Flu Vaccinations

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The Centers for Disease Control (CDC) recommends that everyone six months of age and older get flu vaccine annually. Vaccination efforts usually begin in August or September and continue through March. Flu vaccine is modified each year to protect against the flu strains predicted to be most prevalent for the upcoming season. This year's vaccine protects against four strains of flu.

Remember, don't wait to get vaccinated. It takes two weeks after getting the shot/mist to reach maximum effectiveness.

Flu Prevention

  • Get an annual flu shot
  • Cover your coughs and sneezes with a tissue, or if a tissue isn't available, cough or sneeze into your elbow, not your hands
  • Wash your hands frequently throughout the day
  • Clean commonly touched surfaces often
  • Avoid contact with people who have flu-like symptoms
  • More Flu Prevention Basics

Vaccine Availability at the Health Department

At this time, the Health Department does not have a vaccine available for those between the ages of 3 to 64 who have insurance or who would pay cash. We have private vaccine for purchase, out of pocket, as well as private stock to bill someone’s insurance.

We will make every effort to keep this information current as our vaccine situation changes.

Call to Schedule Your Flu Vaccine Appointment

For an appointment, call 919-245-2400 and select option 3 for our Chapel Hill clinic or option 4 for our Hillsborough clinic


The Orange County Health Department has vaccine that is funded through 2 separate entities:

  1. Free vaccine provided by the State through the Vaccines for Children (VFC) Program. State (free) vaccine is available for the following groups:
    • Children ages 6 months to 18 years without health insurance
    • Children ages 6 months to 18 years who are Medicaid -eligible
    • Children ages 6 months to 18 years whose health insurance does not cover any of the cost of flu vaccine (this does not include children for whom flu vaccine would be covered if they had met their annual deductible or children whose insurance requires a copay)
    • Children ages 6 months to 18 years who are Alaskan Natives
    • Children ages 6 months to 18 years who are American Indians
    • Unaccompanied minors coming to a Title X clinic
    • Non-Medicaid, uninsured women who are pregnant during the flu season who receive services from the Health Department
    • Women with a family planning waiver receiving service at the Health Department
  2. Purchased vaccine that is paid for with county money for which the Health Department must bill insurance or receive payment.


Due to delays in the availability of flu vaccine this year, some of the purchased vaccine has not arrived and vaccine is currently only available to in the following age groups:

  • 6 months to 35 months of age ($34)
  • 65 years of age and up ($58 High Dose Vaccine)

We will only be supplying 2 private vaccines:

  • Fluzone – 6months of age and older; Quadrivalent vaccine; cost = $36.00
  • Flublok – 18years and older; recombinant Quadrivalent vaccine; cost = $71.00

*The cost of the vaccine includes the $18.00 administrative fee. We have a sliding fee scale (you pay according to your income) and also offer payment plans for flu shots.

Additional Information

View the Center for Disease Control website for more Flu Information, or learn more about Flu Prevention Basics.