Influenza vaccineVaccine typeContraindicationsAge range
Live attenuated (Flumist)Nasal spraySevere allergy to vaccine or component
People 2 to 17 years of age who receive aspirin or salicylate-containing medications
Children 2 to 4 years of age with asthma or wheezing in past 12 months
Immunosuppressed
People who care for severely immunocompromised persons
People without a spleen
Pregnancy
Cerebrospinal fluid leak
Cochlear implant
Use of influenza antiviral agent within certain amount of time (48 hours for oseltamivir [Tamiflu] and zanamivir [Relenza]; 5 days for peramivir [Rapivab]; 17 days for baloxavir [Xofluza])
2 to 49 years
Quadrivalent (Afluria, Fluarix, Flulaval, Fluzone)InactivatedSevere allergy to vaccine or component≥ 6 months
Quadrivalent cell-based (Flucelvax)InactivatedSevere allergy to vaccine or component≥ 6 months
Quadrivalent (Flucelvax)RecombinantSevere allergy to vaccine or component≥ 18 years
Quadrivalent high-dose (Fluzone)InactivatedSevere allergy to vaccine or component≥ 65 years
Quadrivalent with adjuvant (Fluad)InactivatedSevere allergy to vaccine or component≥ 65 years