Flu vaccine

Get the flu vaccine to make sure you get the best possible protection against the flu this winter

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Flu

Influenza (flu) is an infectious virus and can be serious. Symptoms may include a fever, a cough, a headache and tiredness. The virus spreads through the air when people cough or sneeze, or when they touch surfaces where the virus has landed then touch their eyes, nose or mouth. You can catch flu all year round, but it’s especially common in winter.

Flu can be serious, even if you’re healthy. For some people, it can lead to complications that may require hospital care or may even cause death.

Why should I get the flu vaccine?

Flu can be serious for some people. This year’s vaccine gives you the best possible protection against the flu viruses likely to be circulating this season.

The vaccine helps protect you from getting the flu. If you do get flu and have been vaccinated, the symptoms are likely to be milder and not last as long. This will reduce your risk of needing to go to hospital with serious flu illness.

It also helps to reduce the spread of flu and may protect those around you from getting ill.

The flu vaccine has been used in Scotland’s flu vaccination programme since 2000, with millions of doses given.

How is the flu vaccine given?

The flu vaccine will be given as an injection in the upper arm.

You only need one dose of the flu vaccine each flu season.

How does the flu vaccine work?

Flu vaccines help protect against the main types of flu viruses that are expected to be circulating in winter.

You have to get vaccinated every year because flu viruses are constantly changing. A different vaccine is made every year to ensure the best protection against the latest types of flu.

It works by teaching your body’s immune system how to protect itself from flu. Once you get the vaccine, it takes around 10 days for the vaccine to work. The flu vaccine itself cannot give you flu.

Vaccine safety

All medicines (including vaccines) are tested for safety and efficacy before they’re allowed to be used.

Once they’re in use, the safety of vaccines continues to be monitored by the Medicines and Healthcare products Regulatory Agency (MHRA).

Who will be offered the flu vaccine

The flu vaccine is offered to adults who are most at risk of getting seriously ill from flu.

Older adults and people with certain health conditions are more at risk of flu-related complications and need extra protection, even if their health condition is mild or well managed.

You’ll be offered the flu vaccine this year if you’re:

  • aged 65 and over
  • aged 18 to 64 with an eligible health condition
  • pregnant
  • living in a long-stay residential care home or other long-stay care facility
  • work in a care home for older adults
  • living with someone who has a weakened immune system
  • an unpaid or young carer
  • a frontline health or social care worker
  • a non-frontline NHS worker
  • a poultry worker
  • an asylum seeker living in a home office hotel or B&B accommodation
  • experiencing homelessness or substance misuse
  • living in a Scottish prison

Read more about the child flu vaccine including who is eligible.

Eligible health conditions

People with certain health conditions are at greater risk from flu.

Chronic respiratory disease (from 6 months or older)
  • Asthma that requires continuous or repeated use of inhaled or systemic steroids or with previous exacerbations requiring hospital admission.
  • Chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD).
  • Children who have previously been admitted to hospital for lower respiratory tract disease.
Chronic heart disease (from 6 months or older)

Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals requiring regular medication and/or follow-up for ischaemic heart disease. This includes individuals with atrial fibrillation, peripheral vascular disease or a history of venous thromboembolism

Chronic kidney disease (from 6 months or older)

Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic syndrome, kidney transplantation.

Chronic liver disease (from 6 months or older)

Cirrhosis, biliary atresia, chronic hepatitis.

Chronic neurological disease (from 6 months or older)
  • Stroke, transient ischaemic attack (TIA)
  • Conditions in which respiratory function may be compromised, due to neurological disease or neuromuscular (for example polio syndrome sufferers)

Clinicians should offer the vaccine, based on individual assessment, to clinically vulnerable individuals including those with cerebral palsy, severe or profound learning disabilities, Down’s syndrome, multiple sclerosis, dementia, Parkinson’s disease, motor neurone disease and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.

Diabetes (from 6 months or older)

Type 1 diabetes, type 2 diabetes requiring insulin or oral hypoglycaemic drugs, diet-controlled diabetes. Addison’s disease, secondary or tertiary adrenal insufficiency requiring steroid replacement.

Weakened immune system (from 6 months or older)

Weakened immune system due to disease or treatment, including patients who:

  • are undergoing chemotherapy leading to immunosuppression
  • are undergoing radical radiotherapy
  • are solid organ transplant recipients
  • are bone marrow or stem cell transplant recipients
  • have HIV infection at all stages
  • have multiple myeloma or genetic disorders affecting the immune system (for example, IRAK-4, NEMO, complement disorder, SCID

Individuals who are receiving immunosuppressive or immunomodulating biological therapy including, but not limited to:

  • anti-TNF- alemtuzumab
  • ofatumumab
  • rituximab

Patients receiving protein kinase inhibitors or PARP inhibitors, and individuals treated with steroid sparing agents such as cyclophosphamide and mycophenolate mofetil.

Asplenia or dysfunction of the spleen

This also includes conditions such as homozygous sickle cell disease, hereditary spherocytosis, thalassemia major and coeliac syndrome that may lead to splenic dysfunction.

Morbid obesity (class III obesity)

Adults with a Body Mass Index ≥ 40 kg/m².

Pregnant women

At any stage of pregnancy (first, second or third trimesters).

If you feel your condition or medication does not appear on the list, please talk to the clinician that manages your condition. They may be able to refer you to your NHS Board for vaccination if appropriate.

Anyone undergoing chemotherapy treatment or on medication that reduces their immunity is at higher risk and should get immunised.

If you care for someone who is eligible for the flu vaccine, you should also get the vaccine.

Possible side effects of the flu vaccines

Like all medicines, the flu vaccine can cause side effects. This is normal but not everyone gets them. It shows the vaccine is teaching your body’s immune system how to protect itself from the disease.

These potential side effects are much less serious than flu or complications associated with flu.

Side effects are usually mild and may include:

  • tenderness, swelling and/or redness at the site of the injection
  • headache
  • muscle aches
  • fever (temperature 38°C or above)

You may also feel generally unwell. These possible side effects usually go away within a few days.

You can rest and take the normal dose of paracetamol (follow the advice in the packaging) to help make yourself feel better.

Do not give medicines that contain aspirin to children under 16 years of age.

Phone 999 immediately if:

  • you or your child is having a fit

Phone your GP immediately if:

  • you or your child has a temperature of 39°C or above

If your GP practice is closed, phone 111. If you have any concerns, trust your instincts.

Reporting side effects

You can report suspected side effects of vaccines and medicines through the Yellow Card Scheme.

This can be done by:

  • visiting the Yellow Card Scheme website
  • phoning the free Yellow Card hotline on 0800 731 6789 (available Monday to Friday, 9am to 5pm)

Are there any reasons I should not get the vaccine?

Most adults can have the flu vaccine. But you should seek advice from your health professional if you’ve had a serious allergic reaction to a flu vaccine in the past or to any of the vaccine ingredients.

You may be at risk of an allergic reaction to the flu vaccine if you have an egg allergy. This is because some flu vaccines are made using eggs. It’s important that you tell the person giving you your vaccine if you have an egg allergy or if you’ve ever had a serious allergic reaction to a flu vaccine or if you’ve ever had a serious allergic reaction to anything.