How to Treat an Adverse Reaction to a Flu Vaccine

The flu, or influenza, can be a serious and potentially deadly illness that attacks the respiratory system.^{[1]XTrustworthy SourceMayo ClinicEducational website from one of the world's leading hospitalsGo to source} The flu is highly contagious. Most cases of the flu go away without medication or complications. Many people now get an annual flu vaccine to prevent the illness or serious complications. The flu vaccine is generally safe, but some people may have adverse reactions to the injection.^{[2]XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source} You can treat an adverse reaction to the flu vaccine by seeking medical attention for allergic reactions or relieving less serious side effects at home.

Part 1

Part 1 of 2:

Seeking Medical Attention for Severe Reactions

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1
Get immediate medical care for severe allergic reactions. In rare cases, the flu vaccine can cause a severe or life threatening allergic reaction.^{[3]XResearch source} This usually develops within a few minutes to hours of receiving the vaccine. If you have any of the following symptoms and they are severe, call emergency medical services or get to the nearest hospital as soon as possible:^{[4]XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source}
- Difficulty breathing.
- Hoarseness or wheezing.
- Swelling around the eyes, lips, or throat.
- Hives.
- Paleness.
- Weakness.
- Rapid heartbeat or dizziness.
2
Contact your doctor for possible allergic reactions. Even if you don’t have symptoms of a severe or life threatening allergic reaction to the flu vaccine, you may still experience serious side effects. These also require medical attention. Call your doctor about how to proceed if you have any of the follow serious side effects:^{[5]XResearch source}
- Fever greater than 101 degrees Fahrenheit (38 degrees Celsius).
- Hives or swelling at the injection site.
- Labored breathing or fast heart rate.
- Dizziness that lasts longer than a day or two.^{[6]XResearch source}
- Continuous bleeding from the injection site.^{[7]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source}
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3
Receive medication to relieve reaction. Medical treatment depends on the type of adverse or serious reaction you have. Your doctor may give you medication or require that you stay at a hospital for monitoring. You may receive one of the following treatments for a serious reaction:^{[8]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source}
- Injections of epinephrine for anaphylaxis.
- Oral or injected antihistamines for hives and/or itching.
- Hospital stay for cardiovascular reactions or loss of consciousness.
4
Monitor your symptoms closely. In many cases, bad reactions to the flu vaccine will go away without treatment. However, it’s important to pay attention to any symptoms you may experience following the injection or treatment for an adverse reaction. If your symptoms don’t go away or get worse, contact your doctor or seek prompt medical attention. This can minimize the risk of adverse reactions and serious complications.^{[9]XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source}
- Contact your doctor if you are unsure of any of your side effects or how you’re feeling. It’s better to be safe than sorry with an adverse reaction.

Part 2

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Relieving Less Adverse Side Effects at Home

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1
Recognize common adverse reactions. Serious reactions to the flu vaccine are uncommon. However, you may still have an adverse reaction to the injection or nasal spray vaccine (The nasal flu vaccine is not currently recommended). Recognizing the common side effects of the flu vaccine can help you figure out the best way to treat them. Adverse reactions include:^{[10]XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source}
- Soreness, swelling, or redness at the injection site.
- Headache.
- Low grade fever (below 101 degrees Fahrenheit/ 38 Celsius).
- Nausea or vomiting.
- Muscle aches.
- Cough or sore throat.^{[11]XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source}
- Runny nose.
2
Take ibuprofen for pain or swelling. Most side effects from the flu vaccine go away in two days. The most common adverse reactions happen at the injection site. These usually include redness, soreness, or slight swelling. Taking a pain reliever such as ibuprofen can ease any discomfort and decrease swelling.^{[12]XResearch source}
- Take an NSAID (non-steroidal anti-inflammatory drug) such as aspirin, ibuprofen or naproxen sodium. These can relieve pain and reduce swelling or inflammation.
- Follow dosing instructions as directed on the product packaging or by your doctor.
3
Apply a cool compress. You may have itching, soreness, or discomfort at the injection site. You may even experience some lightheadedness or weakness. Putting a cool compress either on the injection site or your face can relieve these adverse reactions to your flu vaccine.^{[13]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source}
- Place a cool washcloth or ice pack on the injection site if you have any swelling, discomfort, or redness. Use as often as necessary for 20 minutes at a time until your symptoms go away.
- Put a cool, damp washcloth on your face or neck if you have any dizziness, lightheadedness, or sweating.^{[14]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source}
- Remove the compress if your skin gets too cold or numb.^{[15]XResearch source}
4
Compress slight bleeding with a bandage. The injection site may bleed a bit following your vaccination. In some cases, it may continue to bleed slightly for a couple of days after the injection. If this happens, put an adhesive compress over the site until it stops bleeding.^{[16]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source}
- Contact your doctor if the bleeding doesn’t stop within a day or two or gets worse.
5
Sit and snack for dizziness. Some people may get dizzy or even faint with a flu shot. In general, these adverse reactions won’t last longer than a day or two. The best way to treat dizziness and prevent fainting is rest. Having a snack while you rest can boost your blood sugar and help you feel better.^{[17]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source}
- Sit or even lie on the floor for a few minutes if you’re feeling dizzy. Loosening any clothing or sitting with your head between your knees may help the dizziness go away.^{[18]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source}
- Eat a small snack to boost your blood sugar and help minimize any dizziness you may feel.^{[19]XTrustworthy SourceImmunization Action CoalitionNonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent.Go to source} Aim to eat a healthy snack such as a piece of string cheese, toast with peanut butter, or apple slices.
6
Kill a fever with acetaminophen or ibuprofen. Many people experience a low-grade fever (below 101 degrees Fahrenheit or 38 degrees Celsius) following the flu vaccine. This is a common reaction and usually goes away within one to two days. If the fever bothers you, taking ibuprofen or acetaminophen can help decrease the your temperature as well as any discomfort you may have from it such as muscle aches.^{[20]XResearch source}
- Follow packaging instructions or your doctor’s orders for treating your fever with ibuprofen or acetaminophen.
- Contact your doctor right away if your fever doesn’t go away after two days or increases above 101 degrees Fahrenheit or 38 degrees Celsius.
7
Use an anti-itch medication. Itching at the injection site is also a common adverse reaction to a flu vaccine. In most cases, this will also go away within a day or two. However, you might find the itchiness uncomfortable. You can use an antipruritic, or anti-itch, medication to relieve any itching sensations at the injection site.
- Apply a hydrocortisone cream every four to six hours to relieve itching. If the itching is severe, your doctor may prescribe oral prednisone or methylprednisolone.
- Take an antihistamine such as diphenhydramine (Benadryl) or hydroxyzine (Atarax) every four to six hours to control injection site itching.

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Tips

People with egg allergies used to have to stay for 30 minutes of monitoring after receiving the flu shot, but this is no longer required. If you have a mild egg allergy, then you can leave immediately after getting a flu shot. People with severe egg allergies may still receive the vaccine, but may require monitoring to control any severe allergic reactions to the vaccine.^{[21]XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source}
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Warnings

Do not avoid getting a flu shot if you have had a mild reaction to it in the past. Keep in mind that you can still get a flu shot even if you get sick after getting one because the formula changes every year.
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Do not have a child younger than 6 months vaccinated.
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Contact your doctor if you are unsure of any reactions. It’s always better to be safe than sorry.
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