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Content on this page was developed during the 2009-2010 H1N1 pandemic and has not been updated.

  • The H1N1 virus that caused that pandemic is now a regular human flu virus and continues to circulate seasonally worldwide.
  • The English language content on this website is being archived for historic and reference purposes only.
  • For current, updated information on seasonal flu, including information about H1N1, see the CDC Seasonal Flu website.

2009 H1N1 Influenza Vaccine Dose Spacing and Administration with Seasonal Influenza and Other Vaccines

November 20, 2009 1:15 PM EST

2009 H1N1 Influenza Vaccine Dose Spacing and Administration with Seasonal Influenza and Other Vaccines
 
Influenza
Seasonal
LAIV 2
Influenza
Seasonal
Inactivated
Other
live vaccines
(e.g. MMR)
Other
inactivated
vaccines
(e.g. PPV)
Influenza
2009 H1N1
LAIV
Dose 12

Vaccines should be separated by at least 28 days preferably, but some experts suggest that 14 days* or longer is acceptable. If given 1-13 days apart, repeat the vaccine administered second at least 14 days* (preferably 28 days) from the invalid (second) dose. Administering both doses at the same visit is not recommended but if they are given at the same visit, neither vaccine needs to be repeated.

Vaccines can be administered on the same day or any interval (one or more days) between these vaccines is acceptable.

Vaccines can be administered at the same visit. If not administered at the same visit, vaccines should be separated by at least 28 days. If administered 1-27 days apart repeat the vaccine administered second at least 28 days* from the invalid (second)vaccine.

Vaccines can be administered on the same day or any interval (one or more days) between these
vaccines is acceptable.

Influenza
2009 H1N1
Inactivated
Dose 1

Vaccines can be administered on the same day or any interval (one or more days) between these vaccines is acceptable.

Vaccines can be administered on the same day or any interval (one or more days) between these vaccines is acceptable.

Vaccines can be administered on the same day or any interval (one or more days) between these
vaccines is acceptable.

Vaccines can be administered on the same day or any interval (one or more days) between these vaccines is acceptable.

1Persons 10 and older require only one dose of 2009 H1N1 vaccine.
22009 H1N1 LAIV and seasonal influenza LAIV are recommended for use in healthy people 2 years to 49 years of age who are not pregnant.
*These intervals apply ONLY to 2009 H1N1 vaccines and should NOT be applied to seasonal influenza vaccines. The Advisory Committee on Immunization Practices’ 4-day “grace period” (i.e. vaccine doses that are administered 4 or fewer days before the minimum interval can be counted as valid) should NOT be applied to 2009 H1N1 intervals.

 
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