AAP Flu Vaccine Recommendations for 2018-2019


In October, the American Academy of Pediatrics (AAP) updated their recommendations for the routine use of influenza vaccine and antiviral medications in the prevention and treatment of influenza in children. These updates are important to share with staff, parents, and families to keep both you and the children in your care safe and healthy.

Here are some of the important highlights:

  • Annual influenza immunization is recommended for everyone 6 months and older, including children and adolescents, with a special effort to vaccinate individuals in the following groups:

    • all children, including infants born preterm, 6 months and older

    • children and adolescents (6 months–18 years of age) receiving an aspirin- or salicylate-containing medication

    • all child care providers and staff

    • all women who are pregnant, are considering pregnancy, are in the postpartum period, or are breastfeeding during the influenza season

      • Pregnant women may receive an influenza vaccine (IIV only) at any time during pregnancy to protect themselves as well as their infants.

      • Influenza vaccination during breastfeeding is safe for mothers and their infants.

  • All children with egg allergy can receive an influenza vaccine without any additional precautions beyond those recommended for all vaccines.

  • The AAP and CDC also support the use of the nasal spray vaccine, however the flu shot as the first choice for children

    • The nasal spray vaccine is recommended for children who would not otherwise receive the flu shot at all, as long as they are 2 years of age or older and healthy without an underlying medical condition.

For more detailed information, visit healthychildren.org or click here to download a PDF version of the AAP Publication.


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