Live Attenuated Vaccine
Cautions/Contraindications

• Under 2 years old or over 50 years old (*)
• Egg allergy (or hypersensitivity to prior LAIV)
• Moderate to severe acute febrile illness (but OK to give in face of typical otitis media or URI unless nasal congestion impedes delivery)
• Pregnancy (*)
• Asthma, reactive airways disease, or chronic pulmonary or cardiovascular disease (*)
• Metabolic disease (diabetes), renal dysfunction, or hemoglobinopathy (*)
• Known or suspected immunodeficiency or taking immunosuppressive drugs (*)
• Under 18 yrs old and taking long-term salicylate therapy (*)
• History of Guillain-Barre syndrome
• Use of influenza antivirals medication within 48 hours prior to vaccination or in the 2 weeks following vaccination
• Close contact with patient with severe immunodeficiency (ie. hematopoietic stem cell transplants) (*)

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(*) These patients should receive inactivated vaccine (TIV)