Quick answer: Children 6 months and older should get a flu vaccine every year. Kids ages 6 months to 8 years who are getting a flu vaccine for the first time, or who have had only one dose before, need 2 doses at least 4 weeks apart. The best time is September or October. Flu shots are safe for kids, and side effects are usually mild, like a sore arm or low fever.
Children get the flu at higher rates than adults and spread it quickly at school and daycare. Children under 5, and especially under 2, are more likely to have serious complications. Here’s what parents need to know.
What age can a child get a flu shot?
From 6 months. Babies younger than 6 months are too young for the vaccine, so the best way to protect them is for everyone around them, and their mother during pregnancy, to get vaccinated.
Does my child need one dose or two?
| Child’s age and history | Doses this season |
|---|---|
| 6 months to 8 years, never had a flu vaccine or only 1 dose ever | 2 doses, at least 4 weeks apart |
| 6 months to 8 years, had 2 or more doses in the past | 1 dose |
| 9 years and older | 1 dose |
If your child needs 2 doses, start early so they’re fully protected before flu peaks in December.
Shot or nasal spray?
The nasal spray vaccine is an option for healthy children 2 years and older. It isn’t recommended for children with a weakened immune system, or for kids ages 2 to 4 with asthma or recent wheezing. Your provider will help you choose.
Side effects in kids
- Sore, red or swollen arm or leg
- Low fever
- Fussiness or tiredness
These usually pass in a day or two. Read more in flu shot side effects and myths.
Making the visit easier
- Be honest that it will pinch for a second
- Bring a favorite toy or let them watch a video
- Hold younger kids on your lap
- Plan a small reward afterward
If your child already has flu symptoms
Sudden fever, cough, body aches and unusual tiredness in a child can mean flu. Children under 5 and kids with asthma should be seen quickly. Read flu in kids: when to go to urgent care and fever in children. Our pediatric urgent care team can test and treat the same day.
Frequently asked questions
Can my child get a flu shot with a cold?
Mild illness without fever is usually fine. If your child has a fever, wait until they’re better.
Can kids get the flu shot at urgent care?
Yes. PACS offers walk-in flu shots for children in Alexandria and Ruther Glen.
Is the flu shot covered for kids?
Most insurance plans and Virginia Medicaid cover it. See flu shot cost in Virginia.
Where can I learn more?
See the CDC’s guidance on flu vaccines for children at cdc.gov/flu. For the full overview, read our flu shot guide.
Get care today at PACS Urgent Care
Walk in or book online at our Alexandria flu clinic (3481 N Beauregard St, open 7 days, 8 AM to 8 PM) or book at our Ruther Glen flu clinic (17067 Merchants Dr, Monday to Friday 8 AM to 8 PM, Saturday and Sunday 9 AM to 5 PM). Prefer to stay home? Start with a telemedicine visit.
This article is general information and is not a substitute for advice from your own clinician.
