AUCH Medical Directors Peer Group

2022-2023 Influenza Vaccination Recommendations and Guidance on Co-administration with COVID-19 Vaccines 

09-09-2022 16:51

Three Important Takeaways

1) Influenza Vaccination of Persons Aged ≥65 Years 30 “ACIP recommends that adults aged ≥65 years preferentially receive any one of the following higher dose or adjuvanted influenza vaccines: quadrivalent highdose inactivated influenza vaccine (HD-IIV4), quadrivalent recombinant influenza vaccine (RIV4), or quadrivalent adjuvanted inactivated influenza vaccine (aIIV4). If none of these three vaccines is available at an opportunity for vaccine administration, then any other age-appropriate influenza vaccine should be used.”


2) Coadministration of COVID-19 Vaccines with Other Vaccines ▪ Routine administration of all age-appropriate doses of vaccines simultaneously is recommended as best practice for people for whom no specific contraindications exist at the time of the healthcare visit. ▪ Extensive experience with non-COVID 19 vaccines has demonstrated that immunogenicity and adverse event profiles are generally similar when vaccines are administered simultaneously as when they are administered alone. ▪ Providers should offer all vaccines for which a person is eligible at the same visit.

3) Guidance for Timing of Vaccination ▪ For most people who need only 1 dose of influenza vaccine for the season, September and October are good times to get vaccinated. ▪ For most adults (especially aged 65 years) and pregnant persons in the first or second trimester, July and August should be avoided—unless there is concern later vaccination might not be possible ▪ Children who need 2 doses (those 6 months through 8 years who have never been vaccinated, who have not received ≥2 total doses, or whose vaccination history is unknown)—should receive first dose as soon as possible after vaccine is available. ▪ July and August vaccination can be considered for children who need only one dose and pregnant persons in third trimester during those months. ▪ Ideally, vaccination should be offered by the end of October, but— ▪ Vaccination of those not yet vaccinated for the season should continue after October, throughout the season, as long as influenza viruses are circulating, and unexpired vaccine is available. 

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