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Influenza vaccination for a one-year-old child with deltaF508

our one-year-old daughter is at the moment vaccinated with living viruses against measles, rubella and varicella etc. Would it be advisable to have a flu vaccination done at the same time?
Many thanks for your answer.
the vaccination with the living vaccine for measles, mumps, rubella and varicella (in Germany MMR + V vaccination, Priorix-Tetra®) should be done isolatedly. 4 weeks later, the flu vaccination (influenza vaccination) can be done. It is better tolerated, if the vaccinations are done at two different times. Recommendations of the German Robert-Koch institute:
it becomes especially interesting, if we look at the leaflet of Priorix-Tetra® (measles, mumps, rubella and varicella [7].
„Priorix Tetra® can be applied, however in different limbs, with one of the following monovalent or combined vaccines, including hexavalent vaccines (diphteria-tetanus - acellular pertussis vaccine-hepatitis B-inactivated polio vaccine/Haemopohilus influenzae b): diphteria-tetanus-acellular pertussis vaccine, Haemophilus influenzae b vaccine, inactivated polio vaccine, hepatitis B vaccine“.
There is no data about usage of Priorix-Tetra® with vaccines other than the ones mentioned above.
That means, that due to lack of data, Priorix Tetra® should not be combined with a vaccine against meningococci nor against pneumococci. Also simultaneous vaccinations against ESME (early summer meningoencephalitis) or influenza with Priorix-Tetra® are not licensed.
In general it is true: living vaccines (attenuated, but germs capable to multiply or bacteria, e.g. measles, mumps, rubella and varicella combination vaccines or rotavirus vaccines) can be applied simultaneoulsy. If they are not applied simultaneously, there should be at least 4 weeks in between the two vaccinations.
Therefore, the influenza vaccintion should be done 4 weeks after the vaccination with measles, mumps, rubella and varicella. This time interval should be respected. It is important to avoid contact until then and in general to peolpe with acute infections, until the catarharalic phase of the infection is over, that means the nose is not running anymore and the cough is markedly less and the fever is away.
Please discuss this with your treating physician.
Best regards,
Dr. H.-E. Heuer