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What is Flu?Updated 9-11-2026
  • Influenza (flu) is an illness that affects the lungs, throat, nose and mouth, and can spread easily to others.
  • Anyone can catch the flu, but there are some groups that are more likely to get very sick from the flu such as older persons, pregnant people, children younger than 2 years, and people with underlying health conditions.
  • Serious illness from the flu can lead to hospitalization and even death.
  • Getting a flu vaccine each year in September-October is the best way to protect against the flu during the fall and winter season.
Influenza FAQ

Vaccine Fact Sheet

English | Additional languages coming soon
Symptoms

Symptoms of the flu usually come on suddenly and strong, and can include:

  • headache
  • fever
  • chills
  • cough
  • sore throat
  • runny or stuffy nose
  • feeling weak or tired
  • muscle or body aches
  • vomiting and diarrhea

People with the flu can spread it to others before they know they are sick.

How Flu Spreads

Flu spreads when a sick person cough, sneezes, talks or breathes, especially in closed indoor areas. Although less common, flu can also spread by touching things that have the virus on it (like a table, doorknob or phone) and then touching your eyes, nose, or mouth. The flu spreads mostly in the fall and winter months in the United States but can also spread into spring.

Information for the Public
Vaccine Information
  • Anyone that is 6 months and older is recommended to get the annual flu vaccine.
  • Getting an annual flu vaccine, ideally in September-October, is the best way to protect yourself and your loved ones from serious illness from flu.
  • Every year flu viruses change. Because of this, vaccines are also updated every year to protect against the most common flu viruses that are spreading around us.
  • Flu vaccination has important benefits. It can protect you from getting very sick and from missing work, school, or get-togethers. Most importantly, it can prevent you from getting very sick, being hospitalized, and dying from the flu.
  • Flu vaccination is especially important for persons at high risk of serious illness. This includes people 65 years and older, pregnant people, children younger than 2 years, and people with underlying health conditions.
  • Getting the flu vaccine during pregnancy can also protect infants during the first months of life before they can receive a flu vaccine.
Vaccine Recommendations

Who SHOULD get the vaccine:

  • Everyone aged 6 months and older
  • People at high risk for developing serious illness from flu, including:
    • People 65 years and older
    • Pregnant people
    • Children younger than aged 2 years
    • People with chronic medical conditions (i.e., heart, lung, kidney, and liver disease) including obesity, asthma, diabetes or weakened immune systems
    • People who live in nursing homes or long - term care facilities
    • People who work in a healthcare setting
  • For those aged 65 years and older – enhanced flu vaccines (high dose, adjuvanted, recombinant, or mRNA) are recommended if they are available:
  • Solid organ transplant recipients aged 18 – 64 years, taking immunosuppressive medications may receive a high dose flu vaccine (Fluzone) or an adjuvanted flu vaccine (Fluad).
  • Children aged 6 months through 8 years require 2 doses of influenza vaccine administered a minimum of 4 weeks apart if they have never been vaccinated or had received only 1 dose in the past.
  • Talk to your doctor to see which flu vaccine is right for you.

Who should NOT get the vaccine:

  • Children younger than 6 months of age
  • Anyone with a history of severe allergic reaction to any component of the vaccine
  • The nasal spray flu vaccine is not approved for everyone. People who are pregnant, children younger than 2 years, adults over 49 years, and people with certain medical conditions should not receive it because of safety concerns.
Where to get the Vaccine

If you have insurance:

  • Talk to your doctor or check with your local pharmacy to see what vaccines they offer.
  • Most health insurance plans cover the cost of recommended vaccines for children and adults.

If you are uninsured or underinsured:

  • Programs are available to help cover the cost of vaccines.
  • Children 18 years or younger may receive vaccines at no cost through the Vaccines for Children (VFC) Program if they are:
    • Eligible for or are enrolled in Medi-Cal
    • American Indian or Alaskan Native
    • Uninsured (do not have health insurance)
    • Underinsured (private health insurance does not cover the full cost of vaccines)
  • Adults who are uninsured or underinsured may be able to get free or low-cost vaccines at clinics enrolled in the Vaccines for Adults (VFA) program. For more information on who is eligible, read VFA Eligibility Based on Insurance Status.

Locating Vaccine Clinics:

  • A list of free and low-cost clinics in Los Angeles County.
  • Interactive county map to locate free and low-cost vaccine clinics.
  • Call 1-833-540-0473 (Public Health InfoLine) for a list of free or low-cost vaccine clinics. This includes Vaccines for Children (VFC) provider locations that serve Medi-Cal eligible children and uninsured or underinsured adults.
Keeping Track of Your Immunization Records

If you are unsure of your flu vaccination status, you can request a copy of your records.

To request your record:

If your vaccines are not listed, ask your doctor, pharmacist, or vaccine provider for a copy of your vaccine records. You can also ask them to add your vaccines to the California Immunization Registry (CAIR).

Other tips to find your records:

Additional Resources

Los Angeles County Department of Public Health:

California Department of Public Health:

Children's Hospital of Philadelphia:

Signage and Flyers
Influenza: Vaccine Facts
English | Translations pending (as of 9/11/26)
Flu Prevention Flyer for Hospitals and Skilled Nursing Facilities
Flu Prevention Flyer for Schools (LAC DPH)
Flu: When to Get Medical Care (LAC DPH)
Flu Symptoms Flyer (LAC DPH)
What are the Benefits of Getting Vaccinated for Flu? (LAC DPH)
Information for Providers
Clinical Presentation

Clinical presentation can include sudden onset of fever, cough, sore throat, runny nose, headaches, extreme tiredness, muscle and joint aches, vomiting and diarrhea. Children younger than 5 years old, especially those younger than 2, older adults 65 years and older, and persons with chronic illness including asthma are at higher risk for serious illness from flu.

The cough can be severe and can last 2 weeks or more.

Most people recover from fever and other symptoms within a week without requiring medical attention. However, influenza can cause severe illness or death, especially in people at high risk.

Influenza can worsen symptoms of other chronic diseases. In severe cases influenza can lead to pneumonia and sepsis. People with other medical issues or who have severe symptoms should seek medical care.

Disease Reporting
  • Influenza due to novel strains (confirmed and suspected cases) report immediately.
    Call the Acute Communicable Disease Program:
    • Weekdays (8:30AM-5:00PM): 213-240-7941
    • After-hours: 213-974-1234
  • Influenza-associated deaths (in laboratory confirmed cases less than 18 years of age) report within 7 calendar days
    • Report via the CalREDIE Provider Portal (preferred)
    • Send a Confidential Morbidity Report (CMR) form by secure email to: RPU@ph.lacounty.gov
    • Fax a Confidential Morbidity Report (CMR) form to 888-397-3778 or 213-482-5508
    • Weekdays: 8:30AM-5:00PM, call 888-397-3993

For details on other reportable diseases and conditions, use the search tool on the Reportable Diseases and Conditions webpage.

Click here for more information on reporting a Vaccine Adverse Event.

Approved Influenza Vaccines

Four types of influenza vaccines are licensed and currently available in the United States.

  • Inactivated influenza vaccines (IIV3s) contain inactivated influenza viruses. These include:
    • Standard-dose unadjuvanted inactivated influenza vaccines grown either in eggs or cell culture.
      Egg-based vaccines include:
      • FLUARIX, approved for ages ≥6 months
      • FLULAVAL, approved for ages ≥6 months
      • Fluzone, approved for ages ≥6 months
    • Cell-based vaccines include:
    • High-dose unadjuvanted inactivated influenza vaccine (HD-IIV3), Fluzone High-Dose, is approved for ages ≥65 years and is egg-based.
    • Adjuvanted inactivated influenza vaccine (aIIV3), FLUAD, is approved for ages ≥65 years and is egg-based.
  • Recombinant influenza vaccine (RIV3), Flublok, contains HA antigens that have been produced using recombinant technology, and is approved for ages ≥9 years.
  • Live attenuated influenza vaccine (LAIV3), FluMist, contains live attenuated influenza viruses. It is approved for ages 2 through 49 years and is egg-based.
  • mRNA, mFLUSIVA, does not contain preservatives, adjuvants, or human- or animal-derived material. It is approved for use in persons 50 years of age and older.

A full list of 2026-2027 Influenza vaccines and dosage information can be found here.

Vaccine Recommendations

The California Department of Public Health recommends everyone 6 months and older receive an annual influenza (flu) vaccine.

It’s especially important to vaccinate people at increased risk for severe flu complications and who are in close contact with other with risk factors. This includes:

High-risk age groups:

  • Adults aged ≥65 years
  • Children aged <2 years
  • Pregnant people

High-risk medical conditions:

  • People with chronic health conditions (heart, lung, kidney, and liver disease)
  • People with neurologic and neurodevelopment conditions
  • People with metabolic, blood, or endocrine disorders
  • People who are obese or have a BMI ≥40
  • People younger than aged 19 years on long-term aspirin- or salicylate-containing medications.
  • People with a weakened immune system due to disease (such as people with HIV or AIDS, or some cancers such as leukemia) or medications (such as those receiving chemotherapy or radiation treatment for cancer, or persons with chronic conditions requiring chronic corticosteroids or other drugs that suppress the immune system)
  • People who have had a stroke
  • People with certain disabilities—especially those who may have trouble with muscle function, lung function, or difficulty coughing, swallowing, or clearing fluids from their airways.

High-risk settings:

  • People who live in nursing homes and other long-term care facilities
  • People who work in a healthcare setting

Children aged 6 months through 8 years may need an additional dose of flu vaccine depending on their previous vaccination history.


The following enhanced flu vaccines are recommended for adults aged ≥65 years: :

However, if none of these preferentially recommended vaccines are available at the time of the visit, administer any age–appropriate flu vaccine instead.

Organ transplant recipients aged 18 – 64 years taking immunosuppressive medications may receive high – dose flu (Fluzone) or adjuvanted inactivated influenza vaccine (Fluad). These vaccines are not preferred over other age-appropriate flu vaccines but are acceptable options for this population.

Flu vaccines are safe and effective in reducing the risk of severe illness, hospitalization, and death from flu. However, they may not always prevent infection. Additional information and vaccine effectiveness studies can be found on Seasonal Flu Vaccine Effectiveness Studies webpage.

Live attenuated influenza vaccine (LAIV) can be given to healthy people aged 2 – 49 years. LAIV is not recommended for some groups, such as people who are pregnant and people with certain medical conditions.

Click here for contraindications and precautions to influenza vaccine.

Vaccine Reporting, Storage, and Handling

Administration Data: California healthcare providers are required to report data on all valid immunizations that they administer to their patients into the California Immunization Registry (CAIR) within 2 weeks of administration per AB 1797.

Administration Errors: Healthcare providers are strongly recommended to report all vaccine administration errors to the Institute for Safe Medication Practices.

Adverse Events: Healthcare providers are required to report any adverse event on the reportable events list to the Vaccine Adverse Event Reporting System (VAERS) per HR 5546.

Storage and Handling: For general recommendations and guidance access the Vaccine Storage and Handling Job Aids.



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  • Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.

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