Contraindicated in:

• OB: Pregnancy;
• Hypersensitivity to FluMist, eggs, or egg products;
• History of asthma or reactive airways disease;
• Other live vaccine within 1 mo or inactivated vaccine within 2 weeks;
• Concurrent immunosuppressive therapy or disease causing immunosuppression or immunocompromise;
• Antiviral agents (not for 48 hr prior or 2 wk after);
• Pedi: Children or adolescents (5–17 yr) receiving aspirin, aspirin-containing or salicylate therapy (risk of Reye syndrome);
• Chronic illness including cardiac/pulmonary disease, metabolic disease, renal impairment or hemoglobinopathy;
• History of Guillain-Barré.

Use Cautiously in:

• OB: Lactation, children <2 yr, patients >50 yr (safety not established).