Who should and who should not get a flu shot?

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This year's supply of flu vaccine is limited. It is important that people at highest risk of serious illness or death from the flu get a flu shot. Complete this CDC form to see if you or your child should or should not get a flu shot.

YES NO  
Are you 65 years of age or older?
Do you have a long-term health problem such as: heart disease, kidney disease, lung diseases like asthma, metabolic diseases like diabetes, blood disorders like anemia, or a weakened immune system caused, for example, by cancer or cancer treatment, HIV/AIDS, or steroid therapy?
Are you pregnant or do you plan to become pregnant in the near future (October 2004 through March 2005)?
Do you live in a nursing home or long-term-care facility?
Are you a healthcare worker involved in direct, hands-on, face-to-face patient care?
Do you live with or care for one or more children less than 6 months of age?

If you checked "YES" to ANY of the questions in this section you SHOULD get a flu shot.

Parents or legal guardians of a child—answer these questions

YES NO  
Is your child 6 to 23 months of age?
Is your child both 6 months to 18 years of age and taking aspirin on a long-term basis?
Is your child 2 years of age or older with a long-term health problem such as: heart disease, kidney disease, lung diseases like asthma, metabolic diseases like diabetes, blood disorders like anemia, or a weakened immune system caused, for example, by cancer or cancer treatment, HIV/AIDS, or steroid therapy?
Is your child 2 years of age or older and living with one or more children less than 6 months of age?

If you checked "YES" to ANY of the questions in this section your child SHOULD get a flu shot.

Adults and parents—answer these questions

YES NO  
Are you 64 years of age or younger and in good health?
Is your child 2 years of age or older and in good health?
Do you or your child have a serious allergy to eggs?
Have you or your child ever had a severe reaction to a flu shot?

If you checked "YES" to ANY of the questions in this section you or your child SHOULD NOT get a flu shot.

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