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Children's flu vaccine

Children age 2 to 17 can get the flu vaccine for free. Most children get the vaccine as a spray up their nose (nasal vaccine).

The flu vaccine is available through a GP, pharmacy or some schools.

Why children should get the flu vaccine

The flu vaccine helps to protect children against flu.

Most children who get the flu have mild symptoms. But children and young people with long-term health conditions are at risk of serious complications from flu.

In some children, flu can lead to problems such as:

  • pneumonia
  • bronchitis
  • inflammation of the brain (encephalitis)

Children with flu may need hospital treatment. Some children may need to stay in intensive care.

In the past 10 years in Ireland over 10,000 children were hospitalised because of flu. Over 200 children had treatment in intensive care and 20 children died.

Who should not get the nasal flu vaccine

A very small number of children cannot get the nasal flu vaccine because of medical reasons.

The vaccinator will ask you questions to check it is safe to vaccinate your child. You can ask the vaccinator questions before they give the vaccine.

If your child has a health condition or you have questions about the nasal flu vaccine, speak to:

  • a GP or pharmacist
  • your child's specialist - if they see another doctor for a health condition

If your child cannot get the nasal flu vaccine, your GP or pharmacist may offer your child the flu vaccine by injection.

Children age 6 months to 23 months with a higher risk of illness from flu can get the vaccine by injection.

When to check with your doctor or avoid the vaccine

Children age 2 to 17 should not get the nasal flu vaccine if they:

  • had a severe allergic reaction to a previous flu vaccine or any vaccine ingredients
  • take salicylates - a type of medicine to treat pain or fever, including aspirin
  • have a severely weakened immune system because of certain medical conditions or treatments
  • live with someone who has a severely weakened immune system - for example, a person who recently had a bone marrow transplant and needs to live in isolation
  • have a condition that includes a leak of cerebrospinal fluid (CSF) - the fluid that surrounds the brain and spinal cord
  • are pregnant or breastfeeding

When to check with your child's doctor

Talk to your child's GP or specialist if your child:

  • has severe neutropenia - low levels of a type of white blood cell
  • has severe asthma
  • has asthma and is wheezy or needs their inhaler more than usual in the 3 days before they are due to get the flu vaccine
  • has a cochlear implant
  • takes combination checkpoint inhibitors to treat cancer - for example, ipilimumab and nivolumab
  • has an inherited metabolic disorder
  • is under age 2 and has a high risk from flu because of a health condition
  • took antiviral medicine for flu in the previous 48 hours

When to delay the nasal flu vaccine

Delay the nasal vaccine if your child has a temperature of 38 degrees Celsius or higher. Wait until they are well before getting the vaccine

High temperature - fever in children

Flu vaccine and egg allergy

If your child has an egg allergy, talk to your child’s GP, pharmacist or vaccinator before getting the vaccine. Most people with an egg allergy can get the flu vaccine.

Where children can get the flu vaccine

Your child can get the flu vaccine at a GP surgery or pharmacist.

If your child is age 2 to 17, the vaccine and the consultation with the GP or pharmacist is free.

Some schools may offer the free nasal flu vaccine.

How the nasal flu vaccine is given

Your child gets the vaccine as a spray up their nose.

The vaccinator sprays once into each nostril. The spray does not hurt.

Your child can breathe normally while getting the vaccine. There is no need to take a deep breath or sniff.

Some children who have chronic health conditions may need 2 doses, given 4 weeks apart. For example, chronic heart or lung conditions.

The nasal flu vaccine contains a very weakened form of the flu virus. But the vaccine does not spread or cause flu infection.

Safety

The nasal flu vaccine is very safe. The nasal flu vaccine for children has been given to children in Ireland since 2020.

Side effects of the nasal flu vaccine

Your child might have some mild side effects after the nasal flu vaccine. Serious side effects such as a severe allergic reaction are rare.

The most common side effects are mild and include:

  • runny or stuffy nose
  • muscle aches
  • tiredness
  • reduced appetite
  • headache
  • mild fever (high temperature)

Mild side effects usually stop in 1 to 2 days.

Find your patient information leaflet

The name of the nasal flu vaccine is Fluenz. You can find the patient information leaflet for the vaccine online.

How to find your patient information leaflet online

Side effects of the flu injection

If your child has to get the flu injection, other side effects may include:

  • pain and swelling at the injection site
  • irritability

Reporting side effects

If your child has side effects from a vaccine, you can report it to the Health Products Regulatory Authority (HPRA). Your doctor, nurse, pharmacist or a family member can also report the side effect to the HPRA.

Report any harmful effects to the Health Products Regulatory Authority - hpra.ie

Immunity

The flu vaccine gives your child the best available protection from the flu. You can still get the flu after vaccination. But you should have milder symptoms and recover faster.

Protect your child from flu

To reduce the risk of your child getting or spreading viral infections, teach or help your child to:

Flu vaccine and other vaccines

It is safe to get the flu vaccine if your child had other vaccines recently.

For example, if your child had:

Children age 6 months to 4 years should wait 14 days between the COVID-19 vaccine and the flu vaccine.

Page last reviewed: 25/09/2026
Next review due: 25/09/2029