Can I child get their vaccinations if they are sick?
Yes. Canadian guidelines say a mild illness, with or without a low fever, is not a reason to delay vaccines. Only moderate-to-severe illness usually calls for waiting.
The main exception is the nasal-spray flu vaccine, which may not work well if a stuffy nose blocks it from reaching the nasal lining.
Strong
This is backed by Canadian and US immunization guidelines, plus several cohort studies comparing antibody responses in mildly ill versus healthy children.
What the evidence says
Yes, in most cases your child can still get their shots even if they have a cold, a mild cough, an ear infection, or a low fever. According to Canada's official immunization guide, mild illness does not raise the risk of side effects and does not stop the vaccine from working properly.
Doctors call this a 'mild illness' when a child has things like a runny nose, cough, mild diarrhea, or a low-grade fever, but is otherwise acting fairly normal. The Canadian Paediatric Society specifically lists having or recovering from a cold, cough, or diarrhea without fever as situations where a child can still be vaccinated.
The advice changes for moderate or serious illness. If your child seems quite unwell, has a high fever, or you're worried something bigger is going on, it may be better to wait until they recover, mainly so new symptoms aren't confused with vaccine side effects. Your doctor or nurse will always check how your child is doing before giving any shot.
There is one special case: the flu vaccine that's sprayed up the nose, called FluMist. If a child has a very stuffy nose, the spray might not reach where it needs to go to work well. In that situation, providers often use the flu shot instead of the nasal spray.
Taking antibiotics also does not need to delay vaccines. If your child is sick and has a vaccine appointment coming up, it's fine to ask the doctor or nurse to weigh in when you arrive, but you usually do not need to cancel just because of a cold or mild fever.
Sources
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Guideline
Contraindications and precautions: Canadian Immunization Guide
Canada.ca / Public Health Agency of Canada
States mild illness, with or without fever, is not a reason to delay vaccination.
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Guideline
Vaccination and your child
Canadian Paediatric Society (Caring for Kids)
Lists mild cold, cough or diarrhea without fever as safe to vaccinate.
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Guideline
Immunization schedule for children
AboutKidsHealth (SickKids)
Confirms mild illness or recovering from one is not a reason to postpone shots.
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Guideline
Vaccine Safety
HealthLink BC
Lists minor illness, slight fever as situations where vaccination can proceed.
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Guideline
Vaccines When Your Child Is Sick
CDC
US guidance: mild illness is fine, moderate/serious illness may need delay.
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Systematic review
Can children with minor illnesses be safely immunized?
Paediatrics & Child Health (PMC)
Review of cohort studies showing mild illness does not blunt vaccine response.
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked August 3, 2026