Where is adil when u need him
yaar i am too busy these days. i feel bad, i joined this forum at a time when i can't really contribute to the discussion that much.
either way, people who say "i got the flu shot, then i got the flu" are very misguided. the flu shot CANNOT give you the flu. if your immune system is so weak that you can get the flu from the flu shot, then you would spend your entire day quarrantined in some hospital. the people who get sick after the flu shot were going to get sick anway, the flu shot had nothing to do with it.
either way, everyone should get the flu shot for themselves, and for their children. influenza is terrifying. in our hospital last year, we had a perfectly healthy boy who got sick with influenza who then developped rapid muscle breakdown called "rhabdomyolysis", then developped heart failure, and was about to die when he made a remarkable recovery. influenza is not a joke. healthy adults don't get that sick with it, but if you have the flu, you can pass it to a child whose immune system is not as strong and it can be much more devastating for them. either way, please please please get the flu shot.
ahmad has explained the live vs. inactivated flu vaccines well. only couple things i will add. ahmad this year, all flu shots are quadrivalent, both the injections as well as the inhaled. it just means more strains are covered like you have said. secondly, the flu-mist should not be used in patients who have history of asthma, as it has been shown to have some increased side effects in these patients.