Does influenza vaccination exacerbate asthma in children?
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Updated: Aug 21, 2026

A Luciferase-fluorescent Reporter Influenza Virus for Live Imaging and Quantification of Viral Infection
Published on: August 14, 2019
Herman J Bueving1, Roos M D Bernsen, Johan C de Jongste
1Department of General Practice, Room FF 305, Erasmus MC-University Medical Center Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
Insights
Influenza vaccination is safe for children with asthma. A study found no evidence that flu shots worsen asthma symptoms, making them a viable option for this population.
Area of Science:
- Pediatric Allergy and Immunology
- Vaccinology
- Respiratory Medicine
Background:
- The safety of influenza vaccination in children with asthma remains a topic of debate.
- A key concern is whether influenza vaccination might exacerbate existing asthma conditions.
Purpose of the Study:
- To investigate the potential for influenza vaccination to exacerbate asthma in pediatric patients.
- To provide evidence-based information regarding the safety of flu shots for asthmatic children.
Main Methods:
- A randomized, double-blind, placebo-controlled trial was conducted involving 696 children aged 6-18 with asthma.
- Data on local, influenza-like, and asthma symptoms, medication use, healthcare utilization, and absenteeism were collected for one week post-vaccination over two influenza seasons.
Main Results:
- No significant differences were observed between the vaccinated group and the placebo group regarding asthma exacerbation.
- The only exception was a slight increase in daytime cough in the first season, favoring the placebo group.
Conclusions:
- Influenza vaccination does not appear to exacerbate asthma in children.
- The findings support the safety and utility of influenza vaccination for pediatric asthma management.
Background:
The risks of influenza vaccination in asthmatic children are still being discussed. Especially, the risk that influenza vaccination may exacerbate asthma is an issue in this debate.
Methods:
We conducted a randomised double-blind placebo-controlled trial in 696 children 6-18 years of age with asthma recruited in general practice during two influenza seasons, 1999-2000 and 2000-2001. Children participated for only one season. During the first week after vaccination, participants recorded local, influenza like and asthma symptoms as well as use of medication, health care use and absenteeism.
Results:
Except for cough during the day in the first season, favouring placebo, there were no differences indicating that vaccination exacerbates asthma.
Conclusions:
Influenza vaccination does not seem to exacerbate asthma.
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