Influenza (Flu)

Where can I get my flu vaccine?

Flu vaccines are available at participating pharmacies for anyone 2 years and older and community doctors or nurse practitioners for anyone 6 months of age or older. Vaccine availability may vary by provider. Influenza vaccines are available at over 270 pharmacies in the city in late fall - please contact your local pharmacy to ensure vaccine availability.

People may be required to provide proof that they live, work, or attend school in Ontario to receive the publicly funded flu vaccine. Many different identification (ID) documents are accepted to prove eligibility (such as health card, mail with name and address, pay stub, student card). Having a health card is not a requirement, however, some health care providers may request one for their services.

Ottawa Public Health flu vaccine appointments will be offered for select groups:

• Children aged six months to under 5 years of age and their household members.
• Individuals without Ontario Health Insurance (OHIP) who are unable to access a flu vaccine through a primary care provider or pharmacy.

If you require disability-related accommodations, please fill out this Vaccine Accessibility Assessment form at least 48 hours before your appointment (please indicate the time and date of your appointment). With less than 48 hours, Ottawa Public Health will strive to meet all accommodation needs, however, may not be able meet all requirements. Should you need assistance in completing the accommodation request form, please contact Ottawa Public Health at 613-691-5505.

 Complete this form to book an appointment to receive the Seasonal Influenza Vaccine  through an Ottawa Public Health Community Clinic.

What is the flu?

The flu, or seasonal influenza, is a common contagious infection. The flu affects the nose, throat, and lungs. It is spread through droplets that have been coughed or sneezed by someone who has the flu. You can get the flu by shaking hands with someone who has the flu or by touching surfaces that have come into contact with flu droplets, and then touching your eyes, nose or mouth. Flu symptoms include a sudden fever or feeling feverish as well as a cough and/or a sore throat. It is common to also have a runny or stuffy nose, headache or body aches, and chills. You may feel more tired than usual and have a lower appetite. Some people (mostly children) also have nausea, vomiting, and/or diarrhea. Most people will recover within a week to 10 days, but some people are at greater risk of severe complications, such as pneumonia or death. Influenza infection can also worsen certain chronic conditions, such as heart disease. Although the burden of influenza can vary from year to year, it is estimated that there are an average of 12,200 hospitalizations related to influenza and approximately 3,500 deaths attributable to influenza annually in Canada.

Preventing the flu

You can help protect yourself against the flu by getting the flu vaccine. The earlier you get the vaccine, the better your chances are to prevent getting the flu virus. The flu is a viral infection that can have severe complications. Anyone can get the flu virus. The flu is not just a cold. You could miss school, work, parties, holidays, or even end up in the hospital.

The flu vaccine helps your body help itself. The vaccine will trigger your body to fight off infection if you come into contact with the flu. This means you either will not get the flu virus, or the symptoms will be greatly reduced. Each year, different strains of the flu virus appear. Scientists predict which strains will be most likely to affect us for the coming year. These strains are used to make up the year's flu vaccine. This is why it is important to be immunized with a flu vaccine each year, in the fall.

Getting your flu vaccine is good for everyone. When more people get their flu vaccine, the odds of the flu virus spreading goes down. This protects those who are most vulnerable such as children under five, adults 65 years or older, pregnant women, as well as those living with chronic health conditions like diabetes, cancer, and HIV/AIDS.

Along with getting your annual flu vaccine, you can help stop the spread of the flu, and protect yourself and your family by following a few easy steps:

• Wash your hands often and avoid touching your eyes, nose or mouth with unwashed hands.
• Cover your mouth and nose when you cough or sneeze.
• Disinfect high-touch surfaces in your home and workplace.
• Wear a mask:
  • To protect yourself from viral respiratory illnesses.
  • To protect others at higher risk of severe respiratory illness.
  • When you’re recovering from illness.

Types of publicly funded vaccines

FluMist® Quadrivalent (AstraZeneca) is authorized for use but it is not publicly funded in this 2023-2024 flu season.

Children six months to under nine years of age who have never had a flu vaccine in their life require two doses of the flu vaccine, given at least four weeks apart. Children six months to less than nine years or anyone older who received one or more doses of seasonal flu vaccine in the previous year, should receive one dose of flu vaccine per season thereafter.

The standard-dose quadrivalent inactivated vaccine (QIV) continues to be a good option for individuals six months of age and over, including adults over the age of 65 years.

The QIV protects against four flu strains: two different flu A viruses and two different flu B viruses. TIV (Trivalent Inactivated Vaccine) protects against two different flu A viruses and one flu B virus. 

Fluzone® High-Dose Quadrivalent Inactivated Vaccine (QIV-HD) is also available for persons 65 years old and over. QIV-HD contains a higher amount of antigen per strain than standard-dose flu vaccine formulations. QIV-HD has a comparable safety and immunogenicity profile to the previously authorized TIV-HD. For individual-level decision making, NACI in Canada states that when available, high-dose should be used over standard-dose inactivated influenza vaccine, given the burden of influenza A(H3N2) disease and the good evidence of better protection compared to standard-dose in adults 65 years of age and older. However, NACI states that any of the available age-appropriate influenza vaccines should be used. There is no preferential recommendation for the use of QIV-HD versus TIV-adj vaccine for this age group. All QIV, QIV-HD, and TIV-adj vaccines protect people 65 years old and over against the flu and the most important thing is for older adults to be vaccinated.

Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2023-2024

Vaccine precautions

The flu vaccine is safe for anyone 6 months of age or older who does not have a contraindication to the flu vaccine.

• The flu vaccine is safe and recommended during pregnancy and breastfeeding.
• Persons with egg allergy can safely receive any influenza vaccine and do not need any special precautions or testing.

You should not get the flu vaccine if you are:

• Feeling ill? You can get the flu vaccine when you are feeling better.
• Someone who has had a serious allergic reaction (anaphylaxis) to any of the components of that specific flu vaccine before (with the exception to egg). Consideration may be given to offering another flu vaccine that does not contain the implicated component.
• Someone who has had a serious allergic reaction (anaphylaxis) to a previous flu vaccine:A consultation with an allergist is recommended prior to flu vaccination
• Someone who has developed Guillain-Barré Syndrome (GBS) within 6 weeks of a previous flu vaccination, unless another cause was found for the GBS. You may be referred to a physician in this case.

Administration of flu vaccine with other vaccines

All seasonal influenza vaccines may be given at the same time as, or at any time before or after, administration of other routine vaccines including the COVID-19 vaccine in individuals 6 months of age and older, with two exceptions below:

Arexvy® (RSV Vaccine)

An interval of 2 weeks between influenza vaccine and Arexvy® is recommended.

Imvamune® (Mpox Vaccine)

An interval of 2 weeks between influenza vaccine and Imvamune® is recommended; except when Imvamune® is required for post-exposure prophylaxis. 

Reports