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Flu Vaccine Information and Ordering

Flu Vaccine Links

Official recommendations from the Advisory Committee on Immunization Practices (ACIP) have been released. You can read them here. The information is summarized below.


Vaccine Administration Recommendations

Principle recommendation changes for the 2014-2015 influenza season include:

  • Routine annual influenza vaccination of all persons aged 6 months and older continues to be recommended.
  • For 2014–15, U.S.-licensed influenza vaccines will contain the same vaccine virus strains as those in the 2013–14 vaccine. Trivalent influenza vaccines will contain hemagglutinin (HA) derived from an A/California/7/2009 (H1N1)-like virus, an A/Texas/50/2012 (H3N2)-like virus, and a B/Massachusetts/2/2012-like (Yamagata lineage) virus. Quadrivalent influenza vaccines will contain these antigens, and also a B/Brisbane/60/2008-like (Victoria lineage) virus.
  • When immediately available, LAIV should be used for healthy children aged 2 through 8 years who have no contraindications or precautions.
    •  If LAIV is not immediately available, IIV should be used. Vaccination should not be delayed to procure LAIV.
    • The age of 8 years is selected as the upper age limit for this recommendation based on demonstration of superior efficacy of LAIV (ages 2 to 6 years), and for programmatic consistency (8 years is the upper age limit for receipt of 2 doses of influenza vaccine in a previously unvaccinated child).
    • This recommendation should be implemented for the 2014–15 season as feasible, but not later than the 2015–16 season.
  • The recommendations for which children younger than age 9 need two doses of seasonal flu vaccine have changed. Click here to find out who needs two doses.
  • Egg allergy continues to be a precaution instead of a contraindication. Click here to find out more information on the 2014-2015 update.
  • Vaccination should begin as soon as vaccine is available with special emphasis on people with conditions that put them at increased risk for complications from influenza. This is still true for the 2014-2015 season, regardless of when a person received a flu vaccine during the previous season.


Vaccine Products

The 2014-2015 trivalent vaccine strains are: an A/California/7/2009 (H1N1)-like virus, an H3N2 virus antigenically like the cell-propagated prototype virus A/Victoria/361/2011, and a B/Massachusetts/2/2012-like virus. Quadrivalent vaccines will include an additional vaccine virus, a B/Brisbane/60/2008-like virus. You can review the detailed information in table format here. This information has also been compiled by the California Department of Public Health to reflect rules and regulations specific to California in downloadable PDF format



Rules and Regulations

Aerosol and Transmissible Diseases Standard

Effective September 1, 2010, the Aerosol and Transmissible Diseases Standard requires that vaccines including measles, mumps, and rubella (MMR), tetanus, diphtheria, and pertussis (Tdap), varicella, and influenza be offered to employees at no cost. If you are a health care worker, check with your institution to find out if you are eligible for these vaccines. If you are an institution and you would like more information about the ATD Standard, you can read it in detail by clicking here. If you have questions, please direct them to Cal/OSHA Consultation Service by calling 1-800-963-9424 or via email at .


SB 739 (Health and Safety Code Section 1288.7)

Effective July 1, 2007, SB 739 requires general acute care hospitals to:


  • Annually offer onsite flu vaccinations to all employees at no cost
  • Institute respiratory hygiene and cough etiquette protocols
  • Revise/develop disaster plans to include pandemic influenza components


The Mercury Free Act of 2004 - AB 2943

Added Article 9 to Part 2, Chapter 3 of Division 106 of the Health and Safety Code (entitled Personal Health Care). Health and Safety Code Section 124172.


  • Effective July 1, 2006. Affects children under three years and women who are "knowingly pregnant."

  • Restricts thimerosal content in vaccines.
    • Influenza vaccine:
    • All other vaccines: < 0.5 microgram/0.5mL

The Influenza Vaccine Identfication Guide indicates which vaccine products can be given to children under three years of age and pregnant women.


Seasonal Flu Vaccine Ordering Information

Providers should contact their regular distributors or the vaccine manufacturers. Providers who meet eligibility criteria (nonprofit providers who serve low-income, high-risk individuals) may qualify for free vaccine from our Influenza Vaccine Distribution program (see below).


Seasonal Flu Vaccine Distribution Program for Low Income Clients


Open enrollment for the Flu Vaccine Distribution Program is limited to once per year, with all applications for the 2015-2016 program being due by Friday, August 28, 2015. If your organization is interested in applying to receive vaccine from SFDPH, please review the program guidelines. If your organization meets the eligibility criteria, please complete the application form and usage agreement by the deadline. Questions about our flu program should be directed to (415) 554-2955.


Due dates for the 2015-2016 Flu Vaccine Distribution Program are as follows:


Additional Resources

Please call the Communicable Disease Prevention Unit with any questions: (415) 554-2955

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