Vaccine Information

Composition of 2013-2014 Influenza Vaccine

2013-14 U.S. trivalent influenza vaccines will contain an A/California/7/2009 (H1N1)-like virus, an H3N2 virus antigenically like the cell-propagated prototype virus A/Victoria/361/2011, and a B/Massachusetts/2/2012-like virus. Quadrivalent vaccines will include an additional vaccine virus, a B/Brisbane/60/2008-like virus.


Vaccine Ordering

List of vaccine for different ages groups, United States, 2013-14


Influenza Vaccine Storage and Administration

Both LAIV (Live Attenuated Influenza Vaccine) and IIV (Inactivated Influenza Vaccine) should be refrigerated at 2 degrees to 8 degrees C (35 degrees to 46 degrees F). Flu vaccine cannot be frozen. IIV should be administered in the deltoid muscle of older children and adults. The preferred injection site for infants and young children is the antero lateral aspect of the thigh. One inch needle lengths should be used for all groups, although large people may require immunization with a 1 ½ needle length. Fluzone intradermal is administered intradermally via a single-dose, prefilled microinjection syringe. The preferred site for administration is over the deltoid muscle. Fluzone intradermal is indicated for persons aged 18 through 64 years.

LAIV should only be administered to non pregnant healthy people 2 through 49 years of age. It is intended for intranasal administration only and should not be administered intramuscularly.

Flu vaccine storage and administration has not changed. Refer to Centers for Disease Control and Prevention (CDC)- Dosage, Administration, and Storage for additional information.


Influenza Vaccine Dosage

This year dosing for children 6 months through 8 years of age is different, depending on what the child received last year. Dosing for all other ages is the same as in 2011.Refer to http://www.cdc.gov/flu/professionals/acip/2013-summary-recommendations.htm#vaccine-dose-children and http://www.cdc.gov/flu/professionals/acip/2013-summary-recommendations.htm#figure1 for a dosing algorithm and additional recommendations.


Influenza Vaccination of Persons with a History of Egg Allergy

Persons with a history of egg allergy who have experienced only hives after exposure to egg should receive influenza vaccine. Because relatively little data are available for use of LAIV in this setting, IIV or RIV should be used. Refer to CDC Guidance http://www.cdc.gov/flu/professionals/acip/2013-summary-recommendations.htm#egg-allergy and http://www.cdc.gov/flu/professionals/acip/2013-summary-recommendations.htm#figure2 for additional information.


Influenza Vaccine Clinic Resources

Alameda County Public Health Department- Flu 2013-14 Flu Materials Order Form
Source: Alameda County Public Health Department

LAIV Influenza Vaccine Information Statement
Source: Immunize.org

TIV Influenza Vaccine Information Statement
Source: Immunize.org

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