Persons Recommended for Seasonal Influenza Vaccination

Everyone 6 months of age and older should get vaccinated against the flu. Vaccination should begin as soon as the vaccine is available.

Vaccination to prevent influenza is particularly important for persons who are at increased risk for severe complications from influenza or at higher risk for influenza-related outpatient, emergency department, or hospital visits. The list below includes the groups of people more likely to get flu-related complications if they get sick from influenza:

  • Children younger than 5;
  • Adults 50 years of age and older;
  • Women who are or will be pregnant during influenza season;
  • American Indians and Alaskan Natives;
  • Residents of nursing homes and other chronic care facilities;
  • People who have the following medical conditions:
    • Neurological and neurodevelopmental conditions [including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disorders), stroke, intellectual disability (mental retardation), moderate to severe developmental delay, muscular dystrophy, or spinal cord injury];
    • Chronic lung disease [such as chronic obstructive pulmonary disease (COPD) and cystic fibrosis] and asthma;
    • Heart disease (such as congenital heart disease, congestive heart failure and coronary artery disease);
    • Blood disorders (such as sickle cell disease);
    • Endocrine disorders (such as diabetes mellitus);
    • Kidney disorders;
    • Liver disorders;
    • Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders);
    • Weakened immune system due to disease or medication (such as people with HIV or AIDS, or cancer, or those on chronic steroids);
    • People younger than 19 years of age who are receiving long-term aspirin therapy;
    • People who are morbidly obese (Body Mass Index, or BMI, of 40 or greater).

Vaccination efforts should also focus on delivering vaccination to the following persons:

  • Health care personnel;
  • Household contacts and caregivers of children younger than 5 years and adults aged 50 years or older, with particular emphasis on vaccinating contacts of children younger than 6 months.