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Consider this situation . . . A 45 year old woman is a heavy smoker and has early chronic bronchitis. She has not been receiving annual, seasonal influenza vaccines. Here is the reason: Five years ago, the patient was injected with a dose of influenza vaccine, and two days later, she developed "the flu." She states that she became ill with fever, chills, dry cough, headache, and severe muscle pains that persisted for a week. She suspects that she acquired influenza from the vaccine, and does not wish to risk this again. What can you advise her about having this year's vaccine?
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| A. | She should not have another dose of influenza vaccine, because her reaction would be likely to recur. |
| B. | Having had such a severe reaction already, she is unlikely to repeat this again. |
| C. | It is impossible to acquire influenza from injectable influenza vaccine; it is made from inactivated virus. |
| D. | Since immunity requires a few weeks to developed, her "reaction" was most likely a real case of influenza acquired elsewhere. |
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