As usual, it is a bit complicated:
Fluzone (injectable, dead, inactivated vaccine):
between 6 months and 3 years of age — available both VFC and non-VFC (comes in 0.25 ml syringes)
over 3 years of age — available non-VFC only
 reminder: the VFC program covers children and adolescents who are either uninsured or have a government-funded insurance or Medicaid, up to their 19th birthday. VFC vaccines are supplied free of charge, but are often shipped later than commercially purchased vaccines. Insurances do NOT pay for immunizations for VFC-eligible patients.
Â
Flumist (live, attenuated vaccine administered as nasal spray, for persons ages 2 to 49 years who do not have a significant chronic illness)
We have non-VFC Flumist. As usual, we expect a delay in the shipment of the VFC vaccine.
 Flu and flu vaccine will of course be in the news shortly; some news will be at least generally accurate while others will exhibit varying degrees of departure from reality.Â
 On a different note, I would like to thank the military families who have joined our practice recently. The response to my War and Peace editorial has been astounding, and the thought that they might see in our work a fleeting reminder of the dedication and professionalism their loved ones show daily in harm’s way is an inspiration.Â
Â
Anatoly Belilovsky, MD