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Influenza (flu)

Key facts

  • Influenza (flu) is a viral infection. In rare cases, it can lead to serious conditions like severe lung infections (pneumonia) or swelling in the brain (encephalitis).

  • It is recommended that all infants (from 6 months), children and adolescents have an influenza vaccination every year.

  • It is also recommended that people with medical conditions that cause an increased risk of complications from influenza have an annual vaccination to protect them against influenza.

Last updated on 13 August 2025.

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What is influenza (flu)?

Influenza (commonly known as the flu) is a viral infection. Illness usually begins with a sudden onset of symptoms that can include: 

  • high temperature (fever)
  • shivering/shaking (chills)
  • headache
  • cough
  • sore throat
  • extreme tiredness and lack of energy (fatigue). 

If it progresses, influenza can also cause your body to lose water (dehydration) as well as lead to other complications such as lung infections (pneumonia) or swollen airways (bronchitis). More serious complications can also occur, including: 

  • secondary bacterial infections
  • heart, blood and nervous system (neurological) abnormalities such as swelling (inflammation) of the brain (encephalitis). 

These serious complications could require treatment in hospital.

Adolescents with certain medical health conditions (such as asthma or a heart defect) and some Aboriginal and Torres Strait Islander youth are more likely to become so unwell from influenza that they need treatment in hospital.

What will happen to my adolescent if they catch influenza?

Usual symptoms

  • People with influenza may feel tired or lacking in energy (fatigue) and get a headache, a cough, chills, muscle aches (myalgia), a runny nose and sneezing.
     

Rare symptoms

  • People with influenza sometimes get swollen airways (acute bronchitis), swelling in their voice box and windpipe that causes a bark-like cough (croup), ear infection that causes earache (otitis media) and infected lungs (pneumonia).
     

Very rare symptoms

  • Very rarely, people with influenza can get swelling (inflammation) in their heart muscle (myocarditis), the lining of their heart (pericarditis) or their brain (encephalitis). They can also get swelling in their liver and brain (Reye’s syndrome).1
  • Very rarely, people can die from influenza. Each year in Australia, influenza is reported to cause an average of approximately 400 deaths.2 Because this number is hard to calculate accurately, the true number is likely higher.
What vaccine will protect my adolescent against influenza?

An influenza vaccine is the best way to protect your adolescent against influenza.

As well as protecting your adolescent from getting sick, an annual influenza vaccination helps protect the people around them. If you don’t catch influenza, you can’t spread influenza. This community protection is especially important for vulnerable people, like babies aged under 6 months, who can’t get the vaccine; older people (aged 65 years and over); and people with low immunity.

Influenza vaccines protect your adolescent against several types (strains) of influenza virus. The strains of influenza the vaccine protects against may change each year, depending on which strains are likely to be circulating.

When should my adolescent be vaccinated?

It is recommended that all people aged 6 months and over get an influenza vaccine every year. 

In Australia, the best time to get an influenza vaccine is in April or May, before the flu season, which is usually June–September.3 They can be vaccinated later in the season, too.

Your adolescent can get an influenza vaccine either on its own or at the same time as their other age-specific vaccinations.

Even if your adolescent is mildly unwell on the day of their appointment (this means no fever and a temperature under 38.5°C), they can still receive the vaccine.4

How does the influenza vaccine work?

The influenza vaccine protects against three or four types (or strains) of the influenza virus. It works by ‘training’ your adolescent’s immune system to recognise and get rid of the influenza virus. When their immune system detects the antigens in the vaccine, it produces proteins called antibodies. These antibodies are like soldiers that recognise and remember the influenza type. If your adolescent is ever exposed to the real influenza virus, their immune system will recognise it quickly and fight it off using the antibodies it created after vaccination.5

Your body usually starts producing antibodies around one or two weeks after you have the vaccine.

How effective are influenza vaccines?

Overall, influenza vaccination is the most effective way to protect your adolescent against the virus; but the effectiveness of influenza vaccines can vary depending on which strains of the virus are present in the community.

Each year, the Australian Influenza Vaccine Committee follows the recommendations of the World Health Organization to decide which influenza strains should be included in the vaccine to provide the best protection.

It’s important for adolescents to get an influenza vaccine every year to ensure they are vaccinated against the strains of the virus that are likely to be circulating that season.  

Research has shown influenza vaccination can reduce a child or adolescent’s (aged 1–15 years) chance of catching influenza by 70–91%.6

Will my adolescent catch influenza from the vaccine?

No, there is no risk your adolescent will catch influenza, because the vaccine does not contain the live virus that causes the disease.

What are the common reactions to the vaccine?
  • It is common for people who have an influenza vaccine to experience swelling, redness and pain where the injection was given. This can last one or two days after receiving the vaccine.6
  • Less than 15% of people who have an influenza vaccine get a fever, headache, tiredness or lack of energy (fatigue) or muscle aches (myalgia) that last one or two days.6
Are there any rare and/or serious side effects to the vaccine?
  • About 0.0001% of people (1 out of every 1,000,000) who get an influenza vaccine have a severe allergic reaction (anaphylaxis).7 This reaction usually happens within 15 minutes of getting the vaccine and can be treated with an injection of adrenaline. People who have this reaction usually recover quickly and don’t experience any long-term effects.8
  • Less than 0.0001% of people (1 out of every 1,000,000) who get an influenza vaccine get Guillain-Barré syndrome, a rare disorder where a person’s immune system damages their peripheral nerve cells.4 While many people recover fully, others may continue to experience persistent symptoms.9,10

If your adolescent doesn’t seem to be getting better or you are worried about them, you can get help: 

  • from your doctor
  • at your nearest emergency department
  • by calling Healthdirect on 1800 022 222.
What else can I do to protect my adolescent from influenza?

The most important thing you can do to protect your adolescent is ensure they get a seasonal influenza vaccine every year, because the types of influenza viruses circulating often change from year to year and protection from vaccination generally lasts less than 12 months.

What if I still have questions?

You can read some answers to common questions here.

If you still have some questions about vaccinations for your adolescent, write them down and make an appointment with your nurse, your doctor or your health worker so you can ask them.

Please note: In SKAI Adolescent, the phrase ‘your adolescent’ refers to all guardian relationships where health decisions for an adolescent fall under your responsibility.

Drafts of this page were reviewed by members of our Consumer Advisory Group.


  1. Rothberg MB, Haessler SD, Brown RB. Complications of viral influenza. American Journal of Medicine 2008;121:258-64
  2. Australian Government Department of Health. 2019 influenza season in Australia: a summary from the National Influenza Surveillance Committee. September 2021. Available from https://www.health.gov.au/resources/publications/aisr-2019-national-influenza-season-summary?language=en
  3. National Centre for Immunisation Research and Surveillance. Influenza vaccines –frequently asked questions (FAQs). 2024. Available from http://ncirs.org.au/ncirs-fact-sheets-faqs/influenza-vaccines-australians-faqs
  4. Australian Technical Advisory Group on Immunisation. Influenza (flu). Australian Immunisation Handbook, Australian Government Department of Health and Aged Care, Canberra, 2024. Available from https://immunisationhandbook.health.gov.au/contents/vaccine-preventable-diseases/influenza-flu
  5. Australian Academy of Science. The science of immunisation: questions and answers. 2021. Available from https://www.science.org.au/education/immunisation-climate-change-genetic-modification/science-immunisation
  6. Fiore AE, Bridges CB, Katz JM et al. Inactivated influenza vaccines. In Plotkin SA, Orenstein WA, Offit PA (Eds). Vaccines. Philadelphia, PA: Elsevier; 2012: 257-93
  7. Australasian Society of Clinical Immunology and Allergy. ASCIA guidelines – vaccination of the egg-allergic individual. October 2022. Available from https://www.allergy.org.au/hp//papers/vaccination-of-the-egg-allergic-individual
  8. McNeil MM, Weintraub ES, Duffy J et al. Risk of anaphylaxis after vaccination in children and adults. Journal of Allergy and Clinical Immunology 2016;137:868-78
  9. Estublier B, Colineaux H, Arnaud C, Cintas P, Baudou E, Chaix Y, Rivier F, Biotteau M, Meyer P, Cheuret E. Long‐term outcomes of paediatric Guillain–Barré syndrome. Developmental Medicine & Child Neurology 2024;66:176-86
  10. National Institute of Neurological Disorders and Stroke. Guillain-Barre Syndrome. November 2024. Available from https://www.ninds.nih.gov/health-information/disorders/guillain-barre-syndrome