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Pediatric Influenza Immunization Dosing Guidelines


Recommended dosing by patient age and Fluzone vaccine presentation1,2

Age Group
Dosage
Formulation
# Doses
Route*
CPT®Code
6-35 months
0.25mL

Fluzone Vaccine,
No Preservative:

Pediatric Dose
prefilled syringes

1 or 2
Intramuscular
90655
36 months and older
0.50mL
Fluzone Vaccine,
No Preservative:

prefilled syringes
1 or 2
Intramuscular
90656
6-35 months
0.25mL
Fluzone Vaccine
Multi-dose vials
1 or 2
Intramuscular
90657
3-8 years
0.50mL
Fluzone Vaccine
Multi-dose vials
1 or 2
Intramuscular
90658
> 9 years
0.50mL
Fluzone Vaccine
Multi-dose vials
1
Intramuscular

* For older children, the recommended site of vaccination is the deltoid muscle. The preferred site for infants and young children is the anterolateral aspect of the thigh.
CPT is a registered trademark of the American Medical Association.
Two doses administered at least one month apart are recommended for children <9 years of age who are receiving influenza vaccine for the first time.

Number of doses
  • 2 doses, administered at least 1 month apart are recommended for children <9 years of age who are receiving influenza vaccine for the first time. If possible, 2nd dose should be administered before December1

Route of administration

  • Fluzone vaccine is administered as an intramuscular injection1
    • The preferred site for infants and young children is the anterolateral aspect of the thigh1
    • For older children and adults, the deltoid muscle is the preferred site1

How many doses of Fluzone vaccine will your practice need?

Adult Dosage
Child Dosage
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Indication
Fluzone vaccine is indicated for active immunization in persons 6 months of age and older against influenza disease caused by influenza virus subtypes A and type B contained in the vaccine.

Safety Information
The most common local and systemic adverse reactions to Fluzone vaccine include soreness, pain, and swelling at the vaccination site; fever, malaise, and myalgia. Other adverse reactions may occur. Influenza vaccine should not be administered to anyone with a history of hypersensitivity to any vaccine component, including eggs, egg products, or thimerosal (the only presentation that contains thimerosal is the multi-dose vial). Fluzone vaccine should not be administered to individuals who have a prior history of Guillain-Barré syndrome (GBS). Vaccination with Fluzone vaccine may not protect all individuals.
 
Before administering Fluzone vaccine, please see accompanying full Prescribing Information.

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This page last updated: 08-Feb-2010