The clinic nurse is administering influenza vaccinations.Which children should not receive the live attenuated influenza vaccine (LAIV)?

Question

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The live attenuated influenza vaccine (LAIV)is an acceptable alternative to the IM vaccine (IIV)for ages 2 to 49 years.It is a live vaccine administered via nasal spray.Several groups are excluded from receiving it,including children with a chronic heart or lung disease (asthma or reactive airways disease),diabetes,or kidney failure; children who are immunocompromised or receiving immunosuppressants; children younger than 5 years of age with a history of recurrent wheezing; children receiving aspirin; patients who are pregnant; children who have a severe allergy to chicken eggs or who are allergic to any of the nasal spray vaccine components; or children with a history of Guillain-Barré Syndrome after a previous dose.A child with hemophilia A or gastroesophageal reflux disease would not be immunocompromised so they can receive the LAIV.

The Clinic Nurse Is Administering Influenza Vaccinations