Questions: QUESTION 4 What should you keep in mind if a patient needs a COVID-19 vaccine and a flu vaccine? Select one: a. Both vaccines can be given at the same visit. b. The vaccines must be spaced apart by 2 weeks. c. Both vaccines should be given at the same injection site. d. The intranasal flu vaccine is preferentially recommended in this scenario.

The answer is the first one (a): Both vaccines can be given at the same visit.

Explanation for each option:

a. Both vaccines can be given at the same visit.

• This is correct. According to the Centers for Disease Control and Prevention (CDC) and other health authorities, it is safe to administer the COVID-19 vaccine and the flu vaccine during the same visit. This approach can help increase vaccination rates and ensure that individuals are protected against both illnesses.

b. The vaccines must be spaced apart by 2 weeks.

• This is incorrect. There is no requirement to space the COVID-19 vaccine and the flu vaccine apart by 2 weeks. They can be administered simultaneously.

c. Both vaccines should be given at the same injection site.

• This is incorrect. While both vaccines can be given at the same visit, they should not be administered at the same injection site. Each vaccine should be given in a different arm or at least an inch apart if given in the same arm to avoid local reactions.

d. The intranasal flu vaccine is preferentially recommended in this scenario.

• This is incorrect. There is no preferential recommendation for the intranasal flu vaccine specifically in the context of also receiving a COVID-19 vaccine. The choice of flu vaccine (intranasal or injectable) should be based on the patient's age, health status, and vaccine availability.

Summary: When a patient needs both a COVID-19 vaccine and a flu vaccine, it is safe and recommended to administer both vaccines during the same visit, but they should be given at different injection sites.