Key takeaways:
Children should get their flu shots by the end of October when possible, before flu season is in full swing.
Most kids can get their flu shot when they have a mild illness, such as a cold, ear infection, or sinus infection.
Children taking antibiotics for a mild infection can still get their flu shot. There’s usually no need to delay vaccination.
About 9% of all U.S. children get the flu every year, according to the American Academy of Pediatrics (AAP). That’s a lot of sick kids!
The AAP recommends every child 6 months and older to get the flu shot. Flu vaccination is especially important for children who are at higher risk of serious complications from the flu.
You may already know that the best time to get a flu shot is by the end of October, before the flu season starts. But thanks to back to school, many kids are usually dealing with coughs and colds during those early fall months. Many parents and caregivers are hesitant to get a sick kid vaccinated. But do you really need to hold off on a flu shot just because your child has a cold?
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Let’s look at when you can get a flu shot while sick and when it’s best to reschedule that flu shot visit.
Can children get the flu shot if they’re already sick?
Yes. It’s safe for a child to get a flu shot even if they’re sick with a mild illness.
But what exactly is a mild illness? Mild illnesses include common conditions like:
Gastroenteritis (“stomach flu”)
These illnesses may make your child feel uncomfortable, but they generally aren’t a reason to delay vaccination. In these cases, it can be perfectly safe to give your child their flu shot, even if they’re feeling sick.
Talk with your child’s primary care provider if you’re not sure whether your child should get a flu shot. They can help you decide if it’s best to wait or if it’s safe to go ahead with the vaccine.
Can children get the flu shot if they have a fever?
Yes, having a fever doesn’t necessarily mean your child needs to wait to get a flu shot. There isn’t a specific temperature that determines whether a child should be vaccinated. Instead, healthcare professionals consider how sick your child is overall. A child with a mild illness can usually get vaccinated. Meanwhile, a child with a moderate or severe illness may need to wait until they’re feeling better.
Add GoodRx as a trusted source on GoogleAdd GoodRx as a trusted sourceCan children get a flu shot while taking antibiotics?
Yes, your child can get their flu shot when they’re taking antibiotics.
Antibiotics fight bacterial infections, while the flu shot helps protect your child from getting sick with the influenza virus.
Your immune system responds to flu vaccination by making antibodies against the flu virus. Antibiotics don’t affect how that process works.
So taking antibiotics won’t make the flu vaccine less effective. And getting the flu shot won’t interfere with antibiotics or your child’s recovery from a mild bacterial infection.
Will getting the flu shot make a child’s illness worse?
No, the flu shot won’t make your child’s illness worse. Getting a flu shot won’t make a mild illness last longer. Your child may experience side effects from the flu shot, like soreness at the injection site and fatigue. But the flu shot won’t worsen their cold symptoms.
How sick is too sick to get a vaccine?
If your child has a moderate or severe illness, they may need to wait until they’re feeling better before getting a flu vaccine. There isn’t a specific list of symptoms that means your child is too sick to get the flu shot. Instead, a healthcare professional will look at your child’s symptoms and overall health to decide whether it’s best to wait.
Once your child has recovered from a moderate or severe illness, they can get their flu vaccine.
Frequently asked questions
The flu vaccine is recommended for all children age 6 months and up. If your child is between ages 6 months and 8 years old, they may need a double dose, given at least a month apart. That’s if they haven’t received at least 2 flu vaccine doses in the past.
Babies and younger children need 2 flu shots when they’re first vaccinated because their immune systems haven’t been primed by previous flu vaccination. The first dose introduces the immune system to the vaccine. The second flu shot helps the baby develop stronger, longer-lasting protection against influenza.
A baby who gets only the first flu shot but misses the second dose is only partially protected against the flu. This means that if they’re exposed to someone with the flu, they’re more likely to catch the flu than a baby who got the second flu shot.
If a baby hasn’t received the second flu shot, they should get the second dose as soon as possible, as long as at least 4 weeks have passed. There’s no need to restart the series if the second dose is delayed.
The flu vaccine is recommended for all children age 6 months and up. If your child is between ages 6 months and 8 years old, they may need a double dose, given at least a month apart. That’s if they haven’t received at least 2 flu vaccine doses in the past.
Babies and younger children need 2 flu shots when they’re first vaccinated because their immune systems haven’t been primed by previous flu vaccination. The first dose introduces the immune system to the vaccine. The second flu shot helps the baby develop stronger, longer-lasting protection against influenza.
A baby who gets only the first flu shot but misses the second dose is only partially protected against the flu. This means that if they’re exposed to someone with the flu, they’re more likely to catch the flu than a baby who got the second flu shot.
If a baby hasn’t received the second flu shot, they should get the second dose as soon as possible, as long as at least 4 weeks have passed. There’s no need to restart the series if the second dose is delayed.
The bottom line
Most children ages 6 months and older should get a flu shot every year. A mild illness, such as a cold, usually isn’t a reason to delay vaccination. Children taking antibiotics for a mild bacterial infection can also get their flu shot. If your child is moderately or severely ill, check with a healthcare professional about when to get vaccinated.
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References
Centers for Disease Control and Prevention. (2024). Vaccines when your child is sick.
Committee on Infectious Diseases. (2023). Recommendations for prevention and control of influenza in children, 2023–2024. Pediatrics.
HealthyChildren.org. (n.d.). Flu. American Academy of Pediatrics.











