Inactivated Trivalent Vaccine

Inactivated Quadrivalent Vaccine

Live Attenuated
Quadrivalent Vaccine

 

Fluvirin

Fluzone

Fluzone-HD              (High Dose)

Fluzone Quadrivalent

Flumist

Availability

0.5 mL syringe

5.0 mL vial

0.5 mL syringe

5.0 mL vial

0.5 mL syringe

0.25 mL syringe

0.5 mL syringe

0.5 mL
vial

5.0 mL vial

0.2 mL intranasal spray

Mercury Content (mcg Hg/0.5mL)

≤1

25

0

25

0

0

0

0

25

0

Contains Latex

Yes

No

No

No

No

No

No

Age Indications

≥ 4 years

≥ 36 months

≥ 6 months

≥ 65 years

6-35 months

≥ 36 months

≥ 6 months

Healthy Individuals

2-49 years

Contraindications

Severe allergic reaction to: egg protein, neomycin, polymyxin, any other vaccine  component, ANY previous flu vaccine

Severe allergic reaction to: egg protein, gelatin, any other vaccine  component, ANY previous flu vaccine

Severe allergic reaction to: egg protein, ANY previous flu vaccine

No latex, thimerosal, gelatin, or antibiotic

Severe allergic reaction to: egg protein, any other vaccine component, ANY previous flu vaccine

No latex, gelatin, or antibiotics

Severe allergic reaction to: egg protein, gelatin, gentamicin, any other vaccine component, ANY previous flu vaccine
OR concomitant ASA therapy in children and adolescents

Latex in tip of syringe;
Trace thimerosal

No latex;

Contains thimerosal

No thimerosal

Thimerosal

No thimerosal

Thimerosal

Warnings

Guillain-Barre syndrome w/in 6 weeks of previous vaccine, Immunocompromised pts may see diminished effects.

Guillain-Barre syndrome w/in 6 weeks of previous vaccine

Guillain-Barre syndrome w/in 6 weeks of previous vaccine

Guillain-Barre syndrome w/in 6 weeks of previous vaccine

Children < 5 with recurrent wheezing OR any one with asthma may have increased wheezing after administration, Guillain-Barre syndrome w/in 6 weeks of previous vaccine

Adverse Effects

All patients - injection site reactions (pain, redness, swelling), myalgia, fatigue, HA.

All patients - injection site reactions (pain, redness), myalgia, fatigue, HA.

Children - all above plus irritability, drowsiness and myalgia

All patients - injection site reactions (pain), myalgia, fatigue, HA.

All patients - injection site reactions (pain, redness, and swelling), myalgia, malaise, fatigue, HA.

Children - all above plus loss of appetite, vomiting, irritability, abnormal crying, drowsiness, fever

All patients: runny nose and nasal congestion. Additionally Ages 2-6: fever over 100°F; Ages 18-49: sore throat

Pregnancy Category

C

C

C

N/A

C

B *avoid in pregnancy*

Pearls

Shake well

Shake Well

Shake well

Shake well

Shake well

Shake well

Drug Interactions: Aspirin therapy in pts < 17; pts on antiviral drugs

Should only be used in non-pregnant, healthy individuals age 2-49—i.e. no chronic conditions