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Johns Hopkins Health Alert

Flu Shot Alert

Johns Hopkins Health Alerts | Lung Disorders | Flu Shot Alert

Can I get the flu from a flu shot? Read the answers to this and other questions about the flu.

It’s flu season once again. October and November are the best months for vaccination, but a shot in December or even later can still be beneficial. Amidst the reminders and recommendations to get a flu shot, many people remain unsure about side effects, the availability of a nasal vaccine, and whether or not a flu vaccine is needed every year. Here are answers to some common flu questions.

Q. Can I get sick from the shot?

A. It is impossible for the flu shot to give you influenza. The vaccine is made up of parts of dead influenza virus, incapable of causing illness. It works by stimulating your body’s immune system to build a defense against antigens found on the virus. Some people experience a mild fever, fatigue, and muscle aches soon after receiving the flu vaccine. This is not the flu. These symptoms show that your body’s immune system is hard at work, producing antibodies to fight the virus. These side effects (which can occur after receiving any vaccine) can be managed with over-the-counter drugs such as ibuprofen, acetaminophen, or aspirin.

Q. Do I need a shot every year?

A. Yes. There are many different types of influenza virus. Types A and B cause infection in humans. Each type has many different subclasses with different antigens. Because the influenza virus constantly mutates slightly, these different subclasses change and new ones develop, making it harder for the body to continue to recognize and fight them. Every year, health officials predict the strains of virus most likely to cause widespread illness. These are the strains contained in the vaccine for that particular year and the strains you will build immunity to after receiving your shot.

Q. Does the flu shot always prevent the flu?

A. No, not always. The effectiveness of the vaccine depends in part on your general health. Illness can compromise effectiveness. In addition, people over 50 generally mount less of an immune response to the vaccine. Thus, if you’re over 50 and receive a flu shot, you remain susceptible. But if you catch the flu after a flu shot, the vaccine will provide you with some protection. Usually, a vaccinated person will have a less severe illness. And the shot prevents prolonged illness, hospitalizations, complications such as pneumonia, and deaths associated with the flu. The take-home message is: Get your flu shot!

Q. Can I use a nasal vaccine instead of a shot?

A. Not if you’re 50 or older. The nasal vaccine is only approved for healthy people aged 5 to 49. The formulation, called FluMist, differs from the flu shot in that it contains alive, attenuated virus. This means that instead of being a killed vaccine that is absolutely incapable of causing the disease, FluMist contains a live form of the selected strain that has been weakened from its natural state. As you age and your immune system slows down, you may not be able to fight against the live virus.

Q. Will my insurance company pay for my flu shot?

A. Most insurance companies cover the cost of the vaccine. If you have Medicare Part B, there is no charge. Also, most communities have walk-in flu clinics where you can get a flu shot for around $10 to $30, regardless of insurance status.

Additional reminder: Protect Yourself From Pneumonia

Pneumonia shots get less publicity than flu shots, but everybody 65 and older, as well as people at risk for complications because of diabetes, heart disease, or other illnesses, should be vaccinated once every 5-10 years. According to a new study in the Journal of the American Medical Association, hospitalization rates for pneumonia among older Americans have greatly increased in the past 15 years. If you don’t know whether or when you’ve been immunized, be sure to ask your physician and get the shot if you need it..

Johns Hopkins Health Alerts | Lung Disorders | Flu Shot Alert

Posted in Lung Disorders on September 5, 2006
Reviewed June 2008

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Users and editors may post comments here at their own discretion. The views expressed do not constitute medical advice and do not represent the position of Johns Hopkins Medicine or University Health Publishing, which has no responsibility for its content.


I would like to hear from someone who has pulomary fibrosis. I have it and do not know anyone else who does and I don't really know what's ahead. Thank you

Posted by: kacey | November 28, 2006

Hi.......At first I was thought to have pulmonary fibrosis but I have since been diagnosed with COPD. I don't know a lot about it but I know that your immune system scars your lungs trying to protect them. I'm also sorry to tell you that it's not a very nice disease to have and there is no cure that I know of.

I think you would do better to look on the internet for pulmonary fibrosis. I use the net to find out all kinds of stuff. You could also try to find John Hopkins or Mayo Clinic on the net. They would have a lot of information for you.

Sorry I couldn't help you more. Lots of good luck to you........Ellie

Posted by: HEARTZAP | January 4, 2007



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