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Frequently Asked Questions
What is in this year's seasonal influenza vaccine?
Who should be immunized for influenza this year?
Is the vaccine safe to use in pregnancy?
Who should not receive the vaccine?
Are there new influenza vaccines available this year?
Where and when can I get a "flu shot" this year?
Where can I find more information on influenza?

What is in this year's seasonal influenza vaccine?
There are many different strains of influenza, and the circulating strains of influenza usually change yearly. Each year, the World Health Organization recommends the three most common strains predicted to circulate in the coming season to be included in the new vaccine.
This year, the seasonal influenza vaccine contains the same three components as the 2010-2011 vaccine. These are a pandemic 2009 influenza A H1N1 influenza strain, an influenza A (H3N2) component, and an influenza B component.
Even though the vaccine components are the same, you should still receive an annual influenza vaccine this year to provide optimal protection against influenza. Immunity from the vaccine declines over time, and may not protect you after one year.
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Who should be immunized for influenza this year?
This year, all Manitobans remain eligible for seasonal influenza vaccine.
Influenza is a serious disease, and while most cases are mild, some can be severe, even in young, healthy people. It is not just a disease that affects the elderly. With the 2009 H1N1 pandemic, most of the hospitalizations and deaths occurred in people younger than 65 years old. In contrast, with seasonal influenza, most of the seasonal influenza-related hospitalizations and deaths occur in people 65 years and older. However, people in all age groups can develop severe illness from seasonal influenza. Every influenza season is different, and may impact different age groups.
Although deaths from influenza in children are rare, there is the potential for severe outcomes of influenza in children. A recent US report examined pediatric deaths from influenza in 2010-11. 115 cases of influenza-associated deaths in children were reported to the CDC between September 1, 2010 and August 31, 2011. Nearly half of these children who died from influenza virus infections during the 2010-11 influenza season had no known high-risk medical conditions, and nearly half of the deaths (46%) occurred in children aged less than five years.
Receiving the influenza vaccine is especially important for those at increased risk of serious illness from influenza, as well as their caregivers and close contacts. This includes:
- - Seniors aged 65 and older
- Residents of personal care homes and long-term care facilities
- Children six months to four years of age
- Those with chronic illness such as:
kidney, heart or lung conditions
an immune system weakened by disease or medical treatment
a condition that makes it difficult to breathe
children on long-term aspirin therapy
other chronic medical conditions (e.g., diabetes, mental disabilities)
- Pregnant women
- Health care workers and first responders
- Individuals of Aboriginal ancestry
- People who are severely overweight or obese.
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Is the vaccine safe to use in pregnancy?
Yes. There is extensive safety data available on the use of trivalent seasonal influenza vaccines in pregnant women, and the vaccine is considered safe at all stages of pregnancy or while breastfeeding. Pregnancy is NOT a reason for not receiving influenza vaccine. In fact, pregnant women are included among the highest risk categories for whom seasonal influenza vaccine is recommended yearly.
An increased risk of severe influenza infections has been observed in pregnant and postpartum women. In addition, vaccination of the mother will provide some protection for her newborn infant.
Infants less than six months of age, especially newborns, are at high risk of complications from influenza, but cannot be immunized with influenza vaccines. Immunizing their close contacts, including their mother, can reduce their risk of becoming infected.
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Who should not receive the vaccine?
The following groups of people should NOT receive seasonal influenza vaccine:
- Children under six months old
- Those who have had previous severe allergic reactions (such as anaphylactic reactions) to any component of the vaccine.
- Those experiencing a high fever or serious illness at the time of vaccination. (The vaccine should be delayed.)
- Those who have previously experienced Guillain-Barré syndrome within 8 weeks of receiving a seasonal influenza vaccine.
Those who have a severe allergy to eggs or chicken proteins (e.g., hives, swelling of mouth and/or throat, breathing difficulty) should check with their health care provider before receiving the vaccine. Egg allergy is no longer considered a reason for not receiving trivalent influenza vaccine. However, special precautions are recommended if someone is allergic to eggs.
People who have had a severe reaction to previous vaccinations, have a bleeding disorder, or are taking medication that could affect blood clotting, are advised to consult a health professional before receiving the vaccine. Extra precautions to prevent bleeding are taken when immunizing people with hemophilia or other blooding clotting disorders.
As added protection for individuals who cannot receive the vaccine, those who live with and/or care for them should receive seasonal influenza vaccine (as long as they don't have contraindications or reasons not to receive the vaccine).
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Are there new influenza vaccines available this year?
Manitoba Seasonal Influenza Vaccine Program (available at no charge through all immunization providers):
The vaccines available at no charge in Manitoba are inactivated (killed) influenza vaccines, which are given by injection with a needle. The two inactivated influenza vaccines used in Manitoba for 2011-12 are:
Fluviral® from GlaxoSmithKline
View product information
Agriflu®from Novartis Canada
View product information
Other types of influenza vaccines are now available in Canada. However, they are not currently offered through the Manitoba immunization program, and you must pay for the cost of the vaccine. Some of the below vaccines are also not recommended for everyone. Check with your health care provider if you want more information. These vaccines will not be available at the public influenza vaccine clinics.
For intradermal use: Intanza® is an inactivated (killed) influenza vaccine which has a tiny microneedle more than ten times smaller than regular flu shot needles, and is injected into the “dermis” or skin, without penetrating the muscle.
View product information
MF59-adjuvanted: Fluad® is an inactivated influenza vaccine with an adjuvant (MF59C.1) that is available for people 65 years of age and older.
View product information
The nasal-spray flu vaccine (Live attenuated influenza vaccine -LAIV): Flumist® is a live, attenuated (weakened) influenza vaccine for individuals 2 to 59 years of age that is sprayed into the nostrils. Because it is a live vaccine, it is not recommended for everyone.
View product information
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Where and when can I get a "flu shot" this year?
All immunization providers will have access to the provincial influenza vaccine supply. The vaccine is expected to arrive in the province by early October, and will be distributed throughout the province.
In Winnipeg, the vaccine will be available through:
- Public influenza vaccine clinics - 13 sites from October 18-22
- Primary care/physician clinics
- WRHA staff influenza clinics
- Patients and residents in WRHA acute and long term care facilities
- Other occupational health programs
- WRHA Community Area Offices
- Other venues
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Where can I find more information on influenza?
More information is available on the following sites:
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