Maybe it is now, but it's for use in special cases. I know in 2019 it was very limited.


Some people should *not* get the nasal spray flu vaccine:
•Children younger than 2 years
•Adults 50 years and older
•People with a history of severe allergic reaction to any ingredient of the vaccine or to a previous dose of any influenza vaccine
•Children 2 years through 17 years old who are receiving aspirin- or salicylate-containing medications.
•Children 2 years through 4 years old who have asthma or who have had a history of wheezing in the past 12 months
•People with weakened immune systems (immunosuppression) from any cause
•People who care for severely immunocompromised persons who require a protected environment (or otherwise avoid contact with those persons for 7 days after getting the nasal spray vaccine)
•People without a spleen, or with a non-functioning spleen
•Pregnant women
•People with an active leak between the cerebrospinal fluid and the mouth, nose, ear, or other place within the skull
•People with cochlear implants
•People who have taken flu antiviral drugs within the previous 48 hours for oseltamivir and zanamivir, previous 5 days for peramivir, and previous 17 days for baloxavir.

In addition, the following conditions are precautions to the use of the nasal spray flu vaccine:
•Asthma in people aged 5 years and older.
•Other underlying medical conditions that can put people at higher risk of serious flu complications. These include conditions such as lung disease, heart disease (except isolated hypertension), kidney disease (like diabetes), kidney or liver disorders, neurologic/neuromuscular, or metabolic disorders. “People at High Risk of Developing Flu–Related Complications.”
•Moderate or severe acute illness with or without fever.
•Guillain-Barré Syndrome within 6 weeks following a previous dose of flu vaccine.