Children with cochlear implants can be vaccinated safely with LAIV although ideally not in the week prior to implant surgery or for two weeks afterwards, or if there is evidence of on-going cerebrospinal fluid leak. This will be added to Influenza Green book chapter. Publishing of this is expected to be very soon.

LAIV = live attenuated influenza vaccine. This is the nasal (nose spray).

This is from the National Immunisation team – the UKHSA (UK Health Security Agency).