The influenza (flu) vaccine

Children with a long term medical condition or disability can become seriously ill if they have flu or flu-like illness because they are more at risk of developing complications.

The nasal vaccine for children is a live attenuated influenza vaccine (it comes as a spray). It was offered as part of the NHS childhood vaccination programme in 2015/16 to:

  • ‘at risk’ children aged 2-17 years old
  • all children aged two, three and four years old
  • children in school years one and two

‘At risk’ children aged 6 months to 2 years are offered the inactivated injected influenza vaccine. The parents we talked to described how they chose whether or not to give their child the flu vaccine, and what influenced their thinking. Those parents who chose to vaccinate their children said they believed that vaccination helped their child avoid flu or flu-like illness altogether or could reduce its frequency or severity.

Clare is reassured that Eliza has an annual flu vaccine as it seems to prevent her getting flu-like illness. She says the nasal spray is brilliant.

Age at interview 46

Gender Female

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Without the flu vaccine, Rebecca thinks her son would become very poorly, so now she doesn’t worry as much.

Age at interview 35

Gender Female

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Some parents chose not to get their children vaccinated. Adam’s son doesn’t have it every year, depending on what his doctor advises. The option to have the vaccine as a nasal spray has made a big difference to Henry’s decision to have the flu vaccine. Previously, when he had the injection it caused a swollen reaction on his arm and he decided not to have it for two years. Now the nasal spray is available he is having the vaccine again annually.

Adam’s son doesn’t have the flu vaccine every year, depending on what his doctor advises.

Age at interview 40

Gender Male

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Hyacinth felt Kwame was overloaded with medication as a young child and now he is eight, she feels he is much stronger and doesn’t need the vaccine. She does sometimes wonder if she is doing the right thing in avoiding vaccines.

Age at interview 42

Gender Female

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Clare’s daughter has been having the flu vaccine for years and she ‘is very well….in terms of her everyday health, she’s very robust, very resilient.’

El has the flu vaccine each year. She still gets flu-like illness occasionally but she has not been as poorly as before she had the vaccine.

Age at interview 44

Gender Female

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Evie started school this year and has kept well over the winter having had the nasal spray flu vaccine. The rest of her family had the flu vaccine injection and everyone has been free of flu-like illness.

Age at interview 38

Gender Female

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Some parents also had the flu vaccine themselves so that they would be able to care for their children or to reduce the chances of them passing on the virus. Lyndsey and her husband paid for the vaccination every year. Alfie has leukaemia and everyone who is around him regularly has the flu vaccine.

Clare was in favour of the flu vaccine being available more widely to children. She says, ‘although it might not be as serious for some children as it is for others it is still a nasty illness and you know, it can be prevented in part.’

Children with a long term medical condition or disability have usually experienced a lot of injections, cannulas and treatment in their lifetime. Having another injection is often distressing and it was sometimes difficult for parents to take their child to have the vaccine.

Daniel was scared of injections so making the decision to have the flu vaccine was not easy for his parents.

Age at interview 27

Gender Female

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After getting a reaction to the injection, Henry didn’t have the flu vaccine for a couple of years but now the nasal spray is available he has started having it again.

Age at interview 44

Gender Female

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Having the flu vaccine by nasal spray has made it easier for Louise’s son to have the vaccine.

Age at interview 37

Gender Female

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Arranging to have the flu vaccine through the GP was not always straightforward according to some parents. Matias’s dad was pleased to get a letter and text message reminder every year and said the system worked well in their case. Others said they had not been reminded to get their children vaccinated. Adam’s son had experienced a delay in getting it done because he had frequent viral infections and he had to be well to have the vaccine. Hyacinth and Nia said that after not taking it up one year they didn’t receive a notification of it again the following year and were unaware that they were still eligible for it. Alex had an egg allergy and he needed to have a different type of vaccine. It was difficult getting it arranged but taking part in a clinical trial meant that he could now have the vaccine as a nasal spray.

Matias’s dad gets a reminder from his GP surgery each year to have the flu vaccine and they both get it done.

Age at interview 42

Gender Male

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Nia didn’t know that her asthmatic son was eligible to have the flu vaccine until they moved to a new area and it was offered to them by the GP practice.

Age at interview 27

Gender Female

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When Alex was younger he couldn’t have the flu vaccine because he has an egg allergy but he is now able to have the nasal spray vaccine.

Age at interview 50

Gender Female

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Preventing flu-like illness

Children with a long term medical condition or disability can become seriously ill if they have flu or other flu-like illnesses. Many parents tried to...