Influenza Vaccine Comparisons

INFLUENZA VACCINE COMPARISONS (2019−2020 SEASON)
Storage and Handling

• Store refrigerated at 2–8°C (36–46°F)

• Do not freeze; discard if product has been frozen

• Protect from light

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• Do not use influenza vaccine beyond the expiration
date printed on the label

• Once the stopper of the multi-dose vial has been
pierced, the vial must be discarded within 28 days
Brand Indicated
Age		 Route Allergies1 Mercury 
content  
(mcg
Hg/0.5mL)		 How Supplied
INACTIVATED INFLUENZA VACCINE, TRIVALENT (IIV3), HIGH DOSE
Fluzone
High-Dose		 ≥65yrs IM egg protein 0 0.5mL single-dose prefilled syringe
INACTIVATED INFLUENZA VACCINE, TRIVALENT, ADJUVANTED (aIIV3)
Fluad ≥65yrs IM egg protein, neomycin, kanamycin, barium 0 0.5mL single-dose prefilled syringe
INACTIVATED INFLUENZA VACCINE, QUADRIVALENT (IIV4), STANDARD DOSE
Afluria
Quadrivalent		 6–35mos IM egg protein, neomycin, polymyxin 0 0.25mL single-dose prefilled syringe
≥6mos 24.5 5mL multi-dose vial2
≥3yrs 0 0.5mL single-dose prefilled syringe
Fluarix
Quadrivalent		 ≥6mos IM egg protein, hydrocortisone, gentamicin 0 0.5mL single-dose prefilled syringe
FluLaval
Quadrivalent		 ≥6mos IM egg protein 0 0.5mL single-dose prefilled syringe
<25 5mL multi-dose vial
Fluzone
Quadrivalent		 6–35mos IM egg protein 0 0.25mL single-dose prefilled syringe
≥6mos 25 5mL multi-dose vial
0 0.5mL single-dose prefilled syringe, 0.5 mL single-dose vial
INACTIVATED INFLUENZA VACCINE, QUADRIVALENT, CELL-CULTURE-BASED (ccIIV4)
Flucelvax
Quadrivalent		 ≥4yrs IM 0 0.5mL single-dose prefilled syringe
25 5mL multi-dose vial
LIVE, ATTENUATED INFLUENZA VACCINE, QUADRIVALENT (LAIV4)
FluMist Quadrivalent 2–49yrs IN egg protein, gelatin, arginine, gentamicin 0 0.2mL single-dose prefilled nasal spray
RECOMBINANT INFLUENZA VACCINE, QUADRIVALENT (RIV4)
Flublok 
Quadrivalent		 ≥18yrs IM 0 0.5mL single-dose prefilled syringe
NOTES

Key: IM = intramuscular; IN = intranasal

IM: For adults and older children, the recommended site of IM administration is the deltoid muscle. The preferred site for infants and young children is the anterolateral aspect of the thigh. Specific guidance regarding site and needle length for intramuscular administration can be found in ACIP’s General Recommendations on Immunization.

1 Persons with a history of egg allergy may receive any licensed, recommended influenza vaccine appropriate for recipient’s age and health status. Those who report having had reactions to egg involving symptoms other than urticaria (hives), or who required epinephrine or another emergency medical intervention, should be vaccinated in an inpatient or outpatient medical setting, under the supervision of a healthcare provider who is able to recognize and manage severe allergic reactions.

2 May be administered by needle/syringe (≥6mos) or PharmaJet Stratis Needle-Free Injection System (18–64yrs only).

Immunization providers should review FDA-approved prescribing information for 2019–2020 influenza vaccines for the most updated information, including (but not limited to) indications, contraindications, and precautions. Table listing reflects vaccines expected to be available during the 2019–2020 influenza season. This information is subject to change. For information on individual vaccines, see the product entries, contact the manufacturer, or call the National Immunization Hotline at (800) 232-4636.

REFERENCES

Grohskopf LA, Alyanak E, Broder KR, Walter EB, Fry AM, Jernigan DB. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2019–20 Influenza Season. MMWR Recomm Rep 2019;68(No. RR-3):1–21. https://www.cdc.gov/mmwr/volumes/68/rr/rr6803a1.htm

(Rev. 9/2019)

This article originally appeared on MPR

Topics:

Immunization Infectious Disease