Should we set aside doses of 2009 H1N1 monovalent vaccine to administer as second doses to children 6 months through 9 years?

No. 2009 H1N1 monovalent influenza vaccine availability is expected to increase during the next several weeks, so vaccine should not be held in reserve for patients who already have received 1 dose but might require a second dose. 10.

Use of 2009 H1N1 Vaccines Outside Approved Age Indications Can 2009 H1N1 vaccines be used outside the age range approved by the Food and Drug Administration? Whenever possible, vaccines should be administered in accordance with FDA-approved labeling. Vaccines approved for an age group will have undergone the required testing for that age group.

There are no known safety concerns with use of inactivated vaccines in appropriate doses outside their labeled age indications. Data on vaccine effectiveness for influenza vaccines use outside of labeled age indications are limited. LAIV should not be used outside the approved age indications (ages 2 years through 49 years).

Inactivated influenza vaccines should not be given to infants younger than 6 months. ... more.

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