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Flu Shot

 I was a little reluctant to post this since there is likely to be a wide array of opinions but everyone here is so knowledgeable about health and fitness I thought it would just ask.  They are offering the flu shot today at work (NYC) and I am struggling with wether or not to get it.  I am a week out from the Miami (Full) Marathon and know the plane is a notorious for picking up a bug.  I think I got the shot once in my life but usually avoid it.  

Any thoughts?

Thanks

-Ken

 

 

Comments

  • I get one every year, and don't get the flu. Have not had any adverse reactions. Sample size of 1. Might ask a Dr, how long it takes for the immunity to build up after taking the shot. It might not help you for your plane ride coming up. But if I could avoid the flu, I would.
  •  I've had the flu, and I've had flu shots. I'd rather have the shot. 

    I've never had an adverse reaction. I am mystified by the anti-vaccine crowd. As far as I'm concerned there is no reason NOT to get a flu shot. Mine was paid for by insurance, but even so, at most they're maybe $25 at a Rite Aid, CVS, or Doc-in-the-Box. Cheap insurance vs risking a week or more off work (and workouts) suffering with the flu.

    I believe it takes about a week to build to full effect, but some protection is better than none. Check out the CDC map -- flu has really reached full-fury almost nationwide.

    Long story short -- do it. 

  • Hey Kenny, I read that it is not effective for the first 2 weeks and is effective only 60% of the time.
  • Thanks All, I am off to my medical department, gonna get it.
  • I get the flu shot every year.  Once I had a flu-like prodrome the evening after I got the shot, but was better the next day (maybe all in my head?).  I was fine with this year's shot and there was also very little (if any)  arm soreness.

  • too get the shot. As a career military guy I had too and if I wasn't I'm not sure I would get the shot. I've retired and old habits are hard to break so I still get the shot. You are on the tail end of the flu season . I think the season goes until March. Next year I suggest getting the shot in October. It takes about two weeks for it to settle into your system so getting one now to protect you for a plane ride this weekend will not help/... maybe... I'm not a Doc I'm just giving my 2 cent here. I'm not sure I would get a shot with your marathon coming up, a roll of the dice my friend.
  • Flu shots for me and the kids this year. No reason not to.

    @turby. 60% effectiveness isn't 100, but its still a big number. About the same level as seat belts I believe. Buckle up image
  • Kenny, you should really have started a discussion on: "I am one week from a full marathon, I am doing my first Ironman this summer, and I want to know if it's a good idea to go skiing this weekend". LOL
  •  Too funny Carol.  But for me there is a big difference between real skiing and my getting to the bottom of the mountain   

  • ;David - I took the opposite tack.  I haven't had a flu shot in the near 8 years I've been retired...haven't been sick either.  However, I will be the first to admit that the risks are minimal, but unfortunately, can be severe for a very small sample of people.   The bigger risk is that the CDC did not guess the correct strains of flu when they started batch preparation months before flu season.  I note that year after year they fail to provide a score card on themselves.  However, this year is supposed to be a good match for the predominant strain going around.  But I would not get one a week before a race.  My wife got one this week and has been sick the past 2 days.  No, it did not give her the flu.  But it did give her a fever and made her feel like crap ... that's my typical reaction which is why I pass.   Maybe when I'm 65 I'll follow the prevailing guidance.

  • @Paul,

    CDC doesn't guess the flu virus. It's WHO in collaboration with others. In the US, the FDA can then accept or reject WHO's recommendations when setting the US vaccine guidance. There is a ton of information on the CDC site on how effective the current and past vaccines have been (typically at 60%). There is very little if any downside risk and tons of upside potential. It kills 1,000's every year in the US and in the 1918 pandemic it killed upwards of 50 million people world wide, many of which were normal healthy people.

    Alright, off my soapbox image
  • The other upside is that if you had the flu shot and do end up getting the flu, the course is generally quicker , less severe, and with quicker recovery.  Full blown flu can lay a person out for weeks after the flu itself has resolved.

  • Posted By Satish Punna on 17 Jan 2013 05:28 PM

    The other upside is that if you had the flu shot and do end up getting the flu, the course is generally quicker , less severe, and with quicker recovery.  Full blown flu can lay a person out for weeks after the flu itself has resolved.

    Going OFF-TOPIC a bit:

    Satish -- I am curious as to the methodology for proving that hypothesis.  It seems to me that one would have to 'prove the negative case'.  Since an individual can't be both a control (got the shot) and the subject (didn't get the shot), how is it ascertained?

  • ...and it's not that it's completely ineffective for the first two weeks. It just takes that long to ramp up completely.

    @ Joe, the "shorter duration" bit is statistically valid with a large group. I don't have the studies in front of me, but that is pretty widely cited by the public health types. If they did it right, they would have done double blind fake/real shots with a whole bunch of people and then tracked them for whether they got the flu and how long it lasted.
  • I get a free flu shot at work every year. Never had a problem.
  • At Tom - the advertised 60-62% effectiveness rate comes from outside studies with a well-matched vaccine. It is not an annual score card on the flu vaccine program that I asked for. As the CDC notes on its website: "However, in a year when the influenza vaccine and predominant circulating influenza viruses were poorly matched, researchers were not able to measure an effect of influenza vaccination against the respective vaccine component (Bridges et al., 2000)."

    Let me state that in layman's language: if the flu vaccine is for the wrong strains it's effectiveness is ZERO. Government agencies are not in the business of making themselves look bad elsewise the CDC would prominently display it's track record for each year in matching the vaccine to the actual strains that appear in the U.S. So while a well-matched vaccine is 60% effective, I've also read that over the years, due to the difficulty in matching, annual flu shots only decrease your likelihood of catching the flu by 10%. I.e., you have a 30% chance of catching the flu even with a vaccine and about 40% chance if you don't get the vaccine.
  • Bit more information from someone in healthcare taking care of people with the flu on a daily basis-
    the flu has struck hard and has been particularly bad this year. in addition to seeing the older population which typically gets sick, we are also seeing younger people as well.
    the upside of the flu shot is that it can both prevent you from getting the flu as well as decrease transmission.
    it takes 2 weeks for immunity to build
    this year there are a bunch of people who are getting the flu (real influenza A - not just an upper respiratory infection) despite having been vaccinated. the number that I have heard thrown around is around 30%
    those people who have been vaccinated are tending to not have as severe of manifestations and also quicker recovery
    if you haven't gotten your flu vaccine you should strongly consider getting one, the flu isn't any fun.

    now, i'm going back to my tylenol, motrin, tamiflu and chicken soup to try to get better, I am one of the 30%....
  • Oh David- I am sorry you got the Flu. I just had it last week and finally went back to work yesterday as my comeback was delayed because my daughter caught it from me. Poor kid. I had the Flu shot as well. My daughter did not. She had a more significant reaction and suffered greatly. My MD would not give me Tamiflu- said I was too healthy to start? Says the Tamiflu was for more sickly folks and children. When my daughter got it I called her MD and begged and she got the Tamiflu and some Zofran as she was so nauseated. I truly believe the Tamiflu helped decrease the severity of her symptoms. She was back to school in 5 days. I am so grateful they gave it to her.

    I NEVER WANT TO GET THE FLU AGAIN. It sucked image.
  • Some years I get the shot and other I don't. I have only had the flu once and it was a year I had the shot.
  • I hate getting the shot but my employer says- take the shot or wear a mask for the duration of flu season.

    This year I took the nasal vaccine (no needle). This was much easier on me. In years past, the injection caused terribly swollen and painful lymph nodes in the arm and axillary region nearest the injection.

    As bad as flu season is turning out to be, I am really glad I took the vaccine.

    Nasal dosing will work for me as long as possible.
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