vaccine, is giving patients a VIS mandatory or is it only "recommended"?
 
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Editorial Information
Editor:
Deborah L. Wexler, MD
Managing Editor:
Teresa Anderson, DDS, MPH

Consulting Editors:
Marian Deegan, JD
Courtnay Londo, MA
Jane Myers, MA, EdM  
Assistant Managing Editor:
Liv Augusta Anderson, MPP
Issue Abbreviations
AAFP: American Academy of Family Physicians
AAP: American Academy of Pediatrics
ACIP: Advisory Committee on Immunization Practices
CDC: Centers for Disease Control and Prevention
FDA: Food and Drug Administration
IAC: Immunization Action Coalition
MMWR: Morbidity and Mortality Weekly Report
NCIRD: National Center for Immunization and Respiratory Diseases
VIS: Vaccine Information Statement
WHO: World Health Organization
 
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 6NH23IP22550) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.