Vaccinate all persons annually w/ IIV^26,27,28 if no contraindications, and observe for reaction for at least 30 min after vaccination²⁹

²⁶ Offer vaccine prior to onset of influenza circulation in community, or soon after vaccine is available (by October, if possible), and continue to offer it as long as influenza viruses are circulating.<br><br>²⁷ IIV contraindications: Severe allergic rxn to any vaccine component (incl. egg) or after previous dose of any influenza vaccine.
<br><br>²⁸ IIV precautions: Mod to severe illness w/ or w/o fever, hx of GBS w/in 6 wks of receipt of influenza vaccine.
<br><br>²⁹ Regardless of allergy hx, all vaccines should be administered in settings w/ personnel & equipment for rapid recognition and tx of anaphylaxis.