People with weakened immune systems (immunosuppression) due to any cause, including (but not limited to) immunosuppression from medications, congenital or acquired immune disorders, HIV infection, or asplenia.Children and adolescents 2 through 17 years of age who are receiving aspirin- or salicylate-containing medications.People who have had a severe allergic reaction to any flu vaccine.People who have had a severe or life-threatening allergic reaction to any ingredient in the nasal spray vaccine (other than egg proteins).People who SHOULD NOT get a nasal spray vaccine: If you are feeling sick, talk to your doctor about your symptoms.If you had a severe allergic reaction to a previous dose of any other flu vaccine, talk to your health care provider.Some people with a history of GBS should not get a flu vaccine. If you ever had Guillain-Barré Syndrome (a severe paralyzing illness, also called GBS), talk to your doctor about your GBS history.If you have one of the following conditions, talk with your health care provider. He or she can help decide whether vaccination is right for you, and select the best vaccine for your situation: People who should talk to their health care provider before getting a flu shot: If you have had a severe allergic reaction to an influenza vaccine in the past, it is important to talk with your health care provider to help determine whether vaccination is appropriate for you. People who have had a severe allergic reaction to a dose of influenza vaccine should not get that flu vaccine again and might not be able to receive other influenza vaccines.This might include gelatin, antibiotics, or other ingredients. People with severe, life-threatening allergies to any ingredient in a vaccine, including flu vaccine (other than egg proteins), should not get that vaccine.Children younger than 6 months of age are too young to get a flu shot.People who SHOULD NOT get a flu shot include: Visit Flu Vaccine and People with Egg Allergies for more information about egg allergies and flu vaccine. Beginning with the 2023-2024 season, additional safety measures are no longer recommended for flu vaccination of people with an egg allergy beyond those recommended for receipt of any vaccine, regardless of the severity of previous reaction to egg. People with egg allergy may get any vaccine (egg-based or non-egg-based) that is otherwise appropriate for their age and health status.Pregnant people and people with certain chronic health conditions should get a flu shot.For example, the recombinant flu vaccine is approved for people aged 18 years and older, and the adjuvanted and high-dose inactivated vaccines are approved for people 65 years and older. Some vaccines are only approved for adults.There are standard-dose inactivated flu vaccines that are approved for people as young as 6 months of age.Everyone should get a vaccine that is appropriate for their age.
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