Just a heads up for those of you with children on high dose inhaled steroids or oral steroids. My son is outside of the age group who get the vaccine at school so have the struggle of getting him in at our local surgery each year, this is always a harder process than it should be as they never seem to know when the children's vaccines are coming in and they don't seem to be very proactive so I have to phone countless times.
This year, fuelled by frustration of several promises they were going to phone me back, I did a bit of google'ing' to see what the recommendations were on time window and found some information about contraindications on the nasal spray vaccine. For children on high dose inhaled steroids or oral steroids the nasal spray should only be given with specialist advice as it is a live (LAIV) vaccine. I had to query this with our surgery and it appears if I hadn't they would have just given it to my son. It has now been decided he needs to have a different form of the vaccine (an injection).
Hopefully other surgeries may be a little more on the ball but worth checking if your child is on high dose inhaled or oral steroids.