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Military Health System

Influenza Vaccine for Children and Adolescents

There are some unique aspects to immunizing pediatric patients with seasonal influenza vaccine. Please find a summation below:

Age Group Vaccine*  Presentation Dose Route Instructions 
6 to 35 months Afluria®


3 years and older Afluria®



9 years and older Afluria®


* All vaccines used by DOD are quadrivalent, made with the following strains of dead influenza virus: A/Michigan/45/2015 (H1N1) pdm09-like virus; A/Singapore/INFIMH-16-0019/2016 (H3N2)-like virus; B/Colorado/06/2017-like virus (B/Victoria/2/87 lineage); and B/Phuket/3073/2013-like virus (B/Yamagata/16/88 lineage).

Instructions on what to do if overvaccination is suspected

Thimerosal information: how it pertains to multidose vial vs. prefilled syringe


Find below all the relevant resource documents regarding immunizing children and adolescents with seasonal influenza vaccine.

File Date
Afluria Quadrivalent package insert 2018-19 6/4/2018
Fluarix Quadrivalent package insert 2018-19 6/1/2018
Flulaval Quadrivalent package insert 2018-19 6/1/2018
Standing orders for Administering Influenza Vaccine to Children and Adolescents 9/15/2022
Last Updated: August 24, 2022
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