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Flu Shot Side Effects: Duration, Common Reactions & Ways to Feel Better

By Dr. Vishesh Bharucha +2 more

Introduction

Flu or influenza is an infection caused by influenza viruses, typically the A, and B types. Influenza spreads easily and can affect people of any age, from children to the elderly1,2.  While most of them recover within a few days, uncomplicated flu takes about 5–7 days to resolve, and tiredness or cough can last up to 2 weeks3

Sometimes flu can lead to serious problems like pneumonia (directly caused by the flu, or by superimposed bacterial infection) and worsening of diseases like asthma, diabetes, and heart problems. Every year, millions of people get affected by flu worldwide, with many even needing hospital admission. Taking a flu shot is the most effective way to lower this risk. It not only helps prevent flu infection but also reduces the risk of complications and hospitalisation4,5

flu shot side effects

While the benefits of the flu shot are clear, some people worry about what happens after the flu shot and whether they will get side effects. Like any vaccine, the flu shot may cause some side effects, but they are mostly mild and short-term6. In this blog, let’s see what the flu shot side effects are, how long they last, and simple ways to feel better.  

Types of Flu Vaccines

There are three main types of influenza vaccines: the inactivated influenza vaccine, the live attenuated influenza vaccine and the recombinant influenza vaccine (RIV). The inactivated vaccine contains killed viruses and is given as an injection. The live attenuated vaccine is made from weakened viruses and is available as a nasal spray1,7. Recombinant vaccines, such as FluBlok, are newer vaccines made without using the flu virus or eggs, especially for people with egg allergies. These are available in some countries but are not common in India.  


In India, the commonly used form is the inactivated influenza vaccine, which is administered as an injection into the arm muscle in adults, and into the thigh muscle in infants1,7. It is recommended for people at higher risk, such as children aged six months and older, adults over 65 years, pregnant women, healthcare workers, and people with chronic illnesses like asthma, diabetes, or heart disease1. It is not recommended for all adults, unlike in some countries such as the US, where vaccination is advised for everyone4

How to Prepare for the Flu Shot?

When you get the flu shot, your body’s immune system is activated to produce protective antibodies against the flu virus. The antibodies are developed within 2 weeks after you get your flu shot. These antibodies are mainly responsible for the effectiveness of vaccines and protect children and adults from severe infection. When you get infected with flu, your body also produces antibodies, but this protection works only against the same type of flu and slowly fades away, especially because the flu virus keeps changing its form. In the same way, the antibodies produced by the vaccine gradually decline over time4,9. Therefore, it is recommended to get your flu shot yearly once before the flu season to protect yourself.  

You can prepare yourself by following these simple things before you get a flu shot: 

  • You need to bring your vaccination card each time you come for getting a vaccine10
  • Before taking the vaccine, you can go through the vaccine information file given by your doctor and know the benefits and risks of getting this vaccine. Ask any questions if you have doubts. 
  • Ensure you have your ID card and other related hospital documents for getting the vaccine11,12
  • You need to share details about your health problems, the medicines you are taking, if you have a severe allergy to any previous influenza vaccine or its ingredients, if you have a history of Guillain-Barré syndrome (GBS), a rare condition affecting the nerves and causing weakness, or if you are not feeling well on the day of vaccination6
  • Wear loose and comfortable clothes so you can roll it up easily and the flu shot can be given in your upper arm. 
  • After getting the flu shot, you will be observed for 15 to 30 minutes to check if you have any fainting or major reactions, so prepare accordingly7,1
  • Check with your doctor if other vaccines can be taken together with the flu shot, as some vaccinations may be safely combined in the same visit13

What to Expect After Getting the Flu Shot?

After getting the flu shot, it’s normal to experience mild soreness, pain, swelling or redness at the site of injection. Small children may become irritable and cry excessively. These signs are generally nothing to worry about and resolve soon on their own4,6.  


Some individuals, especially adolescents, may have a fainting sensation during or after the vaccination, but this is mainly due to anxiety related to the injection process and not the side effects of injection per se. If you feel dizzy, you will be made to sit for 15-20 mins and monitored after the injection11

There are some other minor or rarely major side effects that may occur after getting the flu shot. We’ll discuss these in detail in the following sections. 

Most Common Side Effects

Flu shots are generally safe, but mild flu vaccine side effects may be seen. 

  • For those getting the flu shot for the first time, mild fever, muscle pain, and fatigue may occur7
  • In children aged 6 to 59 months, fever, tiredness and irritability are common. 
  • Adults aged 18 years and above usually tolerate the vaccine well, though pain in the arm or at the injection site is more frequent. 
  • Other effects such as irritability, chills, headache, or tiredness may also be experienced in some individuals. 

Serious Side Effects

Serious flu shot side effects are very rare. Only 1 to 2 people out of 1 million doses may have a severe allergic reaction seen as: 


  • Difficulty in breathing 
  • Swelling of the face, lips or throat 
  • Increased heart rate 
  • Severe rash all over the body 
  • Feeling dizzy or weak 

These reactions can sometimes start even after leaving the clinic or hospital15,16

In very rare cases, some people may have a risk of developing flu vaccine long-term side effects like Guillain-Barré syndrome (GBS) a few days or weeks after vaccination. GBS is a rare disorder where the immune system attacks the nerves, causing weakness and, in some cases, paralysis. However, the chance of getting GBS from the flu vaccine is extremely rare, about 1 to 2 people in every 1 million. This risk is much lower than getting GBS from catching the flu itself17

Can You Get the Flu from the Flu Shot?

Flu vaccines are made with viruses that are no longer active or with particles that mimic the flu virus, so they cannot cause flu directly. Instead, they help your body build an immune response and produce antibodies against flu6,9

Sometimes, a person may still get flu after being vaccinated, but this is not because of the vaccine. It could happen if you are exposed to flu within 1–2 weeks after the shot, before your body develops full protection, or if you catch a flu strain not covered by the vaccine. 


The nasal spray flu vaccine (not available in India) contains a weakened form of the virus. In rare cases, it may cause mild cold-like symptoms, but not true flu. This is not seen in other types of flu vaccines4,7

In fact, it helps protect you and usually makes illness milder if you do get infected. Vaccinated people have a much lower risk of hospitalisation and death from flu. 

Other reasons someone might get flu after vaccination include catching it before the body has finished building protection, facing a flu strain not covered by the vaccine, or the vaccine’s effect wearing off later in the season4,9

How Long Do Side Effects Last?

Most flu shot side effects are mild, like pain at the injection site, headache, tiredness, and muscle pain, usually go away within 1 to 3 days. In some cases, soreness or swelling at the injection site may last up to 7 days14

Some may develop mild allergic skin reactions, like hives, which settle within 24 hours. Rarely, delayed reactions like skin rashes are seen which may occur hours to several days after receiving the flu shot18

Serious allergic reactions, such as angioedema (swelling of the face, lips, or throat) or anaphylaxis, occur within minutes to a few hours, but are very rare. With proper treatment, symptoms usually resolve within hours if not severe19,20

Guillain-Barré Syndrome (GBS) is an extremely rare flu vaccine long-term side effect that may occur 2 to 6 weeks after vaccination. Recovery may take months to years, depending on severity21,22. 

Managing Flu Shot Side Effects

The flu vaccine side effects can be managed by doing these simple things at home: 

  • Pain and swelling: To relieve pain or swelling on the arm where you got the shot: apply a clean, cool, wet washcloth over the area. Also, use or keep moving your arm. Do this for 10 minutes, 3 times per day, for 1–2 days23,24
  • Fever: For fever, don’t put on too many clothes or blanket. Wear comfortable clothes and drink plenty of fluids. This will help your body cool down and stay healthy. 
  • Pain killers: After taking the flu shot, if you get fever, headache or body pain, you can take painkiller. But it is not advisable to take pain killer or fever medicine before getting your flu shot to prevent side effects as this may reduce how well the vaccine works. 
  • Rest and hydration: Drink plenty of fluids and keep yourself hydrated. Give your body good rest to recover from fever and pain.  
  • If the flu shot side effects don’t settle down or it lasts more than a week, you need to go to the doctor24,25

Should You Get the Flu Shot Even with Possible Side Effects?

The flu vaccine may cause mild side effects, but these are very minor compared with the benefits. It protects against influenza virus infection and greatly lowers the risk of serious illness. While no vaccine gives 100% protection, people who get the flu after vaccination are far less likely to experience severe complications, hospitalizations and even prevents ICU admissions. This protection is especially important for high-risk groups such as children, pregnant women, older adults, and people with chronic conditions. Even if you get the flu after vaccination, it is usually milder when compared with those who are not vaccinated. This makes it important to get your yearly flu shot26,27

When to Talk to Your Doctor

You should see a doctor after a flu shot if pain or fever is not relieved by paracetamol, or if symptoms are severe, worsening, persistent, or causing concern. Seek medical advice if these symptoms last more than seven days. Seek urgent care immediately if you experience flu vaccine side effects like severe allergic reactions, including difficulty breathing, swelling of the face or throat, a rapid heartbeat, widespread rash, dizziness, or weakness16,25

Conclusion

Flu shots are safe and effective, with side effects that are usually mild and short-term. They protect against flu infection, reduce the risk of complications, hospitalizations, and ICU admissions, and also protect high-risk groups such as children, pregnant women, older adults, and those with other long-term health conditions. Getting a flu vaccine every year can protect you and those around you, helping keep the community healthy throughout the flu season. 

Frequently Asked Questions (FAQs)

Can I receive a flu shot while I am pregnant?

Yes, you can get a flu shot during pregnancy. It helps protect you from getting the flu, reduces the risk of hospitalization, and passes antibodies to your baby before birth28

Are there special flu shots for older adults?


Yes, people over 60 can get stronger flu vaccines, such as the high-dose or adjuvanted flu vaccine, which boost the immune system and provide better protection than the regular flu shot. These vaccines also help reduce complications. 

Should I get the flu shot every year?

Yes, you need to get a flu shot every year because the influenza virus changes constantly. Annual vaccination prepares your body to fight the current type or strain of flu circulating that season. 

Is the flu shot just one injection?

For most adults, only one injection is needed. However, children aged 6 months to 9 years who are receiving the flu shot for the first time, and people who have undergone transplant or have special health conditions, may need two shots, spaced one month apart8.  

References

  1. Ministry of Health and Family Welfare; Directorate General of Health Services (Emergency Medical Relief). Seasonal Influenza: Guidelines for Vaccination with Influenza Vaccine [Internet]. Updated 25 April 2017. Available from: https://www.mohfw.gov.in/sites/default/files/Seasonal%20Influenza%20-%20Guidelines%20for%20vaccination%20with%20Influenza%20Vaccine%20%28updated%29.pdf  
  2. World. Influenza (Seasonal) [Internet]. Who.int. World Health Organization: WHO; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/influenza-%28seasonal%29  
  3. CDC. Clinical Signs and Symptoms of Influenza [Internet]. Influenza (Flu). 2024. Available from: https://www.cdc.gov/flu/hcp/clinical-signs/index.html  
  4. Centers for Disease Control and Prevention. Key Facts About Seasonal Flu Vaccine [Internet]. Influenza (Flu). 2024. Available from: https://www.cdc.gov/flu/vaccines/keyfacts.html  
  5. Rothberg MB, Haessler SD, Brown RB. Complications of Viral Influenza. The American Journal of Medicine. 2008 Apr;121(4):258–64. Available from: https://www.sciencedirect.com/science/article/pii/S0002934308000727  
  6. CDC. Flu Vaccine Safety [Internet]. Influenza (Flu). 2024. Available from: https://www.cdc.gov/flu/vaccine-safety/index.html 
  7. Types of seasonal influenza vaccine [Internet].. 2010. Available from: https://www.who.int/europe/news-room/fact-sheets/item/types-of-seasonal-influenza-vaccine 
  8. Australia H. Flu vaccine FAQs [Internet]. 2020. Available from: https://www.healthdirect.gov.au/flu-vaccine-faqs  
  9. Jones CH, Hauguel T, Beitelshees M, Davitt M, Welch V, Lindert K, et al. Deciphering immune responses: a comparative analysis of influenza vaccination platforms. Drug Discovery Today [Internet]. 2024 Sep [cited 2024 Oct 9];29(9):104125. Available from: https://www.sciencedirect.com/science/article/pii/S1359644624002502#f0025 
  10. CDC. Vaccine Administration: Before Giving Vaccine [Internet]. Vaccines & Immunizations. 2025. Available from: https://www.cdc.gov/vaccines/hcp/administration/before.html 
  11. CDC. Before, During, and After Shots [Internet]. Vaccines for Your Children. 2024. Available from: https://www.cdc.gov/vaccines-children/before-during-after-shots/index.html 
  12. Channels D. About your vaccination appointment [Internet]. NSW Government. 2021 [cited 2025 Aug 22]. Available from: https://www.nsw.gov.au/health/covid-19/vaccination/what-to-expect 
  13. CDC. Getting a Flu Vaccine and other Recommended Vaccines at the Same Time [Internet]. Influenza (Flu). 2024. Available from: https://www.cdc.gov/flu/vaccines/coadministration.html 
  14. Trombetta CM, Gianchecchi E, Montomoli E. Influenza vaccines: Evaluation of the safety profile. Human Vaccines & Immunotherapeutics [Internet]. 2018 Jan 30 [cited 2019 Oct 28];14(3):657–70. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5861790/pdf/khvi-14-03-1423153.pdf 
  15. CDC. Inactivated Influenza Vaccine VIS [Internet]. Vaccines & Immunizations. 2024. Available from: https://www.cdc.gov/vaccines/hcp/current-vis/influenza-inactivated.html 
  16. U.S. Department of Health and Human Services. Vaccine side effects [Internet]. HHS.gov. 2021. Available from: https://www.hhs.gov/immunization/basics/safety/side-effects/index.html 
  17. CDC. Guillain-Barré Syndrome and Flu Vaccine [Internet]. Influenza (Flu). 2024. Available from: https://www.cdc.gov/flu/vaccine-safety/guillainbarre.html 
  18. McNeil MM, DeStefano F. Vaccine-associated hypersensitivity. Journal of Allergy and Clinical Immunology. 2018 Feb;141(2):463–72. Available from: Vaccine-associated hypersensitivity – PMC 
  19. Canada PHA of. Anaphylaxis and other Acute Reactions following Vaccination: Canadian Immunization Guide [Internet]. 2007. Available from: https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-2-vaccine-safety/page-4-early-vaccine-reactions-including-anaphylaxis.html 
  20. CDC. Preventing and Managing Adverse Reactions [Internet]. Vaccines & Immunizations. 2024. Available from: https://www.cdc.gov/vaccines/hcp/imz-best-practices/preventing-managing-adverse-reactions.html 
  21. Nizar Souayah, Yacoub HA, Khan HMR, Farhad K, Lubna Shafiq Mehyar, Maybodi L, et al. Guillain–Barré Syndrome After Influenza Vaccination in the United States, A Report From the CDC/FDA Vaccine Adverse Event Reporting System (1990–2009). Journal of Clinical Neuromuscular Disease. 2012 Nov 21;14(2):66–71. Available from: https://journals.lww.com/jcnmd/abstract/2012/12000/guillain_barr__syndrome_after_influenza.2.aspx 
  22. Willison HJ, Jacobs BC, van Doorn PA. Guillain-Barré syndrome. Lancet. 2016 Aug 13;388(10045):717–27. Available from: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0140673616003391?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0140673616003391%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F  
  23. Immunization Action Coalition. After the shots…what to do if your child has discomfort. Item #P4015. St. Paul, MN: Immunization Action Coalition; 2023 Mar 29. Available from: https://www.immunize.org/wp-content/uploads/catg.d/p4015.pdf 
  24. CDC. Getting Your COVID-19 Vaccine [Internet]. COVID-19. 2024. Available from: https://www.cdc.gov/covid/vaccines/getting-your-covid-19-vaccine.html 
  25. What to do before, during and after getting vaccinated for COVID-19 [Internet]. Available from: https://www.unicef.org/rosa/stories/what-do-during-and-after-getting-vaccinated-covid-19 
  26. CDC. Factors Influencing Flu Vaccine Effectiveness [Internet]. Flu Vaccines Work. 2024. Available from: https://www.cdc.gov/flu-vaccines-work/how-well/index.html 
  27. Australian Government Department of Health and Aged Care. Table. Comparison of the effects of diseases and the side effects of vaccines on the National Immunisation Program [Internet]. The Australian Immunisation Handbook. 2021. Available from: https://immunisationhandbook.health.gov.au/resources/tables/table-comparison-of-the-effects-of-diseases-and-the-side-effects-of-vaccines-on-the-national-immunisation-program 
  28. CDC. Flu Vaccine Safety and Pregnancy [Internet]. Influenza (Flu). 2024. Available from: https://www.cdc.gov/flu/vaccine-safety/vaccine-pregnant.html 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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