Seasonal flu shots are available at Granger Medical Clinic at a cost of $20 and on cash basis in our Urgent Care Department or, by appointment with your provider and we will bill your insurance carrier.

H1N1 Flu vaccine is available by calling your providers' office and establishing an appointment. There is no charge for the H1Ni vaccines.

Both the seasonal and H1N1 Vaccines are not in full supply due to vaccine shortages. So, PLEASE, call your providers' office to learn of availability on the day of your appointment.

An annual vaccination against seasonal influenza is recommended for:

• all persons, including school-aged children, who want to reduce the risk of becoming ill with influenza or of transmitting influenza to others;
• all children aged 6 months up to their 19th birthday;
• pregnant women
• all persons aged 50 years and older;
• people of any age with certain chronic medical conditions;
• people who live in nursing homes and other long-term care facilities;
• people who live with or care for those at high risk for complications from flu, including health care workers; household contacts of persons at high risk for complications from the flu; household contacts and out of home caregivers of children less than 6 months of age (these children are too young to be vaccinated).

Coordinating Center for Infectious Diseases (CCID) National Center for Immunization and Respiratory Diseases (NCIRD)

H1N1 Vaccine recommendations and guidelines can be found by clicking on the "H1N1 CDC Guidelines" link on the Granger Medical Home Page. Granger Medical follows these published guidelines by the Centers for Disease Control. Note that these recommendations may change depending on available doses nationwide. Remember that this year, H1N1 is a separate vaccine from seasonal vaccine. We expect that future seasonal flu doses of vaccine will include H1N1. However, currently, two separate injections are now suggested to be fully protected for both seasonal and H1N1 flu.

There are two methods to receive vaccines:

The "flu shot" - an inactivated vaccine (containing killed virus) that is given with a needle, usually in the arm. The flu shot is approved for use in people older than 6 months, including healthy people and people with chronic medical conditions.

The flu-nasal-spray vaccine - a vaccine made with live, weakened flu viruses that do not cause the flu (sometimes called LAIV for "live attenuated influenza vaccine" or FluMist. LAIV (FluMist) is approved for use in healthy people 2-49 years of age who are not pregnant. (FluMist is a registered trademark.)

Each vaccine contains three influenza viruses - one A (H3N2) virus, one A (H1N1) virus, and one B virus. The viruses in the vaccine change each year based on international surveillance and scientists' estimations about which types and strains of viruses will circulate in a given year.

About two weeks after vaccination, antibodies that provide protection against influenza virus infection develop in the body.

An annual vaccination against influenza is not recommended for:

• people who have a severe allergy to chicken eggs;
• people who have had a severe reaction to an influenza vaccination;
• people who developed Guillain-Barre syndrome (GBS) within 6 weeks of getting an influenza vaccine;
• children less than 6 months of age (influenza vaccine is not approved for this age group); and
• people who have a moderate-to-severe illness with a fever (they should wait until they recover to get vaccinated).