b'(continued from page 1)at the time of administration, people in this age group should get any other age-appropriate flu vac-For adults 65 years and older, there are three flucine instead. vaccines that are preferentially recommended for people 65 years and older. These are FluzoneSpecial Consideration Regarding Egg Allergy High-DoseQuadrivalent vaccine, Flublok Quad-rivalent recombinantflu vaccine and FluadPeople with egg allergies can receive any licensed, Quadrivalent adjuvanted flu vaccine. If none ofrecommended age-appropriate influenza (flu) the three flu vaccines preferentially recommend- vaccine (IIV4, RIV4, ccIIV4, or LAIV4) that ised for people 65 and older is available at theotherwise appropriate. People who have a history of time of administration, people in this age groupsevere egg allergy (those who have had any symp-can get any other age-appropriate flu vaccinetom other than hives after exposure to egg) should be instead.vaccinated in a medical setting, supervised by a health care provider who is able to recognize and The most important thing is for all people 6 monthsmanage severe allergic reactions. Two completely and older to get a flu vaccine every year.egg-free flu vaccine options are available: Flublok Quadrivalent recombinant flu vaccine and Flucelvax If you have questions about which flu vaccine to get,Quadrivalent cell-based flu shot.talk to your doctor or other health care professional. More information is available at Who Should andWhen should I get vaccinated against flu? Who Should NOT Get a Flu Vaccine.For most people who need only one dose of flu Who Should Not Receive a Flu Shot:vaccine for the season, September and October are generally good times to be vaccinated against flu. Different influenza (flu) vaccines are approvedforIdeally, everyone should be vaccinated by the end of useinpeopleindifferentagegroups.Inaddition,October. Additional considerations concerning the somevaccinesarenotrecommendedforcertaintiming of vaccination for certain groups of people groupsofpeople.Factorsthatcandetermineainclude: personssuitabilityforvaccination,orvaccination withaparticularvaccine,includeapersonsage,Most adults, especially those 65 years and older, health(currentandpast)andanyallergiestofluand pregnant people in the first or second tri-vaccineoritscomponents.Moreinformationismester should generally not get vaccinated early available at Who Should and Who Should NOT get(in July or August) because protection may a Flu Vaccine. decrease over time. However, early vaccination can be considered for any person who is unable Are any of the available flu vaccinesto return at a later time to be vaccinated. recommended over others?Some children need two doses of flu vaccine. For those children it is recommended to get the first Yes, for some people. For the 2022-2023 flu season,dose as soon as vaccine is available, because the there are three flu vaccines that are preferentiallysecond dose needs to be given at least four weeks recommended for people 65 years and older. Theseafter the first. Vaccination during July andare Fluzone High-DoseQuadrivalent vac- August also can be considered for children who cine, Flublok Quadrivalent recombinant flu vac- need only one dose. cine and Fluad Quadrivalent adjuvanted flu vaccine.Vaccination during July and August also can be This recommendation was based on a review ofconsidered for people who are in the third trimester available studies which suggests that, in this ageof pregnancy during those months, because this can group, these vaccines are potentially more effectivehelp protect their infants for the first few months af-than standard dose unadjuvanted flu vaccines. Thereter birth (when they are too young to be vaccinated). is no preferential recommendation for people younger than 65 years. Information provided from the CDC.What if a preferentially recommended flu vaccine is not available?If none of the three flu vaccines preferentially rec-ommended for people 65 years and older is available9'