The nasal-spray flu vaccine—a vaccine made with live, weakened flu viruses that do not cause the flu (sometimes called LAIV for “live attenuated influenza vaccine” or FluMist®)—is approved for use in healthy* people 2 to 49 years old who are not pregnant. (*“Healthy” indicates persons who do not have an underlying medical condition that predisposes them to influenza complications.)
The “flu shot” is an inactivated vaccine (containing killed virus) that is given with a needle, usually in the arm. The flu shot is approved for use in people older than 6 months. Healthy people and people with chronic medical conditions like asthma can get the shot.