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When Should You Get Your Flu Shot?

September 22, 2026
Close-up of a woman in a white tank top pointing to a bandage with a small red heart on her upper arm after receiving a vaccine.

Most adults get a flu shot every year without knowing why the formula changes each season or why timing affects how well it works. Many people in Middle Tennessee think of the flu as an inconvenience, a week spent on the couch. For some patients, it is far more serious. Understanding how the vaccine works, and who needs it most, makes the yearly decision an easier one.

Why the Flu Is More Than a Bad Cold

Influenza is a respiratory virus that can lead to pneumonia, dehydration and hospitalization. It can also worsen existing health problems. People with asthma may have more attacks. People with heart disease face a higher risk of cardiac events in the weeks after an infection. Each year, the flu sends hundreds of thousands of Americans to the hospital.

How Does the Flu Vaccine Work?

The vaccine introduces your immune system to inactivated virus particles or proteins. Your body responds by making antibodies. If you are exposed to the real virus later, those antibodies are already prepared to fight it.

That two-week window is why timing matters. Getting vaccinated before flu is widespread locally gives your body the head start it needs.

Why You Need a New Flu Shot Every Year

There are two reasons last year’s shot does not carry over:

Flu viruses change. Researchers update the vaccine formula each year to match the strains most likely to circulate.

Protection fades. Antibody levels drop over several months, so a prior season’s shot will not cover you through this one.

Who Is at Highest Risk for Flu Complications?

Some people are much more likely to become seriously ill, including:

Adults 65 and older

Children younger than five years old

People who are pregnant

People with chronic conditions such as asthma, COPD, heart disease, diabetes or kidney disease

People with weakened immune systems

Residents of long-term care facilities

Does the Vaccine Still Help If You Get Sick Anyway?

Yes. Some vaccinated people do catch the flu, and how well the vaccine matches circulating strains varies from year to year. Even so, research consistently shows that vaccinated people who get sick tend to have milder symptoms, recover sooner, and are less likely to be hospitalized or need intensive care.

Vaccination also protects the people around you, including infants too young to be vaccinated and neighbors going through cancer treatment.

Why Do People Skip the Flu Shot?

A few beliefs keep people from getting vaccinated every year. Here is what the evidence shows:

"I got one last year." Protection fades within months, and circulating strains change.

"I never get the flu." You can carry and spread the virus with mild symptoms, exposing people at higher risk.

"The shot made me sick." Flu shots do not contain live viruses that can make you sick. A sore arm or a day of fatigue is your immune system responding.

"I am healthy, so it is not worth it." Healthy adults still end up hospitalized with flu every season.

What Else Can You Do to Prevent the Flu?

A flu shot works best alongside a few everyday habits:

Wash your hands often and avoid touching your eyes, nose and mouth

Stay home when you are sick, and keep sick children home from school

Cover coughs and sneezes

Clean frequently touched surfaces during peak season

When to Seek Care

If flu symptoms start, contact a provider quickly. Antiviral medicines work best when started within 48 hours of the first symptoms. Seek care right away for trouble breathing, chest pain or pressure, confusion, signs of dehydration or symptoms that improve and then return worse.

Talk with a provider at Highpoint Health in Middle Tennessee about your flu vaccine and any conditions that raise your risk. Your decision also protects people around you, including those who cannot be vaccinated.

This article is for general informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

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