After Receiving the Nasal Spray Flu Vaccine: How to Care for Your Child

The nasal spray flu vaccine can help protect your child from getting the flu, which can make children very sick. For the best protection, your child should get a flu vaccine every year in the fall. 

After getting the nasal spray flu vaccine, some kids have mild side effects for 1 or 2 days, like a runny nose, headache, achiness, a sore throat, or a slight fever. These reactions aren't as bad as the flu, which can make people sick for as long as 2 weeks and can have serious complications.

How the vaccine protects your child: The vaccine tells the body to make strong antibodies. Antibodies help destroy the germ. Antibodies stick around to help fight the germ another time.

Care Instructions

Follow your healthcare provider's recommendations for: 

  • When your child needs a flu vaccine.
  • If your child needs to come back for another flu vaccine. (Depending on when and if your child has had a flu vaccine in the past, they may need two doses of the vaccine.)
  • When to follow up.
  • If your child is uncomfortable from a fever, and your healthcare provider says it's OK, you can give acetaminophen (Tylenol® or a store brand) or ibuprofen (Advil®, Motrin®, or a store brand). Follow the package directions for how much to give and how often. 
  • Don't give your child aspirin. It can cause Reye syndrome, a rare but serious illness.

After getting the nasal spray flu vaccine, there is a very small chance that your child could spread the flu to someone with a weakened immune system. If there's someone at home with a weakened immune system, talk to your healthcare provider about how long your child should stay away from them. 

Your child develops wheezing or a cough.

Call 911 if...

Your child has signs of a serious allergic reaction, such as hoarseness, trouble breathing, hives, swelling of the face, paleness, or feeling very weak or dizzy.

More to Know

Who should get a nasal spray flu vaccine? The nasal spray flu vaccine works equally as well as the flu shot, and can be given to healthy children over 2 years old. It shouldn't be given to children with some medical conditions.

How does the nasal spray flu vaccine help protect my child against the flu? Your body responds to the nasal flu spray vaccine by creating antibodies that start working about 2 weeks after you get the vaccine. Antibodies are special proteins that lock on to germs to keep a person from getting sick. These antibodies help protect your child during flu season.

Can the nasal spray flu vaccine give my child the flu? No, your child cannot get the flu from the nasal spray flu vaccine. But the nasal spray flu vaccine doesn't prevent every strain of flu. Kids who come in contact with a strain of flu that is not in the vaccine may become ill even though they had the nasal spray flu vaccine.