Four Seasons Pediatrics

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Flu Vaccines

Last updated for 2021-2022 Flu Season:


We are have these vaccines, but due to the Covid-19 Pandemic we are not booking nurse visits at this time. See below for more information about flu vaccine clinics:

  • Flu Shots for those ages 6 months and up with Commercial Insurance
  • Flu Mist Vaccine for those age 2 years and up with Commercial Insurance
  • Flu Shots for those ages 6 months and up with the Free Vaccine Program (VFC*)
  • Flu Mist Vaccine for those age 2 years and up with the Free Vaccine Program (VFC*)

At the present time, we are unable to offer Nurse Visits due to a shortage of staff and the challenges of the COVID-19 Pandemic. If you have a well visit, you will be able to get your flu vaccine. You MAY bring siblings at the same time but please add them to the schedule by sending a web portal message or be sure to add at check in.

If you have a well visit and would like to get the Flu Vaccine during your well visit, fill out the Influenza Screening Form below (it will save you time in the office)

Please note that it will save time in the office if you print out and answer the Flu Screening Form – Click Below

We again have the Flu Mist this year.  Please note that the Flu-Mist had enjoyed years of better flu coverage during years of mismatched strains (when the strain that was in the vaccine was not matched to what was going around).  We stopped carrying the Flu-Mist due to reduced protection from the H1N1 strain.  Medimmune is the manufacturer and has submitted studies showing that they have fixed the issue related to reduced protection for H1N1.  As a result the CDC and the AAP have issued recommendations that either vaccine is acceptable.


We will update here if we do not have vaccine OR adequate staffing to give flu vaccine.  We also encourage you to sign up for our newsletter (see the Newsletter area of our website or click here).  Please remember that if your child is receiving their first flu vaccine, (or only had one vaccine previously) and he/she is under 9 years; you will require 2 doses for best protection (minimum 28 days between doses).  For those patients who have physicals scheduled, we will offer Flu Shots during your appointment – please fill out the screening questionnaire. In most cases, there is not a copay BUT there very rarely may be a copay related to nursing/administration services (depends on your insurance).

*Refers to VFC or Vaccine for Children program for patients with Medicaid, Child Health Plus or with no insurance (e.g. Fidelis, CDPHP Medicaid, CDPHP Child Health Plus, MVP Medicaid).

Links to Vaccine Information Statements for Influenza Vaccines:

Frequently Asked Questions:

What about timing of the vaccine? When is the best time to get the vaccine?

We are monitoring studies on timing of the flu vaccine. This is conflicting depending on the strain of the virus and the age of the person getting the vaccine. The flu season is not predictable and has occurred as early as August. Unless there are definitive data that determine what if any change should occur, we are following the recommendations of the American Academy of Pediatrics which states:

“administration of influenza vaccine should not be delayed to a later date because this increases the likelihood of missing influenza vaccination altogether”

Which vaccine is preferred for my child with Asthma?  What about Egg Allergy?

The flu shot is the preferred vaccine according to the ACIP (from the CDC).  Although the Flu Mist appears to offer better protection for children with asthma, there is ongoing monitoring for how the Flu Mist may trigger asthma (similar to a cold or virus).  Either vaccine is safe and effective for those with Egg Allergy.

Why can’t I pre-book Flu Vaccine Appointments?

This year, we will allow pre-booked appointments for Flu Clinics due to the COVID-19 pandemic. You must be signed up for our newsletter to learn of these flu clinics. Otherwise, our office staff have been following a policy we developed many years ago. This policy was developed due to challenges in vaccine supply, demand, variations in delivery, and staffing issues. For many years we scheduled appointments in advance, only to cancel and reschedule appointments. Some patients had appointments rescheduled 2-3 times as supply ran out. There were also times when the entire flu schedule was cancelled as the extra nurse scheduled called in sick. These issues led to our current policy. This policy ensures that we have vaccine on the day you schedule and the staff to administer it. While we recognize that parents have their own challenges in coming in on a same day basis, we feel this is the fairest approach to these issues. Thank you for your understanding. Please note that we DO NOT allow walk in appointments for flu vaccine.

What can I anticipate for the supply of Seasonal Flu Vaccine?

While every year brings challenges, it appears that this years supply will meet our patients needs. While there may be issues outside of our control, we will do our very best to obtain vaccine that meets our patients needs.

Do I need the vaccine this year, if I had last years flu vaccine?

Last years vaccine will not provide protection for this years influenza illness.   Therefore, we do recommend a dose of this years vaccine as well

What about the number of vaccinations?

Young children < 9 years will require 2 doses of the vaccine if this is your first year for the vaccine.  The interval between doses is 28 days.

(commercial AND VFC*)

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