As we age, our immune system naturally weakens, making us more susceptible to infections and complications. One of the most important preventative health steps for people aged 65 and older is getting the annual flu shot. The 65 flu shot is specifically designed for seniors, offering enhanced protection against seasonal influenza and reducing the risk of severe illness.

In this guide, we’ll explore everything you need to know about the flu shot after 65, including the types of flu vaccines available, how they work, who should get them, potential side effects, and where to get vaccinated near you.

Why Seniors Over 65 Need a Flu Shot

Influenza is a highly contagious respiratory illness that can lead to severe complications, especially in older adults. According to the Centers for Disease Control and Prevention (CDC), people aged 65 and older account for up to 70-85% of flu-related deaths and up to 50-70% of flu-related hospitalizations each year.

Here’s why seniors should take the flu shot seriously:

• Weakened Immune System: As we age, our body's ability to fight off infections decreases.

• Chronic Health Conditions: Many seniors have underlying conditions such as heart disease, diabetes, or lung disease that increase flu-related complications.

• Higher Risk of Pneumonia: The flu can lead to pneumonia, a common and deadly complication in seniors.

Benefits of the 65+ Flu Shot:

• Reduces flu-related hospitalizations

• Decreases severity of flu symptoms

• Lowers the risk of serious complications

• Helps prevent community outbreaks in senior living facilities

Types of Flu Shots for Seniors 65 and Older

There are two primary types of flu vaccines recommended for older adults:

1. High-Dose Flu Vaccine (Fluzone High-Dose Quadrivalent)

This vaccine contains four times the antigen of a standard flu shot. The higher dose boosts the immune response, making it more effective in seniors.

• Brand name: Fluzone High-Dose

• Target group: Adults aged 65+

• Protection: Covers four influenza virus strains (two A and two B)

• Effectiveness: Studies show this vaccine is 24% more effective in preventing flu in seniors than standard-dose vaccines.

2. Adjuvanted Flu Vaccine (Fluad Quadrivalent)

This vaccine contains an adjuvant (MF59)—a substance that strengthens the immune system’s response to the vaccine.

• Brand name: Fluad Quadrivalent

• Target group: Adults aged 65+

• Special feature: Added adjuvant enhances immunity

• Effectiveness: Improves protection for individuals with weaker immune systems

Both vaccines are approved and safe for people 65 years and older. Consult your healthcare provider to choose the best option for your specific health needs.

Who Should Get the 65 Flu Shot?

All adults aged 65 and older should receive a flu shot once every year, ideally by the end of October before the peak flu season begins. However, it’s still beneficial to get vaccinated later in the season, especially if the flu is still circulating in your area.

People who should prioritize the flu shot after 65:

• Those with chronic diseases (diabetes, asthma, heart conditions)

• Residents of nursing homes or assisted living facilities

• Seniors with weakened immune systems

• Caregivers of elderly or high-risk individuals

Is the Flu Shot Safe for Seniors?

Yes, the flu shot is safe and well-tolerated by most seniors. Millions of adults over 65 receive the vaccine every year with minimal side effects.

Common Side Effects:

• Soreness, redness, or swelling at the injection site

• Mild fever

• Headache or muscle aches

• Fatigue

These symptoms typically go away within 1–2 days. Serious side effects or allergic reactions are rare.

Contraindications:

Seniors with severe allergies to vaccine components (like egg protein or previous serious reaction to a flu shot) should consult a doctor. Egg-free flu vaccines are available.

Where to Get the 65 Flu Shot Near You

Flu shots for seniors are widely available in:

• Pharmacies (e.g., CVS, Walgreens, Rite Aid, Shoppers Drug Mart)

• Doctor’s offices

• Local health clinics

• Public health departments

• Community centers offering senior health services

You can use online tools such as:

• CDC Vaccine Finder (U.S.)

• Flu Vaccine Finder (Canada)

It’s best to call ahead or book an appointment online to ensure the high-dose or adjuvanted vaccine is available.

65 Flu Shot and Medicare/Insurance Coverage

Good news: the flu shot is free for most seniors!

In the United States:

• Medicare Part B covers one flu shot per flu season at no cost if administered by a Medicare-enrolled provider.

• Most private insurance plans and Medicaid also cover it at 100%.

In Canada:

• Public health systems in most provinces offer free flu shots to seniors over 65, including access to high-dose vaccines.

Check with your healthcare provider, insurance company, or pharmacist for full coverage details.

Frequently Asked Questions (FAQs)

1. Is the 65+ flu shot different from the regular flu shot?

Yes. The senior flu shot is specially formulated with a higher dose of antigen or added immune-boosting ingredients to enhance protection for older adults.

2. Can I get the flu shot and COVID-19 booster at the same time?

Yes. According to the CDC and other health agencies, it is safe and effective to get both shots during the same visit. This can help minimize clinic trips and maximize protection.

3. How long does the flu shot protection last in seniors?

Flu shot protection typically lasts 6–8 months, but it can vary. That’s why it’s important to get vaccinated annually before flu season.

4. Do I need a prescription to get the 65 flu shot?

In most cases, no prescription is needed. Walk-in vaccinations are often available at pharmacies and clinics.

5. Can I still get the flu after getting the flu shot?

Yes, but your symptoms will likely be milder and your risk of severe complications much lower compared to those who are unvaccinated.

Tips for Seniors Getting the Flu Shot

• Stay hydrated and eat a light meal before your appointment.

• Wear a short-sleeve shirt for easy access to your upper arm.

• Wait 15 minutes after the shot in case of any immediate reactions.

• Record the date of your vaccination in case you need proof later.

Community and Public Health Impact

Getting a flu shot after 65 doesn’t just protect you—it also helps protect your family, friends, and community. This is especially important in group settings like senior living facilities, where outbreaks can spread rapidly.

By boosting immunity across the older population, we can reduce hospital burden, protect vulnerable individuals, and promote healthier aging.

Conclusion: Don’t Delay Your 65+ Flu Shot

The flu is more than just a seasonal inconvenience—it can lead to serious health risks, especially for people aged 65 and older. Getting your 65 flu shot annually is a powerful step toward protecting yourself and those around you.

Whether you opt for the high-dose vaccine or the adjuvanted vaccine, both offer stronger protection tailored to your age group. With free or low-cost access, minimal side effects, and wide availability, there’s no reason to skip this essential preventive measure.

Stay healthy, stay protected—get your flu shot today.