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Flu Vac 2018/19 - Clinical FAQ's

How is the injectable flu vaccine given?

Fluad is being supplied with an orange hub 25mm needle and should not confuse this needle with the shorter orange (16mm) needle used to give subcutaneous injections.

The needle is suitable for use with patients taking anticoagulants or with a bleeding disorder.

Fluad will be in syringes that are pre-filled and the needle will be supplied separately (Luer Lock Presentation) which means the needle will have to be attached to the syringe before administration.

Can you give the vaccine subcutaneously?

Fluarix Tetra and Fluad® are not licensed for subcutaneous administration so should only be administered intramuscularly.

What about vaccination of patients taking anticoagulants or with a bleeding disorder?

Individuals on stable anticoagulation therapy, including individuals on warfarin who are up-to-date with their scheduled INR testing and whose latest INR was below the upper threshold of their therapeutic range can receive intramuscular vaccination. If in any doubt, consult with the clinician responsible for prescribing or monitoring the individual’s anticoagulant therapy.

What if you are unsure if a patient has already had a flu vaccination?

If there is nothing documented, then the patient should be offered a flu vaccination. An additional dose is unlikely to cause them any harm. Any adverse reactions are likely to be similar to any other person receiving one dose of the vaccine.

What about patients who have recently been diagnosed with the flu?

These patients should be offered the vaccine. Both the inactivated flu vaccine and the LAIV can be given at any time following recovery providing there are no contraindications to vaccination and the patient is not acutely unwell.

Can the flu vaccine (LAIV) be given with other vaccines?

Although it was previously recommended that, where vaccines cannot be administered simultaneously, a four-week interval should be observed between live viral vaccines. JCVI has now advised that no specific intervals need to be observed between the live attenuated intranasal flu vaccine and other live vaccines.

 What about patients who have an existing medical condition?

Please refer to the link on medical conditions on the NHS England website pgs. 21-23 in the Green Book..

Egg Allergies – Adults

Egg Allergies – Children


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Updated on 18 September 2018 886 views