Influenza: Recommended vaccinations
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  General recommendation
  Recommendation for specific groups only
  Catch-up (e.g. if previous doses missed)
 		 Vaccination not funded by the National Health system
 		 Mandatory vaccination
MonthsYears
62323567810-11121718455055596064≥ 65
Austria
IIV3/LAIV
IIV3
aIIV3 / IIV3-HD 1
Belgium
IIV32
aIIV3 / IIV3-HD 3
Bulgaria
IIV3/LAIV4
IIV3/IIV45
IIV3/IIV46
Croatia
IIV37
IIV3
Cyprus
IIV48
aIIV4
Czechia
IIV3/LAIV9
IIV3/TIV-HD10
Denmark
IIV11
IIV312
Estonia
IIV413
IIV4
Finland
IIV3/LAIV14
IIV3
IIV3
France
IIV4
IIV4
Germany
IIV3/LAIV15
IIV315
aIIV3 / IIV3-HD 15
Greece
IIV316
IIV3
IIV3/aIIV3/IIV3-HD17
Hungary
IIV418
IIV3
Iceland
IIV3/LAIV19
IIV319
IIV319
Ireland
IIV/LAIV20
IIV20
Italy
LAIV/IIV3/cIIV321
aIIV3/TIV-HD/IIV321
Latvia
IIV4/LAIV22
IIV4/LAIV23
IIV3-HD
Liechtenstein
IIV424
IIV425
Lithuania
IIV326
IIV326
IIV326
IIV326
Luxembourg
IIV327
IIV328
IIV3/TIV-HD29
Malta
IIV430
IIV430
Netherlands
IIV31
IIV
Norway
IIV3/aIIV332
IIV3/aIIV332
Poland
IIV4
IIV4/QIV-HD33
Portugal
IIV434
IIV434
IIV4/QIV-HD34
Romania
IIV3/IIV4/LAIV
IIV3/IIV4/QIV-HD35
Slovakia
IIV/LAIV36
IIV37
Slovenia
IIV438
IIV4
Spain
LAIV/IIV3/cIIV3
LAIV/IIV3/cIIV339
IIV3/aIIV3/cIIV3/TIV-HD
Sweden
IIV4/LAIV
IIV4

Footnotes:

  1. For all >60 years old, aIIV3 (funded) and IIV3-HD (not funded) is recommended. More information: https://impfen.gv.at/impfungen/influenza or https://www.sozialministerium.gv.at/impfplan (p. 54ff)
  2. For HCWs (paid by employer), pregnant women and people with comorbidities (partially reimbursed).
  3. Partially funded. For persons 65-74y without comorbidities, only aIIV is partially reimbursed. In part of the country (Flanders), the vaccine is provided and administered entirely free of charge for residents of nursing homes.
  4. Inactivated vaccines are recommended for children over 6 months of age. LAIV is recommended for children over 24 months of age. Vaccines are not funded but vaccine administration is funded by the national health insurance.
  5. Inactivated vaccines are recommended for all people over 18 years of age. Vaccines are not funded but vaccine administration is funded by the national health insurance only for insured
  6. For people over 65 years of age influenza and pneumococcal vaccines and administration are free of charge and funded according to the National programme.
  7. Children and adolescents that are not at risk can get the influenza vaccine from six months old but it is not funded. Vaccination is recommended and funded by Croatian Health Insurance for all children at risk.
  8. The vaccine can be given as a specific recommendation for individuals six months to 17 years old with a chronic medical condition. https://www.gov.cy/moh/en/national-vaccination-advisory-committee/
  9. Universal recommendation is given for all age groups but children from six months to five years old belong to the high-risk group. For more information: https://vakcinace.eu/doporuceni-a-stanoviska/doporuceni-ceske-vakcinologicke-spolecnosti-cls-jep-k-ockovani-proti-chripce-4
  10. For all individuals 65 years old and older is funded from the National Health System
  11. Vaccination during pregnancy. See https://www.ssi.dk/vaccinationer/vaccination-af-gravide
  12. In children, there is no general recommendation, only for certain risk groups. More information: https://www.ssi.dk/vaccinationer/influenzavaccination
  13. Vaccination is free for the following groups: residents of welfare institutions, people aged 60 years and older, children aged six months to seven years old, pregnant women, children and adolescents 7–17 years old who have an increased risk of becoming seriously ill due to their health condition (heart and blood vessel diseases, oncological diseases, immunodeficiency, diabetes and obstructive lung disease).
  14. More information: https://thl.fi
  15. Annual vaccination in autumn/winter with inactivated high-dose or MF-59 adjuvanted influenza vaccines recommended for persons aged 60 years and older. Annual vaccination with inactivated vaccine recommended for persons 6 months and older with one or more medical condition or underlying disease. Children and adolescents aged 2-17 years can be vaccinated with live attenuated vaccine.
  16. Since 2024 flu vaccination is recommended to all children between 6 months -5 years of age. In addition, Greece has recommendations for children and adolescents (5-18 years) belonging to high risk groups belonging to high-risk groups. Source: https://www.moh.gov.gr/articles/health/dieythynsh-dhmosias-ygieinhs/metadotika-kai-mh-metadotika-noshmata/c388-egkyklioi/13711-odhgies-gia-thn-epoxikh-griph-2025-2026-ndash-antigripikos-emboliasmos . LAIV was introduced in 2025 for children 2-5 years of age.
  17. TIV-HD and aTIV recommended in adults aged =65 years.
  18. Hungary’s recommendation is for children 6–35 months old with chronic pulmonary, cardiovascular, renal or hepatic disease, metabolic disorders or immunosuppression due to disease or treatment
  19. Annual vaccination (IIV3 to be re-introduced in 2026 with LAIV-3 for 2-4 year olds from 2026) - funded recommendation.
  20. The national influenza programme offered an influenza vaccine to all aged 60 years and older, all those aged 2-17 years, all healthcare workers, all pregnant women, all those aged 18 years and older living in long term residential care, anyone aged 6/12 to 2 years or aged 18 years and older with a condition putting them at risk of influenza related complications, all household contacts of those at risk of influenza related complications, all out of home care givers to those at risk of influenza related complications, and people who have regular contact wiht pigs, poultry of waterfowl. Full information on recommendation is available https://www.hiqa.ie/sites/default/files/NIAC/Immunisation_Guidelines/Chapter_11_Influenza.pdf. The inactivated influenza vaccine (IIV) and the Live attenuated influenza vaccine (LAIV) were both trivalent vaccines in 2025/2026 influenza season in Ireland.
  21. Vaccination is offered free of charge to all children from six months to six years old and adults aged 60 years old and older. From seven yo to 59 years of age, vaccination is offered free of charge to all people with chronic medical conditions.
  22. One booster vaccine every 12 months or every season.
  23. Children and adolescents aged 24 months to 17 years with chronic lung or cardiovascular diseases, chronic metabolic or kidney conditions or immunodeficiency, as well as those receiving immunosuppressive therapy or long-term acetylsalicylic acid therapy. Adults with chronic lung or cardiovascular diseases, chronic metabolic or kidney conditions or immunodeficiency, as well as those receiving immunosuppressive therapy and persons with mental illnesses. https://www.spkc.gov.lv/lv/vakcinacija#valsts-apmaksata-vakcinacija-pret-gripu
  24. For 6 months to 8 years, vaccination is not recommended for healthy children but is recommended for premature babies (born before gestational week 33 (e.g. <32 weeks and seven days of pregnancy) or with a birth weight of less than 1 500g) from the age of six months and for the first two winters after birth. For 6 months to 18 years, vaccination is recommended for children and adolescents with chronic medical conditions.
  25. For individuals aged >=18 years, the recommended influenza vaccines are Vaxigrip Tetra®, Fluarix Tetra®, Influvac Tetra®, and Flucelvax Tetra®. The same vaccines (Vaxigrip Tetra®, Fluarix Tetra®, Influvac Tetra®, Flucelvax Tetra®) are also recommended for those aged >=50, >=55, >=59, and >=60 years. For individuals aged >=65 years, the recommended vaccine is Efluelda®.
  26. Vaccination is recommended for children 2 to 7 years old, for persons 65 years of age and older and risk groups persons (with underlying conditions, pregnant women, health care workers, medical students).
  27. Seasonal influenza vaccination is recommended for specific risk groups including pregnant individuals and those at higher risk of severe disease (e.g., immunocompromised)
  28. Seasonal influenza vaccination is recommended for specific risk groups including pregnant individuals and those at higher risk of severe disease (e.g., immunocompromised).
  29. The highly dosed influenza vaccine is recommended for individuals aged 65+
  30. Recommended for this age group, but available for free to everyone aged 6 months and older.
  31. Indicated to individuals in medical high risk groups of 6 months of age and older and in pregnant women. More information available at: https://lci.rivm.nl/factsheets/influenzavaccinatie
  32. https://www.fhi.no/en/va/vaccines-for-adults/vaccines-in-the-adult-immunisation-programme/vaccines-in-the-adult-immunisation-programme/the-influenza-vaccine---information-for-the-public/
  33. The vaccine and its administration are partially funded (50%). QIV-HD in adults aged 60 years and above. https://szczepienia.pzh.gov.pl/szczepionki/grypa/?strona=9#jak-refundowane-sa-szczepionki-przeciw-grypie-w-sezonie-2024/2025
  34. Recommended to children from 6 to 23 months of age and individuals in medical high-risk groups from 2 to 59 years of age. QIV-HD is funded for people aged 85 years and older. More information is available at: https://www.dgs.pt/ficheiros-de-upload-2013/25-gripe-sazonal-ultima-atualizacao-28112025-pdf.aspx
  35. For adults aged 45–65 years without chronic medical conditions, the influenza vaccines are 50% reimbursed. For those aged 65 years and above the vaccine is fully reimbursed.
  36. Influenza is recommended and free of charge to children from 6 months to 12 years of age, individuals with specified chronic medical conditions and older adults aged 59 years and older. However, the vaccination is generally recommended and fully funded to the entire population.
  37. Mandatory for persons living in social care/long term facilities.
  38. Vaccination is also recommended for the specific risk groups (children aged 6–23 months, pregnant women, those with chronic medical conditions, older adults aged 65 years and above).
  39. One dose for all pregnant women in any trimester of pregnancy and women during the postpartum period (up to 6 months after delivery and who have not been vaccinated during pregnancy). Vaccination is also recommended to specific medical risk groups. More information: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/gripe_covid19/docs/recomendacionesVacunacionGripe_2025_2026.pdf