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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.

Strength of evidence

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

✓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

Educational information only. Not medical advice, not a diagnosis, and no doctor-patient relationship is created by using this. Founded Parent has not examined your child and does not know their history, so this may not apply to you. In an emergency, call your local emergency number. What Founded Parent cannot do

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Educational information only. Not medical advice, not a diagnosis, and no doctor-patient relationship is created by using this. Founded Parent has not examined your child and does not know their history, so its answers may not apply to you. Never delay or disregard advice from a qualified health professional because of something you read here. In an emergency, call your local emergency number.