Influenza: Recommended vaccinations
  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
MonthsYearsMonthsYears
67123231011-12151618455455596064≥ 65
Austria
IIV31
Belgium
IIV32
IIV3
Bulgaria
IIV33
Croatia
IIV44
IIV35
Cyprus
IIV36
IIV36
IIV37
Czech Republic
IIV8
IIV9
Denmark
IIV310
Estonia
IIV33
Finland
IIV11
IIV3
France
IIV3
Germany
IIV312
Greece
IIV3
IIV3
Hungary
IIV3
Iceland
IIV413
Ireland
IIV414
IIV415
Italy
IIV316
IIV3
Latvia
IIV3
IIV3
Liechtenstein
IIV317
Lithuania
IIV318
Luxembourg
IIV3
Malta
IIV319
IIV3
Netherlands
IIV320
Norway
IIV421
IIV4
Poland
IIV3
IIV3
Portugal
IIV3
Romania
IIV3
Slovakia
IIV3
IIV3
Slovenia
IIV422
IIV423
IIV4
Spain
IIV24
IIV25
Sweden
IIV326
IIV326
United Kingdom
IIV327
LAIV 28
IIV3/LAIV27
IIV317

Footnotes:

  1. Two doses for first immunisation until the age of 8 years - otherwise one dose annually. Please refer to the original recommendation for the appropriate schedule.
  2. For individuals with certain medical conditions or a weakened immune system, which may put them at risk of complications from influenza (from 6 months and over). For pregnant women in the second or third trimester of pregnancy at the time of the influenza season. For healthcare workers. For institutionnalised persons. For persons living under the same roof as individual at risk of complications from influenza (including pregnant women, institutionnalised persons and people aged 65 years and over) en children less than 6 months. See detailed information: http://www.health.belgium.be/internet2Prd/groups/public/@public/@shc/documents/ie2divers/19104453.pdf Since 2016 a live attenuated quadrivalent influenza vaccine and a quadrivalent inactivated influenza vaccine are available, but no specific recommendation for their use has been formulated.
  3. Annual vaccination. Recommended but not free of charge.
  4. Recommended for risk-groups only
  5. IIV4 recommended for high-risk individuals
  6. Vaccines only given on specific indications.
  7. annual vaccination
  8. For at-risk groups of any age. Recommended only. The vaccination is covered by the health insurance. In addition, there is a general recommendation for whole population. This vaccination is not covered by the health insurance.
  9. Recommended only. The vaccination is covered by the health insurance.
  10. for more information on the Danish influenza vaccination programme and vaccination of specific at-risk groups, please refer to http://www.ssi.dk/Vaccination/Influenzavaccination.aspx (in English)
  11. One or two doses administered depending on previous influenza vaccination history. Annual vaccination. IIV tri-or quadrivalent used as follows: IIV3 for all those 6-35 months. IIV4 with nonpreferential alternative to all those 24-35 months. IIV3 also recommneded to to medical risk group children from 36 months up.
  12. Annual vaccination
  13. Annual vaccination (IIV4 introduced in 2020 to replace IIV3)
  14. Flu vaccine is strongly recommended for pregnant women (vaccine can be given at any stage of pregnancy), adults and children aged 6 months and older with specific conditions. More information available at: https://www.hse.ie/eng/health/immunisation/pubinfo/flu-vaccination/flu-vaccine-for-people-with-long-term-conditions/
  15. The vaccine is free of charge, but administration fees may be charged to patient (based on income and eligibility for free healthcare)
  16. For individuals at increased risk. More information available at: http://www.salute.gov.it/imgs/C_17_pubblicazioni_2571_allegato.pdf
  17. Annual vaccination.
  18. Annual vaccination for risk groups: healthcare workers, pregnant women, >=65 years old, persons <65 years with chronic diseases and/or living in social care and nurse facilities.
  19. Recommended to: persons suffering from diabetes; persons with chronic disease of the lungs, liver, kidneys; persons who are on long-term systemic steroid medication; persons who are having chemotherapy or radiotherapy; persons with HIV/AIDS?
  20. For more information: http://rivm.nl/Onderwerpen/G/Griep/Griepprik
  21. Both quadrivalent inactivated injection vaccine (IIV, from 6 months of age) and live attenuated influenza vaccine (LAIV, from 2 to 17 years of age) are approved for use in Norway. More information available at: https://www.fhi.no/nettpub/vaksinasjonsveilederen-for-helsepersonell/vaksiner-mot-de-enkelte-sykdommene/influensavaksinasjon---veileder-for/
  22. Children 6-23 months, recommended, self-paid
  23. Pregnant women
  24. IIV3 or IIV4 depending on the Region. Recommended during pregnancy. More information available at: https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/VacGruposRiesgo/docs/Mujeres_embarazadas_puerperio.pdf
  25. IIV3 or IIV4 depending on the Region. Annual vaccination. Also risk groups detailed at https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/Vacunacion_Gripe.htm
  26. Funding varies by region
  27. During flu season: (1) at risk children 6 months - 17 years of age (LAIV, or inactivated flu vaccine if LAIV contraindicated or under 2 years of age); (2) clinical risk group adults (inactivated flu vaccine); (3) pregnant women at any stage of pregnancy (inactivated flu vaccine). More information available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/849184/PHE_complete_immunisation_schedule_Jan2020.pdf
  28. In 2019/20 all children aged two to ten (eleven in Scotland) on 31 August 2019 are eligible for vaccination. Inactivated flu vaccine is administered if LAIV is contraindicated. More information available at https://www.england.nhs.uk/wp-content/uploads/2019/03/annual-national-flu-programme-2019-to-2020-1.pdf; https://www.nhsinform.scot/healthy-living/immunisation/vaccines/child-flu-vaccine; and https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/796886/GreenBook_Chapter_19_Influenza_April_2019.pdf